Cancer L1 activity has been observed in numerous types of
cancers, with particularly extensive insertions found in colorectal and lung cancers. It is currently unclear if these insertions are causes or secondary effects of cancer progression. However, at least two cases have found somatic L1 insertions causative of cancer by disrupting the coding sequences of genes
APC and
PTEN in colon and
endometrial cancer, respectively. Furthermore, less invasive blood assays for L1 copy number or methylation levels are indicative of breast or bladder cancer progression and may serve as methods for early detection.
Neuropsychiatric disorders Higher L1 copy numbers have been observed in the human
brain compared to other organs. Studies of animal models and human cell lines have shown that L1s become active in neural progenitor cells (NPCs), and that experimental deregulation of or overexpression of L1 increases somatic
mosaicism. This phenomenon is negatively regulated by
Sox2, which is downregulated in NPCs, and by
MeCP2 and methylation of the L1 5' UTR. Human cell lines modeling the neurological disorder
Rett syndrome, which carry MeCP2 mutations, exhibit increased L1 transposition, suggesting a link between L1 activity and neurological disorders. L1s are also highly expressed in octopus brain, suggesting a convergent mechanism in complex cognition.
Retinal disease Increased RNA levels of
Alu, which requires L1 proteins, are associated with a form of age-related
macular degeneration, a neurological disorder of the
eyes. The naturally occurring mouse retinal degeneration model rd7 is caused by an L1 insertion in the
Nr2e3 gene.
COVID-19 In 2021, a study proposed that L1 elements may be responsible for potential
endogenisation of the
SARS-CoV-2 genome in
Huh7 mutant cancer cells, which would possibly explain why some patients test PCR positive for SARS-CoV-2 even after clearance of the virus. These results however have been criticized as "mechanistically plausible but likely very rare", misleading and infrequent or artefactual. == See also ==