Mutant ATRX: uncovering a new therapeutic target for glioma.

Mutant ATRX: uncovering a new therapeutic target for glioma.
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DOI:
10.1080/14728222.2018.1487953
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发表时间:
2018-07
影响因子:
5.8
通讯作者:
Castro MG
Castro MG
中科院分区:
医学2区
文献类型:
--
作者:
Haase S;Garcia-Fabiani MB;Carney S;Altshuler D;Núñez FJ;Méndez FM;Núñez F;Lowenstein PR;Castro MG

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ATRX是一种染色质重塑蛋白,其主要功能是组蛋白变体H3.3的沉积。ATRX突变广泛分布于胶质瘤中,并与端粒选择性延长(ALT)发育相关,但它们也影响与表观遗传调控相关的其他细胞功能。我们讨论了ATRX的主要分子特征,从其在正常发育中的各种功能到其在ATRX综合征患者和动物模型中丧失的影响。我们专注于ATRX突变在癌症中的显著后果,从临床到分子的角度,重点关注成人和儿童胶质瘤。最后,我们将讨论治疗机会和未来的研究前景。ATRX是多种细胞必需通路的主要组成部分,其功能超出了组蛋白伴侣的功能(如DNA复制与修复、染色质高阶结构调控、基因转录调控等)。然而,目前尚不清楚atrx缺失的癌细胞中这些功能的丧失如何影响癌症的发生和进展。随着ATRX的机制和分子研究才刚刚开始揭示该蛋白在癌症中的许多关键功能,我们预计胶质瘤和其他癌症类型将出现新的治疗方法和临床方法。
ATRX is a chromatin remodeling protein whose main function is the deposition of the histone variant H3.3. ATRX mutations are widely distributed in glioma, and correlate with alternative lengthening of telomeres (ALT) development, but they also affect other cellular functions related to epigenetic regulation. We discuss the main molecular characteristics of ATRX, from its various functions in normal development to the effects of its loss in ATRX syndrome patients and animal models. We focus on the salient consequences of ATRX mutations in cancer, from a clinical to a molecular point of view, focusing on both adult and pediatric glioma. Finally, we will discuss the therapeutic opportunities future research perspectives. ATRX is a major component of various essential cellular pathways, exceeding its functions as a histone chaperone (e.g., DNA replication and repair, chromatin higher-order structure regulation, gene transcriptional regulation, etc.). However, it is unclear how the loss of these functions in ATRX-null cancer cells affects cancer development and progression. We anticipate new treatments and clinical approaches will emerge for glioma and other cancer types as mechanistic and molecular studies on ATRX are only just beginning to reveal the many critical functions of this protein in cancer.
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