Neuropathology in respiratory-related motoneurons in young Pompe (Gaa(-/-)) mice

Sara M F Turner1, Aaron K Hoyt2, Mai K ElMallah3

  • 1Department of Physical Therapy and McKnight Brain Institute, University of Florida, Gainesville, FL 32610, United States; Center for Respiratory Research and Rehabilitation, University of Florida, Gainesville, FL 32610, United States.

Insights

Early Pompe disease (GAA deficiency) causes glycogen buildup in respiratory motor neurons and neurodegeneration in other brain areas, supporting early treatment for this rare genetic disorder.

Area of Science:

  • Neurology
  • Genetics
  • Biochemistry

Background:

  • Pompe disease results from acid α-glucosidase (GAA) deficiency, leading to early motor symptoms like respiratory and lingual dysfunction.
  • Neuropathology in respiratory motor regions may indicate early disease onset.

Purpose of the Study:

  • To investigate early neuropathological changes in respiratory motor regions of asymptomatic Pompe disease mice.
  • To determine if glycogen accumulation and neurodegeneration occur independently in early-stage Pompe disease.

Main Methods:

  • Histological evaluation of medulla, cervical, and thoracic spinal cords in 6-week-old Gaa(-/-) mice.
  • Periodic acid-Schiff (PAS) staining for glycogen detection.
  • Immunohistochemistry for DNA damage (Tunel) and apoptosis (Cleaved Caspase 3) markers.

Main Results:

  • Glycogen accumulation was observed exclusively in hypoglossal, mid-cervical, and upper thoracic motoneurons of Gaa(-/-) mice.
  • DNA damage and apoptosis markers were prominent in the nucleus tractus solitarius and thoracic spinal dorsal horn, but not co-localized with glycogen.
  • Respiratory-related motoneurons showed particular susceptibility to GAA deficiency.

Conclusions:

  • Neuronal glycogen accumulation and neurodegeneration may occur independently in early Pompe disease.
  • Early therapeutic intervention is supported by findings of neuropathology in respiratory motor regions.
  • GAA deficiency impacts specific neuronal populations, contributing to early disease manifestations.

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