PMID- 10802792 OWN - NLM STAT- MEDLINE DCOM- 20000530 LR - 20190514 IS - 0028-3878 (Print) IS - 0028-3878 (Linking) VI - 54 IP - 9 DP - 2000 May 9 TI - CSF insulin-like growth factor-1 in infantile neuronal ceroid lipofuscinosis. PG - 1828-32 AB - BACKGROUND: Infantile neuronal ceroid lipofuscinosis (INCL) is a progressive encephalopathy in which the patients are severely disabled by the age of 3 years. It is characterized by cerebral atrophy, selective loss of cortical neurons, and secondary loss of axons and myelin sheaths of the white matter. INCL has been shown to result from a palmitoyl protein thioesterase deficiency. The authors suggested that insulin-like growth hormones and apoptosis might play a role in the pathogenesis of INCL. METHODS: The authors measured insulin-like growth factor-1 (IGF-1) and IGF binding protein 3 (IGFBP-3) in the CSF of patients with INCL by radioimmunoassay at an early stage when myelin was starting to diminish. RESULTS: The authors found low CSF IGF-1 but normal IGFBP-3 in patients with INCL compared with control subjects. Also, they observed apoptotic cell death in biopsies of INCL patients. CONCLUSIONS: Because the IGF system seems to be important for early brain development, myelination, and neuroprotection, the authors suggest that the pathology in INCL may be associated with low CSF IGF-1. FAU - Riikonen, R AU - Riikonen R AD - University Hospital of Kuopio, Helsinki, Finland. raili.riikonen@kolumbus.fi FAU - Vanhanen, S L AU - Vanhanen SL FAU - Tyynela, J AU - Tyynela J FAU - Santavuori, P AU - Santavuori P FAU - Turpeinen, U AU - Turpeinen U LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neurology JT - Neurology JID - 0401060 RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Apoptosis/physiology MH - Biopsy MH - Child, Preschool MH - Female MH - Humans MH - Infant MH - Insulin-Like Growth Factor Binding Protein 3/cerebrospinal fluid MH - Insulin-Like Growth Factor I/*cerebrospinal fluid MH - Male MH - Myelin Sheath/pathology MH - Neuronal Ceroid-Lipofuscinoses/cerebrospinal fluid/*diagnosis/pathology MH - Neurons/pathology MH - Radioimmunoassay EDAT- 2000/05/10 09:00 MHDA- 2000/06/03 09:00 CRDT- 2000/05/10 09:00 PHST- 2000/05/10 09:00 [pubmed] PHST- 2000/06/03 09:00 [medline] PHST- 2000/05/10 09:00 [entrez] AID - 10.1212/wnl.54.9.1828 [doi] PST - ppublish SO - Neurology. 2000 May 9;54(9):1828-32. doi: 10.1212/wnl.54.9.1828.