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Why do genetic diseases affect certain tissues and not all tissues in the body? | Sagiv Shifman Lab

Why do genetic diseases affect certain tissues and not all tissues in the body?

1 November, 2022

Hereditary diseases are caused by genetic mutations that are passed from parents to offspring. Despite the genetic changes being present in all cells of the body, these diseases often affect specific tissues more prominently.

This phenomenon is observed in various conditions, including degenerative diseases of the central nervous system, vascular diseases, and autoimmune disorders. For example, in autism spectrum disorders, multiple genes related to autism have been identified, but these genes are involved in general biological pathways beyond just the development of the central nervous system.

The specific vulnerabilities of certain tissues in genetic diseases can be explained by several factors. One way to study the effects of gene mutations on specific cell types is through genetic scanning using CRISPR technology. This technology allows for the creation of mutations in specific genes and enables researchers to identify which genes are essential for cell survival.

In our recent study, we analyzed genetic scans that were conducted on 786 different cancer cell lines derived from 24 different tissues. Our study found that most genes essential for a specific tissue are not expressed in higher amounts in that tissue. Therefore, the expression level of a gene cannot solely explain its tissue-specific essentiality. However, it was observed that in tissues unaffected by the mutation, there is often a high expression of homologous genes (genes with a similar protein sequence), which may compensate for the mutation. For instance, the VRK1 gene, associated with developmental damage in the cerebellum, was found to be uniquely essential in nervous system cells. In contrast, the homologous gene VRK2 is expressed in cells from other tissues, potentially explaining why VRK1 is not essential in those tissues. Conversely, there are cases where the presence of a homologue in a cell can make the tissue more vulnerable to mutation due to protein interactions.

Furthermore, the study demonstrated that damage to genes involved in the processing of essential molecules, such as nucleic acids, does not significantly affect cell vitality in most tissues because neighboring cells can supply the missing molecules to impaired cells. However, these genes are essential in blood cells, which do not have the same level of interaction with neighboring cells.

When comparing the findings of the genetic scan to known diseases, it was observed that the genes identified as essential for specific tissues were more frequently associated with various diseases compared to genes essential for all cell types. This suggests that the mechanisms identified, including interactions with homologous genes, are general mechanisms that apply not only to cancer cell lines but also to cells in human tissues.

You can read the full article for more details:

https://academic.oup.com/genetics/article/222/3/iyac134/6692310?login=true