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Gene & Protein in Disease                                        Stress-induced epigenetics of the DRD2 gene



            6. Effector moieties                               in SUD. Numerous associations and interventional studies
                                                               demonstrate that epigenetic mechanisms are responsible
            The  effector  moieties  are  molecules  that  selectively  bind   for the complex regulation of dopamine homeostasis,
            to  proteins  to  modify  their  biological  activities.  These   particularly concerning the expression of the  DRD2
            molecules, essentially ligands, can modify enzyme activity,   gene. Epigenetic regulatory mechanisms (i.e.,  histone
            genomic activity, cell signaling, and other protein functions.    modifications,  ncRNA,  and  DNA  methylation)  interact
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            While identifying epigenetic-induced post-transcriptional   in an orchestrated fashion to establish phenotypes
            methylation or  acetylation on  chromosome  histones  is   influenced  by  genetic  background  (e.g.,  the  presence  of
            crucial, one of the first and most successful effector moieties   mutations) and environmental factors (e.g., the presence
            in editing transcriptional activator domains was VP64,   of active compounds from drugs, alcohol, and tobacco).
            which is derived from the herpes simplex virus. VP64   Importantly, these interactions occur in a tissue- and cell-
            recruits RNA polymerase ll directly for gene-targeted   specific manner. Hence, a detailed mapping of epigenetic
            transcriptional activation.  It is now understood that by   modifications across various presentations of SUD
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            targeting VP64 to the promoter region of a single gene   will enable the understanding of the precise regulatory
                                               149
            using DNA-binding  domains such  as  ZFP,   TALE, 150,151    mechanisms involved in each case and identify potential
            or CRISPR/dCas9,  laboratories can consistently induce   targets for therapeutic interventions.
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            transcription of targeted genes in vitro and even in vivo. 153,154
                                                                 The utilization of effector moieties emerges as a promising
              Furthermore, to attain bidirectional control over   intervention.  However,  caution  is  warranted  due  to  the
            gene expression, the suppression of endogenous genes is   pleiotropic effects of epigenetic modifiers (e.g.,  DNMTs,
            typically achieved using  KRAB effector moieties. KRAB   HDACs, and HTAs), and systemic inactivation of these
            represents  a  transcriptional  repression  domain  present   enzymes  may  lead  to  undesirable  side  effects,  hindering
            in  human  zinc  finger  transcription  factors.  It  functions   their clinical translation. Further research is needed to
            by recruiting heterochromatin-forming complexes that   elucidate mechanisms for cell-specific activation or delivery
            subsequently deposit H3K9me3 repressive marks, resulting   of the effector moieties to mitigate side effects. Moreover,
            in transcriptional suppression.  Similar to VP64, the   given that prenatal SUD may impact offspring health,
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            KRAB  domain  modifies  the  epigenome  by  enlisting  the   mechanistic and interventional studies are imperative to
            secondary factors rather than utilizing enzymatic activity.   determine and target epigenetic modifications, aiming to
            In addition, promoter-  or enhancer-targeted KRAB has   mitigate the effects of prenatal SUD on fetal health.
            been used in cell culture and in the brain. 156,157  In addition,
            research has identified specific transcription factors and   8. Summary
            epigenetic readers, erasers, and writers associated with the   SUD often entails persistent behavioral abnormalities
            addiction pathogenesis. More recently, a number of effector   observed in susceptible individuals following repeated
            moieties have been developed for neuroepigenetic editing.   exposure to psychoactive drugs of abuse. The enduring
            These effector moieties include DNA-modifying enzymes   nature of these behavioral alterations suggests potential
            such as DNMT3A (responsible for CpG methylation). 158,159    long-lasting changes in gene expression within specific
            and TET1 (which catalyzes hydroxymethylation of    brain regions, which may contribute to the addiction
            CpG). 160,161  They also encompass proteins involved in   phenotype. Advanced research over the past decade
            regulating histone PTMs such as NFκB subunit p65   has revealed the pivotal involvement of epigenetic
            (which recruits HATs to acetylate core histones).  histone   mechanisms in orchestrating lasting alterations, whether
                                                  162
            methyltransferase G9a (which catalyzes H3K9me2), 162,163    positive  or  negative,  in  gene  expression  across  various
            p300 HAT (which acetylates all four core histones),    tissues, particularly in the brain. This understanding has
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            Sin3-interaction domain (which recruits HDACs), 165,166    spurred investigations aimed at elucidating the impact of
            lysine-specific demethylase 1 (which demethylates H3K4   epigenetic regulatory processes in mediating the enduring
            and  H3K9),   PRDM9  (which  methylates  H3K4  and   effects of psychoactive substances of abuse on the brain,
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            H3K36),  and DOT1L (which methylates H3K79). 169,170    predominantly using  animal  models  of drug  addiction.
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            Furthermore, transcription factors such as CREB have   However, more recently, human neuroepigenetic research
            also been utilized, thus mimicking known mechanisms of   has been rapidly emerging. Compelling evidence indicates
            transcriptional regulation. 171                    that repeated exposure to drugs of abuse induces alterations
            7. Research outlook in epigenetics of SUD          within the brain’s reward regions through three primary
                                                               modes of epigenetic regulation: Histone modifications
            The evidence presented in this commentary strongly   such as acetylation and methylation, DNA methylation,
            indicates the significant role of epigenetic (mis) regulation   and ncRNAs. In this commentary, our focus lies on


            Volume 3 Issue 1 (2024)                         11                       https://doi.org/10.36922/gpd.1966
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