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Awazawa M. Exploring regulatory network of metabolism through liver research. Diabetol Int 2021; 12:343-8. [PMID: 34567916 DOI: 10.1007/s13340-021-00536-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 08/20/2021] [Indexed: 10/20/2022]
Abstract
In recent years, the techniques in molecular biology have been dramatically advanced, and consequently the landscape of metabolism research has undergone a remarkable change. One of the emerging pictures as the fruits of these advancements is one depicting the regulation of systemic metabolism through inter-organ networks involving multiple tissues, either via humoral factors, which are secreted from one tissue and conveyed to their remote target tissues, or through neuronal networks which are integrated by the central nervous system. In addition, the progress in high-throughput research tools enabled detailed characterization and deeper understanding of the nature of human genome, which has attracted much attention to the importance of various non-coding RNAs species. These non-coding RNAs are often co-expressed and co-regulated with adjacent protein coding genes, adding higher levels of complexities by them functioning together as a system and often influencing biologically important pathways in a cooperative manner. Here in this review several examples of these regulatory network systems are presented, illustrating the significance of them in systemic metabolism, with a possible future research direction also being proposed.
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Körber L, Schneider H, Fleischer N, Maier-Wohlfart S. No evidence for preferential X-chromosome inactivation as the main cause of divergent phenotypes in sisters with X-linked hypohidrotic ectodermal dysplasia. Orphanet J Rare Dis 2021; 16:98. [PMID: 33622384 PMCID: PMC7901220 DOI: 10.1186/s13023-021-01735-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 02/09/2021] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND X-linked hypohidrotic ectodermal dysplasia (XLHED), a rare genetic disorder, affects the normal development of ectodermal derivatives, such as hair, skin, teeth, and sweat glands. It is caused by pathogenic variants of the gene EDA and defined by a triad of hypotrichosis, hypo- or anodontia, and hypo- or anhidrosis which may lead to life-threatening hyperthermia. Although female carriers are less severely affected than male patients, they display symptoms, too, with high phenotypic variability. This study aimed to elucidate whether phenotypic differences in female XLHED patients with identical EDA genotypes might be explained by deviating X-chromosome inactivation (XI) patterns. METHODS Six families, each consisting of two sisters with the same EDA variant and their parents (with either mother or father being carrier of the variant), participated in this study. XLHED-related data like sweating ability, dental status, facial dysmorphism, and skin issues were assessed. We determined the women`s individual XI patterns in peripheral blood leukocytes by the human androgen receptor assay and collated the results with phenotypic features. RESULTS The surprisingly large inter- and intrafamilial variability of symptoms in affected females was not explicable by the pathogenic variants. Our cohort showed no higher rate of nonrandom XI in peripheral blood leukocytes than the general female population. Furthermore, skewed XI patterns in favour of the mutated alleles were not associated with more severe phenotypes. CONCLUSIONS We found no evidence for preferential XI in female XLHED patients and no distinct correlation between XLHED-related phenotypic features and XI patterns. Phenotypic variability seems to be evoked by other genetic or epigenetic factors.
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Affiliation(s)
- Laura Körber
- Center for Ectodermal Dysplasias and Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany
| | - Holm Schneider
- Center for Ectodermal Dysplasias and Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany
| | | | - Sigrun Maier-Wohlfart
- Center for Ectodermal Dysplasias and Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany.
