Department of Neurology and Institute of Neurology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
Fujian Key Laboratory of Molecular Neurology, Fujian Medical University, Fuzhou 350005, China.
Brain. 2019 Aug 1;142(8):2238-2252. doi: 10.1093/brain/awz158.
Hereditary spastic paraplegias refer to a heterogeneous group of neurodegenerative disorders resulting from degeneration of the corticospinal tract. Clinical characterization of patients with hereditary spastic paraplegias represents progressive spasticity, exaggerated reflexes and muscular weakness. Here, to expand on the increasingly broad pools of previously unknown hereditary spastic paraplegia causative genes and subtypes, we performed whole exome sequencing for six affected and two unaffected individuals from two unrelated Chinese families with an autosomal dominant hereditary spastic paraplegia and lacking mutations in known hereditary spastic paraplegia implicated genes. The exome sequencing revealed two stop-gain mutations, c.247_248insGTGAATTC (p.I83Sfs11) and c.526G>T (p.E176), in the ubiquitin-associated protein 1 (UBAP1) gene, which co-segregated with the spastic paraplegia. We also identified two UBAP1 frameshift mutations, c.324_325delCA (p.H108Qfs10) and c.425_426delAG (p.K143Sfs15), in two unrelated families from an additional 38 Chinese pedigrees with autosomal dominant hereditary spastic paraplegias and lacking mutations in known causative genes. The primary disease presentation was a pure lower limb predominant spastic paraplegia. In vivo downregulation of Ubap1 in zebrafish causes abnormal organismal morphology, inhibited motor neuron outgrowth, decreased mobility, and shorter lifespan. UBAP1 is incorporated into endosomal sorting complexes required for transport complex I and binds ubiquitin to function in endosome sorting. Patient-derived truncated form(s) of UBAP1 cause aberrant endosome clustering, pronounced endosome enlargement, and cytoplasmic accumulation of ubiquitinated proteins in HeLa cells and wild-type mouse cortical neuron cultures. Biochemical and immunocytochemical experiments in cultured cortical neurons derived from transgenic Ubap1flox mice confirmed that disruption of UBAP1 leads to dysregulation of both early endosome processing and ubiquitinated protein sorting. Strikingly, deletion of Ubap1 promotes neurodegeneration, potentially mediated by apoptosis. Our study provides genetic and biochemical evidence that mutations in UBAP1 can cause pure autosomal dominant spastic paraplegia.
遗传性痉挛性截瘫是一组异质性的神经退行性疾病,源于皮质脊髓束的退化。遗传性痉挛性截瘫患者的临床特征表现为进行性痉挛、反射亢进和肌肉无力。在这里,为了扩展先前未知的遗传性痉挛性截瘫致病基因和亚型的不断扩大的范围,我们对来自两个无关联的中国常染色体显性遗传性痉挛性截瘫家族的六名受影响者和两名无影响者进行了全外显子组测序,这些家族的遗传性痉挛性截瘫中缺乏已知的致病基因突变。外显子组测序揭示了泛素相关蛋白 1(UBAP1)基因中的两个移码突变 c.247_248insGTGAATTC(p.I83Sfs11)和 c.526G>T(p.E176),这两个突变与痉挛性截瘫共分离。我们还在另外 38 个中国常染色体显性遗传性痉挛性截瘫家系中发现了两个 UBAP1 移码突变 c.324_325delCA(p.H108Qfs10)和 c.425_426delAG(p.K143Sfs15),这些家系与已知的致病基因均无突变。主要疾病表现为纯下肢为主的痉挛性截瘫。斑马鱼体内 Ubap1 的下调导致机体形态异常、运动神经元生长受阻、活动能力下降和寿命缩短。UBAP1 被纳入 I 型内体分选复合物所需的内体分选复合物,并结合泛素在内体分选中发挥作用。源自患者的截断形式的 UBAP1 导致异常的内体聚集、显著的内体增大以及 HeLa 细胞和野生型小鼠皮质神经元培养物中泛素化蛋白的细胞质积累。源自转 Ubap1flox 小鼠的皮质神经元培养物的生化和免疫细胞化学实验证实,UBAP1 的破坏导致早期内体加工和泛素化蛋白分选的失调。引人注目的是,Ubap1 的缺失促进了神经退行性变,可能是通过细胞凋亡介导的。我们的研究提供了遗传和生化证据,证明 UBAP1 的突变可导致纯常染色体显性痉挛性截瘫。
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