摘要
普瑞德威利综合征(PWS)是一种烙印性神经发育疾病,其特征是认知障碍、发育迟缓、嗜食、肥胖和睡眠异常。其原因是15号染色体PWS印迹中心父系活性基因表达不足(15q11.2-q13)。由于印迹基因调控,母系染色体15q11-q13中的相同基因结构完整,但由于表观遗传机制,在转录水平上受到抑制。PWS特有的分子缺陷为探索表观遗传疗法以重新激活从母体染色体遗传的被抑制的PWS基因的表达提供了机会。本文综述了近年来PWS分子研究的主要进展,并对CRISPR/Cas9介导的表观基因组编辑技术在PWS表观遗传学治疗中的发展现状和前景进行了展望。本文综述了12项关于PWS的分子机制或表观遗传学治疗的研究。虽然我们对PWS的分子基础的理解已经发生了根本的改变,但在针对PWS潜在的遗传缺陷的表观遗传学治疗方面也取得了一些进展。
关键词: 普瑞德威利综合征
图形摘要
[http://dx.doi.org/10.1002/1096-8628(200022)97:2<136:AID-AJMG5>3.0.CO;2-V] [PMID: 11180221]
[http://dx.doi.org/10.2174/138920211795677877] [PMID: 22043168]
[http://dx.doi.org/10.1186/s13023-020-1306-z] [PMID: 31964399]
[http://dx.doi.org/10.1186/1687-9856-2013-14] [PMID: 23962041]
[http://dx.doi.org/10.1007/s13312-019-1626-z] [PMID: 31638013]
[http://dx.doi.org/10.1136/bmj.1.1362.256] [PMID: 20751780]
[http://dx.doi.org/10.1056/NEJM198102053040604] [PMID: 7442771]
[http://dx.doi.org/10.1038/gim.0b013e31822bead0]
[http://dx.doi.org/10.1210/jc.2008-0649] [PMID: 18697869]
[http://dx.doi.org/10.1159/000437141] [PMID: 26279206]
[http://dx.doi.org/10.1016/j.jpeds.2004.08.002] [PMID: 15580194]
[http://dx.doi.org/10.1111/j.1365-2265.2007.03126.x] [PMID: 18031326]
[http://dx.doi.org/10.1515/jpem-2018-0539] [PMID: 31271556]
[http://dx.doi.org/10.1016/j.endinu.2018.01.006] [PMID: 29510967]
[PMID: 30378786]
[http://dx.doi.org/10.1186/s13023-019-1195-1] [PMID: 31511031]
[http://dx.doi.org/10.1016/j.trsl.2019.02.012] [PMID: 30904443]
[http://dx.doi.org/10.1073/pnas.1313587110] [PMID: 23940360]
[http://dx.doi.org/10.3389/fmicb.2019.01932] [PMID: 31551942]
[http://dx.doi.org/10.1038/srep05400] [PMID: 24954249]
[http://dx.doi.org/10.1007/978-1-4939-1862-1_10] [PMID: 25408407]
[PMID: 29800646]
[http://dx.doi.org/10.4161/15592294.2014.969667] [PMID: 25482058]
[http://dx.doi.org/10.1111/cts.12083] [PMID: 24127921]
[http://dx.doi.org/10.1002/ajmg.a.31504] [PMID: 17036336]
[http://dx.doi.org/10.1542/peds.113.3.565] [PMID: 14993551]
[http://dx.doi.org/10.1002/ajmg.1320350306] [PMID: 2309779]
[http://dx.doi.org/10.1017/S1462399405009531] [PMID: 16038620]
[http://dx.doi.org/10.6065/apem.2016.21.3.126] [PMID: 27777904]
[http://dx.doi.org/10.1007/s40618-015-0312-9] [PMID: 26062517]
[http://dx.doi.org/10.1136/jmedgenet-2018-105301] [PMID: 29730598]
[http://dx.doi.org/10.1038/ejhg.2011.187] [PMID: 22045295]
[http://dx.doi.org/10.1002/ajmg.a.31520] [PMID: 17163531]
[http://dx.doi.org/10.1002/ajmg.a.30771] [PMID: 15940679]
[http://dx.doi.org/10.1352/0895-8017(1999)104<0067:MBDIPS>2.0.CO;2] [PMID: 9972835]
[http://dx.doi.org/10.1017/S0033291702006736] [PMID: 12537045]
[http://dx.doi.org/10.1371/journal.pone.0072640] [PMID: 23967326]
[http://dx.doi.org/10.1097/00041444-200512000-00006] [PMID: 16314754]
[http://dx.doi.org/10.1007/s00787-004-0354-6] [PMID: 14991431]
[http://dx.doi.org/10.1111/j.1365-2788.2006.00895.x] [PMID: 17181601]
[http://dx.doi.org/10.1093/hmg/10.23.2687] [PMID: 11726556]
[PMID: 8571960]
[http://dx.doi.org/10.1073/pnas.85.14.5296] [PMID: 2969109]
[http://dx.doi.org/10.1073/pnas.96.10.5616] [PMID: 10318933]
[http://dx.doi.org/10.1038/ng0598-25] [PMID: 9590284]
