Centre de Recherche du CHU de Québec - Université Laval, Axe Neurosciences, Québec, QC, G1V 4G2, Canada.
Département de Psychiatrie & Neurosciences, Université Laval, Québec, QC, G1V 0A6, Canada.
Mol Psychiatry. 2021 Jul;26(7):2685-2706. doi: 10.1038/s41380-020-00999-7. Epub 2021 Jan 25.
Neurodegenerative disorders emerge from the failure of intricate cellular mechanisms, which ultimately lead to the loss of vulnerable neuronal populations. Research conducted across several laboratories has now provided compelling evidence that pathogenic proteins can also contribute to non-cell autonomous toxicity in several neurodegenerative contexts, including Alzheimer's, Parkinson's, and Huntington's diseases as well as Amyotrophic Lateral Sclerosis. Given the nearly ubiquitous nature of abnormal protein accumulation in such disorders, elucidating the mechanisms and routes underlying these processes is essential to the development of effective treatments. To this end, physiologically relevant human in vitro models are critical to understand the processes surrounding uptake, release and nucleation under physiological or pathological conditions. This review explores the use of human-induced pluripotent stem cells (iPSCs) to study prion-like protein propagation in neurodegenerative diseases, discusses advantages and limitations of this model, and presents emerging technologies that, combined with the use of iPSC-based models, will provide powerful model systems to propel fundamental research forward.
神经退行性疾病源于复杂细胞机制的失效,这最终导致脆弱神经元群体的丧失。现在,多个实验室的研究提供了令人信服的证据,表明致病蛋白也可以导致几种神经退行性疾病(包括阿尔茨海默病、帕金森病、亨廷顿病和肌萎缩性侧索硬化症)中的非细胞自主毒性。鉴于此类疾病中异常蛋白积累几乎无处不在,阐明这些过程背后的机制和途径对于开发有效治疗方法至关重要。为此,生理相关的人类体外模型对于理解生理或病理条件下摄取、释放和成核等过程至关重要。本文探讨了使用人类诱导多能干细胞(iPSC)来研究神经退行性疾病中朊病毒样蛋白传播的应用,讨论了该模型的优缺点,并介绍了新兴技术,这些技术与基于 iPSC 模型的使用相结合,将为推进基础研究提供强大的模型系统。