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腺相关病毒 9 介导的运动神经元存活基因治疗挽救 Smn2B/- 脊髓性肌萎缩症小鼠的心脏中间丝蛋白但不能纠正核纤层蛋白 A/C 和弹性蛋白的失调。

AAV9-mediated SMN gene therapy rescues cardiac desmin but not lamin A/C and elastin dysregulation in Smn2B/- spinal muscular atrophy mice.

机构信息

School of Pharmacy and Bioengineering, Keele University, Keele ST5 5BG, UK.

Wolfson Centre for Inherited Neuromuscular Disease, TORCH Building, RJAH Orthopaedic Hospital, Oswestry SY10 7AG, UK.

出版信息

Hum Mol Genet. 2023 Oct 4;32(20):2950-2965. doi: 10.1093/hmg/ddad121.

Abstract

Structural, functional and molecular cardiac defects have been reported in spinal muscular atrophy (SMA) patients and mouse models. Previous quantitative proteomics analyses demonstrated widespread molecular defects in the severe Taiwanese SMA mouse model. Whether such changes are conserved across different mouse models, including less severe forms of the disease, has yet to be established. Here, using the same high-resolution proteomics approach in the less-severe Smn2B/- SMA mouse model, 277 proteins were found to be differentially abundant at a symptomatic timepoint (post-natal day (P) 18), 50 of which were similarly dysregulated in severe Taiwanese SMA mice. Bioinformatics analysis linked many of the differentially abundant proteins to cardiovascular development and function, with intermediate filaments highlighted as an enriched cellular compartment in both datasets. Lamin A/C was increased in the cardiac tissue, whereas another intermediate filament protein, desmin, was reduced. The extracellular matrix (ECM) protein, elastin, was also robustly decreased in the heart of Smn2B/- mice. AAV9-SMN1-mediated gene therapy rectified low levels of survival motor neuron protein and restored desmin levels in heart tissues of Smn2B/- mice. In contrast, AAV9-SMN1 therapy failed to correct lamin A/C or elastin levels. Intermediate filament proteins and the ECM have key roles in cardiac function and their dysregulation may explain cardiac impairment in SMA, especially since mutations in genes encoding these proteins cause other diseases with cardiac aberration. Cardiac pathology may need to be considered in the long-term care of SMA patients, as it is unclear whether currently available treatments can fully rescue peripheral pathology in SMA.

摘要

在脊髓性肌萎缩症(SMA)患者和小鼠模型中已报道存在心脏结构、功能和分子缺陷。先前的定量蛋白质组学分析表明,在严重的台湾 SMA 小鼠模型中存在广泛的分子缺陷。这些变化是否在不同的小鼠模型中得到保留,包括疾病的较轻形式,尚未得到证实。在这里,我们在较不严重的 Smn2B/-SMA 小鼠模型中使用相同的高分辨率蛋白质组学方法,在症状出现时(出生后第 18 天)发现 277 种蛋白质丰度存在差异,其中 50 种在严重的台湾 SMA 小鼠中也存在类似的失调。生物信息学分析将许多差异丰度的蛋白质与心血管发育和功能联系起来,其中中间丝被突出为两个数据集都富含的细胞区室。核纤层蛋白 A/C 在心脏组织中增加,而另一种中间丝蛋白结蛋白减少。细胞外基质(ECM)蛋白弹性蛋白在 Smn2B/-小鼠的心脏中也显著减少。AAV9-SMN1 介导的基因治疗纠正了生存运动神经元蛋白的低水平,并恢复了 Smn2B/-小鼠心脏组织中的结蛋白水平。相比之下,AAV9-SMN1 治疗未能纠正核纤层蛋白 A/C 或弹性蛋白水平。中间丝蛋白和细胞外基质在心脏功能中具有关键作用,它们的失调可能解释了 SMA 中的心脏损伤,特别是因为编码这些蛋白的基因突变会导致其他伴有心脏异常的疾病。由于目前尚不清楚现有的治疗方法是否能完全挽救 SMA 患者的周围病变,因此需要考虑心脏病理学在 SMA 患者的长期护理中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/615b/10549791/4becfe4d0e13/ddad121f1.jpg

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