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Designability of α-Helical Protein Filaments. α-螺旋蛋白细丝的可设计性。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-05273-5_15
Abhinaba Das, Vincent Conticello

Helix-helix interactions are mediated through highly designable interfaces within tertiary and quaternary structures of proteins and protein assemblies. The structural regularity of these interfaces suggests that ordered self-assembled structures could be constructed from implementation of these interactions between appropriately designed helical protomers. This review summarizes the current understanding of helix-helix interactions within different classes of naturally occurring α-helical protein filaments. The implications of this structural information for the de novo design of synthetic filamentous nanomaterials will be discussed with reference to examples in which these principles have been successfully implemented. A specific case study will focus on the designability of cross-α helical filaments, a recently discovered structural class in which the helical protomers are arranged in a perpendicular orientation with respect to the protofilament axis. This discussion will include an evaluation of the frequency of occurrence of cross-α interfaces in the PDB, the effectiveness of structural prediction from sequence information, and the potential for de novo design of interfaces that promote cross-α interactions.

螺旋-螺旋相互作用是通过蛋白质和蛋白质组件的三级和四级结构中高度可设计的界面介导的。这些界面的结构规律表明,有序的自组装结构可以通过适当设计的螺旋构象之间的相互作用来构建。本文综述了目前对不同种类天然存在的α-螺旋蛋白细丝中螺旋-螺旋相互作用的认识。这些结构信息对合成丝状纳米材料的重新设计的影响将通过参考这些原则已成功实施的例子进行讨论。一个具体的案例研究将集中在交叉α螺旋细丝的可设计性上,这是一种最近发现的结构类型,其中螺旋原丝分子以相对于原丝轴的垂直方向排列。本次讨论将包括对PDB中交叉α界面出现频率的评估,从序列信息中进行结构预测的有效性,以及促进交叉α相互作用的界面重新设计的潜力。
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引用次数: 0
Sequence Prediction, Structural Modelling and the Challenges of Plasticity in Coiled Coils. 序列预测、结构建模和线圈塑性的挑战。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-05273-5_1
Christopher W Wood, Guto G Rhys, Evangelia Notari

The coiled coil is one of the most widespread and versatile protein folding motifs and is involved in a vast array of biological functions. The study and design of these assemblies have been shaped by the development of specialised computational tools. This review charts the landscape of these in silico methods, beginning with the foundational sequence-based algorithms for coiled-coil prediction and classification, before moving to the powerful parametric methods that enable the generation of idealised, atomic-resolution structural models. We argue that while indispensable, these tools can promote a view of coiled coils as static, singular structures. Challenging this, we highlight the structural plasticity of coiled coils, the remarkable and increasingly evident ability of these assemblies to adopt multiple distinct conformations and dynamically switch between states. To understand the energetic and mechanistic principles governing this complex behaviour, we explore the crucial role of molecular dynamics (MD) simulations in providing atomistic insights that are inaccessible to static modelling. Finally, we look forward, considering how the next generation of coiled-coil bioinformatics must evolve to address these challenges to take advantage of the opportunities presented by the current explosion in genomic sequence data and the proliferation of AI-predicted protein structures.

盘绕线圈是最广泛和通用的蛋白质折叠基序之一,并参与了大量的生物功能。这些组件的研究和设计已经形成了专门的计算工具的发展。本文回顾了这些计算机方法的发展概况,从用于线圈预测和分类的基于序列的基本算法开始,然后转向能够生成理想的原子分辨率结构模型的强大参数方法。我们认为,虽然不可或缺,但这些工具可以促进线圈作为静态,单一结构的观点。挑战这一点,我们强调了卷曲线圈的结构可塑性,这些组件采用多种不同的构象和动态切换状态的显著和日益明显的能力。为了理解控制这种复杂行为的能量和机械原理,我们探索了分子动力学(MD)模拟在提供静态建模无法获得的原子见解方面的关键作用。最后,我们展望未来,考虑下一代盘式生物信息学必须如何发展以应对这些挑战,以利用当前基因组序列数据爆炸式增长和人工智能预测蛋白质结构的扩散所带来的机遇。
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引用次数: 0
Mapping Non-Coding Epimutations in Breast Cancer: Advancing Epigenetics Towards Precision Medicine. 在乳腺癌中定位非编码表观突变:向精准医学推进表观遗传学。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-08530-6_3
Mohamed E Abdel Aziz, Heba Momtaz, Basel Mohamed, Mariam Amr, Alhassan Soliman Wadan, Shaimaa Abdel-Ghany, Borros Arneth, Hussein Sabit

