Stem Cell Rep:科学家发现戈谢病来源的iPSC神经前体细胞分化潜能缺陷的原因!

2018-02-05 MedSci MedSci原创

戈谢病(Gaucher's disease,GD)是一种有GBA1基因突变引起的常染色体隐性遗传病,GBA1编码氨基酸β-葡糖脑苷脂酶(GCases)。降低GCase的活性导致重度GBA1基因突变会在出生后不久就导致神经病理学改变,这表明缺乏GCase干扰神经元的发育。

戈谢病(Gaucher's disease,GD)是一种有GBA1基因突变引起的常染色体隐性遗传病,GBA1编码氨基酸β-葡糖脑苷脂酶(GCases)。降低GCase的活性导致重度GBA1基因突变会在出生后不久就导致神经病理学改变,这表明缺乏GCase干扰神经元的发育。

本研究者发现GD患者来源的诱导多能干细胞(GD iPSCs)分化而来的神经前体细胞由于经典Wnt/β-catenin信号通路下调而表现出发育缺陷。而Wnt/β-catenin信号通路是神经发育过程中高度保守的发挥重要作用的通路。Wnt信号的配体是分泌型糖蛋白,能够结合于靶细胞的Frizzled受体和LRP5/6共受体。并且Wnt家族成员在胚胎中脑多巴胺神经发生过程中能够调节细胞存活,增殖,并且对多巴胺前体细胞具有命运决定作用。而GD iPSCs分化为多巴胺神经元的能力大大降低,而这也是导致早期缺失多巴胺前体细胞的原因。使用Wnt信号通路激活剂CHIR99021或者重组的GCase孵育突变的细胞能够重建Wnt/β-catenin信号通路,并且挽救多巴胺神经元分化的能力。

科学家同时发现GD NPSs的溶酶体失活缺陷,而这是由于GCase突变导致Wnt下调所致。因此科学家推断GCase的神经病理性突变会导致神经发育异常,而在神经发生早期经典Wnt /β-cantenin信号的激活非常需要GCase。

原文出处:Awad O, Panicker L M, Deranieh R M, et al. Altered Differentiation Potential of Gaucher’s Disease iPSC Neuronal Progenitors due to Wnt/β-Catenin Downregulation[J]. Stem Cell Reports, 2017, 9(6): 1853-1867.DOI: 10.1016/j.stemcr.2017.10.029

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createdBy=37d013060412, createdName=neurosurgeon, createdTime=Wed Feb 07 06:50:00 CST 2018, time=2018-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570196, encodeId=7f0315e01965a, content=<a href='/topic/show?id=a66ae7809b1' target=_blank style='color:#2F92EE;'>#细胞分化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77809, encryptionId=a66ae7809b1, topicName=细胞分化)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=653c15636865, createdName=karmond, createdTime=Wed Feb 07 06:50:00 CST 2018, time=2018-02-07, status=1, ipAttribution=)]
    2019-01-13 维他命
  5. 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createdBy=37d013060412, createdName=neurosurgeon, createdTime=Wed Feb 07 06:50:00 CST 2018, time=2018-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570196, encodeId=7f0315e01965a, content=<a href='/topic/show?id=a66ae7809b1' target=_blank style='color:#2F92EE;'>#细胞分化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77809, encryptionId=a66ae7809b1, topicName=细胞分化)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=653c15636865, createdName=karmond, createdTime=Wed Feb 07 06:50:00 CST 2018, time=2018-02-07, status=1, ipAttribution=)]
    2018-02-07 chengjn
  6. 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createdBy=37d013060412, createdName=neurosurgeon, createdTime=Wed Feb 07 06:50:00 CST 2018, time=2018-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570196, encodeId=7f0315e01965a, content=<a href='/topic/show?id=a66ae7809b1' target=_blank style='color:#2F92EE;'>#细胞分化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77809, encryptionId=a66ae7809b1, topicName=细胞分化)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=653c15636865, createdName=karmond, createdTime=Wed Feb 07 06:50:00 CST 2018, time=2018-02-07, status=1, ipAttribution=)]
    2018-02-07 gjsgj
  7. 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  8. 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  9. 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    2018-02-07 neurosurgeon
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戈谢病(Gaucher disease)是一类好发于婴幼儿和儿童的罕见病,其症状涉及多个系统,且多无特异性,极易误诊漏诊,许多患者的诊断时间超过5年,从而使疾病进展至造成不可逆性的损害。目前,我国在戈谢病诊断方面还非常不足,国内仅有少数几家医疗机构可以进行戈谢病酶学检测。在此,我们将为广大医生读者介绍戈谢病的疾病特点,并就戈谢病的流行病学、诊疗现状及进展对上海交通大学医学院附属新华医院儿童内分

