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散发性阿尔茨海默病的综合治疗方法:脑 Aβ 淀粉样变小鼠中 TYROBP 的缺乏可使临床表型和补体子网分子病理学正常化,而不减少 Aβ 负担。

Integrative approach to sporadic Alzheimer's disease: deficiency of TYROBP in cerebral Aβ amyloidosis mouse normalizes clinical phenotype and complement subnetwork molecular pathology without reducing Aβ burden.

机构信息

Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.

Department of Genetics and Genomic Sciences and Icahn Institute of Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.

出版信息

Mol Psychiatry. 2019 Mar;24(3):431-446. doi: 10.1038/s41380-018-0255-6. Epub 2018 Oct 3.

Abstract

Integrative gene network approaches enable new avenues of exploration that implicate causal genes in sporadic late-onset Alzheimer's disease (LOAD) pathogenesis, thereby offering novel insights for drug-discovery programs. We previously constructed a probabilistic causal network model of sporadic LOAD and identified TYROBP/DAP12, encoding a microglial transmembrane signaling polypeptide and direct adapter of TREM2, as the most robust key driver gene in the network. Here, we show that absence of TYROBP/DAP12 in a mouse model of AD-type cerebral Aβ amyloidosis (APP/PSEN1) recapitulates the expected network characteristics by normalizing the transcriptome of APP/PSEN1 mice and repressing the induction of genes involved in the switch from homeostatic microglia to disease-associated microglia (DAM), including Trem2, complement (C1qa, C1qb, C1qc, and Itgax), Clec7a and Cst7. Importantly, we show that constitutive absence of TYROBP/DAP12 in the amyloidosis mouse model prevented appearance of the electrophysiological and learning behavior alterations associated with the phenotype of APP/PSEN1 mice. Our results suggest that TYROBP/DAP12 could represent a novel therapeutic target to slow, arrest, or prevent the development of sporadic LOAD. These data establish that the network pathology observed in postmortem human LOAD brain can be faithfully recapitulated in the brain of a genetically manipulated mouse. These data also validate our multiscale gene networks by demonstrating how the networks intersect with the standard neuropathological features of LOAD.

摘要

综合基因网络方法为探索散发性晚发性阿尔茨海默病(LOAD)发病机制中的因果基因提供了新的途径,从而为药物发现计划提供了新的见解。我们之前构建了散发性 LOAD 的概率因果网络模型,并确定了 TYROBP/DAP12,其编码一种小胶质细胞跨膜信号多肽和 TREM2 的直接接头,作为网络中最稳健的关键驱动基因。在这里,我们表明 AD 型脑 Aβ淀粉样蛋白病(APP/PSEN1)小鼠模型中 TYROBP/DAP12 的缺失通过正常化 APP/PSEN1 小鼠的转录组并抑制涉及从稳态小胶质细胞向疾病相关小胶质细胞(DAM)的基因诱导,包括 Trem2、补体(C1qa、C1qb、C1qc 和 Itgax)、Cle c7a 和 Cst7,再现了预期的网络特征。重要的是,我们表明,在淀粉样蛋白病小鼠模型中 TYROBP/DAP12 的组成性缺失阻止了与 APP/PSEN1 小鼠表型相关的电生理和学习行为改变的出现。我们的结果表明,TYROBP/DAP12 可能代表一种新的治疗靶点,以减缓、阻止或预防散发性 LOAD 的发展。这些数据表明,在死后人类 LOAD 大脑中观察到的网络病理学可以在基因操纵小鼠的大脑中忠实地再现。这些数据还通过证明网络如何与 LOAD 的标准神经病理学特征相交,验证了我们的多尺度基因网络。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dceb/6514877/a1cb2db0addb/41380_2018_255_Fig1_HTML.jpg

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