Javidfar Behnam, Park Royce, Kassim Bibi S, Bicks Lucy K, Akbarian Schahram
Department of Psychiatry, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Am J Med Genet B Neuropsychiatr Genet. 2017 Sep;174(6):631-640. doi: 10.1002/ajmg.b.32566. Epub 2017 Jul 12.
Large-scale consortia including the Psychiatric Genomics Consortium, the Common Minds Consortium, BrainSeq and PsychENCODE, and many other studies taken together provide increasingly detailed insights into the genetic and epigenetic risk architectures of schizophrenia (SCZ) and offer vast amounts of molecular information, but with largely unexplored therapeutic potential. Here we discuss how epigenomic studies in human brain could guide animal work to test the impact of disease-associated alterations in chromatin structure and function on cognition and behavior. For example, transcription factors such as MYOCYTE-SPECIFIC ENHANCER FACTOR 2C (MEF2C), or multiple regulators of the open chromatin mark, methyl-histone H3-lysine 4, are associated with the genetic risk architectures of common psychiatric disease and alterations in chromatin structure and function in diseased brain tissue. Importantly, these molecules also affect cognition and behavior in genetically engineered mice, including virus-mediated expression changes in prefrontal cortex (PFC) and other key nodes in the circuitry underlying psychosis. Therefore, preclinical and small laboratory animal work could target genomic sequences affected by chromatin alterations in SCZ. To this end, in vivo editing of enhancer and other regulatory non-coding DNA by RNA-guided nucleases including CRISPR-Cas, and designer transcription factors, could be expected to deliver pipelines for novel therapeutic approaches aimed at improving cognitive dysfunction and other core symptoms of SCZ.
包括精神疾病基因组学联盟、共同心智联盟、BrainSeq和PsychENCODE等在内的大规模研究联盟,以及许多其他研究共同提供了对精神分裂症(SCZ)的遗传和表观遗传风险结构日益详细的见解,并提供了大量分子信息,但这些信息的治疗潜力在很大程度上尚未得到探索。在此,我们讨论人类大脑中的表观基因组学研究如何指导动物实验,以测试染色质结构和功能的疾病相关改变对认知和行为的影响。例如,转录因子如肌细胞特异性增强因子2C(MEF2C),或开放染色质标记甲基组蛋白H3赖氨酸4的多种调节因子,与常见精神疾病的遗传风险结构以及患病脑组织中染色质结构和功能的改变有关。重要的是,这些分子也会影响基因工程小鼠的认知和行为,包括病毒介导的前额叶皮层(PFC)和精神病潜在神经回路中其他关键节点的表达变化。因此,临床前和小型实验动物研究可以针对受SCZ染色质改变影响的基因组序列。为此,通过包括CRISPR-Cas在内的RNA引导核酸酶和设计转录因子对增强子和其他调控非编码DNA进行体内编辑,有望为旨在改善SCZ认知功能障碍和其他核心症状的新型治疗方法提供途径。