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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Acta+Neuropathol+Commun
2014 ; 2
(ä): 49
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Early white matter changes in CADASIL: evidence of segmental intramyelinic oedema
in a pre-clinical mouse model
#MMPMID24886907
Cognat E
; Cleophax S
; Domenga-Denier V
; Joutel A
Acta Neuropathol Commun
2014[Apr]; 2
(ä): 49
PMID24886907
show ga
INTRODUCTION: Small vessel disease (SVD) of the brain is a leading cause of age-
and hypertension-related cognitive decline and disability. Cerebral white matter
changes are a consistent manifestation of SVD on neuroimaging, progressing
silently for many years before becoming clinically evident. The pathogenesis of
these changes remains poorly understood, despite their importance. In particular,
their pathological correlate at early stages remains largely undefined. Cerebral
Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy
(CADASIL), caused by dominant mutations of the NOTCH3 receptor, is regarded as a
paradigm for the most common form of sporadic SVD. In this study, we used
immunohistochemistry, confocal microscopy and electron microscopy, together with
qualitative and quantitative analyses to assess oligodendroglial, axon and myelin
damage in TgPAC-Notch3R169C mice, a model of preclinical CADASIL. RESULTS: The
principal cerebral white matter changes in TgPAC-Notch3R169C mice are
microvacuoles (? 1 ?m diameter) in the myelin sheaths associated with focal
myelin degradation and occurring in the absence of oligodendrocyte loss. Half the
damaged myelin sheaths still contain an apparently intact axon. Clearance of
myelin debris appears inefficient, as demonstrated by the significant but mild
microglial reaction, with occasional myelin debris either contacted or
internalized by microglial cells. CONCLUSION: Our findings suggest that segmental
intramyelinic oedema is an early, conspicuous white matter change in CADASIL.
Brain white matter intramyelinic oedema is consistently found in patients and
mouse models with compromised ion and water homeostasis. These data provide a
starting point for novel mechanistic studies to investigate the pathogenesis of
SVD-related white matter changes.