Am J Hematol:Eliglustat长期治疗成人1型戈谢病的结局如何?

戈谢病发生在不能产生足够的葡糖脑苷脂酶的人中,该酶缺乏引起在脾,肝和骨髓收集脂肪物质。戈谢病的主要体征包括肝和脾肿大,低红细胞计数(贫血),低血小板计数和骨问题。酶替代疗法(ERT)是戈谢病的标准治疗方案,患者需终身定期(每2周注射一次)接受静脉输注。Eliglustat,是一种口服酶作用物还原疗法,在戈谢病1型患者中,该药物显示通过抑制形成脂肪物质代谢过程慢下脂肪物质的生成;适用于肝脏药物代谢酶

2016欧洲成人1型戈谢病患者应用依利格鲁司特治疗和监测建议发布

依利格鲁司特是一种选择性葡萄糖神经酰胺合成酶抑制剂,作为1型戈谢病的一线治疗药物,1型戈谢病患者每日口服依利格鲁司特替代双周注射酶疗法,临床医生需要仔细评估戈谢病患者以确定其是否适合口服依利格鲁司特治疗,本文涉及的内容包括:戈谢病的当前管理方法,依利格鲁司特药物剂量和药物的相互作用,服用依利格鲁司特治疗患者的初始评估和持续监测等。全文获取:下载地址:指南下载 (需要扣积分2分, 

JAMA:口服Eliglustat对1型戈谢病有显著疗效

戈谢病患者不能产生足够的葡糖脑苷脂酶,该酶缺乏会导致脾脏、肝脏和骨髓收集脂肪物质。1型戈谢病主要表现为肝脾肿大、贫血、血小板减少、以及骨骼疾病。对于该疾病,安全有效口服治疗是需要的。因此Pramod K进行了一项临床III期的随机、双盲、安慰剂对照试验。该项研究从2009年11月持续到2012年7月,共有12个国家合计18个地点参与研究。该项研究主要目的是探究一种新奇的口服底物还原疗法药

Blood:治疗戈谢病再也不需要静脉注射了,口服酒石酸盐就可以

美国食品和药物管理局(FDA)于2014年9月批准了口服神经酰胺类似物的Eliglustat(酒石酸盐),用于治疗成人戈谢病患者。Cox等的报道的为期4年的跟踪研究,是迄今为止最大的使用Eliglustat(酒石酸盐)治疗戈谢病的随机临床试验。观察结果显示,4患者切换到使用Eliglustat(酒石酸盐)在4年内仍旧能够稳定各项生物体征,表明其药物的真正的有效作用。

Lancet:1型戈谢病治疗新选择

戈谢病是一种罕见的代谢障碍疾病,这是由β-葡糖脑苷脂酶的缺陷所导致的。巨噬细胞中发生葡糖脑苷脂酶累积。病人出现肝脾肿大、贫血、胸腺细胞不足以及骨科疾病。1型戈谢病是非神经性的疾病。目前治疗1型戈谢病的主要方法是隔周注射酶替代疗法(ERT)。赛诺菲公司的葡糖神经酰胺合酶选择性抑制剂eliglustat也可以用于治疗这一疾病。科研人员研究了稳定接受ERT治疗的患者换用口服的eliglustat是否