H M Wisniewski, A W Vorbrodt, J Wegiel, J Morys, A S Lossinsky
{"title":"Ultrastructure of the cells forming amyloid fibers in Alzheimer disease and scrapie.","authors":"H M Wisniewski, A W Vorbrodt, J Wegiel, J Morys, A S Lossinsky","doi":"10.1002/ajmg.1320370757","DOIUrl":"https://doi.org/10.1002/ajmg.1320370757","url":null,"abstract":"<p><p>Ultrastructural, three-dimensional reconstruction of cells surrounding the amyloid star in classical plaques in Alzheimer disease (AD) and histochemical studies of the cells associated with the deposits of amyloid fibers in scrapie were carried out. These studies showed that in both diseases, the fibers appear within the smooth endoplasmic reticulum (ER) and infoldings of cytoplasmic membranes of microglia/macrophages. Additional information about the site of formation of the amyloid fibers derives from histochemical studies of the localization of nucleoside diphosphatase (NDPase) activity. In normal microglia, this enzyme is associated with smooth ER and cell membranes. In the cells that form amyloid fibers, the NDPase activity is associated with the newly formed amyloid fibers within the distended cisternae of ER and the finger-like cytoplasmic projections. In the center of the amyloid star, the NDPase activity disappears. The presence of NDPase-positive amyloid fibers in the same location, where the enzyme is found in non-amyloid-forming cells, further supports our conclusion that the microglia/macrophages are the source of amyloid deposits. These studies also show that in spite of the differences in the proteins that produce the amyloid fibers in AD and scrapie, in both diseases, the microglia/macrophages play a key role in amyloid formation.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"287-97"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370757","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13122808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F S Shabtai, A Schwartz, D Klar, J Hart, H Dar, E Kessler, I Halbrecht
{"title":"Free proximal trisomy 21 in the mother and malformation syndrome in the son.","authors":"F S Shabtai, A Schwartz, D Klar, J Hart, H Dar, E Kessler, I Halbrecht","doi":"10.1002/ajmg.1320370736","DOIUrl":"https://doi.org/10.1002/ajmg.1320370736","url":null,"abstract":"<p><p>We report on a new case of duplication of the proximal part of the long arm of chromosome 21. The proposita presents normal mental development, no trisomy 21 manifestations; on the contrary, she had a few monosomy 21-like stigmata. She gave birth to a severely malformed infant with a pattern of malformations suggesting a partial 21-monosomy syndrome, but with a 46,XY normal karyotype in his peripheral blood lymphocytes. The findings are explained in the following way: the infant probably had originally a 47,XY,+21q- karyotype like his mother. Post zygotic nondisjunctional events produced a prevalent 46,XY,21q- line responsible for the severe malformations and the normal 46,XY line found in his blood lymphocytes.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"182-5"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370736","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13303552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Frequency of 47, +21 in cells of blood cultures from couples with habitual spontaneous abortion.","authors":"A Smith, M Cohen, R Murray","doi":"10.1002/ajmg.1320370738","DOIUrl":"https://doi.org/10.1002/ajmg.1320370738","url":null,"abstract":"<p><p>Karyotyped specimens of peripheral blood from 1,055 chromosomally normal individuals (573 females, 482 males) presenting with habitual spontaneous abortion were examined for aneuploidy. Trisomy 21 was noted in six of 14,802 cells. These data were not significantly different from those obtained on chromosomes 19 and 20, or the data obtained from three different, smaller, control groups. The low rate of trisomy 21 cells found in this study suggests that we cannot extrapolate from events in somatic cells in mitosis to nondisjunction events in meiosis.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"189-91"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13303554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L M Larocca, L Lauriola, F O Ranelletti, M Piantelli, N Maggiano, R Ricci, A Capelli
