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A cascade leading to premature aging phenotypes including abnormal tumor profiles in Werner syndrome (review).
[werner syndrome]
This
perspective
review
focused
on
the
Werner
syndrome
(
WS
)
by
addressing
the
issue
of
how
a
single
mutation
in
a
WRN
gene
encoding
WRN
DNA
helicase
induces
a
wide
range
of
premature
aging
phenotypes
accompanied
by
an
abnormal
pattern
of
tumors
.
The
key
event
caused
by
WRN
gene
mutation
is
the
dysfunction
of
telomeres
.
Studies
on
normal
aging
have
identified
a
molecular
circuit
in
which
the
dysfunction
of
telomeres
caused
by
cellular
aging
activates
the
TP
53
gene
.
The
resultant
p
53
suppresses
cell
growth
and
induces
a
shorter
cellular
lifespan
,
and
also
compromises
mitochondrial
biogenesis
leading
to
the
overproduction
of
reactive
oxygen
species
(
ROS
)
causing
multiple
aging
phenotypes
.
As
an
analogy
of
the
mechanism
in
natural
aging
,
we
described
a
hypothetical
mechanism
of
premature
aging
in
WS
:
telomere
dysfunction
induced
by
WRN
mutation
causes
multiple
premature
aging
phenotypes
of
WS
,
including
shortened
cellular
lifespan
and
inflammation
induced
by
ROS
,
such
as
diabetes
mellitus
.
This
model
also
explains
the
relatively
late
onset
of
the
disorder
,
at
approximately
age
20
.
Telomere
dysfunction
in
WS
is
closely
correlated
with
abnormality
in
tumorigenesis
.
Thus
,
the
majority
of
wide
and
complex
pathological
phenotypes
of
WS
may
be
explained
in
a
unified
manner
by
the
cascade
beginning
with
telomere
dysfunction
initiated
by
WRN
gene
mutation
.
Diseases
Validation
Diseases presenting
"complex pathological phenotypes"
symptom
werner syndrome
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