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Tissue interactions, cell signaling and transcriptional control in the cranial mesoderm during craniofacial development 颅面发育过程中颅中胚层的组织相互作用、细胞信号传导和转录控制
Pub Date : 2016-04-05 DOI: 10.3934/genet.2016.1.74
Xiaochen Fan, D. Loebel, Heidi Bildsoe, Emilie E. Wilkie, J. Qin, Junwen Wang, P. Tam
Abstract The cranial neural crest and the cranial mesoderm are the source of tissues from which the bone and cartilage of the skull, face and jaws are constructed. The development of the cranial mesoderm is not well studied, which is inconsistent with its importance in craniofacial morphogenesis as a source of precursor tissue of the chondrocranium, muscles, vasculature and connective tissues, mechanical support for tissue morphogenesis, and the signaling activity that mediate interactions with the cranial neural crest. Phenotypic analysis of conditional knockout mouse mutants, complemented by the transcriptome analysis of differentially enriched genes in the cranial mesoderm and cranial neural crest, have identified signaling pathways that may mediate cross-talk between the two tissues. In the cranial mesenchyme, Bmp4 is expressed in the mesoderm cells while its signaling activity could impact on both the mesoderm and the neural crest cells. In contrast, Fgf8 is predominantly expressed in the cranial neural crest cells and it influences skeletal development and myogenesis in the cranial mesoderm. WNT signaling, which emanates from the cranial neural crest cells, interacts with BMP and FGF signaling in monitoring the switch between tissue progenitor expansion and differentiation. The transcription factor Twist1, a critical molecular regulator of many aspects of craniofacial development, coordinates the activity of the above pathways in cranial mesoderm and cranial neural crest tissue compartments.
颅神经嵴和颅中胚层是构成颅骨、面部和颌骨的骨和软骨的组织来源。颅中胚层的发育尚未得到很好的研究,这与其在颅面形态发生中的重要性不一致,颅中胚层作为颅骨软骨、肌肉、脉管系统和结缔组织的前体组织的来源,对组织形态发生的机械支持,以及介导与颅神经嵴相互作用的信号活动。条件敲除小鼠突变体的表型分析,加上颅中胚层和颅神经嵴中差异富集基因的转录组分析,已经确定了可能介导这两个组织之间串扰的信号通路。在颅间质中,Bmp4在中胚层细胞中表达,其信号活动既影响中胚层细胞,也影响神经嵴细胞。相反,Fgf8主要在颅神经嵴细胞中表达,并影响颅骨中胚层的骨骼发育和肌肉形成。来自颅神经嵴细胞的WNT信号与BMP和FGF信号相互作用,监测组织祖细胞扩增和分化之间的转换。转录因子Twist1是颅面发育许多方面的关键分子调节因子,协调颅中胚层和颅神经嵴组织室中上述途径的活动。
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引用次数: 17
Congenital tracheal defects: embryonic development and animal models 先天性气管缺陷:胚胎发育和动物模型
Pub Date : 2016-03-29 DOI: 10.3934/genet.2016.1.60
Z. Sher, Karen J. Liu
Abstract Tracheal anomalies are potentially catastrophic congenital defects. As a newborn begins to breathe, the trachea needs to maintain an appropriate balance of elasticity and rigidity. If the tracheal cartilages are disorganized or structurally weak, the airways can collapse, obstructing breathing. Cartilage rings that are too small or too rigid can also obstruct breathing. These anomalies are frequently associated with craniofacial syndromes, and, despite the importance, are poorly understood. In this review, we summarize the spectrum of pathological phenotypes of the trachea and correlate them with the molecular events uncovered in mouse models.
