PMID- 33517425 OWN - NLM STAT- MEDLINE DCOM- 20211229 LR - 20211229 IS - 1554-6578 (Electronic) IS - 0022-3069 (Linking) VI - 80 IP - 3 DP - 2021 Feb 22 TI - Neurite Outgrowth Inhibitor (NogoA) Is Upregulated in White Matter Lesions of Complex Cortical Malformations. PG - 274-282 LID - 10.1093/jnen/nlaa159 [doi] AB - Complex cortical malformations (CCMs), such as hemimegalencephaly and polymicrogyria, are associated with drug-resistant epilepsy and developmental impairment. They share certain neuropathological characteristics including mammalian target of rapamycin (mTOR) activation and an atypical number of white matter neurons. To get a better understanding of the pathobiology of the lesion architecture, we investigated the role of neurite outgrowth inhibitor A (NogoA), a known regulator of neuronal migration. Epilepsy surgery specimens from 16 CCM patients were analyzed and compared with sections of focal cortical dysplasia IIB (FCD IIB, n = 22), tuberous sclerosis complex (TSC, n = 8) as well as healthy controls (n = 15). Immunohistochemistry was used to characterize NogoA, myelination, and mTOR signaling. Digital slides were evaluated automatically with ImageJ. NogoA staining showed a significantly higher expression within the white matter of CCM and FCD IIB, whereas cortical tubers presented levels similar to controls. Further analysis of possible associations of NogoA with other factors revealed a positive correlation with mTOR and seizure frequency. To identify the main expressing NogoA cell type, double staining revealed dysmorphic neuronal white matter cells. Increased NogoA expression is associated with profound inhibition of neuritic sprouting and therefore contributes to a decrease in neuronal network complexity in CCM patients. CI - (c) 2021 American Association of Neuropathologists, Inc. All rights reserved. FAU - Scholl, Theresa AU - Scholl T AD - From the Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria. FAU - Gruber, Victoria-Elisabeth AU - Gruber VE AD - From the Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria. FAU - Samueli, Sharon AU - Samueli S AD - From the Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria. FAU - Lehner, Reinhard AU - Lehner R AD - Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria. FAU - Kasprian, Gregor AU - Kasprian G AD - Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria. FAU - Czech, Thomas AU - Czech T AD - Department of Neurosurgery, Medical University of Vienna, Vienna, Austria. FAU - Reinten, Roy J AU - Reinten RJ AD - Department of Neuropathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. FAU - Hoogendijk, Lisette AU - Hoogendijk L AD - Department of Neuropathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. FAU - Hainfellner, Johannes A AU - Hainfellner JA AD - Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Aronica, Eleonora AU - Aronica E AD - Department of Neuropathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. AD - Stichting Epilepsie Instellingen Nederland (SEIN), Zwolle, The Netherlands. FAU - Muhlebner, Angelika AU - Muhlebner A AD - Department of Neuropathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. FAU - Feucht, Martha AU - Feucht M AD - From the Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Neuropathol Exp Neurol JT - Journal of neuropathology and experimental neurology JID - 2985192R RN - 0 (Nogo Proteins) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Malformations of Cortical Development/*metabolism/*pathology MH - Nogo Proteins/*biosynthesis MH - Up-Regulation/*physiology MH - White Matter/*metabolism/*pathology OTO - NOTNLM OT - Epilepsy surgery OT - Hemimegalencephaly OT - Polymicrogyria OT - White matter pathology EDAT- 2021/02/01 06:00 MHDA- 2021/12/30 06:00 CRDT- 2021/01/31 20:39 PHST- 2021/02/01 06:00 [pubmed] PHST- 2021/12/30 06:00 [medline] PHST- 2021/01/31 20:39 [entrez] AID - 6124781 [pii] AID - 10.1093/jnen/nlaa159 [doi] PST - ppublish SO - J Neuropathol Exp Neurol. 2021 Feb 22;80(3):274-282. doi: 10.1093/jnen/nlaa159.