The spinal muscular atrophy gene product regulates actin dynamics.


Journal

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
ISSN: 1530-6860
Titre abrégé: FASEB J
Pays: United States
ID NLM: 8804484

Informations de publication

Date de publication:
30 Sep 2024
Historique:
revised: 31 07 2024
received: 01 02 2023
accepted: 04 09 2024
medline: 21 9 2024
pubmed: 21 9 2024
entrez: 21 9 2024
Statut: ppublish

Résumé

Spinal Muscular Atrophy (SMA) is a neuromuscular disease caused by low levels of the Survival of Motoneuron (SMN) protein. SMN interacts with and regulates the actin-binding protein profilin2a, thereby influencing actin dynamics. Dysfunctional actin dynamics caused by SMN loss disrupts neurite outgrowth, axonal pathfinding, and formation of functional synapses in neurons. Whether the SMN protein directly interacts with and regulates filamentous (F-) and monomeric globular (G-) actin is still elusive. In a quantitative single cell approach, we show that SMN loss leads to dysregulated F-/G-actin fractions. Furthermore, quantitative assessment of cell morphology suggests an F-actin organizational defect. Interestingly, this is mediated by an interaction of SMN with G- and F-actin. In co-immunoprecipitation, in-vitro pulldown and co-localization assays, we elucidated that this interaction is independent of the SMN-profilin2a interaction. Therefore, we suggest two populations being relevant for functional actin dynamics in healthy neurons: SMN-profilin2a-actin and SMN-actin. Additionally, those two populations may influence each other and therefore regulate binding of SMN to actin. In SMA, we showed a dysregulated co-localization pattern of SMN-actin which could only partially rescued by SMN restoration. However, dysregulation of F-/G-actin fractions was reduced by SMN restoration. Taken together, our results suggest a novel molecular function of SMN in binding to actin independent from SMN-profilin2a interaction.

Identifiants

pubmed: 39305126
doi: 10.1096/fj.202300183R
doi:

Substances chimiques

Actins 0
Profilins 0
Survival of Motor Neuron 1 Protein 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e70055

Subventions

Organisme : Deutsche Forschungsgemeinschaft (DFG)
ID : PO732
Organisme : Deutsche Forschungsgemeinschaft (DFG)
ID : ZE994
Organisme : European Research Council (ERC)
ID : 956185
Organisme : Konrad-Adenauer-Stiftung (KAS)

Informations de copyright

© 2024 Federation of American Societies for Experimental Biology.

