CSF1R-related disorder: historical overview & current concepts

Published on March 31, 2024   32 min

A selection of talks on Clinical Practice

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0:00
I'm Dr. Wszolek. I am a consultant and professor of neurology at the Mayo Clinic in Jacksonville, Florida. My talk today is on CSF1R-related disorder.
0:16
Before we dissect the subject of my presentation, the Mayo Clinic Medical Industry Relations Committee and Conflict of Interest Review Board wishes me to present this disclosure slide. Most of the research I am going to present to you today was not funded by any specific grant. However, over the last three years, I have been serving as a consultant to two pharmaceutical companies, Vigil Neuroscience and Eli Lilli & Company on the subject of CSF1R-related leukoencephalopathy, and I'm also PI for two pivotal trials conducted by Vigil Neuroscience on CSF1R-related leukoencephalopathy, which is natural history study, and Phase 2 TREM2 agonist antibody trial.
1:13
The story of this illness starts with two Belgium physicians, who back in 1936, describe a Belgian kindred with phenotype resembling frontotemporal dementia, and with an autopsy demonstrating the orthochromatic leukodystrophy abnormalities. Based on pathology, they named their kindred as pigmentary orthochromatic leukodystrophy or POLD. Fifty years later, a Swedish group headed by Dr. Andersen, studied a large Swedish kindred with a somewhat similar clinical phenotype. They also had four autopsies on this family. They were familiar with the earlier work of Dr. van Bogaert and Nyssen, but thought that the illness affecting their family was different than those described by van Bogaert and Nyssen, mainly because pathologically, they noted the presence of axonal spheroids. Thus, they labeled the disease as hereditary diffuse leukoencephalopathy with spheroids.

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CSF1R-related disorder: historical overview & current concepts

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