Early detection of structural abnormalities and cytoplasmic accumulation of TDP-43 in tissue-engineered skins derived from ALS patients
Autor: | Marie-Soleil Lamarre, François-Dominique Scott, Peter Gould, François Berthod, Nicolas Dupré, Lydia Touzel-Deschênes, François Gros-Louis, Jean-Pierre Bouchard, Hélène T. Khuong, Guy A. Rouleau, Rémy Lamontagne, Patrick A. Dion, Bastien Paré |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male Pathology medicine.medical_specialty Neurology TDP-43 Neuropathology Disease Pathology and Forensic Medicine Cellular and Molecular Neuroscience medicine Paralysis Humans Amyotrophic lateral sclerosis Skin DNA Repeat Expansion Tissue Engineering business.industry Research Amyotrophic Lateral Sclerosis Neurodegeneration Biomarker Extracellular matrix Middle Aged medicine.disease Spinal cord DNA-Binding Proteins Early Diagnosis medicine.anatomical_structure Disease Progression Biomarker (medicine) Female Neurology (clinical) Amyotrophic Lateral Sclerosis (ALS) medicine.symptom business Biomarkers |
Zdroj: | Acta Neuropathologica Communications |
ISSN: | 2051-5960 |
DOI: | 10.1186/s40478-014-0181-z |
Popis: | Amyotrophic lateral sclerosis (ALS) is an adult-onset disease characterized by the selective degeneration of motor neurons in the brain and spinal cord progressively leading to paralysis and death. Current diagnosis of ALS is based on clinical assessment of related symptoms. The clinical manifestations observed in ALS appear relatively late in the disease course after degeneration of a significant number of motor neurons. As a result, the identification and development of disease-modifying therapies is difficult. Therefore, novel strategies for early diagnosis of neurodegeneration, to monitor disease progression and to assess response to existing and future treatments are urgently needed. Factually, many neurological disorders, including ALS, are accompanied by skin changes that often precede the onset of neurological symptoms. Aiming to generate an innovative human-based model to facilitate the identification of predictive biomarkers associated with the disease, we developed a unique ALS tissue-engineered skin model (ALS-TES) derived from patient’s own cells. The ALS-TES presents a number of striking features including altered epidermal differentiation, abnormal dermo-epidermal junction, delamination, keratinocyte infiltration, collagen disorganization and cytoplasmic TDP-43 inclusions. Remarkably, these abnormal skin defects, uniquely seen in the ALS-derived skins, were detected in pre-symtomatic C9orf72-linked ALS patients carrying the GGGGCC DNA repeat expansion. Consequently, our ALS skin model could represent a renewable source of human tissue, quickly and easily accessible to better understand the physiopathological mechanisms underlying this disease, to facilitate the identification of disease-specific biomarkers, and to develop innovative tools for early diagnosis and disease monitoring. Electronic supplementary material The online version of this article (doi:10.1186/s40478-014-0181-z) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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