Références

Crawford TO, Sladky JT, Hurko O, Besner‐Johnston A, Kelley RI. Abnormal fatty acid metabolism in childhood spinal muscular atrophy. Ann Neurol. 1999;45(3):337‐343. doi:10.1002/1531-8249(199903)45:3<337::aid-ana9>3.0.co;2-u
Vitte JM, Davoult B, Roblot N, et al. Deletion of murine Smn exon 7 directed to liver leads to severe defect of liver development associated with iron overload. Am J Pathol. 2004;165(5):1731‐1741. doi:10.1016/S0002-9440(10)63428-1
Monani UR. Spinal muscular atrophy: a deficiency in a ubiquitous protein; a motor neuron‐specific disease. Neuron. 2005;48(6):885‐896. doi:10.1016/j.neuron.2005.12.001
Burghes AH, Beattie CE. Spinal muscular atrophy: why do low levels of survival motor neuron protein make motor neurons sick? Nat Rev Neurosci. 2009;10(8):597‐609. doi:10.1038/nrn2670
Martinez‐Hernandez R, Soler‐Botija C, Also E, et al. The developmental pattern of myotubes in spinal muscular atrophy indicates prenatal delay of muscle maturation. J Neuropathol Exp Neurol. 2009;68(5):474‐481. doi:10.1097/NEN.0b013e3181a10ea1
Hua Y, Sahashi K, Rigo F, et al. Peripheral SMN restoration is essential for long‐term rescue of a severe spinal muscular atrophy mouse model. Nature. 2011;478(7367):123‐126. doi:10.1038/nature10485
Hamilton G, Gillingwater TH. Spinal muscular atrophy: going beyond the motor neuron. Trends Mol Med. 2013;19(1):40‐50. doi:10.1016/j.molmed.2012.11.002
Szunyogova E, Zhou H, Maxwell GK, et al. Survival motor neuron (SMN) protein is required for normal mouse liver development. Sci Rep. 2016;6:34635. doi:10.1038/srep34635
Wijngaarde CA, Blank AC, Stam M, Wadman RI, van den Berg LH, van der Pol WL. Cardiac pathology in spinal muscular atrophy: a systematic review. Orphanet J Rare Dis. 2017;12(1):67. doi:10.1186/s13023-017-0613-5
Nery FC, Siranosian JJ, Rosales I, et al. Impaired kidney structure and function in spinal muscular atrophy. Neurol Genet. 2019;5(5):e353. doi:10.1212/NXG.0000000000000353
Deguise MO, Baranello G, Mastella C, et al. Abnormal fatty acid metabolism is a core component of spinal muscular atrophy. Ann Clin Transl Neurol. 2019;6(8):1519‐1532. doi:10.1002/acn3.50855
Allardyce H, Kuhn D, Hernandez‐Gerez E, et al. Renal pathology in a mouse model of severe spinal muscular atrophy is associated with downregulation of glial cell‐line derived neurotrophic factor (GDNF). Hum Mol Genet. 2020;29(14):2365‐2378. doi:10.1093/hmg/ddaa126
Hensel N, Brickwedde H, Tsaknakis K, et al. Altered bone development with impaired cartilage formation precedes neuromuscular symptoms in spinal muscular atrophy. Hum Mol Genet. 2020;29(16):2662‐2673. doi:10.1093/hmg/ddaa145
Lefebvre S, Burglen L, Reboullet S, et al. Identification and characterization of a spinal muscular atrophy‐determining gene. Cell. 1995;80(1):155‐165. doi:10.1016/0092-8674(95)90460-3
Lorson CL, Hahnen E, Androphy EJ, Wirth B. A single nucleotide in the SMN gene regulates splicing and is responsible for spinal muscular atrophy. Proc Natl Acad Sci USA. 1999;96(11):6307‐6311. doi:10.1073/pnas.96.11.6307
Lefebvre S, Burlet P, Liu Q, et al. Correlation between severity and SMN protein level in spinal muscular atrophy. Nat Genet. 1997;16(3):265‐269. doi:10.1038/ng0797-265
Lorson CL, Strasswimmer J, Yao JM, et al. SMN oligomerization defect correlates with spinal muscular atrophy severity. Nat Genet. 1998;19(1):63‐66. doi:10.1038/ng0598-63
Lorson CL, Androphy EJ. An exonic enhancer is required for inclusion of an essential exon in the SMA‐determining gene SMN. Hum Mol Genet. 2000;9(2):259‐265. doi:10.1093/hmg/9.2.259
Feldkotter M, Schwarzer V, Wirth R, Wienker TF, Wirth B. Quantitative analyses of SMN1 and SMN2 based on real‐time lightCycler PCR: fast and highly reliable carrier testing and prediction of severity of spinal muscular atrophy. Am J Hum Genet. 2002;70(2):358‐368. doi:10.1086/338627
