Lafora Disease: A Review of Molecular Mechanisms and Pathology

Brandy Verhalen, Susan Arnold, Berge Arakel Minassian

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Lafora's disease is a neurodegenerative disorder caused by recessive loss-of-function mutations in the EPM2A (laforin glycogen phosphatase) or EPM2B (malin E3 ubiquitin ligase) genes. Neuropathology is characterized by malformed precipitated glycogen aggregates termed Lafora bodies. Asymptomatic until adolescence, patients undergo first insidious then rapid progressive myoclonus epilepsy toward a vegetative state and death within a decade. Laforin and malin interact to regulate glycogen phosphorylation and chain length pattern, the latter critical to glycogen's solubility. Significant gaps remain in precise mechanistic understanding. However, demonstration that partial reduction in brain glycogen synthesis near-completely prevents the disease in its genetic animal models opens a direct present path to therapy.

Original languageEnglish (US)
Pages (from-to)357-362
Number of pages6
JournalNeuropediatrics
Volume49
Issue number6
DOIs
StatePublished - 2018

Keywords

  • Lafora Disease
  • polyglucosan body
  • progressive myoclonus epilepsy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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