气管异常是一种潜在的灾难性先天性缺陷。当新生儿开始呼吸时,气管需要保持弹性和刚性的适当平衡。如果气管软骨组织紊乱或结构薄弱,气道会塌陷,阻碍呼吸。软骨环太小或太硬也会阻碍呼吸。这些异常通常与颅面综合征相关,尽管其重要性,但人们对其了解甚少。在这篇综述中,我们总结了气管的病理表型谱,并将它们与小鼠模型中发现的分子事件联系起来。
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引用次数: 11
Aarskog-Scott syndrome: phenotypic and genetic heterogeneity 阿斯科格-斯科特综合征:表型和遗传异质性
Pub Date : 2016-03-20 DOI: 10.3934/genet.2016.1.49
M. Jabalameli, I. Briceño, J. Martinez, R. Pengelly, S. Ennis, A. Collins
Abstract Aarskog-Scott syndrome (AAS) is a rare developmental disorder which primarily affects males and has a relative prevalence of 1 in 25,000 in the general population. AAS patients usually present with developmental complications including short stature and facial, skeletal and urogenital anomalies. The spectrum of genotype-phenotype correlations in AAS is unclear and mutations of the FGD1 gene on the proximal short arm of chromosome X account for only 20% of the incidence of the disorder. Failure to identify pathogenic variants in patients referred for FGD1 screening suggests heterogeneity underlying pathophysiology of the condition. Furthermore, overlapping features of AAS with several other developmental disorders increase the complexity of diagnosis. Cytoskeletal signaling may be involved in the pathophysiology of AAS. The FGD1 protein family has a role in activation of CDC42 (Cell Division Control protein 42 homolog) which has a core function in remodeling of extracellular matrix and the transcriptional activation of many modulators of development. Therefore, mutations in components in the EGFR1 (Epidermal Growth Factor Receptor 1) signaling pathway, to which CDC42 belongs, may contribute to pathophysiology. Parallel sequencing strategies (so-called next generation sequencing or high throughput sequencing) enables simultaneous production of millions of sequencing reads that enormously facilitate cost-effective identification of cryptic mutations in heterogeneous monogenic disorders. Here we review the source of phenotypic and genetic heterogeneity in the context of AAS and discuss the applicability of next generation sequencing for identification of novel mutations underlying AAS.
Aarskog-Scott综合征(AAS)是一种罕见的发育障碍,主要影响男性,在一般人群中相对患病率为1 / 25,000。AAS患者通常表现为发育并发症,包括身材矮小、面部、骨骼和泌尿生殖器异常。AAS的基因型-表型相关谱尚不清楚,X染色体近端短臂FGD1基因突变仅占该疾病发病率的20%。在接受FGD1筛查的患者中未能发现致病变异,表明该疾病的病理生理学存在异质性。此外,AAS与其他几种发育障碍的重叠特征增加了诊断的复杂性。细胞骨架信号可能参与AAS的病理生理过程。FGD1蛋白家族在CDC42(细胞分裂控制蛋白42同源物)的激活中发挥作用,CDC42在细胞外基质的重塑和许多发育调节剂的转录激活中具有核心功能。因此,CDC42所属的EGFR1(表皮生长因子受体1)信号通路组分的突变可能有助于病理生理。平行测序策略(所谓的下一代测序或高通量测序)能够同时产生数百万个测序reads,极大地促进了对异质性单基因疾病中隐突变的经济有效鉴定。在这里,我们回顾了在AAS背景下表型和遗传异质性的来源,并讨论了下一代测序在鉴定AAS基础上的新突变的适用性。
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引用次数: 7
Towards defining the Mechanisms of Alzheimer's disease based on a contextual analysis of molecular pathways 基于分子通路的上下文分析来定义阿尔茨海默病的机制
Pub Date : 2016-03-17 DOI: 10.3934/genet.2016.1.25
J. Richens, J. P. Bramble, H. Spencer, Fiona Cantlay, Molly Butler, P. O'shea
Abstract Alzheimer's disease (AD) is posing an increasingly profound problem to society. Our genuine understanding of the pathogenesis of AD is inadequate and as a consequence, diagnostic and therapeutic strategies are currently insufficient. The understandable focus of many studies is the identification of molecules with high diagnostic utility however the opportunity to obtain a further understanding of the mechanistic origins of the disease from such putative biomarkers is often overlooked. This study examines the involvement of biomarkers in AD to shed light on potential mechanisms and pathways through which they are implicated in the pathology of this devastating neurodegenerative disorder. The computational tools required to analyse ever-growing datasets in the context of AD are also discussed.
