Glial Contributions to Lafora Disease: A Systematic Review

Background: Lafora disease (LD) is a neurodegenerative condition characterized by the accumulation of polyglucosan bodies (PBs) throughout the brain. Alongside metabolic and molecular alterations, neuroinflammation has emerged as another key histopathological feature of LD. Methods: To investigate t...

Full description

Bibliographic Details
Main Authors: Stefania Della Vecchia, Maria Marchese, Filippo Maria Santorelli
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/12/3103
_version_ 1797461376206110720
author Stefania Della Vecchia
Maria Marchese
Filippo Maria Santorelli
author_facet Stefania Della Vecchia
Maria Marchese
Filippo Maria Santorelli
author_sort Stefania Della Vecchia
collection DOAJ
description Background: Lafora disease (LD) is a neurodegenerative condition characterized by the accumulation of polyglucosan bodies (PBs) throughout the brain. Alongside metabolic and molecular alterations, neuroinflammation has emerged as another key histopathological feature of LD. Methods: To investigate the role of astrocytes and microglia in LD, we performed a systematic review according to the PRISMA statement. PubMed, Scopus, and Web-of-Science database searches were performed independently by two reviewers. Results: Thirty-five studies analyzing the relationship of astrocytes and microglia with LD and/or the effects of anti-inflammatory treatments in LD animal models were identified and included in the review. Although LD has long been dominated by a neuronocentric view, a growing body of evidence suggests a role of glial cells in the disease, starting with the finding that these cells accumulate PBs. We discuss the potential meaning of glial PB accumulations, the likely factors activating glial cells, and the possible contribution of glial cells to LD neurodegeneration and epilepsy. Conclusions: Given the evidence for the role of neuroinflammation in LD, future studies should consider glial cells as a potential therapeutic target for modifying/delaying LD progression; however, it should be kept in mind that these cells can potentially assume multiple reactive phenotypes, which could influence the therapeutic response.
first_indexed 2024-03-09T17:18:32Z
format Article
id doaj.art-b5c2afc1883b4bd984bda77a344f7832
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-09T17:18:32Z
publishDate 2022-12-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-b5c2afc1883b4bd984bda77a344f78322023-11-24T13:26:51ZengMDPI AGBiomedicines2227-90592022-12-011012310310.3390/biomedicines10123103Glial Contributions to Lafora Disease: A Systematic ReviewStefania Della Vecchia0Maria Marchese1Filippo Maria Santorelli2Molecular Medicine and Neurogenetics, IRCCS Stella Maris Foundation, Calambrone, 56128 Pisa, ItalyNeurobiology, IRCCS Stella Maris Foundation, Calambrone, 56128 Pisa, ItalyMolecular Medicine and Neurogenetics, IRCCS Stella Maris Foundation, Calambrone, 56128 Pisa, ItalyBackground: Lafora disease (LD) is a neurodegenerative condition characterized by the accumulation of polyglucosan bodies (PBs) throughout the brain. Alongside metabolic and molecular alterations, neuroinflammation has emerged as another key histopathological feature of LD. Methods: To investigate the role of astrocytes and microglia in LD, we performed a systematic review according to the PRISMA statement. PubMed, Scopus, and Web-of-Science database searches were performed independently by two reviewers. Results: Thirty-five studies analyzing the relationship of astrocytes and microglia with LD and/or the effects of anti-inflammatory treatments in LD animal models were identified and included in the review. Although LD has long been dominated by a neuronocentric view, a growing body of evidence suggests a role of glial cells in the disease, starting with the finding that these cells accumulate PBs. We discuss the potential meaning of glial PB accumulations, the likely factors activating glial cells, and the possible contribution of glial cells to LD neurodegeneration and epilepsy. Conclusions: Given the evidence for the role of neuroinflammation in LD, future studies should consider glial cells as a potential therapeutic target for modifying/delaying LD progression; however, it should be kept in mind that these cells can potentially assume multiple reactive phenotypes, which could influence the therapeutic response.https://www.mdpi.com/2227-9059/10/12/3103Lafora diseaseastrocytesmicroglianeuroinflammationneurodegenerationepilepsy
spellingShingle Stefania Della Vecchia
Maria Marchese
Filippo Maria Santorelli
Glial Contributions to Lafora Disease: A Systematic Review
Biomedicines
Lafora disease
astrocytes
microglia
neuroinflammation
neurodegeneration
epilepsy
title Glial Contributions to Lafora Disease: A Systematic Review
title_full Glial Contributions to Lafora Disease: A Systematic Review
title_fullStr Glial Contributions to Lafora Disease: A Systematic Review
title_full_unstemmed Glial Contributions to Lafora Disease: A Systematic Review
title_short Glial Contributions to Lafora Disease: A Systematic Review
title_sort glial contributions to lafora disease a systematic review
topic Lafora disease
astrocytes
microglia
neuroinflammation
neurodegeneration
epilepsy
url https://www.mdpi.com/2227-9059/10/12/3103
work_keys_str_mv AT stefaniadellavecchia glialcontributionstolaforadiseaseasystematicreview
AT mariamarchese glialcontributionstolaforadiseaseasystematicreview
AT filippomariasantorelli glialcontributionstolaforadiseaseasystematicreview