2007
DOI: 10.1007/s00401-007-0290-x
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Perineurial cells filled with collagen in ‘atypical’ Cogan’s syndrome

Abstract: Cogan's syndrome is a rare clinical entity characterized by non-infectious interstitial keratitis with vestibuloauditory dysfunction. The clinical course is extremely variable. In the majority of patients, there appears to be an underlying systemic process, often a "vasculitis". We were able to study for the first time a sural nerve biopsy of a 38-year-old female with clinically suggested Cogan's syndrome associated with a severe multiplex type of neuropathy. There were unusual cells in or below the perineuriu… Show more

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Cited by 9 publications
(4 citation statements)
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“…This hypothesis is consistent with the growing literature that perineurial cells are crucial for developing, as well as recently regenerating, peripheral nerves (Kucenas, Takada et al 2008; Binari, Lewis et al 2013). Perineurial cells may also be important in peripheral neuropathies since they become inflamed and reduce their expression of connexins in diabetic rats (Pitre, Seifert et al 2001), as well as develop pathologic changes in human neuropathies (Johnson, Brendel et al 1981; King, Llewelyn et al 1988; Hill and Williams 2004; Nolte, Hans et al 2008). Our results provide, for the first time, a potential mechanism for this supportive role in developing and regenerating axons—namely, providing metabolic energy substrates, in the form of lactate, to Schwann cells and axons.…”
Section: Resultsmentioning
confidence: 99%
“…This hypothesis is consistent with the growing literature that perineurial cells are crucial for developing, as well as recently regenerating, peripheral nerves (Kucenas, Takada et al 2008; Binari, Lewis et al 2013). Perineurial cells may also be important in peripheral neuropathies since they become inflamed and reduce their expression of connexins in diabetic rats (Pitre, Seifert et al 2001), as well as develop pathologic changes in human neuropathies (Johnson, Brendel et al 1981; King, Llewelyn et al 1988; Hill and Williams 2004; Nolte, Hans et al 2008). Our results provide, for the first time, a potential mechanism for this supportive role in developing and regenerating axons—namely, providing metabolic energy substrates, in the form of lactate, to Schwann cells and axons.…”
Section: Resultsmentioning
confidence: 99%
“…Neuropathology. Resin embedding of the glutaraldehyde-fixed sural nerve biopsy tissue and subsequent electron microscopy was performed using standard procedures (34).…”
Section: Methodsmentioning
confidence: 99%
“…In such cases, perineurial cells often arranged themselves into pseudo-onion bulb-like whorls around Schwann cells and axons in varying stages of degeneration [ 51 ]. Furthermore, collagen-containing cells have been identified as perineurial cells in a case of atypical Cogan’s syndrome, sometimes associated with endoneurial blood vessels connected to the surrounding perineurium by perineurial septae [ 52 ]. Electron microscopy of the tightly packed cells, which formed the reactive septae within damaged spinal nerve roots, and of the thickened perineurium surrounding these nerve roots in the present study revealed a uniform morphology, with cell nuclei containing medium-dense euchromatin surrounded by a rim of heterochromatin, abundant, tight junctions between numerous thin, overlapping cell processes, multiple pinocytotic vesicles, and a discontinuous basal lamina, representing some of the typical ultrastructural characteristics of perineurial cells [ 53 , 54 , 55 , 56 , 57 ].…”
Section: Discussionmentioning
confidence: 99%