Istituto di Genetica Molecolare "Luigi Luca Cavalli-Sforza", Consiglio Nazionale delle Ricerche (IGM-CNR), via Abbiategrasso, 207, 27100, Pavia, Italy.
Aging Clin Exp Res. 2021 Apr;33(4):747-758. doi: 10.1007/s40520-019-01360-x. Epub 2019 Oct 3.
Alzheimer's disease (AD) is the most frequent neurodegenerative disorder in the elderly, occurring in approximately 20% of people older than 80. The molecular causes of AD are still poorly understood. However, recent studies have shown that Alternative Splicing (AS) is involved in the gene expression reprogramming associated with the functional changes observed in AD patients. In particular, mutations in cis-acting regulatory sequences as well as alterations in the activity and sub-cellular localization of trans-acting splicing factors and components of the spliceosome machinery are associated with splicing abnormalities in AD tissues, which may influence the onset and progression of the disease. In this review, we discuss the current molecular understanding of how alterations in the AS process contribute to AD pathogenesis. Finally, recent therapeutic approaches targeting aberrant AS regulation in AD are also reviewed.
阿尔茨海默病(AD)是老年人中最常见的神经退行性疾病,约占 80 岁以上人群的 20%。AD 的分子病因仍知之甚少。然而,最近的研究表明,可变剪接(AS)参与了与 AD 患者观察到的功能变化相关的基因表达重编程。特别是顺式作用调节序列的突变以及反式作用剪接因子的活性和亚细胞定位的改变,以及剪接体机制的组成部分与 AD 组织中的剪接异常有关,这可能影响疾病的发生和进展。在这篇综述中,我们讨论了目前对 AS 过程的改变如何导致 AD 发病机制的分子理解。最后,还回顾了最近针对 AD 中异常 AS 调节的治疗方法。