Institute for Behavioral Medicine Research, Wexner Medical Center, The Ohio State University, Columbus, OH, 43210, USA.
INSERM U1217/CNRS, UMR5310, Université de Lyon, Université Claude Bernard Lyon 1, Lyon, France.
Acta Neuropathol. 2021 Feb;141(2):139-158. doi: 10.1007/s00401-020-02244-5. Epub 2020 Nov 23.
Intellectual disability (ID) corresponds to several neurodevelopmental disorders of heterogeneous origin in which cognitive deficits are commonly associated with abnormalities of dendrites and dendritic spines. These histological changes in the brain serve as a proxy for underlying deficits in neuronal network connectivity, mostly a result of genetic factors. Historically, chromosomal abnormalities have been reported by conventional karyotyping, targeted fluorescence in situ hybridization (FISH), and chromosomal microarray analysis. More recently, cytogenomic mapping, whole-exome sequencing, and bioinformatic mining have led to the identification of novel candidate genes, including genes involved in neuritogenesis, dendrite maintenance, and synaptic plasticity. Greater understanding of the roles of these putative ID genes and their functional interactions might boost investigations into determining the plausible link between cellular and behavioral alterations as well as the mechanisms contributing to the cognitive impairment observed in ID. Genetic data combined with histological abnormalities, clinical presentation, and transgenic animal models provide support for the primacy of dysregulation in dendrite structure and function as the basis for the cognitive deficits observed in ID. In this review, we highlight the importance of dendrite pathophysiology in the etiologies of four prototypical ID syndromes, namely Down Syndrome (DS), Rett Syndrome (RTT), Digeorge Syndrome (DGS) and Fragile X Syndrome (FXS). Clinical characteristics of ID have also been reported in individuals with deletions in the long arm of chromosome 10 (the q26.2/q26.3), a region containing the gene for the collapsin response mediator protein 3 (CRMP3), also known as dihydropyrimidinase-related protein-4 (DRP-4, DPYSL4), which is involved in dendritogenesis. Following a discussion of clinical and genetic findings in these syndromes and their preclinical animal models, we lionize CRMP3/DPYSL4 as a novel candidate gene for ID that may be ripe for therapeutic intervention.
智力障碍 (ID) 对应于几种起源不同的神经发育障碍,其中认知缺陷通常与树突和树突棘的异常有关。大脑中的这些组织学变化是神经元网络连接潜在缺陷的代表,主要是遗传因素的结果。历史上,通过常规核型分析、靶向荧光原位杂交 (FISH) 和染色体微阵列分析报告了染色体异常。最近,细胞遗传学作图、全外显子组测序和生物信息挖掘导致了新的候选基因的鉴定,包括参与神经发生、树突维持和突触可塑性的基因。对这些假定的 ID 基因及其功能相互作用的作用的理解的提高可能会促进对确定细胞和行为改变之间的可能联系以及导致 ID 中观察到的认知障碍的机制的研究。遗传数据结合组织学异常、临床表现和转基因动物模型,支持树突结构和功能失调作为 ID 中观察到的认知缺陷的基础的重要性。在这篇综述中,我们强调了树突病理生理学在四个典型 ID 综合征(唐氏综合征、雷特综合征、Digeorge 综合征和脆性 X 综合征)的发病机制中的重要性。还报道了染色体 10 长臂缺失(q26.2/q26.3)个体的 ID 临床特征,该区域包含崩溃反应调节剂蛋白 3 (CRMP3) 的基因,也称为二氢嘧啶酶相关蛋白-4 (DRP-4,DPYSL4),它参与树突发生。在讨论了这些综合征及其临床前动物模型的临床和遗传发现后,我们将 CRMP3/DPYSL4 吹捧为 ID 的一个新的候选基因,它可能适合治疗干预。