What Is Progeria?
Progeria was first described in the nineteenth century. The mysterious disease is often thought of as premature aging.
Children with progeria are normal for their first year of life, but then develop medical problems normally seen in the elderly.
Their bones weaken. Their skin wrinkles. They lose their hair. They die from heart attacks or strokes brought on by hardened arteries and high blood pressure. None lives past their early teens.
In 2003, researchers discovered what causes progeria: a genetic point mutation. That means that when genes are being copied to make egg or sperm, just one position in one DNA strand is copied wrong. It is like copying a pancake recipe and replacing baking powder with salt. The pancake is not going to rise.
For children with progeria, the gene that encodes lamin A, a protein in the cell’s nucleus, is faulty. When the lamin A protein is normally made, a chemical piece called farnesyl is lopped off. In the progeria cell, the farnesyl stays attached. The mutant protein remains sticky and piles up in the nucleus, altering the cell’s function.
Progeria research is moving in two complementary directions. Some scientists are working to find treatments for the disease with anti cancer, cholesterol lowering, bone strengthening, and immune suppressing drugs. Others are interested in progeria’s similarity to aging.
Progeria like changes have been found in unaffected older people’s skin cells. A protein called prelamin A, which is similar to the mutant protein, increases at low levels and may contribute to hardening of the arteries and other problems that come with aging.
Though progeria is extremely rare, it may in fact hold the key to aging in all individuals.
什么是兒童早衰癥?
最早記載的兒童早衰癥發(fā)生在19世紀(jì)。人們通常認(rèn)為這種神秘的疾病是過(guò)早衰老。
患有早衰癥的兒童一歲之前都非常正常,但之后他們會(huì)患上通常老年人才會(huì)罹患的疾病。
他們的骨骼變得脆弱,皮膚變得松弛,頭發(fā)脫落。他們會(huì)死于由動(dòng)脈硬化以及高血壓引發(fā)的心臟病或中風(fēng)。沒(méi)有患者能夠活過(guò)少年早期。
2003年,研究者發(fā)現(xiàn)了少年早衰癥的病因:基因點(diǎn)突變。這表示當(dāng)基因復(fù)制形成卵細(xì)胞和精子時(shí),DNA單鏈上的某處的復(fù)制出現(xiàn)錯(cuò)誤。這就好像你照著食譜做煎餅,卻把鹽錯(cuò)當(dāng)發(fā)酵粉用。煎餅當(dāng)然發(fā)不起來(lái)。
患有早衰癥的兒童體內(nèi)編譯核纖層蛋白A(細(xì)胞核內(nèi)的一種蛋白質(zhì))的基因出現(xiàn)了錯(cuò)誤。當(dāng)核纖層蛋白A被正常編譯時(shí),人體內(nèi)一種名叫法呢基的化學(xué)物質(zhì)會(huì)從細(xì)胞 核內(nèi)脫落。而在早衰細(xì)胞中,這種化學(xué)物質(zhì)仍然附著在細(xì)胞核上。發(fā)生突變的蛋白質(zhì)黏著、堆積在細(xì)胞核內(nèi),從而影響了細(xì)胞的功能。
對(duì)兒童早衰癥的研究已經(jīng)開始往兩個(gè)互補(bǔ)的方向發(fā)展。一些科學(xué)家通過(guò)對(duì)抗癌藥、降脂藥、健骨藥、免疫抑制藥的研究,努力尋找治療該疾病的方法。另一些科學(xué)家則對(duì)早衰癥與自然老化的相似性很感興趣。
科學(xué)家發(fā)現(xiàn),在一些未患早衰癥的老年人的皮膚細(xì)胞中也出現(xiàn)了類似早衰癥的變化。在這些細(xì)胞內(nèi),一種叫做前層細(xì)胞A的蛋白質(zhì)與發(fā)生突變的蛋白質(zhì)相似,其數(shù)量以較慢的速度增加。這種蛋白可能會(huì)導(dǎo)致骨骼脆弱以及其他老化所帶來(lái)的問(wèn)題。