NÄL - NU-sjukvården, Trollhättan, Sweden.
Department of BioMedicine, Neuroscience, and Advanced Diagnostics (Bi.N.D.), University of Palermo, Palermo, Italy.
Mech Ageing Dev. 2021 Apr;195:111461. doi: 10.1016/j.mad.2021.111461. Epub 2021 Feb 15.
The research on neurodegenerative diseases (NeuroDegD) has been traditionally focused on later life stages. There is now an increasing evidence, that they may be programmed during early development. Here, we propose that NeuroDegD are the result of the complex process of imprinting on fetal hemogenic endothelium, from which the microglial cells make to origin. The central role of placenta and epigenetic mechanisms (methylation of DNA, histone modifications and regulation by non-coding RNAs) in mediating the short and long-term effects has been also described. Precisely, it reports their role in impacting plasticity and memory of microglial cells. In addition, we also underline the necessity of further studies for clearing all mechanisms involved and developing epigenetic methods for identifying potential targets as biomarkers, and for developing preventive measures. Such biomarkers might be used to identify individuals at risk to NeuroDegD. Finally, the sex dependence of fetal programming process has been discussed. It might justify the sex differences in the epidemiologic, imaging, biomarkers, and pathology studies of these pathologies. The discovery of related mechanisms might have important clinical implications in both the etiology of disorders and the management of pregnant women for encouraging healthy long-term outcomes for their children, and future generations. Impending research on the mechanisms related to transgenerational transmission of prenatal stress might consent the development and application of therapies and/or intervention strategies for these disorders in humans.
神经退行性疾病(NeuroDegD)的研究传统上集中在生命后期。现在有越来越多的证据表明,它们可能在早期发育过程中被编程。在这里,我们提出神经退行性疾病是胎儿造血内皮印迹的复杂过程的结果,其中小胶质细胞起源于此。胎盘和表观遗传机制(DNA 甲基化、组蛋白修饰和非编码 RNA 的调节)在介导短期和长期效应中的核心作用也已被描述。确切地说,它报告了它们在影响小胶质细胞的可塑性和记忆中的作用。此外,我们还强调了进一步研究的必要性,以阐明所有涉及的机制,并开发表观遗传方法来识别潜在的作为生物标志物的目标,并开发预防措施。这些生物标志物可用于识别有神经退行性疾病风险的个体。最后,还讨论了胎儿编程过程的性别依赖性。这可能解释了这些疾病在流行病学、影像学、生物标志物和病理学研究中的性别差异。相关机制的发现可能对这些疾病的病因学和孕妇的管理具有重要的临床意义,以促进其子女和后代的健康长期结局。对与产前应激的跨代传递相关的机制的即将开展的研究可能会同意为这些疾病在人类中的治疗和/或干预策略的发展和应用。