阿尔茨海默病(AD)是一个日益深刻的社会问题。我们对阿尔茨海默病发病机制的真正理解是不充分的,因此,目前的诊断和治疗策略是不足的。可以理解的是,许多研究的重点是鉴定具有高诊断效用的分子,然而,从这些假定的生物标志物中获得对疾病机制起源的进一步了解的机会往往被忽视。本研究探讨了生物标志物在阿尔茨海默病中的作用,以阐明它们与这种破坏性神经退行性疾病的病理有关的潜在机制和途径。还讨论了在AD背景下分析不断增长的数据集所需的计算工具。
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引用次数: 3
Telomeres, species differences, and unusual telomeres in vertebrates: presenting challenges and opportunities to understanding telomere dynamics 端粒,物种差异,和不寻常的端粒在脊椎动物:提出挑战和机遇,以了解端粒动力学
Pub Date : 2016-03-03 DOI: 10.3934/genet.2016.1.1
Emory D. Ingles, J. Deakin
Abstract There has been increasing interest in the use of telomeres as biomarkers of stress, cellular ageing and life-histories. However, the telomere landscape is a diverse feature, with noticeable differences between species, a fact which is highlighted by the unusual telomeres of various vertebrate organisms. We broadly review differences in telomere dynamics among vertebrates, and emphasize the need to understand more about telomere processes and trends across species. As part of these species differences, we review unusual telomeres in vertebrates. This includes mega-telomeres, which are present across a diverse set of organisms, but also focusing on the unusual telomeres traits of marsupials and monotremes, which have seen little to no prior discussion, yet uniquely stand out from other unusual telomere features discovered thus far. Due to the presence of at least two unique telomere features in the marsupial family Dasyuridae, as well as to the presence of physiological strategies semelparity and torpor, which have implications for telomere life-histories in these species, we suggest that this family has a very large potential to uncover novel information on telomere evolution and dynamics.
端粒作为应激、细胞衰老和生活史的生物标志物,已引起人们越来越多的兴趣。然而,端粒景观是一个多样化的特征,在物种之间具有明显的差异,这一事实被各种脊椎动物生物体的不寻常的端粒所突出。我们广泛地回顾了脊椎动物端粒动力学的差异,并强调需要更多地了解跨物种的端粒过程和趋势。作为这些物种差异的一部分,我们回顾了脊椎动物中不寻常的端粒。这包括存在于多种生物体中的巨型端粒,但也关注于有袋动物和单孔动物的不寻常的端粒特征,这些特征之前几乎没有讨论过,但从迄今为止发现的其他不寻常的端粒特征中脱颖而出。由于在有袋动物科Dasyuridae中存在至少两个独特的端粒特征,以及存在对这些物种的端粒生活史具有影响的生理策略,我们认为该家族具有非常大的潜力来揭示端粒进化和动力学的新信息。
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引用次数: 23
Genetic and flow anomalies in congenital heart disease. 先天性心脏病的遗传和血流异常。
Pub Date : 2016-01-01 Epub Date: 2016-08-23 DOI: 10.3934/genet.2016.3.157
Sandra Rugonyi

Congenital heart defects are the most common malformations in humans, affecting approximately 1% of newborn babies. While genetic causes of congenital heart disease have been studied, only less than 20% of human cases are clearly linked to genetic anomalies. The cause for the majority of the cases remains unknown. Heart formation is a finely orchestrated developmental process and slight disruptions of it can lead to severe malformations. Dysregulation of developmental processes leading to heart malformations are caused by genetic anomalies but also environmental factors including blood flow. Intra-cardiac blood flow dynamics plays a significant role regulating heart development and perturbations of blood flow lead to congenital heart defects in animal models. Defects that result from hemodynamic alterations, however, recapitulate those observed in human babies, even those due to genetic anomalies and toxic teratogen exposure. Because important cardiac developmental events, such as valve formation and septation, occur under blood flow conditions while the heart is pumping, blood flow regulation of cardiac formation might be a critical factor determining cardiac phenotype. The contribution of flow to cardiac phenotype, however, is frequently ignored. More research is needed to determine how blood flow influences cardiac development and the extent to which flow may determine cardiac phenotype.

