Hörnberg Hanna, Pérez-Garci Enrique, Schreiner Dietmar, Hatstatt-Burklé Laetitia, Magara Fulvio, Baudouin Stephane, Matter Alex, Nacro Kassoum, Pecho-Vrieseling Eline, Scheiffele Peter
Biozentrum of the University of Basel, Basel, Switzerland.
Department of Biomedicine, University of Basel, Basel, Switzerland.
Nature. 2020 Aug;584(7820):252-256. doi: 10.1038/s41586-020-2563-7. Epub 2020 Aug 5.
A fundamental challenge in developing treatments for autism spectrum disorders is the heterogeneity of the condition. More than one hundred genetic mutations confer high risk for autism, with each individual mutation accounting for only a small fraction of cases. Subsets of risk genes can be grouped into functionally related pathways, most prominently those involving synaptic proteins, translational regulation, and chromatin modifications. To attempt to minimize this genetic complexity, recent therapeutic strategies have focused on the neuropeptides oxytocin and vasopressin, which regulate aspects of social behaviour in mammals. However, it is unclear whether genetic risk factors predispose individuals to autism as a result of modifications to oxytocinergic signalling. Here we report that an autism-associated mutation in the synaptic adhesion molecule Nlgn3 results in impaired oxytocin signalling in dopaminergic neurons and in altered behavioural responses to social novelty tests in mice. Notably, loss of Nlgn3 is accompanied by a disruption of translation homeostasis in the ventral tegmental area. Treatment of Nlgn3-knockout mice with a new, highly specific, brain-penetrant inhibitor of MAP kinase-interacting kinases resets the translation of mRNA and restores oxytocin signalling and social novelty responses. Thus, this work identifies a convergence between the genetic autism risk factor Nlgn3, regulation of translation, and oxytocinergic signalling. Focusing on such common core plasticity elements might provide a pragmatic approach to overcoming the heterogeneity of autism. Ultimately, this would enable mechanism-based stratification of patient populations to increase the success of therapeutic interventions.
开发自闭症谱系障碍治疗方法的一个基本挑战是该病症的异质性。一百多种基因突变会导致患自闭症的高风险,而每种单独的突变仅占病例的一小部分。风险基因子集可分为功能相关的途径,最显著的是那些涉及突触蛋白、翻译调控和染色质修饰的途径。为了尽量减少这种遗传复杂性,最近的治疗策略集中在神经肽催产素和加压素上,它们调节哺乳动物社会行为的各个方面。然而,尚不清楚遗传风险因素是否由于催产素能信号传导的改变而使个体易患自闭症。在此,我们报告突触粘附分子Nlgn3中的一种自闭症相关突变导致多巴胺能神经元中催产素信号传导受损,并改变了小鼠对社会新奇性测试的行为反应。值得注意的是,Nlgn3的缺失伴随着腹侧被盖区翻译稳态的破坏。用一种新的、高度特异性的、可穿透大脑的丝裂原活化蛋白激酶相互作用激酶抑制剂治疗Nlgn3基因敲除小鼠,可重置mRNA的翻译,并恢复催产素信号传导和社会新奇性反应。因此,这项研究确定了自闭症遗传风险因素Nlgn3、翻译调控和催产素能信号传导之间的关联。关注这些共同的核心可塑性元素可能为克服自闭症的异质性提供一种务实的方法。最终,这将实现基于机制的患者群体分层,以提高治疗干预的成功率。