诱导多能干细胞技术在罕见神经发育障碍研究中的应用及挑战

Application and Challenges of Induced Pluripotent Stem Cell Technology in Research of Rare Neurodevelopmental Disorders

  • 摘要: 神经发育障碍(neurodevelopmental disorders,NDDs)是一组因大脑和神经系统发育异常而引发的疾病,主要包括全面发育迟缓/智力障碍、孤独症谱系障碍、注意缺陷多动障碍等。目前,常见NDDs已得到一定研究,并开发出部分有效治疗手段;但对于罕见NDDs(如脆性X染色体综合征、Rett综合征、Dravet综合征等),受限于样本数量不足、大脑结构的复杂性以及现有研究模型的局限等因素,其发病机制研究及治疗手段的开发仍面临重大挑战。近年来,诱导多能干细胞(induced pluripotent stem cells,iPSCs)技术取得了突破性进展。利用患者来源的iPSCs定向分化为神经元、神经胶质细胞及脑类器官,并结合成簇规律间隔短回文重复序列(clustered regularly interspaced short palindromic repeats, CRISPR)-CRISPR相关蛋白9(CRISPR associated protein 9,Cas9)基因编辑技术,为探究罕见NDDs的致病机制与治疗策略提供了全新研究模型。本文就iPSCs技术在罕见NDDs研究中的应用进展及其面临的挑战进行综述。

     

    Abstract: Neurodevelopmental disorders (NDDs) are a group of diseases caused by abnormal development of the brain and nervous system, mainly including global developmental disabilities/intellectual disabilities, autism spectrum disorders, attention deficit hyperactivity disorder, and others; at present, certain progress has been made in the research on common NDDs, and some effective therapeutic approaches have been developed, but for rare NDDs such as fragile X syndrome, Rett syndrome, and Dravet syndrome, the elucidation of their pathogenesis and the development of therapeutic strategies still face major challenges due to insufficient clinical samples, the complexity of the brain structure, and the limitations of existing research models. In recent years, induced pluripotent stem cells (iPSCs) technology has achieved breakthrough progress, where the directed differentiation of patient-derived iPSCs into neurons, glial cells, and cerebral organoids, combined with clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR associated protein 9 (Cas9) gene-editing technology, provides a novel research model for exploring the pathogenic mechanisms and therapeutic strategies of rare NDDs, and this paper reviews the research advances and challenges of iPSCs technology in the study of rare NDDs.

     

/

返回文章
返回