SLIDE 1
Dorsal root ganglia in Friedreich ataxia: the critical role of satellite cells
Arnulf H. Koeppen, R. Liane Ramirez, Alyssa B. Becker, and Joseph E. Mazurkiewicz
Albany, N.Y., USA
SLIDE 2 Friedreich ataxia (FRDA) Definition: An autosomal recessive ataxia due to homozygous guanine-adenine-adenine trinucleotide repeat expansion in intron 1 of the frataxin (FXN) gene
- n chromosome 9q21.11, causing impaired transcription
and lack of a small mitochondrial protein, frataxin. Prevalence: 1:40,000 – 1:140,000 (Western European peoples); total in USA, 6,000-10,000 Disease targets: Motor cortex; dentate nucleus; dorsal root ganglia (DRG); sensory nerve; heart; β-cells of the pancreas This study: DRG of Friedreich ataxia (15 cases); normal controls (12) Nikolaus Friedreich 1825-1882
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Normal Normal, class-III-β-tubulin FRDA, class-III-β-tubulin FRDA
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Normal, laminin 2 FRDA, laminin 2
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Normal, glutamine synthetase FRDA, glutamine synthetase FRDA, GFAP Normal, GFAP
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Normal, connexin 43 FRDA, connexin 43 Normal, S100 FRDA, S100α
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Normal S100 Normal connexin 43 Normal merged FRDA S100 FRDA connexin 43 FRDA merged
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Normal, mGluR2/3 FRDA, mGluR2/3 Normal, mGluR1α FRDA, mGluR1α
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Normal, EAAT1 FRDA, EAAT1 Normal, Kir4.1 FRDA, Kir4.1
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Normal, IBA1 FRDA, IBA1 Normal, CD68 FRDA, CD68
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Normal S100/IBA1 FRDA S100/IBA1
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Normal, frataxin FRDA, frataxin Normal, ATP5B FRDA, ATP5B
SLIDE 13 Key observations: (1)Hypertrophy and hyperplasia of satellite cells expressing glutamine synthetase, S100, the gap junction protein connexin 43, basement membrane material (laminin-2), GFAP, EAAT1, Kir4.1, frataxin, and ATP5B (2)Infiltration of DRG by monocytes and neuronal invasion (IBA1 and CD68) Conclusions The traditional interpretation that FRDA causes “atrophy” of DRG neurons must be modified. Lack of frataxin causes generalized morphological abnormalities of satellite cells, disturbing their trophic interaction with neurons. Neuronal destruction is due to inflammatory infiltration and invasion by monocytes rather than “atrophy”.
Acknowledgments Supported by NIH and Friedreich’s Ataxia Research Alliance