So what are the differences between an early onset genetic disorder e.g. a Lysomal Storage Disorder and a late onset genetic disorder?
We would assume the early onset disorder was there since birth and was a genetic defect in the zygote but the late onset genetic disorder could be a result
of damage.
Indeed. An early onset genetic disorder would likely be inherited or through a spontaneous mutation during embryonic development whereas similar late-onset symptoms might be a result of a stochastically tripped epigenetic events relating to environmental exposures, through chemically induced damage, a loss in functionality simply due to the loss in genomic plasticity with time (i.e. some gene products are simply switched off through regulatory mechanisms and don't have equivelent mechanisms for being turned back on) or more likely, a combination of all of these. This epigenetic damage would be in the same neighborhood of the gene products affected by the inherited polymorphism(s).
If you took a sample of tissue effected by the late onset disorder would you find that every cell within that tissue has the same problem or that some of those cells do and some don't?
It probably varies considerably. Cell division is one way for chromatin damage to spread and the obvious example is cancer. Environmental, errant signaling, viruses, hyperimmune responses, circulating toxins, prions etc. could also cause like lateral damage to non dividing cells.
In my guess it would based on the progression of the disease. e.g. early on 10% of the cells with have the genetic dysfunction and 90% would have normal metabolism. The 10% percentage grows and the 90% shrinks until we have organ failure.
I suspect that all cells are accumulating chromatin damage and some accumulate enough of the same type to mimic genetic ailments. For those with a genetic predisposition to experiencing this damage at a lower threshold will do so in a more significant manner and at a younger age. Redundancy, damage repair, immune, apoptosis, stem cell renewal and damage clearance mechanisms keep damage at bay but when these pathways also wear out you see the disease phenotypes emerge.
If this turns out to be the case then a viable anti-aging strategy would be to target phenotypes at the epigenetic level. Efficacy and stage of intervention would improve as researchers discover more precise candidate gene products and biomarkers to screen for them.
I've got this book on my radar but I've already got a stack to digest, not to mention that I'm going broke buying all these books
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Chromatin and Disease