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[Subacute leukoencephalopathy of the rhombencephalon after pituitary radiotherapy].

Two patients had early delayed leucoencephalopathy mainly confined to the brainstem after radiotherapy for pituitary tumours. To our knowledge, we report the first MRI description. The patients had somatotroph cell adenomas (associated with prolactin secretion, patient 2). Surgical removal of the adenomas were complete (patient 1) and partial (patient 2). Both underwent pituitary irradiation: patient 1, 55.8 Gy (31 x 1.8 Gy); patient 2, 54 Gy (27 x 2 Gy). Six weeks after completion of radiation, the patients had low vigilance, sleepiness, cerebellar symptoms, optic neuropathy (patient 1), CSF inflammatory reaction. T2-weighted MRI scans showed hypersignal in brainstem, cerebellar peduncles (both patients), temporal lobe white matter (patient 2). T1-weighted images showed hyposignals, pseudonecrotic and contrast-enhanced images in brainstem (patient 1). Both patients responded to intravenous then oral steroid treatment with a progressive and complete clinical recovery. Radiological abnormalities improved with clinical statement. Present characteristics support a demyelinating mechanism of early delayed cerebral radiation injuries.

Adenoma↗

[Molecular analysis of the development of the rhombencephalon].

Hindbrain development involves a segmentation process which in particular governs cranial-motor nerves organization. We have initiated a molecular analysis of this morphogenetic process by searching for genes expressed in specific hindbrain segments (rhombomeres). We have identified a gene encoding a transcription factor, Krox-20, which is specific of rhombomeres 3 and 5 and several genes encoding receptor tyrosine kinases which are also segment-specific. The study of Krox-20 has allowed the identification of its nucleotide target, the localization of the functional domains of the protein and the demonstration of its involvement in the transcriptional activation of the Hoxb-2 gene and in the control of normal hindbrain development.

Animals↗

[Role of the Krox-20 gene in the development of rhombencephalon].

In the hindbrain region of the developing CNS, anteroposterior patterning involves a transient segmentation process which leads to the formation of morphological bulges called rhombomeres. The rhombomeres constitute cell lineage restriction units and participate in the establishment of a metameric pattern which is responsible for the segmental organisation of motor and reticular neurons. Like Drosophila compartments, rhombomeres also constitute domains of specific gene expression. Genes expressed in a rhombomere-specific manner so far identified encode various types of putative regulatory molecules, including transcription factors, like Hox proteins, the zinc finger protein Krox-20 and the basic domain leucine-zipper protein kreisler, and receptor type molecules, like Sek-1, a member of the EPH family of tyrosine kinase receptors. Such genes are thought to play a role either in the definition of segmental territories or in the specification of the identity of the rhombomeres. Initial analysis of the function of some of these genes have indeed supported this hypothesis. This is the case for the Krox-20 gene. It is expressed within the developing hindbrain in two transverse domains which prefigure and then coincide with r3 and r5. We have inactivated Krox-20 by homologous recombination in ES cells and demonstrated that the mutation leads to the deletion of r3 and r5. The mutation introduced into the Krox-20 gene involved the in-frame insertion of the lacZ coding sequence. This allowed us to follow the late expression pattern of the gene and to identify two additional phenotypes, affecting myelination of the peripheral nervous system and endochondral ossification. The lacZ reporter also permitted a detailed analysis of the expression of Krox-20 in peripheral glial cells, revealing important steps in the control of their development. Recently we have performed a detailed analysis of specific neuronal populations affected by the mutation which shed new light on the role of Krox-20 in the segmentation and on the physiological consequences of its inactivation. We have also identified several new members of the Sek-1 family of receptor tyrosine kinases, which are also expressed in a rhombomere-specific manner. Finally, we have provided evidence that Krox-20 is as a key regulator of r3/r5-specific transcription, controlling the expression of at least five other regulator genes in these rhombomeres. In three cases, Hoxb-2, Hoxa-2 and Sek-1, we could demonstrate that Krox-20 was directly involved in the transcriptional activation of these genes.

Animals↗

The cerebellar and vestibular nuclear complexes in the turtle. I. Projections to mesencephalon, rhombencephalon, and spinal cord.

