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1.
Mol Cell ; 82(3): 598-615.e8, 2022 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-34998453

RESUMO

An increasing number of genetic diseases are linked to deregulation of E3 ubiquitin ligases. Loss-of-function mutations in the RING-between-RING (RBR) family E3 ligase RNF216 (TRIAD3) cause Gordon-Holmes syndrome (GHS) and related neurodegenerative diseases. Functionally, RNF216 assembles K63-linked ubiquitin chains and has been implicated in regulation of innate immunity signaling pathways and synaptic plasticity. Here, we report crystal structures of key RNF216 reaction states including RNF216 in complex with ubiquitin and its reaction product, K63 di-ubiquitin. Our data provide a molecular explanation for chain-type specificity and reveal the molecular basis for disruption of RNF216 function by pathogenic GHS mutations. Furthermore, we demonstrate how RNF216 activity and chain-type specificity are regulated by phosphorylation and that RNF216 is allosterically activated by K63-linked di-ubiquitin. These molecular insights expand our understanding of RNF216 function and its role in disease and further define the mechanistic diversity of the RBR E3 ligase family.


Assuntos
Ataxia Cerebelar/enzimologia , Hormônio Liberador de Gonadotropina/deficiência , Hipogonadismo/enzimologia , Processamento de Proteína Pós-Traducional , Ubiquitina-Proteína Ligases/metabolismo , Regulação Alostérica , Sítios de Ligação , Catálise , Ataxia Cerebelar/genética , Cristalografia por Raios X , Predisposição Genética para Doença , Hormônio Liberador de Gonadotropina/genética , Células HEK293 , Humanos , Hipogonadismo/genética , Mutação com Perda de Função , Lisina , Modelos Moleculares , Fenótipo , Fosforilação , Ligação Proteica , Conformação Proteica , Relação Estrutura-Atividade , Ubiquitina-Proteína Ligases/genética , Ubiquitinação
3.
Mol Cell ; 63(4): 608-620, 2016 08 18.
Artigo em Inglês | MEDLINE | ID: mdl-27499294

RESUMO

The UbiB protein kinase-like (PKL) family is widespread, comprising one-quarter of microbial PKLs and five human homologs, yet its biochemical activities remain obscure. COQ8A (ADCK3) is a mammalian UbiB protein associated with ubiquinone (CoQ) biosynthesis and an ataxia (ARCA2) through unclear means. We show that mice lacking COQ8A develop a slowly progressive cerebellar ataxia linked to Purkinje cell dysfunction and mild exercise intolerance, recapitulating ARCA2. Interspecies biochemical analyses show that COQ8A and yeast Coq8p specifically stabilize a CoQ biosynthesis complex through unorthodox PKL functions. Although COQ8 was predicted to be a protein kinase, we demonstrate that it lacks canonical protein kinase activity in trans. Instead, COQ8 has ATPase activity and interacts with lipid CoQ intermediates, functions that are likely conserved across all domains of life. Collectively, our results lend insight into the molecular activities of the ancient UbiB family and elucidate the biochemical underpinnings of a human disease.


Assuntos
Comportamento Animal , Ataxia Cerebelar/enzimologia , Cerebelo/enzimologia , Proteínas Mitocondriais/deficiência , Músculo Esquelético/enzimologia , Ubiquinona/deficiência , Animais , Células COS , Ataxia Cerebelar/genética , Ataxia Cerebelar/fisiopatologia , Ataxia Cerebelar/psicologia , Cerebelo/fisiopatologia , Cerebelo/ultraestrutura , Chlorocebus aethiops , Modelos Animais de Doenças , Tolerância ao Exercício , Feminino , Predisposição Genética para Doença , Células HEK293 , Humanos , Metabolismo dos Lipídeos , Masculino , Aprendizagem em Labirinto , Camundongos Endogâmicos C57BL , Camundongos Knockout , Proteínas Mitocondriais/química , Proteínas Mitocondriais/genética , Modelos Moleculares , Atividade Motora , Força Muscular , Músculo Esquelético/fisiopatologia , Fenótipo , Ligação Proteica , Conformação Proteica , Proteômica/métodos , Reconhecimento Psicológico , Teste de Desempenho do Rota-Rod , Saccharomyces cerevisiae/enzimologia , Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo , Convulsões/enzimologia , Convulsões/genética , Convulsões/fisiopatologia , Relação Estrutura-Atividade , Fatores de Tempo , Transfecção , Ubiquinona/química , Ubiquinona/genética
4.
PLoS One ; 11(2): e0149039, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26872069

