Pathologic confirmation of retinal ganglion cell loss in multiple system atrophy
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Multiple system atrophy (MSA) is a rare adult-onset rapidly progressive fatal neurodegenerative disorder characterized by the abnormal aggregation of misfolded α-synuclein primarily in oligodendrocytes.1
Acknowledgments
Acknowledgment: The authors thank the patients with MSA who donated their organs and Dr. Tatiana Bakaeva for her help with the autopsies.
Footnotes
↵* These authors contributed equally to this work.
Supplemental data at Neurology.org
Author contributions: Dr. Mendoza-Santiesteban: study concept and design, acquisition of data, analysis and interpretation, critical revision of the manuscript for important intellectual content, study supervision. Dr. Palma: study concept and design, acquisition of data, analysis and interpretation, critical revision of the manuscript for important intellectual content, study supervision. I. Ortuño-Lizaran: acquisition of data, analysis and interpretation, critical revision of the manuscript for important intellectual content. Dr. Cuenca: acquisition of data, analysis and interpretation, critical revision of the manuscript for important intellectual content. Dr. Kaufmann: study concept and design, critical revision of the manuscript for important intellectual content, study supervision.
Study funding: NIH (U54-NS065736-01), Multiple System Atrophy Coalition, Michael J. Fox Foundation, Dysautonomia Foundation, Regional Government of Valencia (Prometeo 2016/158), Spanish Health Research Institute Carlos III (ISCIII RETICS-FEDER RD12/0034/0010), Ministry of Economy of Spain (MINECO-FEDER-BFU2015-67139-R), and Ministry of Education of Spain (FPU14/03166).
Disclosure: C. Mendoza-Santiesteban receives research support from The Dysautonomia Foundation and the Michael J. Fox Foundation. J. Palma receives research support from the NIH (U54NS065736), the Food and Drug Administration, the Dysautonomia Foundation, the MSA Coalition, and the Michael J. Fox Foundation. I. Ortuño-Lizaran receives financial support from the Ministry of Education of Spain. N. Cuenca receives research support from the Regional Government of Valencia, Spanish Health Research Institute Carlos III, and the Ministry of Economy of Spain. H. Kaufmann serves as Editor-in-Chief of Clinical Autonomic Research and receives research support from the NIH, the Food and Drug Administration, the Dysautonomia Foundation, and the Michael J. Fox Foundation. Go to Neurology.org for full disclosures.
- Received December 29, 2016.
- Accepted in final form March 15, 2017.
- © 2017 American Academy of Neurology
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