effects of progeria on immune system

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Deficiencies in DNA Damage Recognition and Repair in HGPS Cells:
Progeria causes chromatin perturbations, which result in the formation of DSBs (double-strand breaks) and abnormal DDR (DNA-damage response). Progerin may disrupt DDR pathways in HGPS cells. Progerin accumulation results in disruption of functions of some replication and repair factors, causing the mislocalization of XPA protein to the replication forks, replication fork stalling and, subsequently, DNA DSBs. The binding of XPA to the stalled forks excludes normal binding by repair proteins, leading to DSB accumulation, which actives ATM and ATR checkpoints, and arresting cell-cycle progression.
As mutant lamin proteins takeover the immune system, they sequester replication and repair factors, leading to "stalled replication forks, which collapse into DNA double-strand beaks (DSBs)." These DSBs bind to Xeroderma pigmentosum group A (XPA) protein, which replaces the usual binding by DNA DSB repair proteins. This compromised binding can signal activation of ATM and ATR, arresting cell cycle progression, contributing to arrested growth.
Rather than the recruitment of DSB repair proteins to DNA damage sites for repair as part of the damage response, nuclear foci of Rad50/Rad51 did no colocalize with the γ-H2AX foci in HGPS cells. Although all other elements of the damage response system such as the ATR and ATM checkpoints and Chk1 and Chk2, the critical components for repair of DNA DSBs and the resting of stalled replication forks, were not activated. Failure to recruit repair factors to DNA damage sites result in irreparable DNA damage in HGPS cells.
The binding of Xeroderma pigmentosum group A (XPA) protein to laminpathy-generated DSBs played a factor in the loss...

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... absence of insulin receptor gene rearrangement, which could account for the severe insulin resistance (ncbi.nlm.nih.gov).

Works Cited

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