異なる自閉症タイプの研究により、薬に反応する可能性のある共通のメカニズムが発見される(Study of Different Autism Types Finds Shared Mechanism That May Respond to Drugs)

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2024-03-27 ラトガース大学

ラトガース医療部の研究者は、異なる形態の自閉症を持つ脳がどのように発達するかの分析で、既存の薬物が応答する可能性がある共通の基盤メカニズムを明らかにしました。この研究では、自閉症スペクトラム障害(ASD)を持つ人々の血液細胞を誘導多能性幹細胞に変換し、脳の前駆細胞に進化させました。mTOR経路の活性化を促進または阻害する既存の薬物で、細胞の異常を修正し、より良い細胞分化を促進することが可能であることが示されました。自閉症の治療法や診断に向けた新たな方向性が開ける可能性があります。

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特発性および16p11.2欠失自閉症の神経前駆細胞において、mTORシグナル伝達の調節不全が共通の神経突起および遊走障害を媒介することが明らかになった。 Dysregulation of mTOR signaling mediates common neurite and migration defects in both idiopathic and 16p11.2 deletion autism neural precursor cells

Smrithi Prem ,Bharati Dev,Cynthia Peng,Monal Mehta,Rohan Alibutud,Robert J Connacher,Madeline St Thomas,Xiaofeng Zhou,Paul Matteson,Emanuel DiCicco-Bloom
eLife  Published:Mar 25, 2024
DOI:https://doi.org/10.7554/eLife.82809

Abstract

Autism spectrum disorder (ASD) is defined by common behavioral characteristics, raising the possibility of shared pathogenic mechanisms. Yet, vast clinical and etiological heterogeneity suggests personalized phenotypes. Surprisingly, our iPSC studies find that six individuals from two distinct ASD-subtypes, idiopathic and 16p11.2 deletion, have common reductions in neural precursor cell (NPC) neurite outgrowth and migration even though whole genome sequencing demonstrates no genetic overlap between the datasets. To identify signaling differences that may contribute to these developmental defects, an unbiased phospho-(p)-proteome screen was performed. Surprisingly despite the genetic heterogeneity, hundreds of shared p-peptides were identified between autism subtypes including the mTOR pathway. mTOR signaling alterations were confirmed in all NPCs across both ASD-subtypes, and mTOR modulation rescued ASD phenotypes and reproduced autism NPC associated phenotypes in control NPCs. Thus, our studies demonstrate that genetically distinct ASD subtypes have common defects in neurite outgrowth and migration which are driven by the shared pathogenic mechanism of mTOR signaling dysregulation.

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