Qiang Liang, Rao Anand N, Mostoslavsky Gustavo, James Marianne F, Comfort Nicole, Sullivan Kimberly, Baas Peter W
From the Department of Neurobiology and Anatomy (L.Q., A.N.R., P.W.B.), Drexel University, Philadelphia, PA; and Center for Regenerative Medicine (G.M., M.F.J.) and School of Public Health (N.C., K.S.), Boston University, Boston, MA.
Neurology. 2017 May 16;88(20):1968-1975. doi: 10.1212/WNL.0000000000003938.
Gulf War illness (GWI), which afflicts at least 25% of veterans who served in the 1990-1991 war in the Persian Gulf, is thought to be caused by deployment exposures to various neurotoxicants, including pesticides, anti-nerve gas pills, and low-level nerve agents including sarin/cyclosarin. GWI is a multisymptom disorder characterized by fatigue, joint pain, cognitive problems, and gastrointestinal complaints. The most prominent symptoms of GWI (memory problems, poor attention/concentration, chronic headaches, mood alterations, and impaired sleep) suggest that the disease primarily affects the CNS. Development of urgently needed treatments depends on experimental models appropriate for testing mechanistic hypotheses and for screening therapeutic compounds. Rodent models have been useful thus far, but are limited by their inability to assess the contribution of genetic or epigenetic background to the disease, and because disease-vulnerable proteins and pathways may be different in humans relative to rodents. As of yet, no postmortem tissue from the veterans has become available for research. We are moving forward with a paradigm shift in the study of GWI, which utilizes contemporary stem cell technology to convert somatic cells from Gulf War veterans into pluripotent cell lines that can be differentiated into various cell types, including neurons, glia, muscle, or other relevant cell types. Such cell lines are immortal and will be a resource for GWI researchers to pursue mechanistic hypotheses and therapeutics.
海湾战争综合征(GWI)折磨着至少25%曾在1990 - 1991年海湾战争中服役的退伍军人,人们认为它是由在部署期间接触各种神经毒物引起的,这些毒物包括杀虫剂、抗神经毒气药丸以及包括沙林/环沙林在内的低剂量神经毒剂。GWI是一种多症状疾病,其特征为疲劳、关节疼痛、认知问题和胃肠道不适。GWI最突出的症状(记忆问题、注意力/专注力差、慢性头痛、情绪改变和睡眠障碍)表明该疾病主要影响中枢神经系统。开发急需的治疗方法取决于适用于测试机制假说和筛选治疗化合物的实验模型。到目前为止,啮齿动物模型一直很有用,但存在局限性,因为它们无法评估遗传或表观遗传背景对该疾病的影响,而且人类中易患该疾病的蛋白质和信号通路可能与啮齿动物不同。截至目前,尚未获得退伍军人的尸检组织用于研究。我们正在推动海湾战争综合征研究的范式转变,利用当代干细胞技术将海湾战争退伍军人的体细胞转化为多能细胞系,这些细胞系可分化为各种细胞类型,包括神经元、神经胶质细胞、肌肉细胞或其他相关细胞类型。这样的细胞系是永生的,将成为海湾战争综合征研究人员探索机制假说和治疗方法的资源。