integrated stress response

综合应激反应
  • 文章类型: Journal Article
    In T-cell acute lymphoblastic leukemia (T-ALL), more than 50% of cases display autoactivation of Notch1 signaling, leading to oncogenic transformation. We have previously identified a specific chemovar of Cannabis that induces apoptosis by preventing Notch1 maturation in leukemia cells. Here, we isolated three cannabinoids from this chemovar that synergistically mimic the effects of the whole extract. Two were previously known, cannabidiol (CBD) and cannabidivarin (CBDV), whereas the third cannabinoid, which we termed 331-18A, was identified and fully characterized in this study. We demonstrated that these cannabinoids act through cannabinoid receptor type 2 and TRPV1 to activate the integrated stress response pathway by depleting intracellular Ca2+. This is followed by increased mRNA and protein expression of ATF4, CHOP, and CHAC1, which is hindered by inhibiting the upstream initiation factor eIF2α. The increased abundance of CHAC1 prevents Notch1 maturation, thereby reducing the levels of the active Notch1 intracellular domain, and consequently decreasing cell viability and increasing apoptosis. Treatment with the three isolated molecules resulted in reduced tumor size and weight in vivo and slowed leukemia progression in mice models. Altogether, this study elucidated the mechanism of action of three distinct cannabinoids in modulating the Notch1 pathway, and constitutes an important step in the establishment of a new therapy for treating NOTCH1-mutated diseases and cancers such as T-ALL.
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  • 文章类型: Journal Article
    低温南极类鱼类因其在极端寒冷中的孤立历史以及相应的缺乏规范的热休克反应而值得注意。尽管广泛的转录组学研究,stenothermy的机械基础尚未完全阐明。鉴于蛋白质组更好地代表生物体的生理学,存在的可能性是转录后出现的某些方面。这里,在暴露于慢性和/或急性高温后,对南极祖母绿岩科(Trematomusbernacchii)进行了采样,然后全面评估大脑中的蛋白质组学反应,吉尔,还有肾.很少有细胞应激反应蛋白被诱导,在差异表达蛋白质的数量及其倍数变化方面,总体反应适中。治疗和组织中蛋白质诱导的不一致提示失调,而不是适应性反应。南极烯类植物翻译机制调节的变化可以解释这些模式。翻译调节途径的一些组成部分是高度保守的(例如,eIF2α的Ser-52),但包含细胞“综合应激反应”的蛋白质-特别是,eIF2α激酶GCN2和PERK-可能在南极鱼类中沿着不同的轨迹进化。一起来看,这些观察结果提出了一种新的假设,即南极鱼类缺乏协调的细胞应激反应。
    Stenothermal Antarctic notothenioid fishes are noteworthy for their history of isolation in extreme cold and their corresponding lack of the canonical heat shock response. Despite extensive transcriptomic studies, the mechanistic basis for stenothermy has not been fully elucidated. Given that the proteome better represents an organism\'s physiology, the possibility exists that some aspects of stenothermy arise post-transcriptionally. Here, Antarctic emerald rockcod (Trematomus bernacchii) were sampled after exposure to chronic and/or acute high temperatures, followed by thorough assessment of proteomic responses in brain, gill, and kidney. Few cellular stress response proteins were induced, and overall responses were modest in terms of numbers of differentially expressed proteins and their fold changes. Inconsistencies in protein induction across treatments and tissues are suggestive of dysregulation, rather than an adaptive response. Changes in regulation of the translational machinery in Antarctic notothenioids could explain these patterns. Some components of translational regulatory pathways are highly conserved (e.g., Ser-52 of eIF2α), but proteins comprising the cellular \"integrative stress response\" - specifically, the eIF2α kinases GCN2 and PERK - may have evolved along different trajectories in Antarctic fishes. Taken together, these observations suggest a novel hypothesis for stenothermy and the absence of a coordinated cellular stress response in Antarctic fishes.
