Bashtrykov Pavel, Jeltsch Albert
Institute of Biochemistry, Faculty of Chemistry, University of Stuttgart, Pfaffenwaldring 55, 70569, Stuttgart, Germany.
Adv Exp Med Biol. 2017;978:409-424. doi: 10.1007/978-3-319-53889-1_21.
Epigenome editing aims for an introduction or removal of chromatin marks at a defined genomic region using artificial EpiEffectors resulting in a modulation of the activity of the targeted functional DNA elements. Rationally designed EpiEffectors consist of a targeting DNA-binding module (such as a zinc finger protein, TAL effector, or CRISPR/Cas complex) and usually, but not exclusively, a catalytic domain of a chromatin-modifying enzyme. Epigenome editing opens a completely new strategy for basic research of the central nervous system and causal treatment of psychiatric and neurological diseases, because rewriting of epigenetic information can lead to the direct and durable control of the expression of disease-associated genes. Here, we review current advances in the design of locus- and allele-specific DNA-binding modules, approaches for spatial, and temporal control of EpiEffectors and discuss some examples of existing and propose new potential therapeutic strategies based on epigenome editing for treatment of neurodegenerative and psychiatric diseases. These include the targeted silencing of disease-associated genes or activation of neuroprotective genes which may be applied in Alzheimer's and Parkinson's diseases or the control of addiction and depression. Moreover, we discuss allele-specific epigenome editing as novel therapeutic approach for imprinting disorders, Huntington's disease and Rett syndrome.
表观基因组编辑旨在利用人工表观效应器在特定基因组区域引入或去除染色质标记,从而调节靶向功能DNA元件的活性。合理设计的表观效应器由一个靶向DNA结合模块(如锌指蛋白、转录激活样效应因子或CRISPR/Cas复合物)组成,通常但不限于一个染色质修饰酶的催化结构域。表观基因组编辑为中枢神经系统的基础研究以及精神和神经疾病的病因治疗开辟了全新的策略,因为表观遗传信息的重写能够直接且持久地控制疾病相关基因的表达。在此,我们综述了位点特异性和等位基因特异性DNA结合模块设计的当前进展、表观效应器的空间和时间控制方法,并讨论了现有实例,还基于表观基因组编辑提出了治疗神经退行性疾病和精神疾病的新潜在治疗策略。这些策略包括疾病相关基因的靶向沉默或神经保护基因的激活,可应用于阿尔茨海默病和帕金森病,或用于控制成瘾和抑郁症。此外,我们讨论了等位基因特异性表观基因组编辑作为印记障碍、亨廷顿舞蹈症和雷特综合征的新型治疗方法。