Amrita School of Pharmacy, Amrita Vishwa Vidyapeetham, AIMS Health Sciences Campus, Ponekkara P.O., Kochi, Kerala 682041, India.
Recent Pat Biotechnol. 2021;15(4):266-285. doi: 10.2174/1872208315666210928114720.
Hutchinson-Gilford progeria syndrome (HGPS), also known as progeria of childhood or progeria is a rare, rapid, autosomal dominant genetic disorder characterized by premature aging which occurs shortly after birth. HGPS occurs as a result of de novo point mutation in the gene recognized as LMNA gene that encodes two proteins, Lamin A protein and Lamin C protein which are the structural components of the nuclear envelope. Mutations in the gene trigger abnormal splicing and induce internal deletion of 50 amino acids leading to the development of a truncated form of Lamin A protein known as Progerin. Progerin generation can be considered the crucial step in HGPS since the protein is highly toxic to human cells, permanently farnesylated, and exhibits variation in several biochemical and structural properties within the individual. HGPS also produces complications such as skin alterations, growth failure, atherosclerosis, hair and fat loss, and bone and joint diseases. We have also revised all relevant patents relating to Hutchinson-Gilford progeria syndrome and its therapy in the current article.
The goal of the present review article is to provide information about Hutchinson- Gilford progeria syndrome (HGPS) and the use of CRISPR/Cas technology as a promising treatment approach in the treatment of the disease. The review also discusses about different pharmacological and non-pharmacological methods of treatment currently used for HGPS.
The main limitation associated with progeria is the lack of a definitive cure. The existing treatment modality provides only symptomatic relief. Therefore, it is high time to develop a therapeutic method that hastens premature aging in such patients.
CRISPR/Cas technology is a novel gene-editing tool that allows genome editing at specific loci and is found to be a promising therapeutic approach for the treatment of genetic disorders such as HGPS where dominant-negative mutations take place.
亨廷顿氏舞蹈症(Hutchinson-Gilford progeria syndrome,HGPS),也称为儿童早衰症或早衰症,是一种罕见的、快速的、常染色体显性遗传疾病,其特征是出生后不久即出现过早衰老。HGPS 是由于 LMNA 基因发生新的点突变引起的,该基因编码两种蛋白质,即核膜的结构成分 lamin A 蛋白和 lamin C 蛋白。该基因突变导致异常剪接,并诱导 50 个氨基酸的内部缺失,导致截断形式的 lamin A 蛋白(称为 Progerin)的产生。Progerin 的产生可以被认为是 HGPS 的关键步骤,因为该蛋白对人体细胞具有高度毒性,永久法尼基化,并在个体中表现出几种生化和结构特性的变化。HGPS 还会产生皮肤改变、生长障碍、动脉粥样硬化、毛发和脂肪丧失以及骨骼和关节疾病等并发症。我们还在本文中修订了与亨廷顿氏舞蹈症及其治疗相关的所有相关专利。
本文综述的目的是提供有关亨廷顿氏舞蹈症(HGPS)的信息以及 CRISPR/Cas 技术作为治疗该疾病的有前途的治疗方法。该综述还讨论了目前用于 HGPS 的不同药理学和非药理学治疗方法。
与早衰症相关的主要限制是缺乏明确的治愈方法。现有的治疗方式仅提供症状缓解。因此,现在是时候开发一种治疗方法,使这些患者的过早衰老加速。
CRISPR/Cas 技术是一种新型的基因编辑工具,可在特定基因座进行基因组编辑,被认为是治疗亨廷顿氏舞蹈症等遗传疾病的有前途的治疗方法,这些疾病会发生显性负突变。