Breast cancer remains a leading cause of cancer-related morbidity and mortality in women worldwide. While extensive research has focused on mutations in protein-coding genes, emerging evidence underscores the pivotal role of the noncoding genome-including long noncoding RNAs (lncRNAs), microRNAs (miRNAs), circular RNAs (circRNAs), and piwi-interacting RNAs (piRNAs)-in tumorigenesis, progression, and therapeutic resistance. These noncoding RNAs (ncRNAs) are regulated through diverse epigenetic mechanisms such as DNA methylation, histone modifications, and N6-methyladenosine (m6A) RNA methylation. Aberrant epigenetic modifications in noncoding regions can silence tumor suppressors or activate oncogenes, thereby reprogramming cellular behavior and contributing to breast cancer heterogeneity. High-throughput techniques like whole-genome bisulfite sequencing (WGBS), ATAC-seq, and ChIP-seq have facilitated the discovery of noncoding epimutations with clinical significance. Moreover, ncRNA-based epigenetic alterations are increasingly explored as diagnostic biomarkers, prognostic indicators, and therapeutic targets, particularly in subtype-specific contexts such as triple-negative breast cancer (TNBC) and HER2-positive tumors. Despite advances, challenges remain in interpreting functional noncoding elements and translating findings into clinical interventions. This chapter provides a comprehensive examination of the noncoding epigenome in breast cancer, highlighting current methodologies, molecular mechanisms, and translational potential while also identifying future directions needed to leverage noncoding epigenetics for personalized cancer care.

乳腺癌仍然是全世界妇女癌症相关发病率和死亡率的主要原因。虽然广泛的研究集中在蛋白质编码基因的突变上,但新出现的证据强调了非编码基因组——包括长链非编码rna (lncRNAs)、微rna (miRNAs)、环状rna (circRNAs)和piwi相互作用rna (piRNAs)——在肿瘤发生、进展和治疗耐药中的关键作用。这些非编码RNA (ncRNAs)通过多种表观遗传机制,如DNA甲基化、组蛋白修饰和n6 -甲基腺苷(m6A) RNA甲基化来调节。非编码区的异常表观遗传修饰可以沉默肿瘤抑制基因或激活癌基因,从而重新编程细胞行为并导致乳腺癌的异质性。高通量技术,如全基因组亚硫酸盐测序(WGBS)、ATAC-seq和ChIP-seq,促进了具有临床意义的非编码基因的发现。此外,基于ncrna的表观遗传改变越来越多地被探索为诊断生物标志物、预后指标和治疗靶点,特别是在亚型特异性背景下,如三阴性乳腺癌(TNBC)和her2阳性肿瘤。尽管取得了进步,但在解释功能性非编码元件和将研究结果转化为临床干预措施方面仍然存在挑战。本章对乳腺癌中的非编码表观基因组进行了全面的研究,强调了当前的方法、分子机制和转化潜力,同时也确定了利用非编码表观遗传学进行个性化癌症治疗所需的未来方向。
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引用次数: 0
The Fibrillar Collagens of Bony Fish: Genes, Proteins, and Biomedical Applications. 硬骨鱼的原纤维胶原:基因、蛋白质和生物医学应用。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-05273-5_8
Ian P Smith, Jordi Bella

Fibrillar collagens are the most abundant structural proteins in vertebrates, forming the backbone of connective tissues such as skin, bone, tendon, and cartilage. In bony fish (teleosts), fibrillar collagens exhibit unique genetic and biochemical properties that reflect a complex evolutionary history of this taxonomic group and its adaptation to diverse aquatic environments-from tropical to polar habitats. This review summarises the current understanding of the genetic organisation and biochemical characteristics of fibrillar collagens in bony fish. They show significant differences in amino acid composition to mammalian collagens, especially in cold-adapted species, where collagens display lower thermal stability and reduced hydroxyproline content relative to their mammalian counterparts.Advances in genomic, transcriptomic, and proteomic profiling have provided new perspectives on the molecular diversity and tissue-specific roles of collagen chains in teleosts. Furthermore, the biomedical potential of fish-derived collagens is receiving growing attention, particularly in biomaterials, wound healing, tissue engineering, and drug delivery systems, owing to their biocompatibility, low immunogenicity, and ease of extraction from byproducts of the fishing industry.By looking at molecular, structural, and applied perspectives, this review highlights the relevance of bony fish collagens as a subject of fundamental biological interest and as a valuable resource for biotechnological and biomedical innovation.