RESUMO

Autosomal recessive cerebellar ataxia (ARCA) comprises a large and heterogeneous group of neurodegenerative disorders. For many affected patients, the genetic cause remains undetermined. Through whole-exome sequencing, we identified compound heterozygous mutations in ubiquitin-like modifier activating enzyme 5 gene (UBA5) in two Chinese siblings presenting with ARCA. Moreover, copy number variations in UBA5 or ubiquitin-fold modifier 1 gene (UFM1) were documented with the phenotypes of global developmental delays and gait disturbances in the ClinVar database. UBA5 encodes UBA5, the ubiquitin-activating enzyme of UFM1. However, a crucial role for UBA5 in human neurological disease remains to be reported. Our molecular study of UBA5-R246X revealed a dramatically decreased half-life and loss of UFM1 activation due to the absence of the catalytic cysteine Cys250. UBA5-K310E maintained its interaction with UFM1, although with less stability, which may affect the ability of this UBA5 mutant to activate UFM1. Drosophila modeling revealed that UBA5 knockdown induced locomotive defects and a shortened lifespan accompanied by aberrant neuromuscular junctions (NMJs). Strikingly, we found that UFM1 and E2 cofactor knockdown induced markedly similar phenotypes. Wild-type UBA5, but not mutant UBA5, significantly restored neural lesions caused by the absence of UBA5. The finding of a UBA5 mutation in cerebellar ataxia suggests that impairment of the UFM1 pathway may contribute to the neurological phenotypes of ARCA.


Assuntos
Ataxia Cerebelar/genética , Enzimas Ativadoras de Ubiquitina/genética , Adulto , Sequência de Aminoácidos , Animais , Ataxia Cerebelar/enzimologia , Análise Mutacional de DNA , Drosophila melanogaster , Estabilidade Enzimática , Feminino , Expressão Gênica , Genes Recessivos , Estudos de Associação Genética , Células HEK293 , Meia-Vida , Humanos , Masculino , Dados de Sequência Molecular , Mutação de Sentido Incorreto , Transporte Proteico , Proteínas/metabolismo , Enzimas Ativadoras de Ubiquitina/metabolismo
5.
Neuropathol Appl Neurobiol ; 42(5): 477-92, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-26337858

RESUMO

AIMS: Cerebellar ataxia is common in patients with mitochondrial disease, and despite previous neuropathological investigations demonstrating vulnerability of the olivocerebellar pathway in patients with mitochondrial disease, the exact neurodegenerative mechanisms are still not clear. We use quantitative quadruple immunofluorescence to enable precise quantification of mitochondrial respiratory chain protein expression in Purkinje cell bodies and their synaptic terminals in the dentate nucleus. METHODS: We investigated NADH dehydrogenase [ubiquinone] 1 alpha subcomplex subunit 13 protein expression in 12 clinically and genetically defined patients with mitochondrial disease and ataxia and 10 age-matched controls. Molecular genetic analysis was performed to determine heteroplasmy levels of mutated mitochondrial DNA in Purkinje cell bodies and inhibitory synapses. RESULTS: Our data reveal that complex I deficiency is present in both Purkinje cell bodies and their inhibitory synapses which surround dentate nucleus neurons. Inhibitory synapses are fewer and enlarged in patients which could represent a compensatory mechanism. Mitochondrial DNA heteroplasmy demonstrated similarly high levels of mutated mitochondrial DNA in cell bodies and synapses. CONCLUSIONS: This is the first study to use a validated quantitative immunofluorescence technique to determine complex I expression in neurons and presynaptic terminals, evaluating the distribution of respiratory chain deficiencies and assessing the degree of morphological abnormalities affecting synapses. Respiratory chain deficiencies detected in Purkinje cell bodies and their synapses and structural synaptic changes are likely to contribute to altered cerebellar circuitry and progression of ataxia.


Assuntos
Ataxia Cerebelar/etiologia , Complexo I de Transporte de Elétrons/deficiência , Doenças Mitocondriais/complicações , Células de Purkinje/enzimologia , Sinapses/enzimologia , Adulto , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Mitocondriais/enzimologia , Doenças Mitocondriais/patologia , Células de Purkinje/patologia , Sinapses/patologia , Adulto Jovem
6.
Orphanet J Rare Dis ; 10: 138, 2015 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-26502900

RESUMO

BACKGROUND: Phosphomannomutase deficiency (PMM2-CDG) is the most frequent congenital disorder of glycosylation. The cerebellum is nearly always affected in PMM2-CDG patients, a cerebellar atrophy progression is observed, and cerebellar dysfunction is their main daily functional limitation. Different therapeutic agents are under development, and clinical evaluation of drug candidates will require a standardized score of cerebellar dysfunction. We aim to assess the validity of the International Cooperative Ataxia Rating Scale (ICARS) in children and adolescents with genetically confirmed PMM2-CDG deficiency. We compare ICARS results with the Nijmegen Pediatric CDG Rating Scale (NPCRS), neuroimaging, intelligence quotient (IQ) and molecular data. METHODS: Our observational study included 13 PMM2-CDG patients and 21 control subjects. Ethical permissions and informed consents were obtained. Three independent child neurologists rated PMM2-CDG patients and control subjects using the ICARS. A single clinician administered the NPCRS. All patients underwent brain MRI, and the relative diameter of the midsagittal vermis was measured. Psychometric evaluations were available in six patients. The Mann-Whitney U test was used to compare ICARS between patients and controls. To evaluate inter-observer agreement in patients' ICARS ratings, intraclass correlation coefficients (ICC) were calculated. ICARS internal consistency was evaluated using Cronbach's alpha. Spearman's rank correlation coefficient test was used to correlate ICARS with NPCRS, midsagittal vermis relative diameter and IQ. RESULTS: ICARS and ICARS subscores differed between patients and controls (p < 0.001). Interobserver agreement of ICARS was "almost perfect" (ICC = 0.99), with a "good" internal reliability (Cronbach's alpha = 0.72). ICARS was significantly correlated with the total NPCRS score (rs 0.90, p < 0.001). However, there was no agreement regarding categories of severity. Regarding neuroimaging, inverse correlations between ICARS and midsagittal vermis relative diameter (rs -0.85, p = 0.003) and IQ (rs -0.94, p = 0.005) were found. Patients bearing p.E93A, p.C241S or p.R162W mutations presented a milder phenotype. CONCLUSIONS: ICARS is a reliable instrument for assessment of PMM2-CDG patients, without significant inter-rater variability. Despite our limited sample size, the results show a good correlation between functional cerebellar assessment, IQ and neuroimaging. For the first a correlation between ICARS, neuroimaging and IQ in PMM2-CDG patients has been demonstrated.


