Figure modified from reference 1.
In this recent paper on memory loss [2], the authors wanted to look at what causes age-related memory loss and how it differs, if indeed it does differ, from Alzheimer’s disease. Previous studies have suggested that Alzheimer’s primarily affects an area of the hippocampus called the entorhinal cortex. In contrast, normal ageing (which is also associated with memory loss) involves changes in a different part of the hippocampus – the dentate gyrus [3]. With this in mind, the authors took brain tissue from post-mortem samples of healthy people to look for differences between the entorhinal cortex and the dentate gyrus. They looked at changes in gene expression that were associated with age by measuring how much of each gene was being expressed in each brain region and matching expression level to the age of the person. One difference they saw was in the dentate gyrus, which showed a large, age-related decrease in the expression of an enzyme (RbAp48) that modifies histone proteins. These, remember, provide a scaffold for DNA and help to determine which genes are accessible and which are archived. This finding suggested that age-related memory loss may not be the result of a person having a defective gene, but rather the result of incorrect genetic archiving. As is usual in this kind of study, they turned to a mouse model to look at this enzyme in more detail. By breeding mice unable to make RbAp48, they were able to show that this enzyme is necessary for normal memory: mice lacking RbAp48 performed worse on memory tests (navigating a maze or recognising an unfamiliar object). As mice get older, their memory appears to deteriorate based on tests like this, and mice lacking RbAp48 experienced this deterioration at a younger age than mice with normal levels of RbAp48. When looking at human brains, the decrease in RbAp48 wasn’t seen in the area of the brain associated with Alzheimer’s disease, suggesting that age-related memory loss has a unique starting point and is not just an early sign of Alzheimer’s. This could have important consequences in the future for diagnostics.
The more we learn about epigenetics, the more obvious it becomes that there is more to go wrong than we thought. You not only need the right genes, but you need the right control mechanisms in place to make sure have the right amount of each gene in each cell at all times throughout life. At the same time, we know that most people manage this, reflecting the amazing robustness of the system. Increasing our understanding of these control mechanisms has implications for treatment too. By looking at the underlying cause of a disease, we can treat it more effectively. This has been going on for decades in infection research, but may be applied more to other diseases in the future. For example, two patients presenting with fever and breathing difficulties will be tested for pneumonia. One may have a fungal infection and the other a bacterial infection. These need to be treated very differently, but only a knowledge of the underlying cause can tell us how to treat each patient. Similarly, treatment may be very different for someone lacking a gene completely compared with someone who has the gene in an inaccessible place. Both patients would have the same symptoms, but an analysis of the underlying causes could completely change the nature of the treatment. It is this sort of personalised diagnosis that could help to provide the right treatment for a patient; which would not only help the patient recover more quickly, but could also help to reduce the amount of money wasted on ineffective treatments.
*There are a few notable exceptions. Red blood cells have no nucleus and contain no genetic DNA. Egg/sperm cells have half the amount of DNA as the rest of your cells to make sure an embryo has the correct amount after fusion.
Jargon box
Histone: a type of protein used as a scaffold for DNA. DNA molecules wind themselves around histones to reduce the amount of space needed to house the genome.
Phenotype: observable characteristics of an organism from visible traits e.g. hair colour to cellular traits e.g. cell shape or structure.
References
1) Dolinoy et al. Maternal nutrient supplementation counteracts bisphenol A-induced DNA hypomethylation in early development. Proc Natl Acad Sci U S A. (2007) 104 (32): 13056–13061. Link. OPEN ACCESS!
2) Pavlopoulos et al. Molecular Mechanism for Age-Related Memory Loss: The Histone-Binding Protein RbAp48. Science Translational Medicine (2013) 200 (5): 200. Link.
3) Small et al. A pathophysiological framework of hippocampal dysfunction in ageing and disease. Nat. Rev. Neurosci. (2011) 12: 585–601. Link. OPEN ACCESS!