以及阿尔茨海默病的风险——是时候向前迈进了。

and risk of Alzheimer's disease - time to move forward.

作者信息

Lefterov Iliya, Fitz Nicholas F, Lu Yi, Koldamova Radosveta

机构信息

Department of Environmental and Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.

出版信息

Front Neurosci. 2023 May 19;17:1195724. doi: 10.3389/fnins.2023.1195724. eCollection 2023.

Abstract

The inheritance of Apolipoprotein E4 () brings the highest genetic risk of Alzheimer's disease (AD), arguably the highest genetic risk in human pathology. Since the discovery of the association, APOE protein isoforms have been at the center of tens of thousands of studies and reports. While, without a doubt, our knowledge about the normal physiological function of APOE isoforms in the brain has increased tremendously, the questions of how the inheritance of the allele translates into a risk of AD, and the risk is materialized, remain unanswered. Moreover, the knowledge about the risk associated with has not helped design a meaningful preventative or therapeutic strategy. Animal models with targeted replacement of Apoe have been generated and, thanks to the recent NIH/NIA/Alzheimer's disease Association initiative, are now freely available to AD researchers. While helpful in many aspects, none of the available models recapitulates normal physiological transcriptional regulation of the human APOE gene cluster. Changes in epigenetic regulation of alleles in animal models in response to external insults have rarely been if ever, addressed. However, these animal models provide a useful tool to handle questions and investigate protein-protein interactions with proteins expressed by other recently discovered genes and gene variants considered genetic risk factors of AD, like Triggering Receptor expressed on Myeloid cells 2 (). In this review, we discuss genetic and epigenetic regulatory mechanisms controlling and influencing expression and focus on interactions of APOE and TREM2 in the context of microglia and astrocytes' role in AD-like pathology in animal models.

摘要

载脂蛋白E4(APOE4)的遗传带来了患阿尔茨海默病(AD)的最高遗传风险,可谓是人类病理学中最高的遗传风险。自发现这种关联以来,APOE蛋白异构体一直是数以万计研究和报告的核心。毫无疑问,我们对APOE异构体在大脑中的正常生理功能的了解有了极大增加,但关于携带ε4等位基因如何转化为AD风险以及风险如何显现的问题,仍然没有答案。此外,关于与ε4相关风险的知识并未有助于设计出有意义的预防或治疗策略。已构建了靶向替换Apoe的动物模型,并且由于美国国立卫生研究院(NIH)/美国国立衰老研究所(NIA)/阿尔茨海默病协会最近的倡议,现在AD研究人员可以免费获得这些模型。虽然在许多方面有帮助,但现有的模型都没有重现人类APOE基因簇的正常生理转录调控。动物模型中ε等位基因的表观遗传调控因外部刺激而发生的变化,即便有过,也很少被研究。然而,这些动物模型提供了一个有用的工具,可用于处理相关问题,并研究与其他最近发现的被认为是AD遗传风险因素的基因和基因变体所表达的蛋白质之间的蛋白质 - 蛋白质相互作用,如髓系细胞触发受体2(TREM2)。在这篇综述中,我们讨论了控制和影响APOE表达的遗传和表观遗传调控机制,并聚焦于在动物模型中,小胶质细胞和星形胶质细胞在类AD病理中的作用背景下,APOE与TREM2的相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de1/10235508/4274408975fb/fnins-17-1195724-g001.jpg

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