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Wohlfart S, Meiller R, Hammersen J, Park J, Menzel-Severing J, Melichar VO, Huttner K, Johnson R, Porte F, Schneider H. Natural history of X-linked hypohidrotic ectodermal dysplasia: a 5-year follow-up study. Orphanet J Rare Dis 2020; 15:7. [PMID: 31924237 PMCID: PMC6954509 DOI: 10.1186/s13023-019-1288-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Accepted: 12/24/2019] [Indexed: 02/07/2023] Open
Abstract
Background X-linked hypohidrotic ectodermal dysplasia (XLHED) is caused by pathogenic variants of the gene EDA disrupting the prenatal development of ectodermal derivatives. Cardinal symptoms are hypotrichosis, lack of teeth, and hypo- or anhidrosis, but the disease may also evoke other clinical problems. This study aimed at investigating the clinical course of XLHED in early childhood as the basis for an evaluation of the efficacy of potential treatments. Methods 25 children (19 boys and 6 girls between 11 and 35 months of age) with genetically confirmed XLHED were enrolled in a long-term natural history study. Clinical data were collected both retrospectively using parent questionnaires and medical records (pregnancy, birth, infancy) and prospectively until the age of 60 months. General development, dentition, sweating ability, ocular, respiratory, and skin involvement were assessed by standardized clinical examination and yearly quantitative surveys. Results All male subjects suffered from persistent anhidrosis and heat intolerance, although a few sweat ducts were detected in some patients. Sweating ability of girls with XLHED ranged from strongly reduced to almost normal. In the male subjects, 1–12 deciduous teeth erupted and 0–8 tooth germs of the permanent dentition became detectable. Tooth numbers were higher but variable in the female group. Most affected boys had no more than three if any Meibomian glands per eyelid, most girls had fewer than 10. Many male subjects developed additional, sometimes severe health issues, such as obstructive airway conditions, chronic eczema, or dry eye disease. Adverse events included various XLHED-related infections, unexplained fever, allergic reactions, and retardation of psychomotor development. Conclusions This first comprehensive study of the course of XLHED confirmed the early involvement of multiple organs, pointing to the need of early therapeutic intervention.
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Affiliation(s)
- Sigrun Wohlfart
- Center for Ectodermal Dysplasias & Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany.
| | - Ralph Meiller
- Department of Ophthalmology, University of Erlangen-Nürnberg, Erlangen, Germany
| | - Johanna Hammersen
- Center for Ectodermal Dysplasias & Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany
| | - Jung Park
- Center for Ectodermal Dysplasias & Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany
| | | | - Volker O Melichar
- Center for Ectodermal Dysplasias & Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany
| | | | | | | | - Holm Schneider
- Center for Ectodermal Dysplasias & Department of Pediatrics, University Hospital Erlangen, Loschgestr. 15, 91054, Erlangen, Germany
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Park JS, Ko JM, Chae JH. Novel and Private EDA Mutations and Clinical Phenotypes of Korean Patients with X-Linked Hypohidrotic Ectodermal Dysplasia. Cytogenet Genome Res 2019; 158:1-9. [PMID: 31129666 DOI: 10.1159/000500214] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2018] [Indexed: 11/19/2022] Open
Abstract
X-linked hypohidrotic ectodermal dysplasia (XLHED; OMIM 305100) is the most common form of ectodermal dysplasia, presenting with the triad of hypotrichosis, hypodontia, and hypohidrosis. This disorder is caused by mutations in EDA, which encodes ectodysplasin A, a member of the tumor necrosis factor superfamily. In this study, we describe clinical and genetic characteristics of 10 Korean XLHED patients (9 males, 1 female) from 9 families. Nine out of the 10 patients manifested the cardinal triad of symptoms. Six patients had a positive family history, while 2 patients were brothers. The most common initial presentation was hypotrichosis or hypodontia, while 1 patient presented with recurrent high fever in early infancy. Sanger sequencing of the EDA gene was performed and revealed 9 different mutations. Three had been reported previously, and 6 were novel mutations. One female patient, carrying a previously reported missense mutation, might be affected by skewed X-inactivation. This is the first observational study investigating genetically confirmed XLHED patients in Korea. To provide appropriate supportive care and genetic counseling, clinicians should consider the possibility of XLHED in the differential diagnosis of recurrent fever in infants, as well as recognize the typical triad of symptoms.
