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吞噬受体MERTK和AXL在颗粒蛋白前体缺陷型额颞叶痴呆中的相反作用

Opposing role of phagocytic receptors MERTK and AXL in Progranulin deficient FTD.

作者信息

Clelland Claire Dudley, Fan Li, Saloner Rowan, Etchegaray Jon Iker, Altobelli Chad Richard, Salomonsson Sally, Maltos Alisha M, Sachdev Aradhana, Zhu Jingjie, Lee Se-In, Li Yaqiao, Zhou Yungui, Le David, Wang Chao, Carling Gillian, Kodama Lay, Sayed Faten, Perez-Bermejo Jaun A, Geier Ethan G, Yokoyama Jennifer S, Rosen Howie, Nana Alissa L, Spina Salvatore, Grinberg Lea T, Seeley William W, Elahi Fanny, Boxer Adam L, Arkin Michelle R, Gan Li

机构信息

Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.

Memory & Aging Center, Department of Neurology, University of California San Francisco, San Francisco, California, USA.

出版信息

Commun Biol. 2025 Jul 1;8(1):971. doi: 10.1038/s42003-025-08368-2.

Abstract

Genetic mutations in the progranulin gene, GRN, cause frontotemporal dementia and a lysosomal storage disorder. Using single-nuclei RNA sequencing of the post-mortem brain tissue from adult heterozygous pathogenic granulin variant (GRN+/-) carriers we find dysregulation of microglia, phagocytosis and the phagocytic receptors MERTK and AXL. Exogenous progranulin regulates MERTK and AXL RNA expression in human microglia induced from iPSCs irrespective of GRN mutation status, without directly binding to MERTK or AXL proteins. We generated double knock-out mice and find that constitutive homozygous loss of Grn and Mertk (Grn-/-;Mertk-/-) rescued microglial disease signature while constitutive homozygous loss of Grn and Axl (Grn-/-;Axl-/-) worsened the microglial disease signature and increased lipofuscin. Lower CSF MERTK but not AXL is associated with lower progranulin levels. Furthermore, CSF MERTK is lower in symptomatic but not presymptomatic FTD patients with genetic mutations (GRN, C9ORF72, and MAPT) whereas AXL does not change between disease state and control. These data explain in part the inflammation seen in GRN-FTD and are applicable to other inflammatory states in which PGRN, MERTK and AXL play regulatory roles beyond neurodegenerative diseases. The interaction between GRN, MERTK, and AXL opens potential new therapeutic avenues to intervene on this inflammatory axis.

摘要

原纤维蛋白基因(GRN)的基因突变会导致额颞叶痴呆和溶酶体贮积症。通过对成年杂合致病性颗粒蛋白变体(GRN+/-)携带者的死后脑组织进行单核RNA测序,我们发现小胶质细胞、吞噬作用以及吞噬受体MERTK和AXL存在失调。外源性原纤维蛋白可调节由诱导多能干细胞诱导产生的人小胶质细胞中MERTK和AXL的RNA表达,而与GRN突变状态无关,且不直接与MERTK或AXL蛋白结合。我们培育了双敲除小鼠,发现Grn和Mertk的组成型纯合缺失(Grn-/-;Mertk-/-)可挽救小胶质细胞疾病特征,而Grn和Axl的组成型纯合缺失(Grn-/-;Axl-/-)则会使小胶质细胞疾病特征恶化并增加脂褐素。脑脊液中MERTK水平降低而非AXL水平降低与原纤维蛋白水平降低有关。此外,有症状的而非无症状的携带基因突变(GRN、C9ORF72和MAPT)的额颞叶痴呆患者脑脊液中MERTK水平较低,而AXL在疾病状态和对照之间没有变化。这些数据部分解释了GRN-额颞叶痴呆中出现的炎症,并且适用于其他炎症状态,在这些状态中,原纤维蛋白、MERTK和AXL在神经退行性疾病之外发挥调节作用。GRN、MERTK和AXL之间的相互作用为干预这一炎症轴开辟了潜在的新治疗途径。

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