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  • 文章类型: Journal Article
    寨卡病毒(ZIKV)是一种重新出现的蚊媒黄病毒,可能对健康造成破坏性影响。ZIKV感染的发育和神经效应部分地起因于病毒触发细胞应激途径和扰乱转录程序。迄今为止,转录控制指导病毒限制和病毒-宿主相互作用的潜在机制研究不足。激活转录因子3(ATF3)是一种应激诱导的转录效应子,可调节参与无数细胞过程的基因表达,包括炎症和抗病毒反应,恢复细胞内稳态.虽然已知ATF3在ZIKV感染期间上调,激活ATF3的模式,ATF3在ZIKV感染中的具体作用尚不清楚。在这项研究中,我们通过抑制剂和RNA干扰方法显示ZIKV感染启动整合的应激反应途径以激活ATF4,进而诱导ATF3表达。此外,通过使用CRISPR-Cas9系统删除ATF3,我们发现ATF3限制了A549细胞中ZIKV基因的表达。我们还确定ATF3增强抗病毒基因如STAT1和先天免疫途径中的其他组分的表达以诱导ATF3依赖性抗ZIKV应答。我们的研究揭示了综合应激反应和先天免疫应答途径之间的串扰,并强调了ATF3在ZIKV感染期间建立抗病毒作用的重要作用。
    目的:寨卡病毒(ZIKV)是一种重新出现的蚊媒黄病毒,它与细胞机制共同支持病毒过程,可以重新编程宿主转录谱。这种病毒导向的转录变化和抗病毒或抗病毒结果仍未得到充分研究。我们以前证明ATF3是一种应激诱导的转录因子,在ZIKV感染的哺乳动物细胞中显著上调,以及其他细胞和免疫反应基因。我们现在定义了负责ATF3激活的细胞内途径,并阐明了ATF3表达对ZIKV感染的影响。我们发现在ZIKV感染期间,整合的应激反应途径刺激ATF3,从而增强先天免疫应答以拮抗ZIKV感染。这项研究建立了病毒诱导的应激反应和宿主防御途径的转录调节之间的联系,从而扩大了我们对ZIKV感染期间病毒介导的转录机制和干扰素刺激基因的转录控制的认识。
    Zika virus (ZIKV) is a re-emerging mosquito-borne flavivirus that can have devastating health consequences. The developmental and neurological effects of a ZIKV infection arise in part from the virus triggering cellular stress pathways and perturbing transcriptional programs. To date, the underlying mechanisms of transcriptional control directing viral restriction and virus-host interaction are understudied. Activating Transcription Factor 3 (ATF3) is a stress-induced transcriptional effector that modulates the expression of genes involved in a myriad of cellular processes, including inflammation and antiviral responses, to restore cellular homeostasis. While ATF3 is known to be upregulated during ZIKV infection, the mode by which ATF3 is activated, and the specific role of ATF3 during ZIKV infection is unknown. In this study, we show via inhibitor and RNA interference approaches that ZIKV infection initiates the integrated stress response pathway to activate ATF4 which in turn induces ATF3 expression. Additionally, by using CRISPR-Cas9 system to delete ATF3, we found that ATF3 acts to limit ZIKV gene expression in A549 cells. We also determined that ATF3 enhances the expression of antiviral genes such as STAT1 and other components in the innate immunity pathway to induce an ATF3-dependent anti-ZIKV response. Our study reveals crosstalk between the integrated stress response and innate immune response pathways and highlights an important role for ATF3 in establishing an antiviral effect during ZIKV infection.
    OBJECTIVE: Zika virus (ZIKV) is a re-emerging mosquito-borne flavivirus that co-opts cellular mechanisms to support viral processes that can reprogram the host transcriptional profile. Such viral-directed transcriptional changes and the pro- or anti-viral outcomes remain understudied. We previously showed that ATF3, a stress-induced transcription factor, is significantly upregulated in ZIKV-infected mammalian cells, along with other cellular and immune response genes. We now define the intracellular pathway responsible for ATF3 activation and elucidate the impact of ATF3 expression on ZIKV infection. We show that during ZIKV infection, the integrated stress response pathway stimulates ATF3 which enhances the innate immune response to antagonize ZIKV infection. This study establishes a link between viral-induced stress response and transcriptional regulation of host defense pathways and thus expands our knowledge of virus-mediated transcriptional mechanisms and transcriptional control of interferon-stimulated genes during ZIKV infection.
