Genetics & Developmental Biology Laboratory, Department of Biotechnology & Bioengineering, Institute of Advanced Research, Gandhinagar, Gujarat, India.
Laboratory of Forensic Chemistry & Toxicology, School of Forensic Sciences, National Forensic Sciences University (NFSU), Gandhinagar, Gujarat, India.
Prog Mol Biol Transl Sci. 2023;198:185-247. doi: 10.1016/bs.pmbts.2023.01.012. Epub 2023 Mar 29.
Alzheimer's disease is one of the most prevalent forms of dementia that occur genetically or sporadically (with increasing age) in the population of 65 years and above. The pathological hallmarks of AD include the formation of extracellular senile plaques of amyloid beta peptides 42 (Aβ) and intracellular neurofibrillary tangles associated with hyperphosphorylated tau protein. AD has been reported as an outcome of multiple probabilistic factors such as age, lifestyle, oxidative stress, inflammation, insulin resistance, mitochondrial dysfunction, and epigenetics. Epigenetics are heritable changes in gene expression that give a phenotype without altering the DNA sequences. Epigenetic mechanisms include DNA methylation, hydroxymethylation, histone modifications, regulation of miRNAs and long non-coding RNAs, which are reported to be dysregulated in AD. Further, epigenetic mechanisms have been shown as a key player as they regulate memory development, where DNA methylation and post-translational modifications of histone tails are the prime epigenetic markers. Also, alterations of AD-related genes cause pathogenesis on the transcriptional level. In the current chapter, we summarize the role of epigenetics in the onset and progression of AD and the use of epigenetic therapeutics to ameliorate the constraints of AD.
阿尔茨海默病是最常见的痴呆症形式之一,在 65 岁及以上的人群中,它可以遗传或偶发(随年龄增长)出现。AD 的病理特征包括细胞外淀粉样β肽 42(Aβ)的老年斑形成和与过度磷酸化 tau 蛋白相关的细胞内神经原纤维缠结。AD 已被报道为多种概率因素的结果,如年龄、生活方式、氧化应激、炎症、胰岛素抵抗、线粒体功能障碍和表观遗传学。表观遗传学是基因表达的可遗传变化,它赋予表型而不改变 DNA 序列。表观遗传机制包括 DNA 甲基化、羟甲基化、组蛋白修饰、miRNA 和长非编码 RNA 的调控,这些机制在 AD 中被报道存在失调。此外,表观遗传机制被证明是关键因素,因为它们调节记忆的发育,其中 DNA 甲基化和组蛋白尾部的翻译后修饰是主要的表观遗传标记。此外,AD 相关基因的改变导致转录水平的发病机制。在本章中,我们总结了表观遗传学在 AD 的发病和进展中的作用,以及利用表观遗传学治疗来改善 AD 的局限性。