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Anthracyclines disaggregate and restore mutant p63 function: a potential therapeutic approach for AEC syndrome.

作者信息

Boncimino Fabiana, D'Auria Ludovica, Todorova Kristina, van der Zanden Sabina Y, Neefjes Jacques, Mandinova Anna, Missero Caterina, Sol Stefano

机构信息

Cutaneous Biology Research Center, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, 02129, USA.

CEINGE Biotecnologie Avanzate Franco Salvatore, 80145, Naples, Italy.

出版信息

Cell Death Discov. 2025 Jan 25;11(1):24. doi: 10.1038/s41420-025-02307-0.


DOI:10.1038/s41420-025-02307-0
PMID:39863572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11762975/
Abstract

Ankyloblepharon-Ectodermal Defects-Cleft Lip/Palate (AEC) syndrome is a rare genetic disorder caused by mutations in the TP63 gene, which encodes a transcription factor essential for epidermal gene expression. A key feature of AEC syndrome is chronic skin erosion, for which no effective treatment currently exists. Our previous studies demonstrated that mutations associated with AEC syndrome lead to p63 protein misfolding and aggregation, exerting a dominant-negative effect. By performing a high-throughput screening of epigenetic and FDA-approved compounds in a co-transfection model of wild-type and mutant p63, we found that two compounds, Doxorubicin and Epirubicin, alleviate protein aggregation and restore p63 transactivation function. Moreover, treatment with these compounds reduced protein aggregation and restored the expression of keratinocyte-specific p63 target genes in primary keratinocytes derived from a conditional ΔNp63αL514F knock-in AEC mouse model, which mimics the ectodermal defects and skin erosions characteristic of AEC syndrome. A chemical analog of Doxorubicin, diMe-Doxorubicin, which exhibits lower tissue and organ toxicity, was also found to be effective in promoting the disaggregation of mutant p63 and rescuing its transcriptional activity. Our findings identify compounds that can partially resolve mutant p63 aggregation, increase its monomeric isoform, and reactivate its transcriptional function. These results suggest potential therapeutic efficacy for treating skin erosions in AEC syndrome.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/46ae5518b525/41420_2025_2307_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/eb15b0ad38ba/41420_2025_2307_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/eeff8034c055/41420_2025_2307_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/2d5d6f0dac8c/41420_2025_2307_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/46ae5518b525/41420_2025_2307_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/eb15b0ad38ba/41420_2025_2307_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/eeff8034c055/41420_2025_2307_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/2d5d6f0dac8c/41420_2025_2307_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f611/11762975/46ae5518b525/41420_2025_2307_Fig4_HTML.jpg

相似文献

[1]
Anthracyclines disaggregate and restore mutant p63 function: a potential therapeutic approach for AEC syndrome.

Cell Death Discov. 2025-1-25

[2]
Protein aggregation of the p63 transcription factor underlies severe skin fragility in AEC syndrome.

Proc Natl Acad Sci U S A. 2018-1-16

[3]
p63 control of desmosome gene expression and adhesion is compromised in AEC syndrome.

Hum Mol Genet. 2012-10-29

[4]
Novel missense mutation of the TP63 gene in a newborn with Hay-Wells/Ankyloblepharon-Ectodermal defects-Cleft lip/palate (AEC) syndrome: clinical report and follow-up.

Ital J Pediatr. 2021-9-28

[5]
Two novel TP63 mutations associated with the ankyloblepharon, ectodermal defects, and cleft lip and palate syndrome: a skin fragility phenotype.

Arch Dermatol. 2005-12

[6]
p63-dependent and independent mechanisms of nectin-1 and nectin-4 regulation in the epidermis.

Exp Dermatol. 2015-2

[7]
Mutant p63 causes defective expansion of ectodermal progenitor cells and impaired FGF signalling in AEC syndrome.

EMBO Mol Med. 2012-1-13

[8]
Isoform-Specific Roles of Mutant p63 in Human Diseases.

Cancers (Basel). 2021-1-31

[9]
Improvement of epidermal covering on AEC patients with severe skin erosions by PRIMA-1/APR-246.

Cell Death Dis. 2020-1-16

[10]
Spectrum of p63 mutations in a selected patient cohort affected with ankyloblepharon-ectodermal defects-cleft lip/palate syndrome (AEC).

Am J Med Genet A. 2009-9

引用本文的文献

[1]
Ankyloblepharon-Ectodermal Defects-Cleft Lip/Palate Syndrome-Linked p63 Mutations Disrupt Keratinocyte Proliferation and Survival Through Oxidative Stress and Impaired Slc7a11 Expression.

Int J Mol Sci. 2025-5-29

本文引用的文献

[1]
Molecular and Cellular Function of p63 in Skin Development and Genetic Diseases.

J Invest Dermatol. 2025-4

[2]
Uncoupling DNA damage from chromatin damage to detoxify doxorubicin.

Proc Natl Acad Sci U S A. 2020-6-17

[3]
Autophagy and Ubiquitin-Proteasome System.

Adv Exp Med Biol. 2019

[4]
Metabolic and non-metabolic pathways that control cancer resistance to anthracyclines.

Semin Cell Dev Biol. 2019-7-1

[5]
Anthracyclines as Topoisomerase II Poisons: From Early Studies to New Perspectives.

Int J Mol Sci. 2018-11-6

[6]
Isolation and Enrichment of Newborn and Adult Skin Stem Cells of the Interfollicular Epidermis.

Methods Mol Biol. 2019

[7]
Protein aggregation of the p63 transcription factor underlies severe skin fragility in AEC syndrome.

Proc Natl Acad Sci U S A. 2018-1-16

[8]
Molecular mechanism of doxorubicin-induced cardiomyopathy - An update.

Eur J Pharmacol. 2017-10-23

[9]
Positive feedback regulation of p53 transactivity by DNA damage-induced ISG15 modification.

Nat Commun. 2016-8-22

[10]
Review and meta-analysis of incidence and clinical predictors of anthracycline cardiotoxicity.

Am J Cardiol. 2013-9-25

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