先天性心脏缺陷是人类最常见的畸形,约占新生儿的 1%。虽然已经对先天性心脏病的遗传原因进行了研究,但只有不到 20% 的人类病例明确与遗传异常有关。大多数病例的病因仍然不明。心脏的形成是一个精心安排的发育过程,稍有不慎就会导致严重的畸形。导致心脏畸形的发育过程失调不仅由遗传异常引起,还与包括血流在内的环境因素有关。心内血流动力学对心脏发育起着重要的调节作用,在动物模型中,血流紊乱会导致先天性心脏缺陷。然而,血流动力学改变导致的缺陷可再现人类婴儿身上观察到的缺陷,甚至是那些因遗传异常和接触有毒致畸物而导致的缺陷。由于重要的心脏发育事件(如瓣膜形成和室间隔形成)是在心脏泵血时的血流条件下发生的,因此心脏形成的血流调节可能是决定心脏表型的关键因素。然而,血流对心脏表型的影响常常被忽视。要确定血流如何影响心脏发育以及血流在多大程度上可能决定心脏表型,还需要进行更多的研究。
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引用次数: 0
Pros and cons of HaloPlex enrichment in cancer predisposition genetic diagnosis HaloPlex富集在癌症易感性遗传诊断中的利弊
Pub Date : 2015-12-01 DOI: 10.3934/genet.2015.4.263
Agnès Collet, J. Tarabeux, E. Girard, C. D. d’Enghien, L. Golmard, Vivien Deshaies, Alban Lermine, A. Laugé, V. Moncoutier, C. Lefol, F. Copigny, C. Dehainault, Henrique Tenreiro, C. Guy, Khadija Abidallah, C. Barbaroux, E. Rouleau, N. Servant, A. Pauw, D. Stoppa-Lyonnet, C. Houdayer
Abstract Panel sequencing is a practical option in genetic diagnosis. Enrichment and library preparation steps are critical in the diagnostic setting. In order to test the value of HaloPlex technology in diagnosis, we designed a custom oncogenetic panel including 62 genes. The procedure was tested on a training set of 71 controls and then blindly validated on 48 consecutive hereditary breast/ovarian cancer (HBOC) patients tested negative for BRCA1/2 mutation. Libraries were sequenced on HiSeq2500 and data were analysed with our academic bioinformatics pipeline. Point mutations were detected using Varscan2, median size indels were detected using Pindel and large genomic rearrangements (LGR) were detected by DESeq. Proper coverage was obtained. However, highly variable read depth was observed within genes. Excluding pseudogene analysis, all point mutations were detected on the training set. All indels were also detected using Pindel. On the other hand, DESeq allowed LGR detection but with poor specificity, preventing its use in diagnostics. Mutations were detected in 8% of BRCA1/2-negative HBOC cases. HaloPlex technology appears to be an efficient and promising solution for gene panel diagnostics. Data analysis remains a major challenge and geneticists should enhance their bioinformatics knowledge in order to ensure good quality diagnostic results.