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  • 文章类型: Journal Article
    虽然所有真核细胞的功能都依赖于线粒体,在复杂的组织中,哪种细胞类型和哪种细胞行为对线粒体缺陷更敏感仍然无法预测。这里,我们发现在小鼠气道中,通过使线粒体蛋白酶基因Lonp1失活而损害线粒体功能导致发育过程中祖细胞增殖和分化减少,终末分化纤毛细胞的凋亡及其在稳态过程中被基础祖细胞和杯状细胞替代,以及流感感染后气道祖细胞向受损肺泡的迁移失败。ATF4和整合应激反应(ISR)途径升高并负责气道表型。这种上下文相关的敏感性是通过Bok的选择性表达来预测的,这是ISR激活所必需的。LONP1表达降低见于伴有鳞状上皮化生的慢性阻塞性肺疾病(COPD)气道。这些发现说明了细胞能量景观,其中受损的线粒体功能可能有利于病理细胞类型的出现。
    While all eukaryotic cells are dependent on mitochondria for function, in a complex tissue, which cell type and which cell behavior are more sensitive to mitochondrial deficiency remain unpredictable. Here, we show that in the mouse airway, compromising mitochondrial function by inactivating mitochondrial protease gene Lonp1 led to reduced progenitor proliferation and differentiation during development, apoptosis of terminally differentiated ciliated cells and their replacement by basal progenitors and goblet cells during homeostasis, and failed airway progenitor migration into damaged alveoli following influenza infection. ATF4 and the integrated stress response (ISR) pathway are elevated and responsible for the airway phenotypes. Such context-dependent sensitivities are predicted by the selective expression of Bok, which is required for ISR activation. Reduced LONP1 expression is found in chronic obstructive pulmonary disease (COPD) airways with squamous metaplasia. These findings illustrate a cellular energy landscape whereby compromised mitochondrial function could favor the emergence of pathological cell types.
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  • 文章类型: Journal Article
    溶酶体降解途径协调多余和受损细胞成分的清除。受损的溶酶体降解是许多退行性疾病的标志,包括溶酶体贮积病(LSD),它们是由溶酶体水解酶的两个等位基因内的功能丧失突变引起的,导致溶酶体底物积累。戈谢病,以<15%的正常葡萄糖脑苷脂酶功能为特征,是最常见的LSD,也是发生帕金森病的主要危险因素。这里,我们表明,调节PIKfyve活性的两种结构不同的小分子,在高通量细胞脂滴清除筛选中鉴定,可以通过促进溶酶体基因翻译的MiT/TFE转录因子改善Gaucher患者来源的成纤维细胞中葡萄糖脑苷脂酶的功能。与PIKfyve调节剂联合使用的综合应激反应(ISR)拮抗剂可进一步提高细胞葡糖脑苷脂酶活性,可能是因为ISR信号传导似乎也被使用较高剂量的任一小分子治疗略微激活。这种将PIKfyve调节剂与ISR抑制剂组合的策略在其他LSD的细胞模型中改善了突变型溶酶体水解酶的功能。
    Lysosomal degradation pathways coordinate the clearance of superfluous and damaged cellular components. Compromised lysosomal degradation is a hallmark of many degenerative diseases, including lysosomal storage diseases (LSDs), which are caused by loss-of-function mutations within both alleles of a lysosomal hydrolase, leading to lysosomal substrate accumulation. Gaucher\'s disease, characterized by <15% of normal glucocerebrosidase function, is the most common LSD and is a prominent risk factor for developing Parkinson\'s disease. Here, we show that either of two structurally distinct small molecules that modulate PIKfyve activity, identified in a high-throughput cellular lipid droplet clearance screen, can improve glucocerebrosidase function in Gaucher patient-derived fibroblasts through an MiT/TFE transcription factor that promotes lysosomal gene translation. An integrated stress response (ISR) antagonist used in combination with a PIKfyve modulator further improves cellular glucocerebrosidase activity, likely because ISR signaling appears to also be slightly activated by treatment by either small molecule at the higher doses employed. This strategy of combining a PIKfyve modulator with an ISR inhibitor improves mutant lysosomal hydrolase function in cellular models of additional LSD.