纤维性胶原蛋白是脊椎动物中最丰富的结构蛋白,构成皮肤、骨骼、肌腱和软骨等结缔组织的骨干。在硬骨鱼(硬骨鱼)中,纤维状胶原表现出独特的遗传和生化特性,反映了这一分类群体复杂的进化历史及其对从热带到极地生境的各种水生环境的适应。本文综述了目前对硬骨鱼纤维状胶原的遗传组织和生化特性的认识。它们在氨基酸组成方面与哺乳动物胶原蛋白存在显著差异,特别是在冷适应物种中,胶原蛋白的热稳定性较低,羟脯氨酸含量也较哺乳动物低。基因组学、转录组学和蛋白质组学分析的进展为研究硬骨鱼中胶原链的分子多样性和组织特异性作用提供了新的视角。此外,由于其生物相容性、低免疫原性和易于从渔业副产品中提取,鱼源胶原的生物医学潜力正受到越来越多的关注,特别是在生物材料、伤口愈合、组织工程和药物输送系统方面。从分子、结构和应用的角度来看,本综述强调了硬骨鱼胶原作为基础生物学研究课题的相关性,以及作为生物技术和生物医学创新的宝贵资源。
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引用次数: 0
Insights into the Structure of Intermediate Filaments. 对中间细丝结构的洞察。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-05273-5_6
Matthias Eibauer, Ohad Medalia

Intermediate filaments (IFs) are central to the mechanical integrity of metazoan cells and play critical roles in various fundamental cellular and multicellular processes, including cell motility, signal transduction, and wound healing. To perform their functions, IF proteins self-assemble into nanoscale biopolymers, each exhibiting unique properties that are finely tuned to their specific roles across different tissue types. However, the 3D structure of IFs has remained largely unresolved due to their intrinsic flexibility and polymorphism. This chapter reviews recent advances in the structural analysis of IFs, with a focus on vimentin IFs (VIFs), which are featuring a helical tube with a central luminal fiber. We discuss how AlphaFold-based modeling, chemical cross-linking data, and cryo-electron microscopy (cryo-EM) reconstructions have been integrated to generate a detailed structural model of VIFs, highlighting key features such as the helical symmetry of the filaments and the nature of the luminal fiber. Additionally, we explore potential sources of IF polymorphism and their implications for the analysis of IF structures.

中间丝(if)是后生动物细胞机械完整性的核心,在各种基本细胞和多细胞过程中起着关键作用,包括细胞运动、信号转导和伤口愈合。为了发挥它们的功能,IF蛋白自组装成纳米级生物聚合物,每种蛋白质都表现出独特的特性,这些特性在不同的组织类型中被精细地调整为它们的特定作用。然而,由于其固有的灵活性和多态性,IFs的三维结构在很大程度上仍未得到解决。本章回顾了IFs结构分析的最新进展,重点介绍了VIFs (VIFs),它具有一个螺旋管和中心管腔纤维。我们讨论了如何将基于alphafold的建模、化学交联数据和低温电子显微镜(cryo-EM)重建集成到vif的详细结构模型中,突出了纤维的螺旋对称性和管腔纤维的性质等关键特征。此外,我们还探讨了中频多态性的潜在来源及其对中频结构分析的影响。
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引用次数: 0
Energy-Dependent Urea Transports in Mammals and their Functional Consequences. 哺乳动物能量依赖性尿素转运及其功能后果。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1007/978-981-96-6898-4_10
Lise Bankir, Gilles Crambert

