Abstract
We found two patterns of leptomeningeal storage that reflect two basic visceral storage patterns in Fabry disease. (i) A generalized-type leptomeningeal storage pattern, affecting all main leptomeningeal cell types (external arachnoideal epithelium, fibroblasts, vessel wall elements), was a consistent finding in three cases of classical generalized visceral phenotype. (ii) A localized leptomeningeal storage pattern was expressed, to a high degree, solely in the external arachnoidal epithelium; this pattern was found in one case with the variant visceral-restricted-type storage (confined to the cardiocytes). Thus, the external arachnoidal epithelium may be particurlarly susceptible to Fabry lipid storage, probably caused by a distinctly larger sustained lysosomal lipid load as compared to other cell types.
References
Andres KH (1967) Über die Feinstruktur der Arachnoidea und Dura mater von Mammalia. Zellforsch 79:272–295
Bradová V, Šmíd F, Ulrich-Bott R, Roggendorf W, Paton BC, Harzer K (1993) Prosaposin deficiency: further characterization of the sphingolipid activator protein-deficient sibs. Multiple glycolipid elevations (including lactosylceramidosis), partial enzyme deficiencies and ultrastructure of the skin in this generalized sphingolipid storage disease. Hum Genet 92: 143–152
Braun JS, Kaissling B, Hir ML, Zenker F (1992) Cellular components of the immune barrier in the spinal meninges and dorsal root ganglia of the normal rat: immunohistochemical (MHC class II) and electron-microscopic observations. Cell Tissue Res 273:209–217
Desnick RJ, Bishop DF (1989) Fabry disease: α-galactosidase deficiency. Schindler disease: α-N-acetylgalactosaminidase deficiency. In: Scriver C, Beaudet A, Sly W, Walle O (eds) The metabolic basis of inherited disease, 6th ed. McGraw-Hill, New York, pp 1751–1796
Elleder M, Bradová V, Šmíd F, Buděšínský M, Harzer K, Kustermann-Kuhn B, Ledvinová J, B elohlávek J, Král V, Dorazilová V (1990) Cardiocyte storage as a sole manifestation of Fabry disease. Virchows Arch [A] 417:449–455
Friede RL, Schachenmayr W (1978) The origin of subdural neomembranes. II. Fine structure of neomembranes. Am J Pathol 92:69–84
Haninec P, Grim M (1990) Localization of dipeptidylpeptidase IV and alkaline phosphatase in developing spinal cord meninges and peripheral nerve coverings of the rat. Int J Dev Neurosci 8: 175–185
Hirano A (1981) A guide to neuropathology. Ikagu-Shoin, New York, Tokyo
Hozumi I, Nishizava M, Arige T, Miyatake T (1990) Biochemical and clinical analysis of accumulated glycolipids in symptomatic heterozygotes of angiokeratoma corporis diffusum (Fabry disease) in comparison with hemizygotes. J Lipid Res 31:335–340
Kaye M, Kolodny EM, Logigian EL, Ullman MO (1988) Nervous system involvement in Fabrys disease: clinicopathological study and biochemical correlations. Ann Neurol 23:505–509
Lou H, Resse-Nielsen W (1977) The central nervous system in Fabry disease. Arch Neurol 25:351–359
Schachanmayr W, Friede RL (1978) The origin of subdural neomembranes. I. Finestructure of the dura-arachnoid interface in man. Am J Pathol 92:53–68
Sung JH, Hayano M, Mastri ART, Desnick RJ (1975) Neuropathology of Fabry's disease. Proceedings of the VIIth Neuropathology Congress, Budapest. Excerpta Medica, Amsterdam, pp 267–269
Tagliavini F, Pietrini V, Gemignani F, Lechi A, Pallini R, Federico A (1982) Anderson-Fabry disease: neuropathological and neurochemical investigation. Acta Neuropathol (Berl) 58: 93–98
Von Scheidt W, Eng CM, Fitzmaurice TF, Erdmann E, Hunmer G, Olsen EGJ, Christomanou H, Kandolf R, Bishop DF, Desnick RJ (1991) An atypical variant of Fabrys disease with manifestion confined to the myocardium. Engl J Med 324: 395–399
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Elleder, M., Christomanou, H., Kustermann-Kuhn, B. et al. Leptomeningeal lipid storage patterns in Fabry disease. Acta Neuropathol 88, 579–582 (1994). https://doi.org/10.1007/BF00296496
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DOI: https://doi.org/10.1007/BF00296496