Department of Neurology, Peking University First Hospital, Beijing, 100034, China.
Beijing Key Laboratory of Neurovascular Disease Discovery, Beijing, 100034, China.
Proc Natl Acad Sci U S A. 2022 Oct 11;119(41):e2208649119. doi: 10.1073/pnas.2208649119. Epub 2022 Oct 3.
Neuronal intranuclear inclusion disease (NIID) is a neuromuscular/neurodegenerative disease caused by the expansion of CGG repeats in the 5' untranslated region (UTR) of the gene. These repeats can be translated into a polyglycine-containing protein, uN2CpolyG, which forms protein inclusions and is toxic in cell models, albeit through an unknown mechanism. Here, we established a transgenic model expressing uN2CpolyG in multiple systems, which resulted in progressive neuronal cell loss, locomotor deficiency, and shortened lifespan. Interestingly, electron microscopy revealed mitochondrial swelling both in transgenic flies and in muscle biopsies of individuals with NIID. Immunofluorescence and immunoelectron microscopy showed colocalization of uN2CpolyG with mitochondria in cell and patient samples, while biochemical analysis revealed that uN2CpolyG interacted with a mitochondrial RNA binding protein, LRPPRC (leucine-rich pentatricopeptide repeat motif-containing protein). Furthermore, RNA sequencing (RNA-seq) analysis and functional assays showed down-regulated mitochondrial oxidative phosphorylation in uN2CpolyG-expressing flies and NIID muscle biopsies. Finally, idebenone treatment restored mitochondrial function and alleviated neurodegenerative phenotypes in transgenic flies. Overall, these results indicate that transgenic flies expressing uN2CpolyG recapitulate key features of NIID and that reversing mitochondrial dysfunction might provide a potential therapeutic approach for this disorder.
神经元核内包涵体病 (NIID) 是一种由基因 5'非翻译区 (UTR) 内 CGG 重复扩展引起的神经肌肉/神经退行性疾病。这些重复序列可以被翻译成含有多聚甘氨酸的蛋白质 uN2CpolyG,该蛋白质在细胞模型中形成蛋白包涵体并具有毒性,但其具体机制尚不清楚。在这里,我们建立了一个在多个系统中表达 uN2CpolyG 的转基因 模型,该模型导致进行性神经元细胞丢失、运动缺陷和寿命缩短。有趣的是,电子显微镜显示转基因果蝇和 NIID 患者的肌肉活检中均存在线粒体肿胀。免疫荧光和免疫电子显微镜显示 uN2CpolyG 在细胞和患者样本中与线粒体共定位,而生化分析表明 uN2CpolyG 与一种线粒体 RNA 结合蛋白 LRPPRC(富含亮氨酸的五肽重复蛋白)相互作用。此外,RNA 测序 (RNA-seq) 分析和功能测定显示,在表达 uN2CpolyG 的果蝇和 NIID 肌肉活检中,线粒体氧化磷酸化水平下调。最后,依地酸治疗恢复了转基因果蝇的线粒体功能并减轻了其神经退行性表型。总的来说,这些结果表明,表达 uN2CpolyG 的转基因果蝇重现了 NIID 的关键特征,而逆转线粒体功能障碍可能为这种疾病提供一种潜在的治疗方法。