Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Brain Pathol. 2019 Sep;29(5):658-674. doi: 10.1111/bpa.12716. Epub 2019 Mar 22.
CDKL5 deficiency disorder (CDD) is a rare encephalopathy characterized by early onset epilepsy and severe intellectual disability. CDD is caused by mutations in the X-linked cyclin-dependent kinase-like 5 (CDKL5) gene, a member of a highly conserved family of serine-threonine kinases. Only a few physiological substrates of CDKL5 are currently known, which hampers the discovery of therapeutic strategies for CDD. Here, we show that SMAD3, a primary mediator of TGF-β action, is a direct phosphorylation target of CDKL5 and that CDKL5-dependent phosphorylation promotes SMAD3 protein stability. Importantly, we found that restoration of the SMAD3 signaling through TGF-β1 treatment normalized defective neuronal survival and maturation in Cdkl5 knockout (KO) neurons. Moreover, we demonstrate that Cdkl5 KO neurons are more vulnerable to neurotoxic/excitotoxic stimuli. In vivo treatment with TGF-β1 prevents increased NMDA-induced cell death in hippocampal neurons from Cdkl5 KO mice, suggesting an involvement of the SMAD3 signaling deregulation in the neuronal susceptibility to excitotoxic injury of Cdkl5 KO mice. Our finding reveals a new function for CDKL5 in maintaining neuronal survival that could have important implications for susceptibility to neurodegeneration in patients with CDD.
CDKL5 缺乏症(CDD)是一种罕见的脑病,其特征为早期发作的癫痫和严重的智力障碍。CDD 是由 X 连锁细胞周期依赖性激酶样 5(CDKL5)基因突变引起的,CDKL5 是丝氨酸-苏氨酸激酶高度保守家族的成员。目前仅知道少数 CDKL5 的生理底物,这阻碍了 CDD 的治疗策略的发现。在这里,我们表明 SMAD3,TGF-β 作用的主要介质,是 CDKL5 的直接磷酸化靶标,并且 CDKL5 依赖性磷酸化促进 SMAD3 蛋白稳定性。重要的是,我们发现通过 TGF-β1 处理恢复 SMAD3 信号可使 Cdkl5 敲除(KO)神经元中的缺陷性神经元存活和成熟正常化。此外,我们证明 Cdkl5 KO 神经元对神经毒性/兴奋毒性刺激更敏感。体内用 TGF-β1 治疗可预防 Cdkl5 KO 小鼠海马神经元中 NMDA 诱导的细胞死亡增加,这表明 SMAD3 信号转导失调参与了 Cdkl5 KO 小鼠对兴奋毒性损伤的神经元易感性。我们的发现揭示了 CDKL5 在维持神经元存活中的新功能,这可能对 CDD 患者的神经退行性变易感性具有重要意义。