Nodding syndrome: A key role for sources of nutrition?

Nodding Syndrome (NS) has occurred among severely food-stressed communities in northern Uganda and several other East African populations that, with their forced physical displacement, have resorted to nutritional support from available wild plants and fungi, some of which have neurotoxic potential....

Full description

Bibliographic Details
Main Authors: P.S. Spencer, C. Okot, V.S. Palmer, R. Valdes Angues, R. Mazumder
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:eNeurologicalSci
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405650222000107
_version_ 1818555788903317504
author P.S. Spencer
C. Okot
V.S. Palmer
R. Valdes Angues
R. Mazumder
author_facet P.S. Spencer
C. Okot
V.S. Palmer
R. Valdes Angues
R. Mazumder
author_sort P.S. Spencer
collection DOAJ
description Nodding Syndrome (NS) has occurred among severely food-stressed communities in northern Uganda and several other East African populations that, with their forced physical displacement, have resorted to nutritional support from available wild plants and fungi, some of which have neurotoxic potential. Among the latter is an agaric mushroom with an unknown content of hydrazine-generating agaritine, namely Agaricus bingensis, the unusually wide consumption of which may relate to the low serum levels of vitamin B6 in Ugandan NS subjects relative to controls. Hydrazine-related compounds induce patterns of DNA damage that promote neuropathological changes (tauopathy) reminiscent of those associated with established NS. While the cause of this childhood brain disease is unknown, we encourage increased attention to the role of malnutrition and B6 hypovitaminosis in the etiology of this devastating brain disease.
first_indexed 2024-12-12T09:58:10Z
format Article
id doaj.art-398e13412d3f452dafc3bb898d5366e6
institution Directory Open Access Journal
issn 2405-6502
language English
last_indexed 2024-12-12T09:58:10Z
publishDate 2022-06-01
publisher Elsevier
record_format Article
series eNeurologicalSci
spelling doaj.art-398e13412d3f452dafc3bb898d5366e62022-12-22T00:28:03ZengElseviereNeurologicalSci2405-65022022-06-0127100401Nodding syndrome: A key role for sources of nutrition?P.S. Spencer0C. Okot1V.S. Palmer2R. Valdes Angues3R. Mazumder4Department of Neurology, School of Medicine, Oregon Health & Science University, Portland, OR, USA; Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, USA; Corresponding author at: Oregon Health & Science University (Neurology), S.W. Sam Jackson Park Road, Portland, OR 97239, USA.Case-worker in Gulu, UgandaDepartment of Neurology, School of Medicine, Oregon Health & Science University, Portland, OR, USADepartment of Neurology, School of Medicine, Oregon Health & Science University, Portland, OR, USADepartment of Neurology, David Geffen School of Medicine, University of California Los Angeles, USANodding Syndrome (NS) has occurred among severely food-stressed communities in northern Uganda and several other East African populations that, with their forced physical displacement, have resorted to nutritional support from available wild plants and fungi, some of which have neurotoxic potential. Among the latter is an agaric mushroom with an unknown content of hydrazine-generating agaritine, namely Agaricus bingensis, the unusually wide consumption of which may relate to the low serum levels of vitamin B6 in Ugandan NS subjects relative to controls. Hydrazine-related compounds induce patterns of DNA damage that promote neuropathological changes (tauopathy) reminiscent of those associated with established NS. While the cause of this childhood brain disease is unknown, we encourage increased attention to the role of malnutrition and B6 hypovitaminosis in the etiology of this devastating brain disease.http://www.sciencedirect.com/science/article/pii/S2405650222000107DisplacementMalnutritionHypovitaminosisPyridoxineAgaritineTauopathy
spellingShingle P.S. Spencer
C. Okot
V.S. Palmer
R. Valdes Angues
R. Mazumder
Nodding syndrome: A key role for sources of nutrition?
eNeurologicalSci
Displacement
Malnutrition
Hypovitaminosis
Pyridoxine
Agaritine
Tauopathy
title Nodding syndrome: A key role for sources of nutrition?
title_full Nodding syndrome: A key role for sources of nutrition?
title_fullStr Nodding syndrome: A key role for sources of nutrition?
title_full_unstemmed Nodding syndrome: A key role for sources of nutrition?
title_short Nodding syndrome: A key role for sources of nutrition?
title_sort nodding syndrome a key role for sources of nutrition
topic Displacement
Malnutrition
Hypovitaminosis
Pyridoxine
Agaritine
Tauopathy
url http://www.sciencedirect.com/science/article/pii/S2405650222000107
work_keys_str_mv AT psspencer noddingsyndromeakeyroleforsourcesofnutrition
AT cokot noddingsyndromeakeyroleforsourcesofnutrition
AT vspalmer noddingsyndromeakeyroleforsourcesofnutrition
AT rvaldesangues noddingsyndromeakeyroleforsourcesofnutrition
AT rmazumder noddingsyndromeakeyroleforsourcesofnutrition