Centre for Experimental Medicine and Department of Neurology, Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha, Hunan 410013, China.
Department of Neurology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.
Nat Rev Neurol. 2014 Jun;10(6):337-48. doi: 10.1038/nrneurol.2014.78. Epub 2014 May 20.
The neurodegenerative diseases are a diverse group of disorders characterized by progressive loss of specific groups of neurons. These diseases affect different populations, and have a variable age of onset, clinical symptoms, and pathological findings. Variants in the FUS gene, which encodes an RNA-binding protein, have been identified as causative or risk factors for amyotrophic lateral sclerosis (ALS), essential tremor and rare forms of frontotemporal lobar degeneration (FTLD). Additionally, abnormal aggregation of FUS protein has been reported in multiple neurodegenerative diseases, including ALS, FTLD and the polyglutamine diseases, suggesting a role for FUS in the pathogenesis of these neurodegenerative diseases. This Review summarizes current understanding of the normal function of FUS, and describes its role in the pathology of ALS, FTLD, essential tremor and other neurodegenerative diseases. Comments on the underlying pathogenetic mechanisms of these FUS-related disorders are included. Finally, the clinical implications of recent advances in FUS research are discussed. Further understanding of the role of FUS in neurodegenerative diseases might lead to improvements in the treatment and prevention of these disorders.
神经退行性疾病是一组以特定神经元群进行性丧失为特征的多种疾病。这些疾病影响不同人群,其发病年龄、临床症状和病理表现各不相同。编码 RNA 结合蛋白的 FUS 基因的变异已被确定为肌萎缩侧索硬化症(ALS)、特发性震颤和罕见的额颞叶痴呆(FTLD)的致病或风险因素。此外,FUS 蛋白的异常聚集已在多种神经退行性疾病中被报道,包括 ALS、FTLD 和多聚谷氨酰胺疾病,表明 FUS 在这些神经退行性疾病的发病机制中起作用。本综述总结了目前对 FUS 正常功能的认识,并描述了它在 ALS、FTLD、特发性震颤和其他神经退行性疾病的病理学中的作用。还包括对这些与 FUS 相关疾病潜在发病机制的评论。最后,讨论了 FUS 研究的最新进展的临床意义。进一步了解 FUS 在神经退行性疾病中的作用可能会改善这些疾病的治疗和预防。