Center for Applied Genomics, Children's Hospital of Philadelphia, Abramson Research Center, 3615 Civic Center Boulevard, Philadelphia, PA 19104-4318, USA.
Department of Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, PA 19104-4318, USA.
Int J Mol Sci. 2023 May 4;24(9):8224. doi: 10.3390/ijms24098224.
CLEC16A is emerging as an important genetic risk factor for several autoimmune disorders and for Parkinson disease (PD), opening new avenues for translational research and therapeutic development. While the exact role of CLEC16A in health and disease is still being elucidated, the gene plays a critical role in the regulation of autophagy, mitophagy, endocytosis, intracellular trafficking, immune function, and in biological processes such as insulin secretion and others that are important to cellular homeostasis. As shown in both human and animal modeling studies, CLEC16A hypofunction predisposes to both autoinflammatory phenotype and neurodegeneration. While the two are clearly related, further functional studies are needed to fully understand the mechanisms involved for optimized therapeutic interventions. Based on recent data, mitophagy-inducing drugs may be warranted, and such therapy should be tested in clinical trials as these drugs would tackle the underlying pathogenic mechanism (s) and could treat or prevent symptoms of autoimmunity and neurodegeneration in individuals with risk variants. Accordingly, interventions directed at reversing the dysregulated mitophagy and the consequences of loss of function of CLEC16A without activating other detrimental cellular pathways could present an effective therapy. This review presents the emerging role of CLEC16A in health and disease and provides an update on the disease processes that are attributed to variants located in the gene, which are responsible for autoimmune disorders and neurodegeneration with emphasis on how this information is being translated into practical and effective applications in the clinic.
CLEC16A 作为几种自身免疫性疾病和帕金森病 (PD) 的重要遗传风险因素而崭露头角,为转化研究和治疗开发开辟了新途径。虽然 CLEC16A 在健康和疾病中的确切作用仍在阐明之中,但该基因在自噬、线粒体自噬、内吞作用、细胞内运输、免疫功能以及胰岛素分泌等对细胞内稳态很重要的生物学过程中起着关键作用。正如在人类和动物模型研究中所显示的那样,CLEC16A 功能低下易导致自身炎症表型和神经退行性变。虽然两者显然相关,但需要进一步的功能研究来充分了解涉及的机制,以便进行优化的治疗干预。基于最近的数据,可能需要使用诱导自噬的药物,并且应该在临床试验中测试这种疗法,因为这些药物可以针对潜在的致病机制(s),并可以治疗或预防具有风险变异个体的自身免疫和神经退行性变的症状。因此,针对逆转CLEC16A 功能失调的自噬和功能丧失的后果而不激活其他有害细胞途径的干预措施可能是一种有效的治疗方法。本综述介绍了 CLEC16A 在健康和疾病中的新作用,并提供了有关归因于位于基因中的变异的疾病过程的最新信息,这些变异导致自身免疫性疾病和神经退行性变,重点介绍了如何将这些信息转化为临床实践中的实用和有效的应用。