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从酸性α-葡萄糖苷酶缺乏到自噬:了解庞贝病的发病基础

From Acid Alpha-Glucosidase Deficiency to Autophagy: Understanding the Bases of POMPE Disease.

作者信息

Sánchez-Porras Valentina, Guevara-Morales Johana Maria, Echeverri-Peña Olga Yaneth

机构信息

Instituto de Errores Innatos del Metabolismo, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7 # 43-82, Ed. 54, Lab 303A, Bogotá 110231, Colombia.

出版信息

Int J Mol Sci. 2023 Aug 5;24(15):12481. doi: 10.3390/ijms241512481.

DOI:10.3390/ijms241512481
PMID:37569856
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10419125/
Abstract

Pompe disease (PD) is caused by mutations in the gene, which encodes the lysosomal enzyme acid alpha-glucosidase, causing lysosomal glycogen accumulation, mainly in muscular tissue. Autophagic buildup is considered the main factor affecting skeletal muscle, although other processes are also involved. Uncovering how these mechanisms are interconnected could be an approximation to address long-lasting concerns, like the differential skeletal and cardiac involvement in each clinical phenotype. In this sense, a network reconstruction based on a comprehensive literature review of evidence found in PD enriched with the STRING database and other scientific articles is presented. The role of autophagic lysosome reformation, PGC-1α, MCOLN1, calcineurin, and Keap1 as intermediates between the events involved in the pathologic cascade is discussed and contextualized within their relationship with mTORC1/AMPK. The intermediates and mechanisms found open the possibility of new hypotheses and questions that can be addressed in future experimental studies of PD.

摘要

庞贝病(PD)由编码溶酶体酶酸性α-葡萄糖苷酶的基因突变引起,导致溶酶体糖原积累,主要发生在肌肉组织中。自噬积累被认为是影响骨骼肌的主要因素,尽管其他过程也参与其中。揭示这些机制如何相互关联可能有助于解决长期存在的问题,比如每种临床表型中骨骼和心脏受累情况的差异。从这个意义上讲,本文基于对庞贝病相关证据的全面文献综述,并结合STRING数据库及其他科学文章进行了网络重建。文中讨论了自噬溶酶体再形成、PGC-1α、MCOLN1、钙调神经磷酸酶和Keap1作为病理级联反应相关事件之间中间体的作用,并将其置于与mTORC1/AMPK的关系中进行背景分析。所发现的中间体和机制为未来庞贝病实验研究中可能探讨的新假说和新问题提供了可能性。

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本文引用的文献

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Glycogen-binding protein STBD1: Molecule and role in pathophysiology.糖原结合蛋白 STBD1:分子与在病理生理学中的作用。
J Cell Physiol. 2023 Sep;238(9):2010-2025. doi: 10.1002/jcp.31078. Epub 2023 Jul 12.
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Autophagic lysosome reformation in health and disease.自噬溶酶体的重构在健康和疾病中的作用。
Autophagy. 2023 May;19(5):1378-1395. doi: 10.1080/15548627.2022.2128019. Epub 2022 Nov 21.
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The Clinical Management of Pompe Disease: A Pediatric Perspective.庞贝氏病的临床管理:儿科视角
Children (Basel). 2022 Sep 16;9(9):1404. doi: 10.3390/children9091404.
4
Lysosomal glycogen accumulation in Pompe disease results in disturbed cytoplasmic glycogen metabolism.庞贝病中溶酶体糖原积累导致细胞质糖原代谢紊乱。
J Inherit Metab Dis. 2023 Jan;46(1):101-115. doi: 10.1002/jimd.12560. Epub 2022 Oct 17.
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Therapies for lysosomal storage diseases: Principles, practice, and prospects for refinements based on evolving science.溶酶体贮积症的治疗:基于不断发展的科学的原理、实践及改进前景。
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Nutritional co-therapy with 1,3-butanediol and multi-ingredient antioxidants enhances autophagic clearance in Pompe disease.1,3 - 丁二醇与多种成分抗氧化剂的营养联合疗法可增强庞贝病中的自噬清除作用。
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