In lower organisms (bacteria, fungi, yeast), some species that express the enzyme urease take up urea from the surrounding medium as a source of nitrogen, by energy-dependent urea transporters. In contrast, in mammals, urea is an endproduct of nitrogen metabolism, and the energy-dependent urea transports are associated with either the need to excrete nitrogen efficiently, in the case of excess nitrogen intake, or the need to conserve nitrogen and re-use it, in the case of low nitrogen supply.Three different energy-dependent urea transports have been characterized functionally in the mammalian kidney. One responsible for urea secretion in the straight segment of the proximal tubule (proximal straight tubule, PST), another for urea reabsorption in the upper third of the inner medullary collecting duct (IMCD), and one in the very late portion of the IMCD. But intriguingly, up to now, none of the membrane transporters responsible for these transports has been characterized molecularly.This review describes these urea transports functionally and proposes a candidate transporter responsible for urea secretion in the PST. Based on the study of knockout mice, SLC6A18 has been characterized as a glycine transporter, but several previous observations suggest that it may also serve another function. SLC6A18 is very likely a urea/glycine, sodium-dependent antiport. These observations are described in detail.Energy-dependent urea transport is suspected to also take place in two other organs that express facilitated urea transporters; in the testis, urea secretion could initiate a flux of fluid in seminiferous tubules to ensure sperm transport into the lumen; in the bladder, urea secretion could reclaim urea that is at permanent risk of dissipation, due to the large urea concentration difference between urine and blood and the high expression of the facilitated transporter UT-B on the basal membrane of the urothelium.The energy-dependent secretion of urea in the PST has a number of consequences. (1) It allows a better efficiency of urea excretion and thus may prevent some toxicity of urea. (2) It provides a much better understanding of the urine concentrating mechanism. (3) It explains how urea may influence glomerular filtration rate, indirectly.

在低等生物(细菌、真菌、酵母)中,一些表达脲酶的物种通过依赖能量的尿素转运体从周围介质中吸收尿素作为氮的来源。相比之下,在哺乳动物中,尿素是氮代谢的最终产物,能量依赖性的尿素运输要么与氮摄入过量的情况下有效排泄氮的需要有关,要么与氮供应不足的情况下保存和再利用氮的需要有关。在哺乳动物肾脏中,三种不同的能量依赖性尿素转运已被功能表征。一个负责近端直管直段的尿素分泌(近端直管,PST),另一个负责内髓集管(IMCD)上三分之一的尿素再吸收,还有一个负责内髓集管的很晚部分。但有趣的是,到目前为止,还没有一种负责这些运输的膜转运蛋白被分子表征。本文综述了这些尿素转运的功能,并提出了一种候选转运蛋白,负责PST中尿素的分泌。基于对敲除小鼠的研究,SLC6A18被描述为甘氨酸转运蛋白,但之前的一些观察表明,它可能还具有其他功能。SLC6A18很可能是一个尿素/甘氨酸钠依赖的反港口。详细描述了这些观察结果。能量依赖型尿素转运被怀疑也发生在另外两个表达易化尿素转运蛋白的器官中;在睾丸中,尿素的分泌可以在精管中启动液体流动,以确保精子进入管腔;在膀胱中,由于尿血尿素浓度差异较大,尿路上皮基底膜上易转运蛋白UT-B的高表达,尿素的分泌可以回收处于永久耗散风险的尿素。PST中尿素的能量依赖性分泌有许多后果。(1)使尿素排泄效率更高,从而可以防止尿素的某些毒性。(2)它提供了一个更好的理解尿浓缩机制。(3)说明尿素如何间接影响肾小球滤过率。
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引用次数: 0
Protein Structures of Urea Transporters. 尿素转运蛋白的蛋白质结构。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1007/978-981-96-6898-4_2
Mengyao Xiong, Shenming Huang, Jinpeng Sun, Baoxue Yang

Urea transporters (UTs) facilitate the rapid transport of urea from the extracellular space to the intracellular space through a selective transport mechanism driven by urea concentration gradients. Advances in Cryo-electron microscopy and X-ray crystallography have enabled us to solve the homotrimer structures of UT-A and UT-B, which share a common feature comprising two homologous domains surrounding a continuous transmembrane pore, indicating that UTs transport urea via a channel-like mechanism. By analyzing the structures of ligand-protein complexes, results from molecular dynamics simulations, and functional data on urea analogues and small molecule permeation inhibitors, we can gain a deeper understanding of the conservation and specificity of the urea channel architecture, and clearly recognize how urea is transported by UTs and the mechanisms of small molecule inhibition. This will provide an important structural basis for drug design and development.

