Neurodegeneration New Medicines Center and Department of Molecular Medicine, The Scripps Research Institute, La Jolla, CA 92037, USA.
Department of Neurosciences, University of California San Diego School of Medicine, La Jolla, CA 92093, USA.
Int J Mol Sci. 2021 Jul 30;22(15):8196. doi: 10.3390/ijms22158196.
Neurodegenerative diseases affect millions of people worldwide and are characterized by the chronic and progressive deterioration of neural function. Neurodegenerative diseases, such as Alzheimer's disease (AD), Parkinson's disease (PD), amyotrophic lateral sclerosis (ALS), and Huntington's disease (HD), represent a huge social and economic burden due to increasing prevalence in our aging society, severity of symptoms, and lack of effective disease-modifying therapies. This lack of effective treatments is partly due to a lack of reliable models. Modeling neurodegenerative diseases is difficult because of poor access to human samples (restricted in general to postmortem tissue) and limited knowledge of disease mechanisms in a human context. Animal models play an instrumental role in understanding these diseases but fail to comprehensively represent the full extent of disease due to critical differences between humans and other mammals. The advent of human-induced pluripotent stem cell (hiPSC) technology presents an advantageous system that complements animal models of neurodegenerative diseases. Coupled with advances in gene-editing technologies, hiPSC-derived neural cells from patients and healthy donors now allow disease modeling using human samples that can be used for drug discovery.
神经退行性疾病影响着全球数百万人,其特征是神经功能的慢性和进行性恶化。神经退行性疾病,如阿尔茨海默病(AD)、帕金森病(PD)、肌萎缩侧索硬化症(ALS)和亨廷顿病(HD),由于在老龄化社会中的发病率不断上升、症状的严重程度以及缺乏有效的疾病修正治疗方法,给社会带来了巨大的社会和经济负担。这种缺乏有效治疗方法的部分原因是缺乏可靠的模型。由于难以获得人类样本(一般仅限于死后组织),以及对人类疾病机制的了解有限,神经退行性疾病的建模难度很大。动物模型在理解这些疾病方面发挥了重要作用,但由于人类和其他哺乳动物之间存在关键差异,它们不能全面代表疾病的全部范围。人类诱导多能干细胞(hiPSC)技术的出现提供了一个有益的系统,补充了神经退行性疾病的动物模型。结合基因编辑技术的进步,现在可以使用来自患者和健康供体的 hiPSC 衍生的神经细胞进行疾病建模,从而可以使用人类样本进行药物发现。