面板测序在遗传诊断中是一种实用的选择。富集和文库准备步骤是诊断设置的关键。为了测试HaloPlex技术在诊断中的价值,我们设计了一个包含62个基因的定制癌基因组。该方法在71个对照组的训练集上进行了测试,然后在48例BRCA1/2突变阴性的连续遗传性乳腺癌/卵巢癌(HBOC)患者中进行了盲法验证。利用HiSeq2500对文库进行测序,并通过我们的学术生物信息学管道对数据进行分析。用Varscan2检测点突变,用Pindel检测中位大小索引,用DESeq检测大基因组重排(LGR)。得到了适当的覆盖。然而,在基因内观察到高度可变的读取深度。排除假基因分析,在训练集上检测到所有点突变。所有索引也用Pindel检测。另一方面,DESeq可以检测LGR,但特异性较差,无法用于诊断。在8%的brca1 /2阴性HBOC病例中检测到突变。HaloPlex技术似乎是一种高效且有前途的基因面板诊断解决方案。数据分析仍然是一个主要的挑战,遗传学家应该提高他们的生物信息学知识,以确保高质量的诊断结果。
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引用次数: 6
Rare genetic variants: making the connection with breast cancer susceptibility 罕见的基因变异:与乳腺癌易感性的联系
Pub Date : 2015-12-01 DOI: 10.3934/genet.2015.4.281
T. Nguyen-Dumont, J. Stewart, I. Winship, M. Southey
Abstract The practice of clinical genetics in the context of breast cancer predisposition has reached another critical point in its evolution. For the past two decades, genetic testing offered to women attending clinics has been limited to BRCA1 and BRCA2 unless other syndromic indicators have been evident (e.g. PTEN and TP53 for Cowden and Li-Fraumeni syndrome, respectively). Women (and their families) who are concerned about their personal and/or family history of breast and ovarian cancer have enthusiastically engaged with clinical genetics services, anticipating a genetic cause for their cancer predisposition will be identified and to receive clinical guidance for their risk management and treatment options. Genetic testing laboratories have demonstrated similar enthusiasm for transitioning from single gene to gene panel testing that now provide opportunities for the large number of women found not to carry mutations in BRCA1 and BRCA2, enabling them to undergo additional genetic testing. However, these panel tests have limited clinical utility until more is understood about the cancer risks (if any) associated with the genetic variation observed in the genes included on these panels. New data is urgently needed to improve the interpretation of the genetic variation data that is already reported from these panels and to inform the selection of genes included in gene panel tests in the future. To address this issue, large internationally coordinated research studies are required to provide the evidence-base from which clinical genetics for breast cancer susceptibility can be practiced in the era of gene panel testing and oncogenetic practice. Two significant steps associated with this process include i) validating the genes on these panels (and those likely to be added in the future) as bona fide1 breast cancer predisposition genes and ii) interpreting the variation, on a variant-by-variant basis in terms of their likely “pathogenicity”—a process commonly referred to as “variant classification” that will enable this new genetic information to be used at an individual level in clinical genetics services. Neither of these fundamental steps have been achieved for the majority of genes included on the panels. We are thus at a critical point for translational research in breast cancer clinical genetics—how can rare genetic variants be interpreted such that they can be used in clinical genetics services and oncogenetic practice to identify and to inform the management of families that carry these variants?
