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M Elleder

Publications and source records attributed to M Elleder.

182 records · Page 11Linked to original sources

An atypical ultrastructural pattern in Fabry's disease: a study on its nature and incidence in 7 cases.

This is a report on a stored lipid atypical ultrastructural pattern in skin samples of Fabry's disease expressed exclusively in the endothelium. The pattern consisted of intersecting short crescentic tightly packed membranes with a periodicity identical to that in classical ultrastructural variants. At low magnification the lysosomal aggregates of the material resembled "sunbursts" or aggregates of densely packed squirming villus-like structures. According to results of ultrastructural, lipid, and lectin histochemical analyses including analysis of the patients' blood groups, it could be concluded that it is just a variant physical state of the otherwise typical Fabry lipid. Its origin could be attributed to impeded formation (or maintenance) of larger lipid lamellae. It was found in great amounts in skin capillaries in 2 cases, and rarely in 5 additional cases. Knowledge of this atypical ultrastructural pattern is of practical significance because it could, if prevalent, cause diagnostic problems.

Adolescent↗

Incidence of neuronal perikaryal spheroids in neuronal ceroid lipofuscinoses (Batten disease).

The stored material in neuronal ceroid lipofuscinosis (NCL) undergoes, irrespective of the disease type, a uniform modification, altering profoundly its physical and histochemical properties. The process is accompanied by loss of immunodetectable epitopes of subunit c of mitochondrial ATP synthase (SCMAS) in the transformed storage material in NCL2 and NCL6 and of sphingolipid activator proteins (SAPs) A and D in NCL1, NCL2, and NCL6. It is restricted to certain subcortical brain nuclei, typically nucleus niger, dentatus, lentiformis, and thalamus. The process is coupled with progressive enlargement of the deposits caused probably by aggregation and fusion of the storage lysosomes. This ensues in formation of larger pleiomorphic perikaryal corpuscles, the spheroids being only one special form in the spectrum. The process was found to be most intensive in NCL2 brains. As the neuronal unmodified storage deposits tend also to be present in aggregate form, care must be taken to distinguish spheroids composed of modified from those composed of unmodified storage material.

ATP Synthetase Complexes↗