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  • 文章类型: Journal Article
    Ferroptosis,由脂质过氧化介导的非凋亡性细胞死亡的铁依赖性形式,与多种疾病的发病机理有关。亚细胞细胞器在铁凋亡的调节中起关键作用,但是线粒体贡献的潜在机制仍然不明确。视神经萎缩1(OPA1)是一种线粒体动力蛋白样GTP酶,控制线粒体形态发生,聚变,和能量学。这里,我们报道缺乏OPA1的人和小鼠细胞对铁凋亡有明显的抗性。与OPA1突变体的重组表明,铁凋亡致敏需要GTP酶活性,但与OPA1介导的线粒体融合无关。机械上,OPA1通过维持线粒体稳态和功能赋予铁凋亡的易感性,这有助于线粒体脂质活性氧(ROS)的产生和抑制ATF4介导的综合应激反应。一起,这些结果确定了OPA1控制的线粒体铁性凋亡调节轴,并为治疗性操纵疾病中这种形式的细胞死亡提供了机制见解。
    Ferroptosis, an iron-dependent form of nonapoptotic cell death mediated by lipid peroxidation, has been implicated in the pathogenesis of multiple diseases. Subcellular organelles play pivotal roles in the regulation of ferroptosis, but the mechanisms underlying the contributions of the mitochondria remain poorly defined. Optic atrophy 1 (OPA1) is a mitochondrial dynamin-like GTPase that controls mitochondrial morphogenesis, fusion, and energetics. Here, we report that human and mouse cells lacking OPA1 are markedly resistant to ferroptosis. Reconstitution with OPA1 mutants demonstrates that ferroptosis sensitization requires the GTPase activity but is independent of OPA1-mediated mitochondrial fusion. Mechanistically, OPA1 confers susceptibility to ferroptosis by maintaining mitochondrial homeostasis and function, which contributes both to the generation of mitochondrial lipid reactive oxygen species (ROS) and suppression of an ATF4-mediated integrated stress response. Together, these results identify an OPA1-controlled mitochondrial axis of ferroptosis regulation and provide mechanistic insights for therapeutically manipulating this form of cell death in diseases.
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  • 文章类型: Journal Article
    大麻二酚(CBD)是大麻的非精神活性成分,在生物医学中具有潜在应用,食物,和化妆品由于它的镇痛,抗炎,和抗惊厥特性。然而,越来越多的CBD不良暴露事件的报告强调了评估其毒性的必要性.在这项研究中,我们调查了CBD在斑马鱼胚胎期间的发育毒性(0-4dpf,受精后几天)和幼虫早期阶段(5-7dpf)。胚胎/幼虫中CBD的中位致死浓度为793.28μg/L。CBD在诱导严重畸形的体型时表现出浓度依赖性方式(范围从250到1500μg/L),像较短的身体长度,心包囊肿,卵黄囊肿,脊柱弯曲,更小的眼睛。然而,没有奇异的畸形占主导地位。在胚胎期和幼虫早期用100和200μg/LCBD处理的5个月大斑马鱼产生的后代较少,自然死亡率和畸形率较高。性腺生长和配子发育受到抑制。用400μg/LCBD对0至5dpf的胚胎/幼虫进行的转录组和代谢组学分析表明,CBD促进了1dpf上胞外基质成分的形成和运输,促进异常细胞分裂和迁移,可能导致随机畸形的体型。它在2和3dpf上抑制光学囊泡的发育和光感受器的形成,导致视力受损和眼睛尺寸变小。CBD还诱导了4和5dpf的综合应激反应,破坏氧化还原,蛋白质,和胆固醇稳态,导致细胞损伤,生理机能障碍,胚胎死亡,并抑制成年斑马鱼的生殖系统和能力。在测试浓度下,CBD表现出发育毒性,致死毒性,和斑马鱼的生殖抑制。这些发现表明,CBD威胁模式水生动物,强调在将CBD纳入膳食补充剂之前需要对其进行额外的毒理学评估,食用食品,和其他产品。
    Cannabidiol (CBD) is a non-psychoactive component of cannabis with potential applications in biomedicine, food, and cosmetics due to its analgesic, anti-inflammatory, and anticonvulsant properties. However, increasing reports of adverse CBD exposure events underscore the necessity of evaluating its toxicity. In this study, we investigated the developmental toxicity of CBD in zebrafish during the embryonic (0-4 dpf, days post fertilization) and early larval stages (5-7 dpf). The median lethal concentration of CBD in embryos/larvae is 793.28 μg/L. CBD exhibited concentration-dependent manner (ranging from 250 to 1500 μg/L) in inducing serious malformed somatotypes, like shorter body length, pericardial cysts, vitelline cysts, spinal curvature, and smaller eyes. However, no singular deformity predominates. The 5-month-old zebrafish treated with 100 and 200 μg/L of CBD during the embryonic and early larval stages produced fewer offspring with higher natural mortality and malformation rate. Gonadal growth and gamete development were inhibited. Transcriptomic and metabolomic analyses conducted with 400 μg/L CBD on embryos/larvae from 0 to 5 dpf suggested that CBD promoted the formation and transportation of extracellular matrix components on 1 dpf, promoting abnormal cell division and migration, probably resulting in random malformed somatotypes. It inhibited optical vesicle development and photoreceptors formation on 2 and 3 dpf, resulting in damaged sight and smaller eye size. CBD also induced an integrated stress response on 4 and 5 dpf, disrupting redox, protein, and cholesterol homeostasis, contributing to cellular damage, physiological dysfunction, embryonic death, and inhibited reproductive system and ability in adult zebrafish. At the tested concentrations, CBD exhibited developmental toxicity, lethal toxicity, and reproductive inhibition in zebrafish. These findings demonstrate that CBD threatens the model aquatic animal, highlighting the need for additional toxicological evaluations of CBD before its inclusion in dietary supplements, edible food, and other products.
