mortality/aging
• starting at 4 weeks of age, heterozygotes develop symptoms of disease and eventually die from pathology in the GI tract, showing a 50% survival rate at 9 months of age
|
digestive/alimentary system
• 7 of 14 heterozygotes exhibit a well-defined, black-pigmented distal esophagus at the gastro-esophageal junction
• EM analysis indicates melanosomes, discontinuous external lamina, short cell processes, and single centrally located nucleoli
|
• all (14 of 14) heterozygotes exhibit a firm white nodular mass of variable size (1 mm to 2 cm) in the cecum
|
• 9 of 14 heterozygotes display a distended cecum with clear fluid or pus-like contents
• atrophy of the colonic folds, lumen distension, and in one case abscess formation associated with acute serositis are observed
|
• 9 of 14 heterozygotes display an enlarged cecum
|
• 12 of 14 heterozygotes display variable distention of the distal ileum (mega-ileum) ending at the level of the cecum
• however, the remaining small intestine, stomach, colon, and anus appear morphologically normal
|
• heterozygotes exhibit neoplastic lesions of GISTs predominantly in the myenteric plexus of the cecum
|
neoplasm
• heterozygotes exhibit neoplastic lesions of GISTs predominantly in the myenteric plexus of the cecum
|
pigmentation
• 7 of 14 heterozygotes display hypepigmentation of the distal esophagus at the gastro-esophageal junction
• 5 of 6 heterozygotes with a dark distal esophagus contain melanosomes specifically within the myenteric plexus
• pigmented areas of the esophageal myenteric plexus contain large, ovoid cells with abundant cytoplasm filled with numerous stage IV melanosomes, and are surrounded by a discontinuous linear basal lamina
• pigmented cells are intermixed with other cell components of the myenteric plexus, including Schwann cells, axonal processes, and interstitial cells of Cajal
|
immune system
• heterozygotes exhibit extracellular granules in the vicinity of mast cells in the dorsal skin
|
• heterozygotes show a 4-fold increase in the number of mast cells in the dorsal skin and peritoneum
|
hematopoietic system
• heterozygotes exhibit extracellular granules in the vicinity of mast cells in the dorsal skin
|
• heterozygotes show a 4-fold increase in the number of mast cells in the dorsal skin and peritoneum
|
reproductive system
• both male and female heterozygotes are fertile but display a progressive decline in fertility with increasing age
|
nervous system
• all (6 of 6) heterozygotes display patchy hyperplasia of the myenteric plexus of the stomach, cecum and large intestine
• 3 of 6 heterozygotes display hyperplasia of the myenteric plexus in the proximal duodenum
• however, no myenteric plexus hyperplasia is observed in the morphologically normal distal duodenum, jejunum, and distended ileum
• in addition, 5 of 6 heterozygotes exhibit patchy thickening/hyperplasia of the esophageal myenteric plexus, and hyperpigmented cells are found specifically within the myenteric plexus of the of distal esophagus
|
cellular
• heterozygotes exhibit extracellular granules in the vicinity of mast cells in the dorsal skin
|
Mouse Models of Human Disease |
DO ID | OMIM ID(s) | Ref(s) | |
gastrointestinal stromal tumor | DOID:9253 |
OMIM:606764 |
J:83616 |