Centro de Investigaciones Energéticas Medioambientales y Tecnológicas and Centro de Investigación Biomédica en Red de Enfermedades Raras (CIEMAT/CIBERER), Advanced Therapies Unit, Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD UAM), Madrid, Spain.
EMBO Mol Med. 2024 Oct;16(10):2276-2278. doi: 10.1038/s44321-024-00122-1. Epub 2024 Aug 28.
Telomeres are supramolecular structures that allow the DNA strand to fold back on itself and protect the linear chromosome end from being sensed as a double-strand DNA break. Telomeric conservation relies on mechanisms that replace terminal DNA sequences, and ensuring structural integrity. Telomere biology disorders (TBDs) are a heterogeneous group of low-prevalence pathologies defined by germline mutations in genes involved in telomere maintenance mechanisms (TMMs). TBDs manifest across a broad clinical spectrum, often with substantial phenotypic and genetic overlap among clinical entities. In this issue of , Tummala and collaborators present clinical and biological data from DC/DCL patients, that enhances the understanding of the natural history of these diseases. In addition, the description of novel TBD-associated genetic variants in and and of the new gene advances the understanding of the functional network of genes involved in TBD and highlights new pathogenic mechanisms.
端粒是一种超分子结构,允许 DNA 链自身折叠,并保护线性染色体末端不被视为双链 DNA 断裂。端粒的保护依赖于能够替换末端 DNA 序列并确保结构完整性的机制。端粒生物学障碍 (TBD) 是一组异质性的低发病率病理学,其特征是与端粒维持机制 (TMM) 相关基因的种系突变。TBD 表现出广泛的临床谱,临床实体之间常存在显著的表型和遗传重叠。在本期 中,Tummala 及其合作者提供了 DC/DCL 患者的临床和生物学数据,这增强了对这些疾病自然史的理解。此外,对 和 中与 TBD 相关的新遗传变异的描述以及新的 基因的描述,推进了对 TBD 相关基因功能网络的理解,并突出了新的致病机制。