Assuntos
Ataxia Cerebelar/diagnóstico , Cerebelo/patologia , Defeitos Congênitos da Glicosilação/diagnóstico , Fosfotransferases (Fosfomutases)/deficiência , Índice de Gravidade de Doença , Adolescente , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/genética , Criança , Pré-Escolar , Defeitos Congênitos da Glicosilação/enzimologia , Defeitos Congênitos da Glicosilação/genética , Feminino , Humanos , Masculino , Fosfotransferases (Fosfomutases)/genética
7.
Biochem Biophys Res Commun ; 465(1): 35-40, 2015 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-26220345

RESUMO

Glucosylceramide is a membrane glycolipid made up of the sphingolipid ceramide and glucose, and has a wide intracellular distribution. Glucosylceramide is degraded to ceramide and glucose by distinct, non-homologous enzymes, including glucocerebrosidase (GBA), localized in the endolysosomal pathway, and ß-glucosidase 2 (GBA2), which is associated with the plasma membrane and/or the endoplasmic reticulum. It is well established that mutations in the GBA gene result in endolysosomal glucosylceramide accumulation, which triggers Gaucher disease. In contrast, the biological significance of GBA2 is less well understood. GBA2-deficient mice present with male infertility, but humans carrying mutations in the GBA2 gene are affected with a combination of cerebellar ataxia and spastic paraplegia, as well as with thin corpus callosum and cognitive impairment (SPastic Gait locus #46, SPG46). To improve our understanding of the biochemical consequences of the GBA2 mutations, we have evaluated five nonsense and five missense GBA2 mutants for their enzyme activity. In transfected cells, the mutant forms of GBA2 were present in widely different amounts, ranging from overabundant to very minor, compared to the wild type enzyme. Nevertheless, none of the GBA2 mutant cDNAs raised the enzyme activity in transfected cells, in contrast to the wild-type enzyme. These results suggest that SPG46 patients have a severe deficit in GBA2 activity, because the GBA2 mutants are intrinsically inactive and/or reduced in amount. This assessment of the expression levels and enzyme activities of mutant forms of GBA2 offers a first insight in the biochemical basis of the complex pathologies seen in SPG46.


Assuntos
Ataxia Cerebelar/genética , Mutação , Paraplegia Espástica Hereditária/genética , beta-Glucosidase/genética , Animais , Células COS , Linhagem Celular Tumoral , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/patologia , Retículo Endoplasmático/enzimologia , Retículo Endoplasmático/patologia , Ensaios Enzimáticos , Regulação da Expressão Gênica , Glucosilceramidase , Células HeLa , Humanos , Lisossomos/enzimologia , Lisossomos/patologia , Neurônios/enzimologia , Neurônios/patologia , Plasmídeos/química , Plasmídeos/metabolismo , Transdução de Sinais , Paraplegia Espástica Hereditária/enzimologia , Paraplegia Espástica Hereditária/patologia , Transfecção , Transgenes , beta-Glucosidase/deficiência
8.
Neurogenetics ; 16(4): 277-85, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26051944

RESUMO

The progressive and permanent loss of cerebellar Purkinje cells (PC) is a hallmark of many inherited ataxias. Mutations in several genes involved in the regulation of Ca(2+) release from intracellular stores by the second messenger IP3 have been associated with PC dysfunction or death. While much is known about the defects in production and response to IP3, less is known about the defects in breakdown of the IP3 second messenger. A mutation in Inpp4a of the pathway is associated with a severe, early-onset PC degeneration in the mouse model weeble. The step preceding the removal of the 4-phosphate is the removal of the 5-phosphate by Inpp5a. Gene expression analysis was performed on an Inpp5a (Gt(OST50073)Lex) mouse generated by gene trap insertion using quantitative real-time PCR (qRT-PCR), immunohistochemistry, and Western blot. Phenotypic analyses were performed using rotarod, ß-galactosidase staining, and phosphatase activity assay. Statistical significance was calculated. The deletion of Inpp5a causes an early-onset yet slowly progressive PC degeneration and ataxia. Homozygous mutants (90%) exhibit perinatal lethality; surviving homozygotes show locomotor instability at P16. A consistent pattern of PC loss in the cerebellum is initially detectable by weaning and widespread by P60. Phosphatase activity toward phosphoinositol substrates is reduced in the mutant relative to littermates. The ataxic phenotype and characteristics neurodegeneration of the Inpp5a (Gt(OST50073)Lex) mouse indicate a crucial role for Inpp5a in PC survival. The identification of the molecular basis of the selective PC survival will be important in defining a neuroprotective gene applicable to establishing a disease mechanism.


