FMRP 缺陷型人神经元中从头蛋白质合成的升高及其通过二甲双胍治疗的纠正。

Elevated de novo protein synthesis in FMRP-deficient human neurons and its correction by metformin treatment.

机构信息

Translational Laboratory in Genetic Medicine, Agency for Science, Technology and Research, Singapore (A*STAR), 8A Biomedical Grove, Immunos, Level 5, Singapore, 138648, Singapore.

Department of Physiology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

出版信息

Mol Autism. 2020 May 27;11(1):41. doi: 10.1186/s13229-020-00350-5.

Abstract

FXS is the most common genetic cause of intellectual (ID) and autism spectrum disorders (ASD). FXS is caused by loss of FMRP, an RNA-binding protein involved in the translational regulation of a large number of neuronal mRNAs. Absence of FMRP has been shown to lead to elevated protein synthesis and is thought to be a major cause of the synaptic plasticity and behavioural deficits in FXS. The increase in protein synthesis results in part from abnormal activation of key protein translation pathways downstream of ERK1/2 and mTOR signalling. Pharmacological and genetic interventions that attenuate hyperactivation of these pathways can normalize levels of protein synthesis and improve phenotypic outcomes in animal models of FXS. Several efforts are currently underway to trial this strategy in patients with FXS. To date, elevated global protein synthesis as a result of FMRP loss has not been validated in the context of human neurons. Here, using an isogenic human stem cell-based model, we show that de novo protein synthesis is elevated in FMRP-deficient neural cells. We further show that this increase is associated with elevated ERK1/2 and Akt signalling and can be rescued by metformin treatment. Finally, we examined the effect of normalizing protein synthesis on phenotypic abnormalities in FMRP-deficient neural cells. We find that treatment with metformin attenuates the increase in proliferation of FMRP-deficient neural progenitor cells but not the neuronal deficits in neurite outgrowth. The elevated level of protein synthesis and the normalization of neural progenitor proliferation by metformin treatment were validated in additional control and FXS patient-derived hiPSC lines. Overall, our results validate that loss of FMRP results in elevated de novo protein synthesis in human neurons and suggest that approaches targeting this abnormality are likely to be of partial therapeutic benefit in FXS.

摘要

脆性 X 综合征(FXS)是智力障碍(ID)和自闭症谱系障碍(ASD)最常见的遗传原因。FXS 是由于 FMRP 的缺失引起的,FMRP 是一种参与大量神经元 mRNA 翻译调节的 RNA 结合蛋白。已经表明 FMRP 的缺失会导致蛋白质合成增加,并且被认为是 FXS 中突触可塑性和行为缺陷的主要原因。蛋白质合成的增加部分是由于 ERK1/2 和 mTOR 信号下游关键蛋白翻译途径的异常激活。减弱这些途径的过度激活的药理学和遗传学干预可以使蛋白质合成水平正常化,并改善 FXS 动物模型中的表型结果。目前正在进行几项努力,以在 FXS 患者中尝试这种策略。迄今为止,由于 FMRP 缺失导致的全局蛋白质合成增加尚未在人类神经元中得到验证。在这里,我们使用同源性人干细胞为基础的模型,证明 FMRP 缺陷的神经细胞中存在新合成蛋白质的增加。我们进一步表明,这种增加与 ERK1/2 和 Akt 信号的升高有关,并且可以通过二甲双胍治疗来挽救。最后,我们研究了使蛋白质合成正常化对 FMRP 缺陷神经细胞表型异常的影响。我们发现,二甲双胍处理可减轻 FMRP 缺陷神经祖细胞增殖的增加,但不能减轻神经突生长中的神经元缺陷。在其他对照和 FXS 患者来源的 hiPSC 系中验证了 FMRP 缺陷神经祖细胞增殖增加和二甲双胍处理使蛋白质合成正常化的水平。总的来说,我们的结果验证了 FMRP 的缺失导致人类神经元中新生蛋白质合成的增加,并表明针对这种异常的方法在 FXS 中可能具有部分治疗益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe1/7251671/629ec39cf54a/13229_2020_350_Fig1_HTML.jpg

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