The pathology of X-linked adrenoleukodystrophy: tissue specific changes as a clue to pathophysiology.

ABCD1 Adrenoleukodystrophy Adrenomyeloneuropathy Cerebral ALD Immunohistochemistry Pathology

Journal

Orphanet journal of rare diseases
ISSN: 1750-1172
Titre abrégé: Orphanet J Rare Dis
Pays: England
ID NLM: 101266602

Informations de publication

Date de publication:
28 Mar 2024
Historique:
received: 18 10 2023
accepted: 23 02 2024
medline: 29 3 2024
pubmed: 29 3 2024
entrez: 29 3 2024
Statut: epublish

Résumé

Although the pathology of X-linked adrenoleukodystrophy (ALD) is well described, it represents the end-stage of neurodegeneration. It is still unclear what cell types are initially involved and what their role is in the disease process. Revisiting the seminal post-mortem studies from the 1970s can generate new hypotheses on pathophysiology. This review describes (histo)pathological changes of the brain and spinal cord in ALD. It aims at integrating older works with current insights and at providing an overarching theory on the pathophysiology of ALD. The data point to an important role for axons and glia in the pathology of both the myelopathy and leukodystrophy of ALD. In-depth pathological analyses with new techniques could help further unravel the sequence of events behind the pathology of ALD.

Identifiants

pubmed: 38549180
doi: 10.1186/s13023-024-03105-0
pii: 10.1186/s13023-024-03105-0
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

138

Subventions

Organisme : Nederlandse Organisatie voor Toegepast Natuurwetenschappelijk Onderzoek
ID : 016.196.310

Informations de copyright

© 2024. The Author(s).

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Auteurs

Hemmo A F Yska (HAF)

Department of Child Neurology, Amsterdam Leukodystrophy Center, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam Neuroscience, Amsterdam, The Netherlands. h.a.f.yska@amsterdamumc.nl.

Marc Engelen (M)

Department of Child Neurology, Amsterdam Leukodystrophy Center, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam Neuroscience, Amsterdam, The Netherlands.

Marianna Bugiani (M)

Department of Pediatrics/Child Neurology, VU University Medical Centre, Amsterdam Neuroscience, Amsterdam, The Netherlands.
Department of Pathology, VU University Medical Centre, Amsterdam Neuroscience, Amsterdam, The Netherlands.

Classifications MeSH