尿素转运蛋白(Urea transporters, ut)通过尿素浓度梯度驱动的选择性转运机制,促进尿素从细胞外空间快速转运到细胞内空间。冷冻电子显微镜和x射线晶体学的进步使我们能够解决UT-A和UT-B的同源三聚体结构,它们具有共同的特征,包括围绕连续跨膜孔的两个同源结构域,表明ut通过通道样机制运输尿素。通过分析配体-蛋白复合物的结构、分子动力学模拟结果以及尿素类似物和小分子渗透抑制剂的功能数据,我们可以更深入地了解尿素通道结构的保守性和特异性,并清楚地认识尿素如何通过ut运输和小分子抑制的机制。这将为药物设计和开发提供重要的结构基础。
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引用次数: 0
Urea Transport Mediated by Membrane Proteins of Non-urea-Transporters. 非尿素转运体膜蛋白介导的尿素转运。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1007/978-981-96-6898-4_9
Minghui Wang, Weidong Wang, Chunling Li

Urea is generated by the urea cycle enzymes, which are mainly in the liver but are also ubiquitously expressed at low levels in other tissues of mammals. Urea is then eliminated through fluids, especially urine. Urea also serves as a readily available nitrogen source for the growth of many organisms, including plants and bacteria. Urea transporters are recognized as the primary membrane proteins responsible for urea transport in organisms. However, an increasing body of studies has identified additional membrane proteins in animals, plants, and microbes that exhibit urea transport capabilities or potential. The contribution of these membrane proteins to the maintenance of physiological homeostasis and their interactions with urea transporters remains to be fully elucidated. In this chapter, transport, characteristics, regulation, as well as cellular localization of non-urea-transporter membrane proteins facilitating urea transport, are reviewed to highlight their roles in physiology and pathophysiology. Specifically, the mammalian aquaporins AQP3, AQP6, AQP7, AQP8, AQP9, AQP10, and a sodium-glucose transporter (SGLT1) in the kidney are permeable to urea. In plants, tonoplast intrinsic proteins (TIPs), a member of aquaporin family, and the DUR3 orthologue, potentially play roles in low- and high-affinity urea transport, respectively. Two urea transporters pH-independent (Yut) and pH-dependent transporters (ureI) in bacteria are known to play roles in disease conditions.

尿素是由尿素循环酶产生的,主要存在于肝脏中,但在哺乳动物的其他组织中也普遍存在低水平表达。然后尿素通过液体,尤其是尿液排出。尿素也是许多生物(包括植物和细菌)生长的一种现成的氮源。尿素转运蛋白被认为是生物体内负责尿素转运的主要膜蛋白。然而,越来越多的研究已经在动物、植物和微生物中发现了其他具有尿素转运能力或潜力的膜蛋白。这些膜蛋白对维持生理稳态的贡献及其与尿素转运体的相互作用仍有待充分阐明。本章综述了促进尿素转运的非尿素转运膜蛋白的转运、特性、调控以及细胞定位,重点介绍了它们在生理和病理生理中的作用。具体来说,哺乳动物肾中的水通道蛋白AQP3、AQP6、AQP7、AQP8、AQP9、AQP10和钠-葡萄糖转运蛋白(SGLT1)可渗透尿素。在植物中,作为水通道蛋白家族成员的tono质体内在蛋白(TIPs)和DUR3同源蛋白可能分别在低亲和力和高亲和力尿素转运中发挥作用。已知细菌中的两种ph非依赖性尿素转运蛋白(Yut)和ph依赖性转运蛋白(ureI)在疾病条件中发挥作用。
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引用次数: 0
Urea Transporters and Their Gene Mutations in Diseases. 尿素转运蛋白及其在疾病中的基因突变。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1007/978-981-96-6898-4_7
Boyue Huang, Hongkai Wang, Jiaoyu Hou, Jianhua Ran

Urea transporters (UTs) UT-As (encoded by Slc14A2) and UT-B (encoded by Slc14A1), are important members of the solute carrier family. They are a group of membrane channel proteins that are selectively permeable to urea. Slc14A1 is considered the key gene determining the Kidd blood group system, and its variants can lead to the loss of Jk antigens, resulting in transfusion-related complications. Additionally, studies have shown that Slc14A1 is closely associated with cancer development and progression, with its expression level and promoter methylation status potentially serving as biomarkers for cancer progression and prognosis. Recent research suggests that UT-B functional deficiency may cause neurodegenerative diseases by accumulating urea in the brain, thereby affecting neuronal function and viability. Mutations of Slc14A2 are linked to hypertension and metabolic syndrome, due to its essential role in maintaining urea homeostasis. This chapter aims to introduce the clinical significance of UT-B and UT-A and highlight their potential roles as diagnostic and therapeutic targets.

