Document Detail


Distribution of type IV collagen in the cochlea in Alport syndrome.
MedLine Citation:
PMID:  16301374     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the distribution of alpha1, alpha3, and alpha5 chains of type IV collagen in the cochlea in Alport syndrome. DESIGN: Case-control study. PATIENTS: Two patients with sensorineural hearing loss due to Alport syndrome. Both patients had known mutations in the COL4A5 gene. MAIN OUTCOME MEASURES: Immunostaining was used to study the distribution of type IV collagen (alpha1, alpha3, and alpha5 chains) within the cochlea. Immunostaining was also performed in the cochlear tissues of an unaffected individual used as a control. RESULTS: In the control ear, alpha1 staining was observed in the basement membrane overlying the basilar membrane, in the basement membrane of cochlear blood vessels and Schwann cells, and within the spiral limbus. In the control ear, we also observed strong staining for alpha3 and alpha5 chains in the basement membrane overlying the basilar membrane and within the spiral ligament. In both cases with Alport syndrome, no immunostaining was observed for alpha3 or alpha5 chains within the cochlea, whereas alpha1 staining was present in locations similar to that seen in the control ear. CONCLUSIONS: The results indicate that isotype switching does not occur within the cochlea in Alport syndrome. The results are also consistent with the hypothesis that the sensorineural hearing loss in Alport syndrome may be due to alterations in cochlear micromechanics and/or dysfunction of the spiral ligament.
Authors:
Andreas F Zehnder; Joe C Adams; Peter A Santi; Arthur G Kristiansen; Chitsuda Wacharasindhu; Sabine Mann; Raghu Kalluri; Martin C Gregory; Clifford E Kashtan; Saumil N Merchant
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  131     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-22     Completed Date:  2005-12-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1007-13     Citation Subset:  AIM; IM    
Affiliation:
Ear, Nose, and Throat Department, University Hospital Basel, Basel, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Basement Membrane / metabolism
Case-Control Studies
Cochlea / blood supply,  cytology,  metabolism*
Collagen Type IV / genetics,  metabolism*
Coloring Agents
Eosine Yellowish-(YS)
Female
Fluorescent Dyes
Hearing Loss, Sensorineural / etiology,  metabolism
Hematoxylin
Humans
Male
Microscopy, Polarization
Middle Aged
Mutation / genetics
Nephritis, Hereditary / complications,  metabolism*
Schwann Cells / metabolism
Chemical
Reg. No./Substance:
0/COL4A5 protein, human; 0/Collagen Type IV; 0/Coloring Agents; 0/Fluorescent Dyes; 17372-87-1/Eosine Yellowish-(YS); 517-28-2/Hematoxylin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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