Genome Technology Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892.
Department of Pediatrics, Hasbro Children's Hospital and Warren Alpert Medical School of Brown University, Providence, RI 02903.
Proc Natl Acad Sci U S A. 2018 Apr 17;115(16):4206-4211. doi: 10.1073/pnas.1802811115. Epub 2018 Mar 26.
encodes the A-type lamins that are part of the nuclear scaffold. Mutations in can cause a variety of disorders called laminopathies, including Hutchinson-Gilford progeria syndrome (HGPS), atypical Werner syndrome, and Emery-Dreifuss muscular dystrophy. Previous work has shown that treatment of HGPS cells with the mTOR inhibitor rapamycin or with the rapamycin analog everolimus corrects several of the phenotypes seen at the cellular level-at least in part by increasing autophagy and reducing the amount of progerin, the toxic form of lamin A that is overproduced in HGPS patients. Since other laminopathies also result in production of abnormal and potentially toxic lamin proteins, we hypothesized that everolimus would also be beneficial in those disorders. To test this, we applied everolimus to fibroblast cell lines from six laminopathy patients, each with a different mutation in Everolimus treatment increased proliferative ability and delayed senescence in all cell lines. In several cell lines, we observed that with treatment, there is a significant improvement in nuclear blebbing, which is a cellular hallmark of HGPS and other lamin disorders. These preclinical results suggest that everolimus might have clinical benefit for multiple laminopathy syndromes.
编码 A 型核纤层蛋白,该蛋白是核骨架的一部分。基因突变会导致多种疾病,称为核纤层病,包括亨廷顿病肌萎缩侧索硬化症(HGPS)、非典型 Werner 综合征和 Emery-Dreifuss 肌营养不良症。先前的研究表明,用 mTOR 抑制剂雷帕霉素或雷帕霉素类似物依维莫司治疗 HGPS 细胞,可以纠正细胞水平上的几种表型-至少部分通过增加自噬和减少 progerin 的量来纠正,progerin 是 HGPS 患者中过度产生的有毒形式的 lamin A。由于其他核纤层病也会导致异常和潜在有毒的 lamin 蛋白产生,我们假设依维莫司在这些疾病中也会有益。为了验证这一点,我们将依维莫司应用于来自 6 名 laminopathy 患者的成纤维细胞系,每个患者在 中都有不同的突变。依维莫司治疗可增加所有细胞系的增殖能力并延缓衰老。在几个细胞系中,我们观察到,随着治疗的进行,核泡状化有了显著改善,这是 HGPS 和其他 lamin 疾病的细胞标志。这些临床前结果表明,依维莫司可能对多种 laminopathy 综合征具有临床益处。