尿素转运蛋白UT-As(由Slc14A2编码)和UT-B(由Slc14A1编码)是溶质载体家族的重要成员。它们是一组选择性渗透尿素的膜通道蛋白。Slc14A1被认为是决定Kidd血型系统的关键基因,其变异可导致Jk抗原的缺失,从而导致输血相关并发症。此外,研究表明Slc14A1与癌症的发生和进展密切相关,其表达水平和启动子甲基化状态可能作为癌症进展和预后的生物标志物。最近的研究表明,UT-B功能缺乏可能通过在大脑中积聚尿素而引起神经退行性疾病,从而影响神经元的功能和活力。Slc14A2突变与高血压和代谢综合征有关,因为它在维持尿素稳态中起重要作用。本章旨在介绍UT-B和UT-A的临床意义,并强调它们作为诊断和治疗靶点的潜在作用。
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引用次数: 0
Therapeutic Trajectories in Human Prion Diseases. 人类朊病毒疾病的治疗轨迹。
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1007/978-3-031-97055-9_5
Maria Letizia Barreca, Emiliano Biasini

Prion diseases are rare yet devastating neurodegenerative disorders that result from the misfolding of the cellular prion protein, PrPC, into its infectious and pathogenic isoform, PrPSc. These diseases are marked by progressive neuronal damage, leading to irreversible cognitive and motor impairments and, ultimately, death. Despite extensive research into their underlying mechanisms, effective treatments for prion diseases remain elusive. Such a lack of effective therapies mainly arises from several challenges, including delayed diagnosis and the complex and poorly understood biology of prion neurotoxicity.This chapter provides an in-depth exploration of current and emerging therapeutic strategies to treat prion diseases. One promising approach involves using small molecules to inhibit prion replication by destabilizing PrPSc or modulating PrPC homeostasis, possibly avoiding previously observed strain-dependent drug resistance. In parallel, immunotherapeutic approaches, including passive and active immunization, have shown potential in targeting prions. However, challenges related to brain penetration and potential neurotoxicity remain significant hurdles to their successful clinical application. Developing advanced genetic tools, such as RNA interference (RNAi) and CRISPR-based technologies, has opened up new avenues for therapeutic intervention. These approaches selectively target and reduce PrPC expression, thereby preventing the formation and accumulation of PrPSc. The chapter also highlights the progress in clinical trials, such as the PrProfile trial for ION717, which tests a novel treatment based on an antisense oligonucleotide (ASO). As we look toward the future, the chapter underscores the need for a multifaceted approach to treating prion diseases. Furthermore, early detection methods, innovative drug delivery systems, and collaborative interdisciplinary research efforts will be essential for translating scientific discoveries into practical clinical breakthroughs.

朊病毒疾病是一种罕见但毁灭性的神经退行性疾病,是由细胞朊病毒蛋白PrPC错误折叠成其感染性和致病性同种异构体PrPSc引起的。这些疾病的特点是进行性神经元损伤,导致不可逆转的认知和运动障碍,最终导致死亡。尽管对其潜在机制进行了广泛的研究,但对朊病毒疾病的有效治疗仍然难以捉摸。这种缺乏有效治疗的主要原因是几个挑战,包括延迟诊断和朊病毒神经毒性的复杂和知之甚少的生物学。本章提供了一个深入的探索当前和新兴的治疗策略,以治疗朊病毒疾病。一种有希望的方法是使用小分子通过破坏PrPSc或调节PrPC稳态来抑制朊病毒复制,可能避免先前观察到的菌株依赖耐药性。同时,免疫治疗方法,包括被动和主动免疫,已经显示出针对朊病毒的潜力。然而,与脑渗透和潜在神经毒性相关的挑战仍然是其成功临床应用的重大障碍。开发先进的遗传工具,如RNA干扰(RNAi)和基于crispr的技术,为治疗干预开辟了新的途径。这些方法选择性地靶向和减少PrPC的表达,从而阻止PrPSc的形成和积累。本章还强调了临床试验的进展,例如ION717的PrProfile试验,该试验测试了一种基于反义寡核苷酸(ASO)的新型治疗方法。展望未来,本章强调需要采取多方面的方法来治疗朊病毒疾病。此外,早期检测方法、创新的药物输送系统和跨学科合作研究对于将科学发现转化为实际的临床突破至关重要。
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引用次数: 0
期刊
Sub-cellular biochemistry
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