Xeroderma pigmentosum group A (XPA) and Cockayne syndrome (CS) are heredita
ry DNA repair disorders complicated by progressive neurodegeneration. Here
we immunohistochemically examine the in situ expression of materials that a
re produced by oxidative stress and glutamate transporters (which can contr
ibute to prevention of glutamate neurotoxicity) in the brains of 5 autopsie
d patients each of XPA. CS, and control groups, All oxidative products, inc
luding nitrotyrosine, advanced glycation end product, and 4-hydroxy-2-nonen
al-modified protein (HNE) were deposited in large amounts in the globus pal
lidus of CS patients compared to XPA patients. They were frequently recogni
zed in the pseudocalcified foci and free minerals in the neuropil, and more
rarely in foamy spheroids. In addition, the deposition of UNE was observed
also in hippocampal and cerebellar dentate neurons of both CS and XPA pati
ents. The expression of glial glutamate transporters, EAAT1 and GLT-1, was
affected in the globus pallidus in 5 CS patients and 3 XPA patients. They w
ere also altered in the cerebellar cortex in most of the CS patients. These
data suggest that oxidative stress and disturbed glutamate transport may b
e involved in pallidal and/or cerebellar degeneration in hereditary nucleot
ide repair disorders.