{"title":"Morphological and immunohistochemical study of Down syndrome thymus.","authors":"L M Larocca, L Lauriola, F O Ranelletti, M Piantelli, N Maggiano, R Ricci, A Capelli","doi":"10.1002/ajmg.1320370745","DOIUrl":"https://doi.org/10.1002/ajmg.1320370745","url":null,"abstract":"<p><p>The incidence and severity of various histologic changes were studied in the thymuses from 35 Down syndrome (DS) patients. Variable histologic alterations up to fibrotic involution of the gland were found. In addition, immunohistochemical investigation showed a reduction or absence of interdigitating reticulum cells roughly correlated with the severity of morphologic changes. The complex architectural and cellular thymic alterations, concerning both cortical and medullary microenvironment, could be correlated with the imbalances of immunity in DS patients.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"225-30"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370745","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13304141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C Romano, A Tiné, G Fazio, R Rizzo, R M Colognola, G Sorge, P Bergonzi, L Pavone
{"title":"Seizures in patients with trisomy 21.","authors":"C Romano, A Tiné, G Fazio, R Rizzo, R M Colognola, G Sorge, P Bergonzi, L Pavone","doi":"10.1002/ajmg.1320370758","DOIUrl":"https://doi.org/10.1002/ajmg.1320370758","url":null,"abstract":"<p><p>We report on the incidence of seizures in 113 patients with Down Syndrome (DS), 43 coming from the OASI Institute for Research on Mental Retardation and Brain Aging, Troina, and 70 from the outpatient clinic of the Department of Pediatrics, University of Catania. We obtained the following results: 15 (13.2%) patients had seizures; 6 (5.3%) febrile seizures (FS) and 9 (7.9%) afebrile seizures (aFS). Among the latter group 2 patients had generalized tonic-clonic seizures, 3 partial complex seizures, and 4 infantile spasms. The seizures appeared early in life. Only 2 adult patients had seizures. These results suggest that patients with DS show a higher incidence of FS and of aFS than non-DS individuals. Seizures in DS may be an epiphenomenon of the neurological abnormalities, both anatomical and functional, usually observed in these patients.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"298-300"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370758","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13304679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N Saviolo-Negrin, S Soresi, C Baccichetti, G Pozzan, E Trevisan
{"title":"Observations on the visual-perceptual abilities and adaptive behavior in adults with Down syndrome.","authors":"N Saviolo-Negrin, S Soresi, C Baccichetti, G Pozzan, E Trevisan","doi":"10.1002/ajmg.1320370761","DOIUrl":"https://doi.org/10.1002/ajmg.1320370761","url":null,"abstract":"<p><p>In this research, we consider some psychological, social, and clinical implications of premature aging in persons with Down syndrome (DS). Perceptual and adaptive tests contribute to a better knowledge of the characteristics of mental decline and self-government in DS adults. Visual-perceptual abilities (as measured by the Frosting Development Test of Visual Perception) and behavioral and social adaptation (measured by the Brown Adaptive Behavioral Inventory) were examined in 44 DS subjects aged 14 to 43 years. The results indicated a general decline in performance in the older groups (over 25 years), except in the visual-motor subtest, where a decline is less evident, as this ability continues to be exercised in craft work. Statistical analysis indicates a significant correlation between perceptual abilities, adaptive scales, and mental age. From the data collected, we draw some general conclusions about the trend of perceptual abilities and self-government in relation to aging in DS persons.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"309-13"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13304682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Encomium and dedication: Angelo Serra--four decades in human and medical genetics.","authors":"G Neri, J M Opitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13304688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G Gerli, L Zenoni, G F Locatelli, R Mongiat, F Piattoni, G B Orsini, A Montagnani, M R Gueli, V Gualandri
