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Printable Handouts
Navigable Slide Index
- Introduction
- General overview
- Outline of talk
- Glial fibrillary acidic protein (GFAP)
- GFAP is conserved, but not essential for life
- GFAP mutations cause Alexander disease
- GFAP isoforms
- Summary of genetics
- What is Alexander disease?
- Early onset form of Alexander disease?
- MRI images in Alexander disease?
- Typical early onset patient
- Alexander disease effect on the brain
- Rosenthal fibers
- Working hypothesis for Alexander disease
- Model systems and pathogenesis
- Mouse models
- Alexander related phenotypes in mice
- Mice have Rosenthal fibers, but no leukodystrophy
- GFAP levels are increased in Alexander disease
- Over-expression is worse than deficiency
- Mutation plus elevation is fatal
- How are mice poor models? (1)
- How are mice poor models? (2)
- How are mice excellent models?
- Therapeutic strategies
- Strategies for therapy
- GFAP - thresholds for disease
- GFAP - suppression screen
- Activation of stress response pathways
- Nrf2 stress pathway activation
- Anti-oxidant response reporter mice
- Nrf2 activity is increased in R236H mice
- What is alphaB-crystallin?
- Connections to Alexander disease
- AlphaB-crystallin (Cryab) deficiency
- R236H plus elevation is fatal
- Rescue by extra alphaB-crystallin
- Summary
- Major questions and problems
- Acknowledgements
Topics Covered
- GFAP in astrocytes: isolation, genetics and function
- Alexander disease: clinical and pathologic features
- Mouse models for studying pathogenesis
- Potential therapeutic approaches: reduction of GFAP and manipulation of stress response
- Update interview: Genetics of Alexander Disease
- Update interview: GFAP-delta isoform
- Update interview: New model systems
- Update interview: Role of TDP-43
- Update interview: Defects in Stem Cells and Adult Neurogenesis
- Update interview: Potential Mechanism for Myelin Deficits
- Update interview: Antisense Therapeutics
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Talk Citation
Messing, A. (2020, September 22). Astrocytes and Alexander disease: the first - but not last - primary astrocyte disease [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 24, 2024, from https://doi.org/10.69645/HJAT8837.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Albee Messing has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Update Available
The speaker addresses developments since the publication of the original talk. We recommend listening to the associated update as well as the lecture.
- Full lecture Duration: 43:00 min
- Update Interview Duration: 27:39 min
Astrocytes and Alexander disease: the first - but not last - primary astrocyte disease
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
I'm Albee Messing from the University of Wisconsin in Madison.
Today I'm going to talk about astrocytes and
Alexander disease and how this disorder is the first,
but certainly not the last primary disorder of astrocytes.
Why is that of interest? There's currently a great deal of speculation regarding
the role that astrocytes play in neurodegenerative diseases such as Alzheimer's,
Parkinson's, Huntington's, and ALS.
What I'll argue today is that the clearest example of astrocytes being
the culprit in disease is the rare genetic disorder, Alexander disease,
and the extent to which we can understand how
astrocyte function is impaired in Alexander disease,
and the strategies we can devise to restore astrocyte function will have
significant implications for how we deal with
many more common neurological diseases that confront us.
0:52
The general overview of this problem is shown on this slide.
Thanks to advances made during the past 15 years,
we now know that Alexander disease is caused by
mutations in the astrocyte intermediate filament known as GFAP,
as shown on the left.
These are associated with the formation of
protein aggregates within the cytoplasm of astrocytes,
shown in the middle, and then ultimately with the brain pathology,
as shown on the right.
The real excitement in the field now is trying to understand these two steps;
how do the GFAP mutations lead to these protein aggregates,
and then secondly, how do these aggregates lead to
the catastrophic effects on the central nervous system?
1:36
This talk is divided into three parts.
In the first section, I'll make some general comments about
GFAP and discuss the clinical features,
the pathology, and the genetics of Alexander disease.
In the second section,
I'll discuss model systems for studying the disease, in particular,
mouse models, and what we've learned about the pathogenesis of the disorder.
Then finally, based largely on studies in cell culture and mouse model systems,
our ideas for developing therapies for Alexander disease.
GFAP has actually been known to neuroscientists for quite some time.
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