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Abnormal apocrine secretory cell mitochondria in a Huntington disease patient
Christos Sidiropoulos1, Peter LeWitt, Ken Hashimoto
1Department of Neurology, Henry Ford Hospital, Wayne State University School of Medicine, Detroit, MI 48322, USA.
Insights
Huntington's disease (HD) involves mitochondrial abnormalities, particularly in apocrine cells, affecting involuntary movements. These cellular changes suggest a systemic mitochondrial disturbance in patients with HD.
Area of Science:
- Neuroscience
- Cell Biology
- Genetics
Background:
- Huntington's disease (HD) is a progressive neurodegenerative disorder.
- Characterized by chorea, dystonia, and tics, often with a late onset.
- Genetic testing reveals CAG repeat expansion in the HTT gene.
Observation:
- A 42-year-old woman presented with a 20-year history of movement disorders.
- Diagnosis of HD confirmed by PET scan and genetic testing.
- Skin biopsy showed unique mitochondrial abnormalities in apocrine secretory cells.
Findings:
- Mitochondria in apocrine cells were enlarged, rounded, with disrupted cristae and myelin figures.
- Apocrine cells contained abundant lipid vacuoles and vesicles.
- Skeletal muscle histology and mitochondrial function tests were normal in this patient.
Implications:
- Mitochondrial dysfunction may be a systemic feature of Huntington's disease.
- Similar mitochondrial changes observed in neurons, muscle, fibroblasts, and lymphoblasts of other HD patients.
- Further research into mitochondrial pathways could reveal novel therapeutic targets for HD.
Abstract:
Over two decades, a 42-year old woman experienced the gradual onset of choreic involuntary movements, dystonia, and tics. Decreased caudate nucleus metabolism on 2-deoxyglucose PET scan and a heterozygous 49-CAG repeat expansion within the HTT gene established the diagnosis of HD, although no other family history was known. An axillary skin biopsy revealed a distinctive abnormality of mitochondria limited to the apocrine secretory cells on electron microscopy. All mitochondria were transformed into rounded structures with disrupted cristae and prominent myelin figures; many were enlarged up to 4 times the normal. Cytoplasm of apocrine secretory cells showed an abundance of lipid vacuoles, empty vesicles, and dense bodies. Biopsied skeletal muscle histology (light microscopy) was normal, as was a mitochondrial metabolism study. Biopsies from other HD patients have shown similar mitochondrial changes in cerebral neurons, muscle, fibroblasts, and lymphoblasts, adding to evidence for a systemic disturbance of mitochondria in HD.
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