Unit of Medical Genetics, Istituto Giannina Gaslini Pediatric Hospital, Genova, Italy; Departments of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal-Child Science, Università degli Studi di Genova, Genova, Italy.
Research Institute, McGill University Health Centre, Montreal, QC, Canada.
Handb Clin Neurol. 2020;173:25-42. doi: 10.1016/B978-0-444-64150-2.00004-6.
Development of the central nervous system (CNS) is a complex, dynamic process that involves a precisely orchestrated sequence of genetic, environmental, biochemical, and physical factors from early embryonic stages to postnatal life. Duringthe past decade, great strides have been made to unravel mechanisms underlying human CNS development through the employment of modern genetic techniques and experimental approaches. In this chapter, we review the current knowledge regarding the main developmental processes and signaling mechanisms of (i) neurogenesis, (ii) neuronal migration, and (iii) axon guidance. We discuss mechanisms related to neural stem cells proliferation, migration, terminal translocation of neuronal progenitors, and axon guidance and pathfinding. For each section, we also provide a comprehensive overview of the underlying regulatory processes, including transcriptional, posttranscriptional, and epigenetic factors, and a myriad of signaling pathways that are pivotal to determine the fate of neuronal progenitors and newly formed migrating neurons. We further highlight how impairment of this complex regulating system, such as mutations in its core components, may cause cortical malformation, epilepsy, intellectual disability, and autism in humans. A thorough understanding of normal human CNS development is thus crucial to decipher mechanisms responsible for neurodevelopmental disorders and in turn guide the development of effective and targeted therapeutic strategies.
中枢神经系统(CNS)的发育是一个复杂、动态的过程,涉及从早期胚胎阶段到出生后生命的一系列精确协调的遗传、环境、生化和物理因素。在过去的十年中,通过采用现代遗传技术和实验方法,人们在揭示人类中枢神经系统发育的机制方面取得了巨大进展。在本章中,我们回顾了关于(i)神经发生、(ii)神经元迁移和(iii)轴突导向的主要发育过程和信号机制的现有知识。我们讨论了与神经干细胞增殖、迁移、神经元祖细胞的末端易位以及轴突导向和轨迹形成相关的机制。对于每个部分,我们还提供了对潜在调节过程的全面概述,包括转录、转录后和表观遗传因素以及许多对决定神经元祖细胞和新形成的迁移神经元命运至关重要的信号通路。我们进一步强调了这个复杂调节系统的功能障碍(如核心成分的突变)如何导致人类皮质畸形、癫痫、智力障碍和自闭症。因此,对正常人类中枢神经系统发育的深入了解对于破译神经发育障碍的机制以及指导有效和有针对性的治疗策略的发展至关重要。