{"title":"Erythrocyte antioxidant system in Down syndrome.","authors":"G Gerli, L Zenoni, G F Locatelli, R Mongiat, F Piattoni, G B Orsini, A Montagnani, M R Gueli, V Gualandri","doi":"10.1002/ajmg.1320370754","DOIUrl":"https://doi.org/10.1002/ajmg.1320370754","url":null,"abstract":"<p><p>It has been emphasized that an increased oxidative damage can exist in Down syndrome (DS), and that superoxide dismutase (SOD-1) seems to play a role in the pathogenesis of this disorder. We have studied the antioxidant system SOD-1, catalase, glutathione peroxidase (GSH-Px) and reduced glutathione (GSH) in erythrocytes of DS adults in order to evaluate if these cells are protected against oxidant stress. SOD-1 and GSH-Px were significantly increased while catalase and GSH activities were normal. These results suggest that the erythrocytes of these individuals have an unbalanced antioxidant system which may participate in the manifestations of DS.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"272-3"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370754","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13304730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A Cossarizza, D Monti, G Montagnani, C Ortolani, M Masi, M Zannotti, C Franceschi
{"title":"Precocious aging of the immune system in Down syndrome: alteration of B lymphocytes, T-lymphocyte subsets, and cells with natural killer markers.","authors":"A Cossarizza, D Monti, G Montagnani, C Ortolani, M Masi, M Zannotti, C Franceschi","doi":"10.1002/ajmg.1320370743","DOIUrl":"https://doi.org/10.1002/ajmg.1320370743","url":null,"abstract":"<p><p>Phenotype and proliferative ability of peripheral blood lymphocytes from 15 noninstitutionalized children affected with Down Syndrome (DS), in apparently good health, were studied and compared with those of 16 healthy control children of the same age. A complex derangement of all the major peripheral blood cell subsets, i.e., B cells, T cells, and natural killer (NK) cells, was present in DS children. A significant decrease of the absolute number of circulating lymphocytes, a marked and significant decrease of B lymphocyte absolute number and percentage, and dramatic modifications of the T-cell subsets were observed. The absolute number of CD4+ cells was significantly decreased, whereas CD8+ cells increased significantly in percentage but not in absolute number. A derangement of cells bearing markers associated with NK activity, such as CD57, CD16, and CD56, was observed. Among the most important alterations, the presence of a high number of CD57+, CD16- cells, of CD57+, CD8+ lymphocytes, and of CD3+, CD56+ lymphocytes was seen. Many of these alterations are similar to those characteristic of chromosomally normal subjects of advanced age. The hypothesis that the reduced thymic endocrine activity and the zinc deficiency characteristic of DS are responsible for the derangement of T and NK subsets is discussed.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"213-8"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370743","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13304139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuropathology of Down syndrome and Alzheimer disease.","authors":"L C Cork","doi":"10.1002/ajmg.1320370756","DOIUrl":"https://doi.org/10.1002/ajmg.1320370756","url":null,"abstract":"<p><p>Patients with Down syndrome (DS) over 40 years of age, prematurely and consistently develop neurofibrillary tangles (NFT), intracytoplasmic inclusions of highly insoluble straight or paired helical 12-16 nm filaments, and senile plaques (SP) composed of abnormal neurites surrounding a core of beta amyloid. These two lesions occur in distributions similar to those seen in Alzheimer disease (AD). SP and NFT are detected also in some younger individuals with DS (10-30+ years) when immunocytochemical and/or silver staining techniques are used. Retrospective and prospective attempts to relate neuropathological lesions and clinical dementia in DS have produced conflicting results. Clinical evidence of dementia and large numbers of SP and NFT were not always concordant. The predictable and consistent appearance of the AD-like neuropathologic changes in DS provides an unusual opportunity to examine the sequential development of SP and NFT. By combining morphological, immunocytochemical, and morphometric techniques with molecular biological approaches, the evolution of the structural and chemical changes in DS and AD can be examined and their relationship to clinical deficits can be evaluated.</p>","PeriodicalId":77486,"journal":{"name":"American journal of medical genetics. Supplement","volume":"7 ","pages":"282-6"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ajmg.1320370756","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13304731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}