Assuntos
Ataxia Cerebelar/genética , Deleção de Genes , Monoéster Fosfórico Hidrolases/genética , Animais , Ataxia Cerebelar/embriologia , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/patologia , Modelos Animais de Doenças , Inositol Polifosfato 5-Fosfatases , Camundongos , Atividade Motora/genética , Monoéster Fosfórico Hidrolases/metabolismo , Monoéster Fosfórico Hidrolases/fisiologia , Células de Purkinje/patologia , Teste de Desempenho do Rota-Rod
9.
Zhonghua Er Ke Za Zhi ; 52(4): 313-6, 2014 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-24915922

RESUMO

OBJECTIVE: To explore the clinical features and molecular mutation of HEXB gene in a case with juvenile Sandhoff disease. METHOD: We retrospectively reviewed the clinical, neuroimaging and biochemical findings in this Chinese child with juvenile Sandhoff disease. Hexosaminidase A and hexosaminidase A & B activities were measured in blood leukocytes by fluorometric assay. HEXB gene molecular analysis was performed by PCR and direct sequencing. RESULT: The 9-year-old boy was admitted for psychomotor regression. He presented slowly progressive gait disorder and dysarthria during the last three years. Cranial MRI revealed a marked cerebellar atrophy with normal intensity in the thalamus and basal ganglia. Brain MRS showed normal in the thalamus and basal ganglia. Hexosaminidase A was 69.5 (mg·h) [normal controls 150-360 nmol/(mg·h)], hexosaminidase A & B activity was 119 nmol/(mg·h)[normal controls 600-3 500 nmol/(mg·h)], confirming the diagnosis of Sandhoff disease. The patient was a compound heterozygote for a novel deletion mutation c.1404delT (p. P468P fsX62) and a reported mutation c.1509-26G>A. CONCLUSION: The clinical features of juvenile Sandhoff disease include ataxia, dysarthria and cerebellar atrophy. The enzyme assay and molecular analysis of HEXB gene can confirm the diagnosis of Sandhoff disease. The novel mutation c.1404delT(p. P468P fsX62) is a disease-related mutation.


Assuntos
Mutação , Doença de Sandhoff/diagnóstico , Doença de Sandhoff/genética , Cadeia beta da beta-Hexosaminidase/genética , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Ataxia Cerebelar/diagnóstico , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/genética , Criança , Análise Mutacional de DNA , Heterozigoto , Hexosaminidase A/sangue , Hexosaminidase A/metabolismo , Hexosaminidase B/sangue , Hexosaminidase B/metabolismo , Humanos , Leucócitos/enzimologia , Imageamento por Ressonância Magnética , Masculino , Radiografia , Estudos Retrospectivos , Doença de Sandhoff/enzimologia
10.
Hum Mol Genet ; 23(4): 1013-24, 2014 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-24113144

RESUMO

Gordon Holmes syndrome (GHS) is a rare Mendelian neurodegenerative disorder characterized by ataxia and hypogonadism. Recently, it was suggested that disordered ubiquitination underlies GHS though the discovery of exome mutations in the E3 ligase RNF216 and deubiquitinase OTUD4. We performed exome sequencing in a family with two of three siblings afflicted with ataxia and hypogonadism and identified a homozygous mutation in STUB1 (NM_005861) c.737C→T, p.Thr246Met, a gene that encodes the protein CHIP (C-terminus of HSC70-interacting protein). CHIP plays a central role in regulating protein quality control, in part through its ability to function as an E3 ligase. Loss of CHIP function has long been associated with protein misfolding and aggregation in several genetic mouse models of neurodegenerative disorders; however, a role for CHIP in human neurological disease has yet to be identified. Introduction of the Thr246Met mutation into CHIP results in a loss of ubiquitin ligase activity measured directly using recombinant proteins as well as in cell culture models. Loss of CHIP function in mice resulted in behavioral and reproductive impairments that mimic human ataxia and hypogonadism. We conclude that GHS can be caused by a loss-of-function mutation in CHIP. Our findings further highlight the role of disordered ubiquitination and protein quality control in the pathogenesis of neurodegenerative disease and demonstrate the utility of combining whole-exome sequencing with molecular analyses and animal models to define causal disease polymorphisms.


Assuntos
Anormalidades Múltiplas/enzimologia , Ataxia Cerebelar/enzimologia , Hormônio Liberador de Gonadotropina/deficiência , Hipogonadismo/enzimologia , Ubiquitina-Proteína Ligases/genética , Anormalidades Múltiplas/genética , Adolescente , Sequência de Aminoácidos , Animais , Células COS , Ataxia Cerebelar/genética , Cerebelo/metabolismo , Cerebelo/patologia , Chlorocebus aethiops , Feminino , Estudos de Associação Genética , Hormônio Liberador de Gonadotropina/genética , Humanos , Hipogonadismo/genética , Masculino , Camundongos , Dados de Sequência Molecular , Mutação de Sentido Incorreto , Fenótipo , Ubiquitina-Proteína Ligases/deficiência , Adulto Jovem
11.
J Biol Chem ; 288(36): 26052-26066, 2013 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-23880767

