The Genetics and Epigenetics of Facioscapulohumeral Muscular Dystrophy

Facioscapulohumeral muscular dystrophy (FSHD), a progressive myopathy that afflicts individuals of all ages, provides a powerful model of the complex interplay between genetic and epigenetic mechanisms of chromatin regulation. FSHD is caused by dysregulation of a macrosatellite repeat, either by con...

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Veröffentlicht in:Annual review of genomics and human genetics 2019-08, Vol.20 (1), p.265-291
Hauptverfasser: Himeda, Charis L, Jones, Peter L
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description Facioscapulohumeral muscular dystrophy (FSHD), a progressive myopathy that afflicts individuals of all ages, provides a powerful model of the complex interplay between genetic and epigenetic mechanisms of chromatin regulation. FSHD is caused by dysregulation of a macrosatellite repeat, either by contraction of the repeat or by mutations in silencing proteins. Both cases lead to chromatin relaxation and, in the context of a permissive allele, aberrant expression of the DUX4 gene in skeletal muscle. DUX4 is a pioneer transcription factor that activates a program of gene expression during early human development, after which its expression is silenced in most somatic cells. When misexpressed in FSHD skeletal muscle, the DUX4 program leads to accumulated muscle pathology. Epigenetic regulators of the disease locus represent particularly attractive therapeutic targets for FSHD, as many are not global modifiers of the genome, and altering their expression or activity should allow correction of the underlying defect.
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subjects Chromatin
Chromatin - chemistry
Chromosomal Proteins, Non-Histone - genetics
Chromosomal Proteins, Non-Histone - metabolism
Chromosomes, Human, Pair 4
Contraction
CRISPR-Cas Systems
DNA (Cytosine-5-)-Methyltransferases - genetics
DNA (Cytosine-5-)-Methyltransferases - metabolism
DNA Methylation
DNA Methyltransferase 3B
DUX4
Epigenesis, Genetic
Epigenetics
facioscapulohumeral muscular dystrophy
FSHD
Gene Editing
Gene expression
Genetic Loci
Genome, Human
Genomes
Homeodomain Proteins - genetics
Homeodomain Proteins - metabolism
Humans
Muscle, Skeletal - metabolism
Muscle, Skeletal - pathology
Muscular dystrophy
Muscular Dystrophy, Facioscapulohumeral - classification
Muscular Dystrophy, Facioscapulohumeral - genetics
Muscular Dystrophy, Facioscapulohumeral - metabolism
Muscular Dystrophy, Facioscapulohumeral - pathology
Musculoskeletal system
Mutation
Myopathy
Severity of Illness Index
Skeletal muscle
Somatic cells
Therapeutic applications
title The Genetics and Epigenetics of Facioscapulohumeral Muscular Dystrophy
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