Koschitzki Kevin, Ivanova Irina, Berneburg Mark
Poliklinik und Klinik für Dermatologie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
Dermatologie (Heidelb). 2023 Sep;74(9):696-706. doi: 10.1007/s00105-023-05212-8. Epub 2023 Aug 31.
Progeroid syndromes (PSs) are characterized by the premature onset of age-related pathologies. PSs display a wide range of heterogeneous pathological symptoms that also manifest during natural aging, including vision and hearing loss, atrophy, hair loss, progressive neurodegeneration, and cardiovascular defects. Recent advances in molecular pathology have led to a better understanding of the underlying mechanisms of these diseases. The genetic mutations underlying PSs are functionally linked to genome maintenance and repair, supporting the causative role of DNA damage accumulation in aging. While some of those genes encode proteins with a direct involvement in a DNA repair machinery, such as nucleotide excision repair (NER), others destabilize the genome by compromising the stability of the nuclear envelope, when lamin A is dysfunctional in Hutchinson-Gilford progeria syndrome (HGPS) or regulate the DNA damage response (DDR) such as the ataxia telangiectasia-mutated (ATM) gene. Understanding the molecular pathology of progeroid diseases is crucial in developing potential treatments to manage and prevent the onset of symptoms. This knowledge provides insight into the underlying mechanisms of premature aging and could lead to improved quality of life for individuals affected by progeroid diseases.
早衰综合征(PSs)的特征是与年龄相关的病理状况过早出现。PSs表现出广泛的异质性病理症状,这些症状在自然衰老过程中也会出现,包括视力和听力丧失、萎缩、脱发、进行性神经退行性变和心血管缺陷。分子病理学的最新进展使人们对这些疾病的潜在机制有了更好的理解。PSs潜在的基因突变在功能上与基因组维持和修复相关,这支持了DNA损伤积累在衰老过程中的致病作用。虽然其中一些基因编码直接参与DNA修复机制的蛋白质,如核苷酸切除修复(NER),但其他基因在哈钦森 - 吉尔福德早衰综合征(HGPS)中核纤层蛋白A功能失调时,会通过损害核膜的稳定性使基因组不稳定,或者调节DNA损伤反应(DDR),如共济失调毛细血管扩张突变(ATM)基因。了解早衰疾病的分子病理学对于开发潜在的治疗方法以控制和预防症状的出现至关重要。这些知识有助于深入了解早衰的潜在机制,并可能改善受早衰疾病影响个体的生活质量。