在乳腺癌易感性的背景下,临床遗传学的实践已经达到了其进化的另一个关键点。在过去的二十年里,提供给就诊妇女的基因检测仅限于BRCA1和BRCA2,除非有其他明显的综合征指标(例如,分别为考登综合征和李-弗劳梅尼综合征的PTEN和TP53)。关心自己的个人和/或家族乳腺癌和卵巢癌病史的妇女(及其家人)积极参与临床遗传学服务,预计其癌症易感性的遗传原因将被确定,并获得临床指导,以指导其风险管理和治疗方案。基因检测实验室也表现出同样的热情,希望从单基因检测过渡到基因面板检测,这为大量未携带BRCA1和BRCA2突变的女性提供了机会,使她们能够接受额外的基因检测。然而,这些小组测试的临床效用有限,直到更多地了解与这些小组中包括的基因中观察到的遗传变异相关的癌症风险(如果有的话)。迫切需要新的数据来改进对这些小组中已经报告的遗传变异数据的解释,并为将来基因小组测试中包括的基因的选择提供信息。为了解决这一问题,需要进行大规模的国际协调研究,以提供证据基础,以便在基因面板检测和肿瘤遗传学实践的时代实践乳腺癌易感性的临床遗传学。与此过程相关的两个重要步骤包括:1)验证这些面板上的基因(以及未来可能添加的基因)是否为真正的乳腺癌易感基因;2)根据可能的“致病性”逐一解释变异——这一过程通常被称为“变异分类”,使这些新的遗传信息能够在个体层面上用于临床遗传学服务。这两个基本步骤对于包括在面板上的大多数基因来说都没有实现。因此,我们正处于乳腺癌临床遗传学转化研究的关键时刻——如何解释罕见的遗传变异,使它们能够用于临床遗传学服务和肿瘤遗传学实践,以识别并告知携带这些变异的家庭的管理?
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引用次数: 3
Associations of CYP1A1 gene polymorphisms and risk of breast cancer in Indian women: a meta-analysis CYP1A1基因多态性与印度女性乳腺癌风险的关联:一项荟萃分析
Pub Date : 2015-10-15 DOI: 10.3934/genet.2015.4.250
N. Pabalan, Neetu Singh, E. Singian, C. Barbosa, B. Bianco, H. Jarjanazi
Abstract Reported associations of CYP1A1 polymorphisms with breast cancer have been inconsistent. In this meta-analysis examining breast cancer associations of three CYP1A1 polymorphisms (M1, M2 and M4) among Indian women may yield information that may be of clinical and epidemiological use for this particular demography. We searched MEDLINE using PubMed and Embase for association studies. From seven published case-control studies, we estimated overall associations and applied subgroup analysis to explore differential effects. All three polymorphisms exhibited overall increased risk, significant in M1 (OR 1.61–1.65, p = 0.04) and M4 (OR 2.02–3.92, p = 0.02–0.04). Differential effects were observed only in the M1 polymorphism where M1 effects were significant in South Indians (OR 2.20–4.34, p < 0.0001) but not the North population, who were at reduced risk (OR 0.64–0.77, p = 0.03–0.55). These populations were not materially different in regard to M2 and M4 as did the women stratified by menopausal status. In this meta-analysis, M1 and M4 effects may render Indian women susceptible, but may be limited by heterogeneity of the studies. Differential effects of the M1 polymorphism in breast cancer render South Indians susceptible compared to those in the North.