[http://dx.doi.org/10.1016/j.yfrne.2013.01.002] [PMID: 23391702]
[http://dx.doi.org/10.1016/j.tips.2019.07.002] [PMID: 31353046]
[http://dx.doi.org/10.1038/nature23262] [PMID: 28723896]
[http://dx.doi.org/10.1086/302917] [PMID: 10775525]
[http://dx.doi.org/10.1111/j.1460-9568.2009.07048.x] [PMID: 20092561]
[http://dx.doi.org/10.1530/JOE-16-0367] [PMID: 27799465]
[http://dx.doi.org/10.1186/1471-213X-6-56] [PMID: 17116257]
[http://dx.doi.org/10.1074/jbc.M005103200] [PMID: 10915798]
[http://dx.doi.org/10.1016/S0002-9440(10)62964-1] [PMID: 15972963]
[http://dx.doi.org/10.1016/j.yapd.2016.04.005] [PMID: 27426895]
[http://dx.doi.org/10.1093/hmg/9.12.1813] [PMID: 10915770]
[http://dx.doi.org/10.1093/hmg/8.13.2497] [PMID: 10556298]
[http://dx.doi.org/10.1086/302817] [PMID: 10712201]
[http://dx.doi.org/10.1210/en.2010-0709] [PMID: 21248145]
[http://dx.doi.org/10.1371/journal.pone.0004291] [PMID: 19172181]
[http://dx.doi.org/10.1093/hmg/ddm225] [PMID: 17728320]
[http://dx.doi.org/10.1038/ng.2776] [PMID: 24076603]
[http://dx.doi.org/10.1038/ng.2994] [PMID: 24866188]
[http://dx.doi.org/10.1038/ng.2968] [PMID: 24816254]
[http://dx.doi.org/10.1002/ajmg.a.36307] [PMID: 24311433]
[http://dx.doi.org/10.1086/303106] [PMID: 11007541]
[http://dx.doi.org/10.1093/hmg/10.3.201] [PMID: 11159938]
[http://dx.doi.org/10.1086/302177] [PMID: 9915945]
[http://dx.doi.org/10.1038/ng0496-452] [PMID: 8630505]
[http://dx.doi.org/10.1172/JCI99725] [PMID: 29376891]
[http://dx.doi.org/10.1016/j.nlm.2018.05.011] [PMID: 29800646]
[http://dx.doi.org/10.1038/ejhg.2014.103] [PMID: 24916642]
[http://dx.doi.org/10.1007/s00223-014-9949-1] [PMID: 25577526]
[http://dx.doi.org/10.1002/ajmg.a.36653] [PMID: 24980612]
[http://dx.doi.org/10.1186/1750-1172-6-47] [PMID: 21702900]
[http://dx.doi.org/10.1517/17460441.2011.577772] [PMID: 22650979]
[http://dx.doi.org/10.1007/s00213-012-2837-3] [PMID: 22903390]
[http://dx.doi.org/10.1002/ajmg.a.36306] [PMID: 24311388]
[http://dx.doi.org/10.1002/ajmg.a.34047] [PMID: 21671379]
[http://dx.doi.org/10.1093/hmg/10.6.645] [PMID: 11230184]
[http://dx.doi.org/10.1038/nm.4257] [PMID: 28024084]
[http://dx.doi.org/10.1093/hmg/ddu187] [PMID: 24760766]
[http://dx.doi.org/10.3390/diseases6020042] [PMID: 29883422]
[http://dx.doi.org/10.18632/oncotarget.18340] [PMID: 29100290]
[http://dx.doi.org/10.1021/acsnano.6b06182] [PMID: 27977128]
[http://dx.doi.org/10.1089/hum.2017.033] [PMID: 28530155]
[http://dx.doi.org/10.1126/science.1231143] [PMID: 23287718]
[http://dx.doi.org/10.1126/science.1225829] [PMID: 22745249]
[http://dx.doi.org/10.1126/science.1232033] [PMID: 23287722]
[http://dx.doi.org/10.1016/j.cell.2013.12.001] [PMID: 24360272]
[http://dx.doi.org/10.1016/j.cell.2013.02.022] [PMID: 23452860]
[http://dx.doi.org/10.1016/j.cell.2013.06.044] [PMID: 23849981]
[http://dx.doi.org/10.1038/nbt.3199] [PMID: 25849900]
[http://dx.doi.org/10.1038/nature14136] [PMID: 25494202]
[http://dx.doi.org/10.1016/j.cell.2013.12.019] [PMID: 24439369]
[http://dx.doi.org/10.1016/j.cell.2016.08.056] [PMID: 27662091]
[http://dx.doi.org/10.1093/hmg/ddx420] [PMID: 29228278]