Department of Neurology, Athens Naval Hospital, P.C. 115 21, Athens, Greece; Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, Biopolis, P.C. 41500 Larissa, Greece; Department of Computer Science and Telecommunications, University of Thessaly, Papasiopoulou 2 - 4, P.C. 35 131 - Galaneika, Lamia, Greece.
Med Hypotheses. 2020 Nov;144:110212. doi: 10.1016/j.mehy.2020.110212. Epub 2020 Aug 26.
SARS-CoV-2 neurotropism has been increasingly recognized by its imaging and syndromic manifestations in the literature. The purpose of this report is to explore the limited yet salient current evidence that SARS-CoV-2's host genomic targets PTBP1 and the 14-3-3 protein isoform encoding genes YWHAE and YWHAZ may be hold the key to understanding how neurotropism triggers neurodegeneration and how it may contribute to the onset of neurodegenerative disease. Considering that PTBP1 silencing in particular has recently been shown to reverse clinical parkinsonism and induce neurogenesis, as well as the known interactions of PTBP1 and YWHAE/Z with coronaviruses - most notably 14-3-3 and SARS-CoV, recent studies reinvigorate the infectious etiology hypotheses on major neurodegenerative disease such as AD and iPD. Considering that human coronaviruses with definite neurotropism have been shown to achieve long-term latency within the mammalian CNS as a result of specific accommodating mutations, the corroboration of genomic-level evidence with neuroimaging has vast potential implications for neurodegenerative disease.
SARS-CoV-2 的神经嗜性已在文献中通过其影像学和综合征表现得到越来越多的认识。本报告的目的是探讨目前有限但突出的证据,表明 SARS-CoV-2 的宿主基因组靶标 PTBP1 和编码蛋白 YWHAE 和 YWHAZ 的 14-3-3 蛋白亚型可能是理解神经嗜性如何引发神经退行性变以及如何导致神经退行性疾病发生的关键。鉴于最近已经表明 PTBP1 沉默可逆转临床帕金森病并诱导神经发生,以及 PTBP1 和 YWHAE/Z 与冠状病毒(尤其是 14-3-3 和 SARS-CoV)的已知相互作用,最近的研究重新激发了关于 AD 和 iPD 等主要神经退行性疾病的感染病因假说。鉴于具有明确神经嗜性的人类冠状病毒已被证明由于特定的适应突变而在哺乳动物中枢神经系统中实现长期潜伏,因此基因组水平证据与神经影像学的相互印证对神经退行性疾病具有广泛的潜在意义。