CYP1A1多态性与乳腺癌的关联报道一直不一致。在这项荟萃分析中,研究了印度女性中三种CYP1A1多态性(M1、M2和M4)与乳腺癌的关联,可能会为这一特定人口统计学提供临床和流行病学方面的信息。我们使用PubMed和Embase在MEDLINE上搜索关联研究。从七个已发表的病例对照研究中,我们估计了总体关联,并应用亚组分析来探索差异效应。所有三种多态性均表现出总体风险增加,在M1 (OR 1.61-1.65, p = 0.04)和M4 (OR 2.02-3.92, p = 0.02-0.04)中显著增加。仅在M1多态性中观察到差异效应,其中M1效应在南印度人中显着(OR 2.20-4.34, p < 0.0001),而在风险降低的北方人群中没有观察到差异效应(OR 0.64-0.77, p = 0.03-0.55)。这些人群在M2和M4方面没有实质性差异,按绝经状态分层的妇女也是如此。在本荟萃分析中,M1和M4效应可能使印度妇女易感,但可能受到研究异质性的限制。M1多态性对乳腺癌的不同影响使得南印度人比北方人更容易患乳腺癌。
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引用次数: 3
The role of immunity and neuroinflammation in genetic predisposition and pathogenesis of Alzheimer’s disease 免疫和神经炎症在阿尔茨海默病遗传易感性和发病机制中的作用
Pub Date : 2015-09-22 DOI: 10.3934/genet.2015.3.230
S. Yoon, Yong-Ku Kim
Abstract Alzheimer's disease is an important public concern with rising prevalence across the globe. While many therapeutic approaches for Alzheimer's disease have been developed, there are currently no validated disease-modifying treatments. Thus, in order to develop novel treatment strategies, there is a significant need to progress our understanding of the pathogenesis of Alzheimer's disease. Several large genome-wide association studies and whole genome and exome sequencing studies have identified novel genes associated with late-onset Alzheimer's disease. Interestingly, many of the genes are associated with inflammation and the immune system, including complement receptor 1, clusterin, CD33, EPH receptor A1, membrane-spanning 4-domains subfamily A, ATP-binding cassette sub-family A member 7, major histocompatibility complex class II, inositol polyphosphate-5-phosphatase, myocyte enhancer factor 2C, and triggering receptor expressed on myeloid cells 2. The pathogenetic contributions of immune reaction and neuroinflammation in Alzheimer's disease have been regarded largely as part of amyloid cascade hypothesis. The neurotoxic amyloid-β (Aβ) induces activation of immune cells, such as microglia, astrocytes, perivascular macrophages and lymphocytes and decreased capability of clearing Aβ by immune system and chronic inflammation caused by activated immune cells aggravate neuronal damage and eventually Alzheimer's disease. But the precise mechanism and hereditary impact on such process is largely unknown. The current findings in genetic studies suggest that the immunological mechanisms of Alzheimer's disease may extend beyond passive reaction of Aβ, including the development of Alzheimer's disease such as time of onset and rate of progression. In this article, we aimed to review the mechanisms of immune reaction and neuroinflammation in Alzheimer's disease, with an emphasis on the function of genes known to be associated with a risk of Alzheimer's disease in terms of neuroinflammation and immune function.
阿尔茨海默病是一个重要的公众关注,在全球范围内患病率不断上升。虽然已经开发了许多治疗阿尔茨海默病的方法,但目前还没有经过验证的疾病改善治疗方法。因此,为了开发新的治疗策略,我们有必要进一步了解阿尔茨海默病的发病机制。几项大型全基因组关联研究以及全基因组和外显子组测序研究已经确定了与晚发型阿尔茨海默病相关的新基因。有趣的是,许多基因与炎症和免疫系统相关,包括补体受体1、聚簇蛋白、CD33、EPH受体A1、跨膜4结构域亚家族A、atp结合盒亚家族A成员7、主要组织相容性复合体II类、肌醇多磷酸-5磷酸酶、心肌细胞增强因子2C和髓细胞上表达的触发受体2。免疫反应和神经炎症在阿尔茨海默病中的发病机制在很大程度上被认为是淀粉样蛋白级联假说的一部分。神经毒性淀粉样蛋白-β (Aβ)诱导小胶质细胞、星形胶质细胞、血管周围巨噬细胞和淋巴细胞等免疫细胞的激活,降低免疫系统清除Aβ的能力,激活免疫细胞引起的慢性炎症加重神经元损伤,最终导致阿尔茨海默病。但这一过程的确切机制和遗传影响在很大程度上是未知的。目前遗传学研究的发现表明阿尔茨海默病的免疫机制可能超出了Aβ的被动反应,包括阿尔茨海默病的发病时间和进展速度等发展。在这篇文章中,我们旨在回顾阿尔茨海默病的免疫反应和神经炎症的机制,重点是在神经炎症和免疫功能方面与阿尔茨海默病风险相关的基因的功能。
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引用次数: 5
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AIMS Genetics
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