The mucinous epithelial nests of type I CCAM are liable to develop mucinous adenocarcinoma and frequently accompany K-ras mutation and expression of p16. However, K-ras mutation and p-16 expression were not detected in this case. “
“Amyotrophic lateral sclerosis (ALS) is characterized by
motor neuron involvement with Bunina bodies (BBs) and transactivation response DNA protein 43 (TDP-43) inclusions. We examined the spinal cord (n = 20), hypoglossal nucleus (n = 6) and facial nucleus (n = 5) from ALS patients to elucidate the relationship between BBs and TDP-43 inclusions. BBs were found in the anterior horn in 16 of 20 cases, in the hypoglossal nucleus in all six cases and in the facial nucleus in four out of five cases. TDP-43 inclusions were found in each region of all the cases. Co-localization of BBs and TDP-43 inclusions was found in 15.2% PKC inhibitor of total neurons in the anterior horn, 29.2% in the hypoglossal nucleus and 17.3% in the facial nucleus. The frequency of TDP-43 inclusions was significantly higher in neurons with BBs than in those without in each region. Ultrastructurally, TDP-43-positive filamentous structures were intermingled with BBs. These findings suggest that there is a close relationship in the occurrence between BBs and TDP-43 inclusions. Sporadic amyotrophic lateral sclerosis (ALS) is
a fatal neurological selleck compound disease of unknown cause, affecting the upper and lower motor neurons. Bunina bodies (BBs) and skein-like inclusions are pathological hallmark of ALS. BBs are ubiquitin-negative inclusions and are observed in approximately 85–90% of ALS cases.[1] By contrast, skein-like inclusions are ubiquitinated inclusions and are consistently found in ALS.[1] Recently, transactivation response triclocarban DNA protein 43 (TDP-43) was identified as a major component of ubiquitinated inclusions in ALS and frontotemporal lobar degeneration with ubiquitinated inclusions (FTLD-U, meanwhile renamed to FTLD-TDP).[2,
3] It remains controversial whether skein-like inclusions have any relation to BBs. Several investigators emphasized the absence of ubiquitinated inclusions in BB-containing neurons[4] or the absence of BBs in neurons with skein-like inclusions.[5] On the other hand, there are some reports that oppose these findings. Although BBs are fundamentally not ubiquitinated,[4] they are reported to be surrounded by ubiquitin-positive structures and are located at the edge of ubiquitin-positive inclusions.[6, 7] Moreover, ultrastructural studies[6-10] and double immunolabeling[11] have demonstrated co-localization of BBs and skein-like inclusions in lower motor neurons in ALS. Recently, we have reported that the incidence of co-localization of BBs and TDP-43 inclusions was 15.