RESUMO

ß-Glucosidase 2 (GBA2) is an enzyme that cleaves the membrane lipid glucosylceramide into glucose and ceramide. The GBA2 gene is mutated in genetic neurological diseases (hereditary spastic paraplegia and cerebellar ataxia). Pharmacologically, GBA2 is reversibly inhibited by alkylated imino sugars that are in clinical use or are being developed for this purpose. We have addressed the ambiguity surrounding one of the defining characteristics of GBA2, which is its sensitivity to inhibition by conduritol B epoxide (CBE). We found that CBE inhibited GBA2, in vitro and in live cells, in a time-dependent fashion, which is typical for mechanism-based enzyme inactivators. Compared with the well characterized impact of CBE on the lysosomal glucosylceramide-degrading enzyme (glucocerebrosidase, GBA), CBE inactivated GBA2 less efficiently, due to a lower affinity for this enzyme (higher KI) and a lower rate of enzyme inactivation (k(inact)). In contrast to CBE, N-butyldeoxygalactonojirimycin exclusively inhibited GBA2. Accordingly, we propose to redefine GBA2 activity as the ß-glucosidase that is sensitive to inhibition by N-butyldeoxygalactonojirimycin. Revised as such, GBA2 activity 1) was optimal at pH 5.5-6.0; 2) accounted for a much higher proportion of detergent-independent membrane-associated ß-glucosidase activity; 3) was more variable among mouse tissues and neuroblastoma and monocyte cell lines; and 4) was more sensitive to inhibition by N-butyldeoxynojirimycin (miglustat, Zavesca®), in comparison with earlier studies. Our evaluation of GBA2 makes it possible to assess its activity more accurately, which will be helpful in analyzing its physiological roles and involvement in disease and in the pharmacological profiling of monosaccharide mimetics.


Assuntos
1-Desoxinojirimicina/análogos & derivados , Inibidores Enzimáticos/farmacocinética , Inositol/análogos & derivados , beta-Glucosidase/antagonistas & inibidores , 1-Desoxinojirimicina/farmacocinética , 1-Desoxinojirimicina/farmacologia , Animais , Células COS , Linhagem Celular Tumoral , Ataxia Cerebelar/tratamento farmacológico , Ataxia Cerebelar/enzimologia , Chlorocebus aethiops , Inibidores Enzimáticos/farmacologia , Glucosilceramidase , Humanos , Concentração de Íons de Hidrogênio , Inositol/farmacocinética , Inositol/farmacologia , Camundongos , Paraplegia Espástica Hereditária/tratamento farmacológico , Paraplegia Espástica Hereditária/enzimologia , beta-Glucosidase/metabolismo
12.
Mol Neurodegener ; 7: 60, 2012 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-23217200

RESUMO

BACKGROUND: Mutations in either Aß Precursor protein (APP) or genes that regulate APP processing, such as BRI2/ITM2B and PSEN1/PSEN2, cause familial dementias. Although dementias due to APP/PSEN1/PSEN2 mutations are classified as familial Alzheimer disease (FAD) and those due to mutations in BRI2/ITM2B as British and Danish dementias (FBD, FDD), data suggest that these diseases have a common pathogenesis involving toxic APP metabolites. It was previously shown that FAD mutations in APP and PSENs promote activation of caspases leading to the hypothesis that aberrant caspase activation could participate in AD pathogenesis. RESULTS: Here, we tested whether a similar mechanism applies to the Danish BRI2/ITM2B mutation. We have generated a genetically congruous mouse model of FDD, called FDD(KI), which presents memory and synaptic plasticity deficits. We found that caspase-9 is activated in hippocampal synaptic fractions of FDD(KI) mice and inhibition of caspase-9 activity rescues both synaptic plasticity and memory deficits. CONCLUSION: These data directly implicate caspase-9 in the pathogenesis of Danish dementia and suggest that reducing caspase-9 activity is a valid therapeutic approach to treating human dementias.


Assuntos
Caspase 9/metabolismo , Catarata/enzimologia , Ataxia Cerebelar/enzimologia , Surdez/enzimologia , Demência/enzimologia , Inibidores Enzimáticos/farmacologia , Plasticidade Neuronal/fisiologia , Doença de Alzheimer/enzimologia , Doença de Alzheimer/genética , Animais , Western Blotting , Catarata/genética , Ataxia Cerebelar/genética , Surdez/genética , Demência/genética , Modelos Animais de Doenças , Técnicas de Introdução de Genes , Memória/efeitos dos fármacos , Memória/fisiologia , Camundongos , Camundongos Endogâmicos C57BL , Plasticidade Neuronal/efeitos dos fármacos , Técnicas de Cultura de Órgãos , Técnicas de Patch-Clamp
13.
Arch Neurol ; 69(8): 1064-6, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22507885