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  • 文章类型: Journal Article
    线粒体应激,由于功能障碍和蛋白质紊乱,触发线粒体未折叠蛋白反应(UPRMT),激活编码伴侣和蛋白酶的基因以恢复线粒体功能。尽管ATFS-1介导秀丽隐杆线虫的线粒体应激UPRMT诱导,哺乳动物线粒体应激信号传递到细胞核的机制仍不明确。这里,我们探讨了蛋白激酶R(PKR)的作用,由双链RNA(dsRNA)激活的eIF2α激酶,在线粒体应激信号中。我们发现UPRMT不会发生在缺乏PKR的细胞中,表明了它在这个过程中的关键作用。机械上,我们观察到dsRNAs在应激条件下在线粒体内积累,以及未加工的线粒体转录本。此外,我们证明了Bax/Bak通道缺陷的小鼠胚胎成纤维细胞(MEFs)中积累的线粒体dsRNAs不会释放到细胞质中,并且不会在线粒体应激时诱导UPRMT,提示Bax/Bak通道在介导线粒体应激反应中的潜在作用。这些发现增强了我们对细胞如何维持线粒体完整性的理解,对线粒体功能障碍的反应,并通过逆行信号传递应力信号到细胞核。这些知识为与线粒体应激相关的疾病的前瞻性治疗靶标提供了有价值的见解。
    Mitochondrial stress, resulting from dysfunction and proteostasis disturbances, triggers the mitochondrial unfolded protein response (UPRMT), which activates gene encoding chaperones and proteases to restore mitochondrial function. Although ATFS-1 mediates mitochondrial stress UPRMT induction in C. elegans, the mechanisms relaying mitochondrial stress signals to the nucleus in mammals remain poorly defined. Here, we explored the role of protein kinase R (PKR), an eIF2α kinase activated by double-stranded RNAs (dsRNAs), in mitochondrial stress signaling. We found that UPRMT does not occur in cells lacking PKR, indicating its crucial role in this process. Mechanistically, we observed that dsRNAs accumulate within mitochondria under stress conditions, along with unprocessed mitochondrial transcripts. Furthermore, we demonstrated that accumulated mitochondrial dsRNAs in mouse embryonic fibroblasts (MEFs) deficient in the Bax/Bak channels are not released into the cytosol and do not induce the UPRMT upon mitochondrial stress, suggesting a potential role of the Bax/Bak channels in mediating the mitochondrial stress response. These discoveries enhance our understanding of how cells maintain mitochondrial integrity, respond to mitochondrial dysfunction, and communicate stress signals to the nucleus through retrograde signaling. This knowledge provides valuable insights into prospective therapeutic targets for diseases associated with mitochondrial stress.
