PMID- 25950622 OWN - NLM STAT- MEDLINE DCOM- 20160219 LR - 20150602 IS - 1440-1789 (Electronic) IS - 0919-6544 (Linking) VI - 35 IP - 3 DP - 2015 Jun TI - Neuroaxonal dystrophy in PLA2G6 knockout mice. PG - 289-302 LID - 10.1111/neup.12202 [doi] AB - The PLA2G6 gene encodes group VIA calcium-independent phospholipase A2 (iPLA2 beta), which belongs to the PLA2 superfamily that hydrolyses the sn-2 ester bond in phospholipids. In the nervous system, iPLA2 beta is essential for remodeling membrane phospholipids in axons and synapses. Mutated PLA2G6 causes PLA2G6-associated neurodegeneration (PLAN) including infantile neuroaxonal dystrophy (INAD) and adult-onset dystonia-parkinsonism (PARK14), which have unique clinical phenotypes. In the PLA2G6 knockout (KO) mouse, which is an excellent PLAN model, specific membrane degeneration takes place in neurons and their axons, and this is followed by axonal spheroid formation. These pathological findings are similar to those in PLAN. This review details the evidence that membrane degeneration of mitochondria and axon terminals is a precursor to spheroid formation in this disease model. From a young age before the onset, many mitochondria with damaged inner membranes appear in PLA2G6 KO mouse neurons. These injured mitochondria move anterogradely within the axons, increasing in the distal axons. As membrane degeneration progresses, the collapse of the double membrane of mitochondria accompanies axonal injury near impaired mitochondria. At the axon terminals, the membranes of the presynapses expand irregularly from a young age. Over time, the presynaptic membrane ruptures, causing axon terminal degeneration. Although these processes occur in different degenerating membranes, both contain tubulovesicular structures, which are a specific ultrastructural marker of INAD. This indicates that two unique types of membrane degeneration underlie PLAN pathology. We have shown a new pathological mechanism whereby axons degenerate due to defective maintenance and rupture of both the inner mitochondrial and presynaptic membranes. This degeneration mechanism could possibly clarify the pathologies of PLAN, Parkinson disease and neurodegeneration with iron accumulation (NBIA), which are assumed to be due to the primary degeneration of axons. CI - (c) 2015 Japanese Society of Neuropathology. FAU - Sumi-Akamaru, Hisae AU - Sumi-Akamaru H AD - Department of Neurology, Osaka University Graduate School of Medicine, Suita, Japan. FAU - Beck, Goichi AU - Beck G AD - Department of Neurology, Osaka University Graduate School of Medicine, Suita, Japan. FAU - Kato, Shinsuke AU - Kato S AD - Division of Neuropathology, Department of Brain and Neurosciences, Tottori University Faculty of Medicine, Yonago, Japan. FAU - Mochizuki, Hideki AU - Mochizuki H AD - Department of Neurology, Osaka University Graduate School of Medicine, Suita, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150506 PL - Australia TA - Neuropathology JT - Neuropathology : official journal of the Japanese Society of Neuropathology JID - 9606526 RN - 0 (Glycerophospholipids) RN - EC 3.1.1.4 (Group VI Phospholipases A2) RN - EC 3.1.1.4 (Pla2g6 protein, mouse) SB - IM MH - Animals MH - Axons/pathology MH - Brain/pathology MH - *Disease Models, Animal MH - Disease Progression MH - Glycerophospholipids/metabolism MH - Group VI Phospholipases A2/*genetics MH - Humans MH - Mice MH - Mice, Knockout MH - Mitochondria/ultrastructure MH - Neuroaxonal Dystrophies/*genetics/metabolism/*pathology MH - Neurons/ultrastructure MH - Oxidative Stress MH - Peripheral Nerves/pathology MH - Spinal Cord/pathology OTO - NOTNLM OT - PLA2G6 OT - calcium independent phospholipaseA2beta (iPLA2beta) OT - infantile neuroaxonal dystrophy (INAD) OT - membrane OT - mitochondria EDAT- 2015/05/08 06:00 MHDA- 2016/02/20 06:00 CRDT- 2015/05/08 06:00 PHST- 2015/01/01 00:00 [received] PHST- 2015/01/25 00:00 [accepted] PHST- 2015/05/08 06:00 [entrez] PHST- 2015/05/08 06:00 [pubmed] PHST- 2016/02/20 06:00 [medline] AID - 10.1111/neup.12202 [doi] PST - ppublish SO - Neuropathology. 2015 Jun;35(3):289-302. doi: 10.1111/neup.12202. Epub 2015 May 6.