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Li S, Zhou J, Zhang L, Li J, Yu J, Ning K, Qu Y, He H, Chen Y, Reinach PS, Liu C, Liu Z, Li W. Ectodysplasin A regulates epithelial barrier function through sonic hedgehog signalling pathway. J Cell Mol Med 2018; 22:230-240. [PMID: 28782908 PMCID: PMC5742694 DOI: 10.1111/jcmm.13311] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Accepted: 06/16/2017] [Indexed: 11/30/2022] Open
Abstract
Ectodysplasin A (Eda), a member of the tumour necrosis factor superfamily, plays an important role in ectodermal organ development. An EDA mutation underlies the most common of ectodermal dysplasias, that is X-linked hypohidrotic ectodermal dysplasia (XLHED) in humans. Even though it lacks a developmental function, the role of Eda during the postnatal stage remains elusive. In this study, we found tight junctional proteins ZO-1 and claudin-1 expression is largely reduced in epidermal, corneal and lung epithelia in Eda mutant Tabby mice at different postnatal ages. These declines are associated with tail ulceration, corneal pannus formation and lung infection. Furthermore, topical application of recombinant Eda protein markedly mitigated corneal barrier dysfunction. Using cultures of a human corneal epithelial cell line and Tabby mouse skin tissue explants, Eda up-regulated expression of ZO-1 and claudin-1 through activation of the sonic hedgehog signalling pathway. We conclude that EDA gene expression contributes to the maintenance of epithelial barrier function. Such insight may help efforts to identify novel strategies for improving management of XLHED disease manifestations in a clinical setting.
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Affiliation(s)
- Sanming Li
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Jing Zhou
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Liying Zhang
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Juan Li
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Jingwen Yu
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Ke Ning
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Yangluowa Qu
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Hui He
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | - Yongxiong Chen
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
| | | | - Chia‐Yang Liu
- School of Optometry BloomingtonIndiana University BloomingtonBloomingtonINUSA
| | - Zuguo Liu
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
- Xiamen University affiliated Xiamen Eye CenterXiamenFujianChina
| | - Wei Li
- Eye Institute of Xiamen UniversityXiamenFujianChina
- Medical College of Xiamen UniversityXiamenFujianChina
- Fujian Provincial Key Laboratory of Ophthalmology and Visual ScienceXiamenFujianChina
- Xiamen University affiliated Xiamen Eye CenterXiamenFujianChina
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Li S, Zhou J, Bu J, Ning K, Zhang L, Li J, Guo Y, He X, He H, Cai X, Chen Y, Reinach PS, Liu Z, Li W. Ectodysplasin A protein promotes corneal epithelial cell proliferation. J Biol Chem 2017; 292:13391-13401. [PMID: 28655773 DOI: 10.1074/jbc.m117.803809] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Indexed: 11/06/2022] Open
Abstract
The EDA gene encodes ectodysplasin A (Eda), which if mutated causes X-linked hypohidrotic ectodermal dysplasia (XLHED) disease in humans. Ocular surface changes occur in XLHED patients whereas its underlying mechanism remains elusive. In this study, we found Eda was highly expressed in meibomian glands, and it was detected in human tears but not serum. Corneal epithelial integrity was defective and the thickness was reduced in the early postnatal stage of Eda mutant Tabby mice. Corneal epithelial cell proliferation decreased and the epithelial wound healing was delayed in Tabby mice, whereas it was restored by exogenous Eda. Eda exposure promoted mouse corneal epithelial wound healing during organ culture, whereas scratch wound assay showed that it did not affect human corneal epithelial cell line migration. Epidermal growth factor receptor (EGFR), phosphorylated EGFR (p-EGFR), and phosphorylated ERK1/2 (p-ERK) were down-regulated in Tabby mice corneal epithelium. Eda treatment up-regulated the expression of Ki67, EGFR, p-EGFR, and p-ERK in human corneal epithelial cells in a dose-dependent manner. In conclusion, Eda protein can be secreted from meibomian glands and promotes corneal epithelial cell proliferation through regulation of the EGFR signaling pathway. Eda release into the tears plays an essential role in the maintenance of corneal epithelial homeostasis.
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Affiliation(s)
- Sanming Li
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Jing Zhou
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Jinghua Bu
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Ke Ning
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Liying Zhang
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Juan Li
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Yuli Guo
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Xin He
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Hui He
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Xiaoxin Cai
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | - Yongxiong Chen
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and
| | | | - Zuguo Liu
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102.,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and.,the Xiamen University affiliated Xiamen Eye Center, Xiamen, Fujian 361000
| | - Wei Li
- From the Eye Institute of Xiamen University, Xiamen, Fujian 361102, .,the Medical College of Xiamen University, Xiamen, Fujian 361102.,the Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian 361102, and.,the Xiamen University affiliated Xiamen Eye Center, Xiamen, Fujian 361000
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