希少な脳疾患が数十年にわたりニューロンに潜伏する仕組みを解明(Understanding How a Rare Brain-Wasting Disease Hides in Neurons for Decades)

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2025-05-28 イェール大学

希少な脳疾患が数十年にわたりニューロンに潜伏する仕組みを解明(Understanding How a Rare Brain-Wasting Disease Hides in Neurons for Decades)
A neuronal model of Creutzfeldt-Jakob disease begins to reveal how latent infections activate and trigger neurological decline.

イェール大学医学部の研究チームが、クールツフェルト・ヤコブ病(CJD)の潜伏メカニズムを解明するための「神経細胞モデル」を開発しました。このモデルでは、異常プリオン蛋白がニューロン内に数十年潜伏し、条件変化で活性化され、神経変性を引き起こす過程が再現されています。CJDは年間100万人あたり1〜2人発症する稀で致命的な神経変性疾患で、プリオンによる感染性スポンジ状脳症の一種です。今回の知見により、潜伏段階での早期診断や治療介入の可能性が高まり、プリオン病の理解が前進しました。

<関連情報>

正常およびクロイツフェルト・ヤコブ病病原体(CJ)感染ラット中隔神経細胞において増殖停止が神経分化と自然免疫応答を誘導する Proliferative arrest induces neuronal differentiation and innate immune responses in normal and Creutzfeldt-Jakob Disease agent (CJ) infected rat septal neurons

Nathan Pagano,Gerard Aguilar Perez,Rolando Garcia-Milian,Laura Manuelidis
PLOS One
  Published: May 28, 2025
DOI:https://doi.org/10.1371/journal.pone.0323825

Abstract

Rat post-mitotic septal neurons, engineered to reversibly proliferate and arrest under physiological conditions, can be maintained for weeks without cytotoxic effects. Nine representative independent cDNA libraries were made to evaluate global arrest-induced neural differentiation and innate immune responses, e.g., upregulated interferon (β-IFN) RNA, that were previously identified in normal uninfected and Creutzfeldt-Jakob Disease agent (CJ) infected septal neurons. This reversible cell model encompassed a non-productive latent (CJ-) and a highly infectious (CJ + , 10 logs/gm) state. Arrest of normal uninfected neurons upregulated a plethora of anti-proliferative transcripts and known neuronal differentiation transcripts (e.g., Neuregulin-1, GDF6 and Prnp). As expected, many activated IFN innate immune genes were simultaneously upregulated (e.g., OAS1, ISG20, CD80, cytokines, chemokines and complement) along with clusterin (CLU) that binds misfolded proteins. Arrest of latently infected CJ- cells induced even more profound global transcript differences. CJ+ cells markedly downregulated the anti-proliferative controls seen in arrested normal cells. CJ+ infection also suppressed neuronal differentiation transcripts, including Prnp which is essential for CJ infection. In contrast, IFN and cytokine/chemokine pathways were strongly upregulated. Analysis of the 342 CJ+ unique transcripts revealed additional innate immune and anti-viral-linked transcripts, e.g., Il17, ISG15, and RSAD2 (viperin). These data show: 1) innate immune transcripts are produced by normal neurons during differentiation; 2) CJ infection enhances and expands anti-viral responses; 3) non-productive latent infection can epigenetically imprint many proliferative pathways to thwart complete arrest. This rare cell model of latent infection is fundamental for interrogating triggers of late onset disease that are also relevant for Alzheimer’s Disease. Peripheral human blood and intestinal myeloid cells that are latently infected may also be conditionally stimulated in vitro to produce CJ+ linked diagnostic transcripts.

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