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Review

Potential epigenomic co-management in rare diseases and epigenetic therapy

Pages 752-780 | Received 07 Dec 2017, Accepted 11 Mar 2019, Published online: 11 May 2019
 

Abstract

The purpose of this review is to highlight the impact of the alternative splicing process on human disease. Epigenetic regulation determines not only what parts of the genome are expressed but also how they are spliced. The recent progress in the field of epigenetics has important implications for the study of rare diseases. The role of epigenetics in rare diseases is a key issue in molecular physiology and medicine because not only rare diseases can benefit from epigenetic research, but can also provide useful principles for other common and complex disorders such as cancer, cardiovascular, type 2 diabetes, obesity, and neurological diseases. Predominantly, epigenetic modifications include DNA methylation, histone modification, and RNA-associated silencing. These modifications in the genome regulate numerous cellular activities. Disruption of epigenetic regulation process can contribute to the etiology of numerous diseases during both prenatal and postnatal life. Here, I discuss current knowledge about this matter including some current epigenetic therapies and future directions in the field by emphasizing on the RNA-based therapy via antisense oligonucleotides to correct splicing defects.

Abbreviations

AD=

Alzheimer’s disease

ADCA-DN=

autosomal dominant cerebella ataxia, deafness and narcolepsy

AS=

alternative splicing

APP=

beta-amyloid precursor protein

CDKN1C=

cyclin-dependent kinase inhibitor 1C

CdLS=

Cornelia de Lange syndrome

CML=

chronic myelogenous leukemia

CNV=

copy number variation

CSR=

class switch recombination

DMIMs=

DNA-methylation-induced mutations

DMR=

differentially methylated region

DNMT=

DNA (cytosine-5)-methyltransferase

DNMT1=

DNA (cytosine-5)-methyltransferase 1

DNMT3=

DNA (cytosine-5)-methyltransferase 3 family

dsRNA=

double-stranded RNA

ERVs=

endogenous retroviruses

ERV9/LTR12=

one of the human endogenous retrovirus families mobilized during primate evolution

FDA=

US Food and Drug Administration

FoSTeS=

fork stalling and template switching

H19=

imprinting maternally expressed transcript (non-protein coding)

HDAC=

histone deacetylase

HDACi=

histone deacetylase inhibitors

HDAC6=

histone deacetylase 6

HDAC8=

histone deacetylase 8

HGprt=

hypoxanthine-guanine phosphoribosyltransferase

HGPS=

Hutchinson-Gilford progeria syndrome

HIV=

human immunodeficiency virus

hnRNPs=

heterogeneous nuclear ribonucleoproteins

HPRT1 gene=

hypoxanthine phosphoribosyltransferase 1 gene

HSAN1E=

hereditary sensory autonomic neuropathy type 1E

ICF syndrome=

immunodeficiency, centromere instability and facial anomalies

IGF2=

insulin-like growth factor 2

INDELS=

deletion followed by an insertion

KCNQ1=

potassium voltage-gated channel subfamily Q member 1

KCNQ1OT1=

KCVQ1-overlapping transcript 1

LINE-1=

long interspersed nuclear element 1

lncRNAs=

long noncoding RNAs

LND=

Lesch-Nyhan disease

LTRs=

long-terminal repeats

MeCP2=

methyl CpG binding protein

MET gene=

this gene encodes a member of the receptor tyrosine kinase family of proteins and the product of the proto-oncogene MET. Mutations in this gene or amplification and overexpression of this gene are associated with multiple human cancers

MIM=

Mendelian inheritance in man

miRNAs=

microRNAs

mRNA=

messenger RNA

NAHR=

non-allelic homologous recombination

ncRNAs=

noncoding RNAs

NHEJ=

non-homologous end-joining

NIH=

National Institutes of Health

NSD1=

nuclear receptor binding SET domain protein 1 p300/CBP: p300-CBP coactivator family, composed of p300 (also called EP300 or E1A binding protein p300) and CBP (also known as CREB-binding protein or CREBP)

PGCs=

primordial germ cells

piRNAs=

piwi-interacting RNAs

RAG complex=

products of the recombination-activating genes

RISC=

RNA-induced silencing complex

RNase H=

ribonuclease H

RTS=

Rubinstein-Taybi syndrome

RTT=

Rett syndrome

SAHA=

suberoylanilide hydroxamic acid

siRNAs=

short interfering RNAs

snRNAs=

small nuclear RNAs

SNPs=

single nucleotide polymorphisms

snRNP=

small nuclear ribonucleoprotein

SR=

serine and arginine rich protein

SRS=

serial replication slippage

TE=

transposable element

TINATs=

transcription of non-annotated TSSs

TSA=

trichostatin A

TSS=

transcription start site

VPA=

valproic acid

VDJ recombination=

VDJ recombination is the process by which T cells and B cells randomly assemble different gene segments known as variable (V), diversity (D), and joining (J) genes in order to generate unique receptors (known as antigen receptors) that can collectively recognize many different types of molecules

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