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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
"diabetes mellitus"
symptom
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
child syndrome
cholangiocarcinoma
cohen syndrome
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cystinuria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
malignant atrophic papulosis
neuralgic amyotrophy
pyomyositis
sneddon syndrome
typhoid
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated