PMID- 20619503 OWN - NLM STAT- MEDLINE DCOM- 20120615 LR - 20220129 IS - 1558-1497 (Electronic) IS - 0197-4580 (Print) IS - 0197-4580 (Linking) VI - 33 IP - 4 DP - 2012 Apr TI - Widespread Lewy body and tau accumulation in childhood and adult onset dystonia-parkinsonism cases with PLA2G6 mutations. PG - 814-23 LID - 10.1016/j.neurobiolaging.2010.05.009 [doi] AB - The 2 major types of neurodegeneration with brain iron accumulation (NBIA) are the pantothenate kinase type 2 (PANK2)-associated neurodegeneration (PKAN) and NBIA2 or infantile neuroaxonal dystrophy (INAD) due to mutations in the phospholipase A2, group VI (PLA2G6) gene. We have recently demonstrated clinical heterogeneity in patients with mutations in the PLA2G6 gene by identifying a poorly defined subgroup of patients who present late with dystonia and parkinsonism. We report the clinical and genetic features of 7 cases with PLA2G6 mutations. Brain was available in 5 cases with an age of death ranging from 8 to 36 years and showed widespread alpha-synuclein-positive Lewy pathology, which was particularly severe in the neocortex, indicating that the Lewy pathology spread corresponded to Braak stage 6 and was that of the "diffuse neocortical type". In 3 cases there was hyperphosphorylated tau accumulation in both cellular processes as threads and neuronal perikarya as pretangles and neurofibrillary tangles. Later onset cases tended to have less tau involvement but still severe alpha-synuclein pathology. The clinical and neuropathological features clearly represent a link between PLA2G6 and parkinsonian disorders. CI - Copyright A(c) 2012 Elsevier Inc. All rights reserved. FAU - Paisan-Ruiz, Coro AU - Paisan-Ruiz C AD - Department of Molecular Neuroscience, UCL Institute of Neurology, London, UK. FAU - Li, Abi AU - Li A FAU - Schneider, Susanne A AU - Schneider SA FAU - Holton, Janice L AU - Holton JL FAU - Johnson, Robert AU - Johnson R FAU - Kidd, Desmond AU - Kidd D FAU - Chataway, Jeremy AU - Chataway J FAU - Bhatia, Kailash P AU - Bhatia KP FAU - Lees, Andrew J AU - Lees AJ FAU - Hardy, John AU - Hardy J FAU - Revesz, Tamas AU - Revesz T FAU - Houlden, Henry AU - Houlden H LA - eng GR - G108/638/MRC_/Medical Research Council/United Kingdom GR - G1001253/MRC_/Medical Research Council/United Kingdom GR - G0802760/MRC_/Medical Research Council/United Kingdom GR - G-0907/PUK_/Parkinson's UK/United Kingdom GR - 089698/WT_/Wellcome Trust/United Kingdom GR - K-0905/PUK_/Parkinson's UK/United Kingdom GR - MC_G1000735/MRC_/Medical Research Council/United Kingdom GR - G0701075/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100721 PL - United States TA - Neurobiol Aging JT - Neurobiology of aging JID - 8100437 RN - 0 (alpha-Synuclein) RN - 0 (tau Proteins) RN - EC 3.1.1.4 (Group VI Phospholipases A2) RN - EC 3.1.1.4 (PLA2G6 protein, human) SB - IM MH - Adolescent MH - Adult MH - Brain/*pathology MH - Child MH - DNA Mutational Analysis MH - *Dystonic Disorders/genetics/metabolism/pathology MH - Female MH - Group VI Phospholipases A2/*genetics MH - Humans MH - Lewy Bodies/genetics/pathology MH - Male MH - Mutation/*genetics MH - *Parkinsonian Disorders/genetics/metabolism/pathology MH - Phenotype MH - alpha-Synuclein/metabolism MH - tau Proteins/*metabolism PMC - PMC3657696 EDAT- 2010/07/14 06:00 MHDA- 2012/06/16 06:00 PMCR- 2012/04/01 CRDT- 2010/07/13 06:00 PHST- 2009/11/18 00:00 [received] PHST- 2010/04/30 00:00 [revised] PHST- 2010/05/10 00:00 [accepted] PHST- 2010/07/13 06:00 [entrez] PHST- 2010/07/14 06:00 [pubmed] PHST- 2012/06/16 06:00 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - S0197-4580(10)00223-X [pii] AID - 10.1016/j.neurobiolaging.2010.05.009 [doi] PST - ppublish SO - Neurobiol Aging. 2012 Apr;33(4):814-23. doi: 10.1016/j.neurobiolaging.2010.05.009. Epub 2010 Jul 21.