与FAM111B相关的皮质皮质病和表型谱扩张中的乌比基蛋白酶系统失调:新病例报告和长期随访
Virginie Vignard1, Mike Maillasson2, Anne Bigot3
1Nantes Université, CNRS, INSERM, l'institut du Thorax, Nantes 44000, France.
EBioMedicine
|August 21, 2025
概括
由FAM111B突变引起的遗传性纤维化疾病POIKTMP,涉及到功能障碍的泛素蛋白酶系统 (UPS). 这一发现为POIKTMP患者提供了新的治疗点.
科学领域:
- 遗传学和分子生物学
- 罕见疾病
- 细胞生物学
背景情况:
- 肌肉纤维化 (POIKTMP) 是一种罕见的遗传性疾病,与FAM111B基因突变有关.
- 目前尚不清楚POIKTMP背后的分子机制.
- 一种血清蛋白酶FAM111B的作用超出癌症范围,这是由不总是与瘤相关的生殖系变异表明的.
研究的目的:
- 为了阐明POIKTMP的分子病变.
- 扩大对POIKTMP临床范围和遗传基础的了解.
主要方法:
- 收集和比较了包括4例新病例在内的41例POIKTMP患者的临床数据.
- 功能性研究使用了FAM111B误解变异的患者衍生细胞的奥米克技术.
主要成果:
- POIKTMP表型包括功能衰竭,牙异常,甲状腺功能低下和神经病变.
- 在D盒域中的FAM111B变异与更严重的临床表现相关.
- 失去了FAM111B的表达,破坏了全方位蛋白酶系统 (UPS),增加了全方位蛋白结合物,并诱导I型干扰素特征.
结论:
- 一个功能障碍的UPS被认为是POIKTMP分子致病的关键驱动因素.
- 这些发现表明POIKTMP针对UPS功能障碍的潜在治疗策略.
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