RESUMO

OBJECTIVES: To expand the spectrum of the clinical presentation of anti-glutamic acid decarboxylase antibodies-related limbic encephalitis and to improve the recognition of this entity. DESIGN: Case study. SETTING: University hospital. PATIENT: An 11-year-old-girl with progressive mood and behavioral disorder, speech impairment, and short-term memory impairment who manifested cerebellar ataxia with nystagmus during the disease course. INTERVENTIONS: Blood and cerebrospinal fluid analysis including autoantibodies, electroencephalography, brain and spinal magnetic resonance imaging, and cognitive and neuropsychological assessment were performed. High-dose methylprednisolone sodium succinate pulses, cycles of intravenous immunoglobulins, mycophenolate mofetil, and rituximab as well as antipsychotics and benzodiazepine were administered. RESULTS: Diagnosis of anti-glutamic acid decarboxylase antibodies-related limbic encephalitis was made. The clinical features during the first months of disease included only mood, behavioral, and memory impairment. After 5 months, despite immunotherapies, cerebellar ataxia with nystagmus appeared with brain magnetic resonance imaging evidence of cerebral atrophy. No clinical or infraclinical seizures were recorded during follow-up. CONCLUSIONS: Anti-glutamic acid decarboxylase antibodies-related limbic encephalitis can present with only behavioral or neuropsychological symptoms without any epileptic disorder. Moreover, cerebellar ataxia related to anti-glutamic acid decarboxylase antibodies can be observed in patients with limbic encephalitis during the disease course.


Assuntos
Ataxia Cerebelar/imunologia , Demência/imunologia , Epilepsia , Glutamato Descarboxilase/imunologia , Encefalite Límbica/imunologia , Ataxia Cerebelar/diagnóstico , Ataxia Cerebelar/enzimologia , Criança , Demência/diagnóstico , Demência/enzimologia , Feminino , Seguimentos , Humanos , Encefalite Límbica/diagnóstico , Encefalite Límbica/enzimologia
14.
Mol Neurodegener ; 7: 19, 2012 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-22537414

RESUMO

BACKGROUND: A mutation in the BRI2/ITM2b gene causes familial Danish dementia (FDD). BRI2 is an inhibitor of amyloid-ß precursor protein (APP) processing, which is genetically linked to Alzheimer's disease (AD) pathogenesis. The FDD mutation leads to a loss of BRI2 protein and to increased APP processing. APP haplodeficiency and inhibition of APP cleavage by ß-secretase rescue synaptic/memory deficits of a genetically congruous mouse model of FDD (FDDKI). ß-cleavage of APP yields the ß-carboxyl-terminal (ß-CTF) and the amino-terminal-soluble APPß (sAPPß) fragments. γ-secretase processing of ß-CTF generates Aß, which is considered the main cause of AD. However, inhibiting Aß production did not rescue the deficits of FDDKI mice, suggesting that sAPPß/ß-CTF, and not Aß, are the toxic species causing memory loss. RESULTS: Here, we have further analyzed the effect of γ-secretase inhibition. We show that treatment with a γ-secretase inhibitor (GSI) results in a worsening of the memory deficits of FDDKI mice. This deleterious effect on memory correlates with increased levels of the ß/α-CTFs APP fragments in synaptic fractions isolated from hippocampi of FDDKI mice, which is consistent with inhibition of γ-secretase activity. CONCLUSION: This harmful effect of the GSI is in sharp contrast with a pathogenic role for Aß, and suggests that the worsening of memory deficits may be due to accumulation of synaptic-toxic ß/α-CTFs caused by GSI treatment. However, γ-secretase cleaves more than 40 proteins; thus, the noxious effect of GSI on memory may be dependent on inhibition of cleavage of one or more of these other γ-secretase substrates. These two possibilities do not need to be mutually exclusive. Our results are consistent with the outcome of a clinical trial with the GSI Semagacestat, which caused a worsening of cognition, and advise against targeting γ-secretase in the therapy of AD. Overall, the data also indicate that FDDKI is a valuable mouse model to study AD pathogenesis and predict the clinical outcome of therapeutic agents for AD.


Assuntos
Secretases da Proteína Precursora do Amiloide/metabolismo , Precursor de Proteína beta-Amiloide/metabolismo , Catarata/enzimologia , Ataxia Cerebelar/enzimologia , Surdez/enzimologia , Demência/enzimologia , Modelos Animais de Doenças , Transtornos da Memória/enzimologia , Animais , Western Blotting , Catarata/genética , Ataxia Cerebelar/genética , Surdez/genética , Demência/genética , Inibidores Enzimáticos/farmacologia , Técnicas de Introdução de Genes , Transtornos da Memória/genética , Camundongos
15.
EMBO Mol Med ; 4(3): 171-9, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22170863

RESUMO

A mutation in the BRI2/ITM2b gene causes loss of BRI2 protein leading to familial Danish dementia (FDD). BRI2 deficiency of FDD provokes an increase in amyloid-ß precursor protein (APP) processing since BRI2 is an inhibitor of APP proteolysis, and APP mediates the synaptic/memory deficits in FDD. APP processing is linked to Alzheimer disease (AD) pathogenesis, which is consistent with a common mechanism involving toxic APP metabolites in both dementias. We show that inhibition of APP cleavage by ß-secretase rescues synaptic/memory deficits in a mouse model of FDD. ß-cleavage of APP yields amino-terminal-soluble APPß (sAPPß) and ß-carboxyl-terminal fragments (ß-CTF). Processing of ß-CTF by γ-secretase releases amyloid-ß (Aß), which is assumed to cause AD. However, inhibition of γ-secretase did not ameliorate synaptic/memory deficits of FDD mice. These results suggest that sAPPß and/or ß-CTF, rather than Aß, are the toxic species causing dementia, and indicate that reducing ß-cleavage of APP is an appropriate therapeutic approach to treating human dementias. Our data and the failures of anti-Aß therapies in humans advise against targeting γ-secretase cleavage of APP and/or Aß.


