Rohn Troy T, Kim Nayoung, Isho Noail F, Mack Jacob M
Department of Biological Sciences, Science Building, Room 228, Boise State University, Boise, Idaho, USA.
J Alzheimers Dis Parkinsonism. 2018;8(3). doi: 10.4172/2161-0460.1000439. Epub 2018 May 31.
Despite a wealth of knowledge gained in the past three decades concerning the molecular underpinnings of Alzheimer's disease (AD), progress towards obtaining effective, disease modifying therapies has proven to be challenging. In this manner, numerous clinical trials targeting the production, aggregation, and toxicity of beta-amyloid, have failed to meet efficacy standards. This puts into question the beta-amyloid hypothesis and suggests that additional treatment strategies should be explored. The recent emergence of CRISPR/Cas9 gene editing as a relatively straightforward, inexpensive, and precise system has led to an increased interest of applying this technique in AD. CRISPR/Cas9 gene editing can be used as a direct treatment approach or to help establish better animal models that more faithfully mimic human neurodegenerative diseases. In this manner, this technique has already shown promise in other neurological disorders, such as Huntington's disease. The purpose of this review is to examine the potential utility of CRISPR/Cas9 as a treatment option for AD by targeting specific genes including those that cause early-onset AD, as well as those that are significant risk factors for late-onset AD such as the apolipoprotein E4 (APOE4) gene.
尽管在过去三十年里,我们对阿尔茨海默病(AD)的分子基础已有丰富的了解,但事实证明,要获得有效的疾病修正疗法仍具有挑战性。如此一来,众多针对β-淀粉样蛋白的产生、聚集和毒性的临床试验均未达到疗效标准。这使得β-淀粉样蛋白假说受到质疑,并表明应探索其他治疗策略。近来,CRISPR/Cas9基因编辑作为一种相对简单、廉价且精确的系统出现,引发了人们将该技术应用于AD研究的更多兴趣。CRISPR/Cas9基因编辑既可以作为一种直接的治疗方法,也有助于建立更能忠实地模拟人类神经退行性疾病的动物模型。如此,这项技术已在其他神经疾病(如亨廷顿舞蹈症)中展现出前景。本综述的目的是通过靶向特定基因,包括那些导致早发性AD的基因,以及那些作为晚发性AD重要风险因素的基因(如载脂蛋白E4(APOE4)基因),来探讨CRISPR/Cas9作为AD治疗选择的潜在效用。