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  • 文章类型: Journal Article
    综合应激反应(ISR),一个关键的蛋白质稳态网络,在长期记忆(LTM)的形成中起着至关重要的作用。ISR控制LTM的精确机制尚未得到很好的理解。这里,我们报告了ISR如何通过使用激活转录因子4(ATF4)的靶向缺失来调节记忆过程的见解,ISR的关键下游效应器,在各种神经元和非神经元细胞类型中。我们发现从前脑兴奋性神经元中去除ATF4(但不是从抑制性神经元中去除,胆碱能神经元,或星形胶质细胞)增强LTM形成。此外,兴奋性神经元中ATF4的缺失降低了诱导长期增强的阈值,LTM的细胞模型。转录组学和蛋白质组学分析显示,兴奋性神经元中的ATF4缺失导致氧化磷酸化途径成分的上调,这对ATP生产至关重要。因此,我们得出的结论是,ATF4在兴奋性神经元中选择性地充当记忆抑制因子。
    The integrated stress response (ISR), a pivotal protein homeostasis network, plays a critical role in the formation of long-term memory (LTM). The precise mechanism by which the ISR controls LTM is not well understood. Here, we report insights into how the ISR modulates the mnemonic process by using targeted deletion of the activating transcription factor 4 (ATF4), a key downstream effector of the ISR, in various neuronal and non-neuronal cell types. We found that the removal of ATF4 from forebrain excitatory neurons (but not from inhibitory neurons, cholinergic neurons, or astrocytes) enhances LTM formation. Furthermore, the deletion of ATF4 in excitatory neurons lowers the threshold for the induction of long-term potentiation, a cellular model for LTM. Transcriptomic and proteomic analyses revealed that ATF4 deletion in excitatory neurons leads to upregulation of components of oxidative phosphorylation pathways, which are critical for ATP production. Thus, we conclude that ATF4 functions as a memory repressor selectively within excitatory neurons.
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  • 文章类型: Journal Article
    对于双相情感障碍(BD),治疗指南的不一致和药物调整的长期阶段仍然是一个主要挑战.已知BD与许多医疗和精神疾病并存,它们可能共享炎症和压力相关的病因。这可能会导致这种联系。整合应激反应(ISR)对导致细胞稳态改变的各种应激反应条件作出反应。然而,作为广泛的脑部疾病中认知缺陷和神经变性的致病机制,ISR对BD的影响研究不足。孟德尔随机化已被广泛用于重新使用许可药物并发现新的治疗靶标。因此,我们旨在确定BD的新治疗靶点并分析其病理生理机制,使用基于汇总数据的孟德尔随机化(SMR)和贝叶斯共定位(COLOC)方法整合BD上GWAS的汇总数据和血液中表达数量性状基因座(eQTL)研究。我们利用了GWAS数据,包括来自精神病学基因组学联盟的41,917例BD病例和371,549例对照,以及来自eQTLGen联盟主要欧洲血统的31,684名参与者的eQTL数据。SMR分析鉴定了与BD相关的EIF2B5基因,因为没有连锁,但具有多效性或因果关系。COLOC分析强烈表明,EIF2B5和BD的性状受到共同因果变异的影响,因此被共同定位。利用EpiGraphDB中的数据,我们发现了其他推定的因果BD基因(EIF2AK4和GSK3B)来优先考虑潜在的替代药物靶标。
    For bipolar disorder (BD), the inconsistency of treatment guidelines and the long phases of pharmacological adjustment remain major challenges. BD is known to be comorbid with many medical and psychiatric conditions and they may share inflammatory and stress-related aetiologies, which could give rise to this association. The integrated stress response (ISR) responds to various stress conditions that lead to alterations in cellular homeostasis. However, as a causative mechanism underlying cognitive deficits and neurodegeneration in a broad range of brain disorders, the impact of ISR on BD is understudied. Mendelian randomization has been widely used to repurpose licensed drugs and discover novel therapeutic targets. Thus, we aimed to identify novel therapeutic targets for BD and analyze their pathophysiological mechanisms, using the summary data-based Mendelian Randomization (SMR) and Bayesian colocalization (COLOC) methods to integrate the summary-level data of the GWAS on BD and the expression quantitative trait locus (eQTL) study in blood. We utilized the GWAS data including 41,917 BD cases and 371,549 controls from the Psychiatric Genomics Consortium and the eQTL data from 31,684 participants of predominantly European ancestry from the eQTLGen consortium. The SMR analysis identified the EIF2B5 gene that was associated with BD due to no linkage but pleiotropy or causality. The COLOC analysis strongly suggested that EIF2B5 and the trait of BD were affected by shared causal variants, and thus were colocalized. Utilizing data in EpiGraphDB we find other putative causal BD genes (EIF2AK4 and GSK3B) to prioritize potential alternative drug targets.
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