Assuntos
Secretases da Proteína Precursora do Amiloide/metabolismo , Peptídeos beta-Amiloides/metabolismo , Catarata/enzimologia , Catarata/psicologia , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/psicologia , Surdez/enzimologia , Surdez/psicologia , Demência/enzimologia , Demência/psicologia , Memória , Plasticidade Neuronal , Proteínas Adaptadoras de Transdução de Sinal , Secretases da Proteína Precursora do Amiloide/antagonistas & inibidores , Peptídeos beta-Amiloides/genética , Animais , Catarata/genética , Catarata/fisiopatologia , Ataxia Cerebelar/genética , Ataxia Cerebelar/fisiopatologia , Surdez/genética , Surdez/fisiopatologia , Demência/genética , Demência/fisiopatologia , Modelos Animais de Doenças , Inibidores Enzimáticos/farmacologia , Humanos , Proteínas de Membrana/genética , Proteínas de Membrana/metabolismo , Camundongos , Camundongos Knockout , Proteólise , Sinapses/fisiologia
16.
Eur J Paediatr Neurol ; 16(3): 248-56, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-21873089

RESUMO

Childhood cerebellar ataxias, and particularly congenital ataxias, are heterogeneous disorders and several remain undefined. We performed a muscle biopsy in patients with congenital ataxia and children with later onset undefined ataxia having neuroimaging evidence of cerebellar atrophy. Significant reduced levels of Coenzyme Q10 (COQ10) were found in the skeletal muscle of 9 out of 34 patients that were consecutively screened. A mutation in the ADCK3/Coq8 gene (R347X) was identified in a female patient with ataxia, seizures and markedly reduced COQ10 levels. In a 2.5-years-old male patient with non syndromic congenital ataxia and autophagic vacuoles in the muscle biopsy we identified a homozygous nonsense mutation R111X mutation in SIL1 gene, leading to early diagnosis of Marinesco-Sjogren syndrome. We think that muscle biopsy is a valuable procedure to improve diagnostic assesement in children with congenital ataxia or other undefined forms of later onset childhood ataxia associated to cerebellar atrophy at MRI.


Assuntos
Ataxia Cerebelar/diagnóstico , Ataxia Cerebelar/genética , Biópsia , Ataxia Cerebelar/enzimologia , Pré-Escolar , Cromatografia Líquida de Alta Pressão , Análise Mutacional de DNA , Feminino , Fatores de Troca do Nucleotídeo Guanina/genética , Humanos , Masculino , Músculo Esquelético/cirurgia , Mutação , Ubiquinona/análogos & derivados , Ubiquinona/biossíntese , Ubiquinona/genética
17.
Am J Med Genet B Neuropsychiatr Genet ; 156B(7): 826-34, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21812104

RESUMO

We define the neurological characteristics of familial cases from multiple branches of a large consanguineous family with cerebellar ataxia, mental retardation (MR), and dysequilibrium syndrome type 3 caused by a mutation in the recently cloned CA8 gene. The linkage analysis revealed a high logarithm of the odds (LOD) score region on 8q that harbors the CA8 in which a novel homozygous c.484G>A (p.G162R) mutation was identified in all seven affected members. The patients had variable cerebellar ataxia and mild cognitive impairment without quadrupedal gait. The brain MRI showed variable cerebellar volume loss and ill-defined peritrigonal white matter abnormalities. The Fluorodeoxyglucose Positron Emission Tomography (FDG PET) revealed hypometabolic cerebellar hemispheres, temporal lobes, and mesial cortex. This report expands the neurological and radiological phenotype associated with CA8 mutations. CA8 involvement should be considered in the differential diagnosis of other genetically unresolved autosomal recessive cerebellar ataxias.


Assuntos
Biomarcadores Tumorais/genética , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/genética , Predisposição Genética para Doença , Mutação/genética , Adolescente , Sequência de Aminoácidos , Sequência de Bases , Biomarcadores Tumorais/química , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Ataxia Cerebelar/diagnóstico por imagem , Ataxia Cerebelar/patologia , Criança , Pré-Escolar , Análise Mutacional de DNA , Feminino , Redes Reguladoras de Genes/genética , Humanos , Lactente , Recém-Nascido , Imageamento por Ressonância Magnética , Masculino , Dados de Sequência Molecular , Fenótipo , Tomografia por Emissão de Pósitrons , Adulto Jovem
18.
Hum Mol Genet ; 18(18): 3384-96, 2009 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-19515850

