Olawade David B, Rashad Intishar, Egbon Eghosasere, Teke Jennifer, Ovsepian Saak Victor, Boussios Stergios
Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London E16 2RD, UK.
Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham ME7 5NY, UK.
Int J Mol Sci. 2025 May 21;26(10):4929. doi: 10.3390/ijms26104929.
Epigenetic dysregulation has emerged as an important player in the pathobiology of neurodegenerative diseases (NDDs), such as Alzheimer's, Parkinson's, and Huntington's diseases. Aberrant DNA methylation, histone modifications, and dysregulated non-coding RNAs have been shown to contribute to neuronal dysfunction and degeneration. These alterations are often exacerbated by environmental toxins, which induce oxidative stress, inflammation, and genomic instability. Reversing epigenetic aberrations may offer an avenue for restoring brain mechanisms and mitigating neurodegeneration. Herein, we revisit the evidence suggesting the ameliorative effects of epigenetic modulators in toxin-induced models of NDDs. The restoration of normal gene expressions, the improvement of neuronal function, and the reduction in pathological markers by histone deacetylase (HDAC) and DNA methyltransferase (DNMT) inhibitors have been demonstrated in preclinical models of NDDs. Encouragingly, in clinical trials of Alzheimer's disease (AD), HDAC inhibitors have caused improvements in cognition and memory. Combining these beneficial effects of epigenetic modulators with neuroprotective agents and the clearance of misfolded amyloid proteins may offer synergistic benefits. Reinforced by the emerging methods for more effective and brain-specific delivery, reversibility, and safety considerations, epigenetic modulators are anticipated to minimize systemic toxicity and yield more favorable outcomes in NDDs. In summary, although still in their infancy, epigenetic modulators offer an integrated strategy to address the multifactorial nature of NDDs, altering their therapeutic landscape.
表观遗传失调已成为神经退行性疾病(NDDs)病理生物学中的一个重要因素,如阿尔茨海默病、帕金森病和亨廷顿病。异常的DNA甲基化、组蛋白修饰和失调的非编码RNA已被证明会导致神经元功能障碍和退化。这些改变常常因环境毒素而加剧,环境毒素会诱导氧化应激、炎症和基因组不稳定。逆转表观遗传异常可能为恢复脑机制和减轻神经退行性变提供一条途径。在此,我们重新审视了表明表观遗传调节剂在毒素诱导的NDDs模型中具有改善作用的证据。在NDDs的临床前模型中,已证实组蛋白去乙酰化酶(HDAC)和DNA甲基转移酶(DNMT)抑制剂可恢复正常基因表达、改善神经元功能并减少病理标志物。令人鼓舞的是,在阿尔茨海默病(AD)的临床试验中,HDAC抑制剂已使认知和记忆得到改善。将表观遗传调节剂的这些有益作用与神经保护剂以及错误折叠的淀粉样蛋白的清除相结合,可能会带来协同效益。由于出现了更有效且脑特异性递送、可逆性和安全性方面的考虑等新方法,预计表观遗传调节剂将使全身毒性降至最低,并在NDDs中产生更有利的结果。总之,尽管仍处于起步阶段,但表观遗传调节剂提供了一种综合策略来应对NDDs的多因素性质,改变其治疗格局。
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