Department of Pathophysiology, Experimental Medicine and Public Health, University of Siena, Siena, Via Aldo Moro 2, 53100 Siena, Italy.
Clin Biochem. 2011 Apr;44(5-6):368-71. doi: 10.1016/j.clinbiochem.2011.01.007. Epub 2011 Jan 26.
Rett syndrome (RTT) is a neurological disorder and a leading cause of mental retardation in females. It is caused by mutations in methyl-CpG-binding protein 2 (MeCP2) gene and more rarely in cyclin-dependent kinase-like 5 (CDKL5) and forkhead box protein G1 (FOXG1) genes. Increased oxidative stress (OS) has been documented in MeCP2-RTT patients. Here, we evaluated the levels of 4-hydroxynonenal plasma protein adducts (4HNE-PAs) in MeCP2-, CDKL5-, and FOXG1-RTT and in their clinical variants.
4HNE-PAs were determined by Western blot in plasma from healthy subjects and RTT patients.
4HNE-PAs levels were increased in MeCP2- and CDKL5-related RTT but not in FOXG1-related RTT.
These results showed that OS is present in RTT clinical variants and could play a key role in RTT pathogenesis. Under the OS point of view FOXG1-related RTT appears to be distinct from the MeCP2/CDKL5, suggesting a distinct mechanism involved in its pathogenesis.
雷特综合征(RTT)是一种神经退行性疾病,也是女性智力迟钝的主要原因。它是由甲基-CpG 结合蛋白 2(MeCP2)基因突变引起的,在较少情况下是由周期蛋白依赖性激酶样 5(CDKL5)和叉头框蛋白 G1(FOXG1)基因突变引起的。在 MeCP2-RTT 患者中,氧化应激(OS)增加已有报道。在这里,我们评估了 MeCP2、CDKL5 和 FOXG1-RTT 及其临床变异型患者血浆中 4-羟壬烯醛蛋白加合物(4HNE-PAs)的水平。
通过 Western blot 法测定健康受试者和 RTT 患者血浆中的 4HNE-PAs。
MeCP2 和 CDKL5 相关的 RTT 患者的 4HNE-PAs 水平升高,但 FOXG1 相关的 RTT 患者的 4HNE-PAs 水平没有升高。
这些结果表明 OS 存在于 RTT 临床变异型中,可能在 RTT 的发病机制中起关键作用。从 OS 的角度来看,FOXG1 相关的 RTT 似乎与 MeCP2/CDKL5 不同,提示其发病机制涉及不同的机制。