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[无脑回畸形和小头畸形的分子遗传学]

[Molecular genetics of lissencephaly and microcephaly].

作者信息

Mochida Ganeshwaran Hitoshi

机构信息

Department of Neurology, Beth Israel Deaconess Medical Center, Massachusetts General Hospital, and Harvard Medical School, 77 Avenue Louis Pasteur, NRB-266, Boston, MA 02115, USA.

出版信息

Brain Nerve. 2008 Apr;60(4):437-44.

Abstract

Genetic malformations of the cerebral cortex are an important cause of neurological disability in children. The genes implicated in these disorders are essential for normal cerebral cortical development. Therefore, identifying these genes and studying their functions will help us further the understanding of the normal biological mechanisms of brain development. Lissencephaly and microcephaly are two groups of disorders that have been intensely studied and several causative genes within each group have been identified. Type I (classical) lissencephaly is characterized by a smooth-appearing brain with a lack or severe reduction of normal gyri. Three of its identified causative genes (LIS1, DCX and TUBA1A) are related to microtubules, which are essential for neuronal migration in the developing cerebral cortex. Microcephaly vera is a form of microcephaly with four responsible genes reported to date. Three of them (ASPM, CENPJ and CDK5RAP2) localize to the mitotic centrosome, and one (MCPH1) is implicated in cell cycle checkpoint regulation and DNA damage response. This suggests that abnormalities of neural progenitor cell division are fundamental to the pathogenesis of microcephaly vera. These genes for microcephaly vera are also suggested to have played a role in evolutionary volume expansion of the human cerebral cortex. These examples show that genetic studies of lissencephaly and microcephaly have been very fruitful in providing novel insights into various aspects of human cerebral cortical development.

摘要

大脑皮质的基因畸形是儿童神经功能障碍的一个重要原因。与这些疾病相关的基因对于正常的大脑皮质发育至关重要。因此,识别这些基因并研究它们的功能将有助于我们进一步了解大脑发育的正常生物学机制。无脑回畸形和小头畸形是两组经过深入研究的疾病,每组中已鉴定出多个致病基因。I型(经典型)无脑回畸形的特征是大脑表面光滑,缺乏或严重减少正常脑回。已确定的三个致病基因(LIS1、DCX和TUBA1A)与微管相关,微管对于发育中的大脑皮质中的神经元迁移至关重要。真性小头畸形是小头畸形的一种形式,迄今为止已报道了四个致病基因。其中三个(ASPM、CENPJ和CDK5RAP2)定位于有丝分裂中心体,另一个(MCPH1)与细胞周期检查点调节和DNA损伤反应有关。这表明神经祖细胞分裂异常是真性小头畸形发病机制的根本。这些真性小头畸形的基因也被认为在人类大脑皮质的进化体积扩展中发挥了作用。这些例子表明,无脑回畸形和小头畸形的遗传学研究在为人类大脑皮质发育的各个方面提供新见解方面非常富有成果。

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