RESUMO

Ataxia oculomotor apraxia type 2 (AOA2) is an autosomal recessive neurodegenerative disorder characterized by cerebellar ataxia and oculomotor apraxia. The gene mutated in AOA2, SETX, encodes senataxin, a putative DNA/RNA helicase which shares high homology to the yeast Sen1p protein and has been shown to play a role in the response to oxidative stress. To investigate further the function of senataxin, we identified novel senataxin-interacting proteins, the majority of which are involved in transcription and RNA processing, including RNA polymerase II. Binding of RNA polymerase II to candidate genes was significantly reduced in senataxin deficient cells and this was accompanied by decreased transcription of these genes, suggesting a role for senataxin in the regulation/modulation of transcription. RNA polymerase II-dependent transcription termination was defective in cells depleted of senataxin in keeping with the observed interaction of senataxin with poly(A) binding proteins 1 and 2. Splicing efficiency of specific mRNAs and alternate splice-site selection of both endogenous genes and artificial minigenes were altered in senataxin depleted cells. These data suggest that senataxin, similar to its yeast homolog Sen1p, plays a role in coordinating transcriptional events, in addition to its role in DNA repair.


Assuntos
Ataxia Cerebelar/enzimologia , Regulação da Expressão Gênica , Doenças do Nervo Oculomotor/enzimologia , RNA Helicases/metabolismo , Transcrição Gênica , Processamento Alternativo , Ataxia Cerebelar/genética , DNA/metabolismo , DNA Helicases , Reparo do DNA , Células HeLa , Humanos , Enzimas Multifuncionais , Doenças do Nervo Oculomotor/genética , Ligação Proteica , RNA Helicases/genética , Precursores de RNA/genética
19.
Cerebellum ; 8(2): 71-3, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19488825

RESUMO

Tyrosine phosphorylation is a powerful mechanism of modulation for proliferation, differentiation, and functioning of neurons. The protein products of the neuronal mouse gene PTPRR are physiological regulators of mitogen-activated protein kinase (MAPK) activities. PTPRR(-/-) mice display deficits of motor coordination and balance skills. PTPRR gene orthologues are found in many vertebrates. Recent observations suggest that the human episodic ataxia 2 (EA2) and spinocerebellar ataxia types 6 (SCA6), 12 (SCA12), and 14 (SCA14) might be associated with impaired phosphorylation levels of cerebellum calcium channels and receptors. The concept that MAPK signaling is a key process in tuning synaptic plasticity in cerebellar circuits is now emerging, with numerous implications for understanding cerebellar functions and cerebellar disorders.


Assuntos
Doenças Cerebelares/enzimologia , Doenças Cerebelares/genética , Cerebelo/enzimologia , Sistema de Sinalização das MAP Quinases/genética , Proteínas Tirosina Fosfatases Classe 7 Semelhantes a Receptores/genética , Animais , Sinalização do Cálcio/genética , Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/genética , Ataxia Cerebelar/fisiopatologia , Doenças Cerebelares/fisiopatologia , Cerebelo/fisiopatologia , Humanos , Camundongos , Camundongos Knockout/genética , Plasticidade Neuronal/genética , Fosforilação/genética
20.
Cerebellum ; 8(2): 80-8, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19137382

RESUMO

Protein tyrosine phosphatases (PTPs) are central players in many different cellular processes and their aberrant activity is associated with multiple human pathologies. In this review, we present current knowledge on the PTPRR subfamily of classical PTPs that is expressed in neuronal cells and comprises receptor-type (PTPBR7, PTP-SL) as well as cytosolic (PTPPBSgamma-37, PTPPBSgamma-42) isoforms. The two receptor-type isoforms PTPBR7 and PTP-SL both localize in late endosomes and the Golgi area. PTPBR7, however, is additionally localized at the cell surface and on early endosomes. During cerebellar maturation, PTPBR7 expression in developing Purkinje cells ceases and is replaced by PTP-SL expression in the mature Purkinje cells. All PTPRR isoforms contain a kinase interacting motif that makes them mitogen-activated protein kinase phosphatases. The distinct subcellular localization of the different PTPRR isoforms may reflect differential roles in growth-factor-induced MAPK-mediated retrograde signaling cascades. Studies in PTPRR-deficient mice established that PTPRR isoforms are physiological regulators of MAPK phosphorylation levels. Surprisingly, PTPRR-deficient mice display defects in motor coordination and balancing skills, while cerebellar morphological abnormalities, which are often encountered in ataxic mouse models, are absent. This is reminiscent of the phenotype observed in a handful of mouse mutants that have alterations in cerebellar calcium ion homeostasis. Elucidation of the molecular mechanisms by which PTPRR deficiency imposes impairment of cerebellar neurons and motor coordination may provide candidate molecules for hereditary cerebellar ataxias that still await identification of the corresponding disease genes.


Assuntos
Ataxia Cerebelar/enzimologia , Ataxia Cerebelar/genética , Cerebelo/enzimologia , Cerebelo/crescimento & desenvolvimento , Sistema de Sinalização das MAP Quinases/fisiologia , Proteínas Tirosina Fosfatases Classe 7 Semelhantes a Receptores/metabolismo , Animais , Ataxia Cerebelar/fisiopatologia , Cerebelo/fisiopatologia , Camundongos , Fosforilação/genética , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , Células de Purkinje/metabolismo , Células de Purkinje/patologia , Proteínas Tirosina Fosfatases Classe 7 Semelhantes a Receptores/genética , Vesículas Transportadoras/metabolismo , Vesículas Transportadoras/ultraestrutura
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