Cerebellar and vestibular projections were investigated in the turtle Pseudemys scripta elegans following injection of 35S-methionine into the cerebellar and vestibular nuclear complexes at various locations. Fibers arising from the cerebellar nuclei were traced via the cerebellar commissure to the contralateral vestibular nuclear complex (particularly the n. vestibularis inferior and n. vestibularis ventrolateralis) and caudal rhombencephalic tegmentum. Ascending projections crossing the midline in the ventral isthmomesencephalic tegmentum terminated in the contralateral red nucleus and nuclei of the fasciculus longitudinalis medialis (f lm). Vestibular projections ascending mainly via the f lm terminated in the nuclei of the f lm, the nuclei of the posterior commissure, and particularly the extraocular motor nuclei. Vestibulo-ocular projections arising from the rostral vestibular nuclear complex were almost exclusively ipsilateral; those from the caudal vestibular nuclear complex were bilateral. Evidence for a topographic organization of the projections to the trochlear and oculomotor nuclei was also obtained. There were some vestibular projections to the contralateral rhombencephalic tegmentum and n. vestibularis inferior. Spinal projections coursing within the ipsilateral ventral descending tract and the ipsilateral fasciculus longitudinalis medialis were found to arise from both rostral and caudal vestibular regions. The caudal vestibular nuclear complex in addition gave rise to fibers descending in the contralateral fasciculus longitudinalis medialis. Evidence for the existence of labeled fibers crossing at spinal levels was also obtained. Vestibulospinal terminations appeared restricted to the ventral horn.

Animals↗

The mormyrid rhombencephalon: I. Light and EM investigations on the structure and connections of the lateral line lobe nucleus with HRP labelling.

The rhombencephalic posterior lateral line lobe nucleus (nLLL) and its connections were investigated in the mormyrid fish Gnathonemus petersii, at light and electron microscopical levels using HRP tracing. The nLLL, constituted on each side of about 1500 large, round shaped, adendritic cells, is located in the intermediate cell and fibre layer exclusively, in the ventrolateral zone of the posterior lateral line lobe. The cells show a complex synaptology: boutons with chemical synapses cover the largest part of the soma and the long initial segment of the axons. In addition each nLLL cell bears generally two club endings which form gap junctions with the postsynaptic membrane. On the unmyelinated portion of the club ending, a particular synaptic complex (= serial synaptic connections) was observed; large endings, bearing boutons with chemical synapses, contact the club ending with gap junctions. HRP injection into either lateral line nerve showed that the club endings represent the peripheral input of the nLLL. This input is exclusively ipsilateral; the anterior and posterior lateral line nerve projection does not seem to overlay at this level. Retrograde labelling of nLLL cells after HRP injection into the anterior mesencephalic exterolateral nucleus (nELa) confirms the electrophysiological results according to which the nLLL projects directly and bilaterally to the nELa. This rhombo-mesencephalic connection is established through club endings of the nLLL axons which form gap junctions with the large cells of the nELa. About two thirds of the nLLL axons form a crossed and one third an uncrossed bundle within the lateral lemniscal pathway. Anterograde transport in the axon collaterals shows that some of the nLLL cells project simultaneously to the ipsi- and to the contralateral nELa permitting this system a high degree of electrosensory information processing.

Animals↗

[Spatial organization of the direct connections of the sensory-motor cortex with the rhombencephalon and spinal cord in cats].

The distribution and ultrastructure of terminals of corticofugal fibres in the cat hindbrain and spinal cord were examined by light and electron microscopy in various periods of experimental degeneration elicited by large or small sensorimotor cortex destructions. Using the Fink-Heimer technique, it is shown that the corticofugal projections in the dorsal column nuclei and in the spinal intermediate zone are somatotopically arranged. Even small restricted areas of sensorimotor cortex give two separate descending supraspinal systems. The fibres of the first system are distributed in the dorsolateral and dorsolmedial parts of the spinal intermediate zone, predominantly contralaterally. The fibres of the second system are distributed in the dorsolateral and ventromedial parts of the intermediate zone (bilaterally). Degenerating axo-somatic and axo-dendritic contacts contain spherical vesicles. The majority of degenerating axons in n. cuneatus are 0.5-1,5 mu in diameter. The data obtained are discussed in connection with the electrophysiological data on the mechanisms of the cortical control of the spinal cord neuronal activity.

Animals↗