Hutchinson-Gilford Progeria Syndrome: A Premature Aging Disease

Mol Neurobiol. 2018 May;55(5):4417-4427. doi: 10.1007/s12035-017-0610-7. Epub 2017 Jun 28.

Abstract

Progeria is sporadic, very rare, autosomal dominant, deadly childhood disorder. It is one of the progeroid syndromes also known as Hutchinson-Gilford progeria syndrome (HGPS). Aging is a developmental process that begins with fertilization and ends up with death involving a lot of environmental and genetic factors. The disease firstly involves premature aging and then death from complications of atherosclerosis such as myocardial infarction, stroke, atherosclerosis, or heart failure. The lifespan of the patient is normally up to teen age or early twenties. It is usually not inherited because a patient normally dies before the age of reproduction. The most important genetic linkage between progeria and aging is shortening of telomere ends with each replication cycle. The patients are normally observed to have extremely short telomeres. Currently, 90% of the patients are said to have de novo point mutations in the LMNA gene that substitute cytosine with thymine and have been found in individuals with HGPS. Lmna encodes lamins A and C, and the A-type lamins have important structural function in the nuclear envelope. The most common type of HGPS mutation is located at codon 608 (G608G). It could not be diagnosed at birth, but after the age of 2 years, visible, prominent symptoms can be observed. Still, lot of research is needed to solve this mystery; hopefully, future research on HGPS would provide important clues for progeria and other fatal age-related disorders.

Keywords: Aging; Damaged DNA repair; LMNA gene; Progeria.

Publication types

  • Review

MeSH terms

  • Aging, Premature / epidemiology
  • Aging, Premature / pathology*
  • Aging, Premature / physiopathology
  • Genetic Predisposition to Disease
  • Humans
  • Inheritance Patterns / genetics
  • Prenatal Diagnosis
  • Progeria / epidemiology
  • Progeria / genetics
  • Progeria / pathology*
  • Progeria / physiopathology