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Published on: March 3, 2016
Insights from multi-omic modeling of neurodegeneration in xeroderma pigmentosum using an induced pluripotent stem
Cherif Badja1, Sophie Momen1, Gene Ching Chiek Koh1
1Department of Medical Genetics, Box 238, Level 6, Addenbrooke's Treatment Centre, Cambridge Biomedical Research Campus, Cambridge CB2 0QQ, UK; Early Cancer Institute, Department of Oncology, Box 197, Hutchison Research Centre, Cambridge Biomedical Research Campus, Cambridge CB2 0XZ, UK.
Abstract:
Xeroderma pigmentosum (XP) is caused by defective nucleotide excision repair of DNA damage. This results in hypersensitivity to ultraviolet light and increased skin cancer risk, as sunlight-induced photoproducts remain unrepaired. However, many XP patients also display early-onset neurodegeneration, which leads to premature death. The mechanism of neurodegeneration is unknown. Here, we investigate XP neurodegeneration using pluripotent stem cells derived from XP patients and healthy relatives, performing functional multi-omics on samples during neuronal differentiation. We show substantially increased levels of 5',8-cyclopurine and 8-oxopurine in XP neuronal DNA secondary to marked oxidative stress. Furthermore, we find that the endoplasmic reticulum stress response is upregulated and reversal of the mutant genotype is associated with phenotypic rescue. Critically, XP neurons exhibit inappropriate downregulation of the protein clearance ubiquitin-proteasome system (UPS). Chemical enhancement of UPS activity in XP neuronal models improves phenotypes, albeit inadequately. Although more work is required, this study presents insights with intervention potential.
Insights
Xeroderma pigmentosum (XP) patients show neurodegeneration due to DNA repair defects. This study reveals oxidative stress and impaired protein clearance in XP neurons, offering potential therapeutic targets for this rare genetic disorder.
Area of Science:
- Genetics and Molecular Biology
- Neuroscience
- Cellular Biology
Background:
- Xeroderma pigmentosum (XP) is a rare genetic disorder characterized by defective DNA repair, leading to UV hypersensitivity and increased skin cancer risk.
- Neurodegeneration and premature death are observed in many XP patients, but the underlying mechanisms remain poorly understood.
- Understanding the cellular basis of XP neurodegeneration is crucial for developing effective therapeutic strategies.
Purpose of the Study:
- To investigate the molecular mechanisms driving neurodegeneration in Xeroderma pigmentosum.
- To utilize patient-derived pluripotent stem cells and multi-omics to analyze neuronal differentiation in XP.
- To identify potential therapeutic targets for XP-associated neurodegeneration.
Main Methods:
- Generation and neuronal differentiation of pluripotent stem cells from XP patients and healthy controls.
- Functional multi-omics analysis (genomics, transcriptomics, proteomics, etc.) during neuronal differentiation.
- Assessment of DNA damage markers, oxidative stress, endoplasmic reticulum stress, and protein clearance pathways (ubiquitin-proteasome system).
Main Results:
- XP neurons exhibit significantly elevated levels of 5',8-cyclopurine and 8-oxopurine, indicative of increased oxidative stress.
- Upregulation of the endoplasmic reticulum stress response was observed in XP neuronal models.
- XP neurons show a critical downregulation of the ubiquitin-proteasome system (UPS), a key protein clearance pathway.
- Genetic correction of the XP genotype led to phenotypic rescue in neuronal models.
- Enhancing UPS activity partially ameliorated phenotypes in XP neuronal models, though not fully resolving the issue.
Conclusions:
- Oxidative stress and impaired protein degradation via the UPS contribute to neurodegeneration in Xeroderma pigmentosum.
- The endoplasmic reticulum stress response is implicated in the pathophysiology of XP neurodegeneration.
- Targeting the UPS and mitigating oxidative stress present potential therapeutic avenues for XP patients, although further research is warranted.
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