Wirth B, Brichta L, Schrank B, et al. Mildly affected patients with spinal muscular atrophy are partially protected by an increased SMN2 copy number. Hum Genet. 2006;119(4):422‐428. doi:10.1007/s00439-006-0156-7
Dubowitz V. Very severe spinal muscular atrophy (SMA type 0): an expanding clinical phenotype. Eur J Paediatr Neurol. 1999;3(2):49‐51. doi:10.1053/ejpn.1999.0181
D'Amico A, Mercuri E, Tiziano FD, Bertini E. Spinal muscular atrophy. Orphanet J Rare Dis. 2011;6:71. doi:10.1186/1750-1172-6-71
Kolb SJ, Kissel JT. Spinal muscular atrophy. Neurol Clin. 2015;33(4):831‐846. doi:10.1016/j.ncl.2015.07.004
Ottesen EW. ISS‐N1 makes the first FDA‐approved drug for spinal muscular atrophy. Transl Neurosci. 2017;8:1‐6. doi:10.1515/tnsci-2017-0001
Ratni H, Ebeling M, Baird J, et al. Discovery of Risdiplam, a selective survival of motor neuron‐2 (SMN2) gene splicing modifier for the treatment of spinal muscular atrophy (SMA). J Med Chem. 2018;61(15):6501‐6517. doi:10.1021/acs.jmedchem.8b00741
Mendell JR, Al‐Zaidy S, Shell R, et al. Single‐dose gene‐replacement therapy for spinal muscular atrophy. N Engl J Med. 2017;377(18):1713‐1722. doi:10.1056/NEJMoa1706198
Hensel N, Kubinski S, Claus P. The need for SMN‐independent treatments of spinal muscular atrophy (SMA) to complement SMN‐enhancing drugs. Front Neurol. 2020;11:45. doi:10.3389/fneur.2020.00045
Gubitz AK, Feng W, Dreyfuss G. The SMN complex. Exp Cell Res. 2004;296(1):51‐56. doi:10.1016/j.yexcr.2004.03.022
Liu Q, Fischer U, Wang F, Dreyfuss G. The spinal muscular atrophy disease gene product, SMN, and its associated protein SIP1 are in a complex with spliceosomal snRNP proteins. Cell. 1997;90(6):1013‐1021. doi:10.1016/s0092-8674(00)80367-0
Fischer U, Liu Q, Dreyfuss G. The SMN‐SIP1 complex has an essential role in spliceosomal snRNP biogenesis. Cell. 1997;90(6):1023‐1029. doi:10.1016/s0092-8674(00)80368-2
Buhler D, Raker V, Luhrmann R, Fischer U. Essential role for the tudor domain of SMN in spliceosomal U snRNP assembly: implications for spinal muscular atrophy. Hum Mol Genet. 1999;8(13):2351‐2357.
Pellizzoni L, Kataoka N, Charroux B, Dreyfuss G. A novel function for SMN, the spinal muscular atrophy disease gene product, in pre‐mRNA splicing. Cell. 1998;95(5):615‐624. doi:10.1016/s0092-8674(00)81632-3
Takizawa Y, Qing Y, Takaku M, et al. GEMIN2 promotes accumulation of RAD51 at double‐strand breaks in homologous recombination. Nucleic Acids Res. 2010;38(15):5059‐5074. doi:10.1093/nar/gkq271
Kannan A, Jiang X, He L, Ahmad S, Gangwani L. ZPR1 prevents R‐loop accumulation, upregulates SMN2 expression and rescues spinal muscular atrophy. Brain. 2020;143(1):69‐93. doi:10.1093/brain/awz373
Hensel N, Detering NT, Walter LM, Claus P. Resolution of pathogenic R‐loops rescues motor neuron degeneration in spinal muscular atrophy. Brain. 2020;143(1):2‐5. doi:10.1093/brain/awz394
Kariya S, Park GH, Maeno‐Hikichi Y, et al. Reduced SMN protein impairs maturation of the neuromuscular junctions in mouse models of spinal muscular atrophy. Hum Mol Genet. 2008;17(16):2552‐2569. doi:10.1093/hmg/ddn156
Tisdale S, Van Alstyne M, Simon CM, Mentis GZ, Pellizzoni L. SMN controls neuromuscular junction integrity through U7 snRNP. Cell Rep. 2022;40(12):111393. doi:10.1016/j.celrep.2022.111393
Imlach WL, Beck ES, Choi BJ, Lotti F, Pellizzoni L, McCabe BD. SMN is required for sensory‐motor circuit function in Drosophila. Cell. 2012;151(2):427‐439. doi:10.1016/j.cell.2012.09.011
Van Alstyne M, Simon CM, Sardi SP, Shihabuddin LS, Mentis GZ, Pellizzoni L. Dysregulation of Mdm2 and Mdm4 alternative splicing underlies motor neuron death in spinal muscular atrophy. Genes Dev. 2018;32(15–16):1045‐1059. doi:10.1101/gad.316059.118
Simon CM, Van Alstyne M, Lotti F, et al. Stasimon contributes to the loss of sensory synapses and motor neuron death in a mouse model of spinal muscular atrophy. Cell Rep. 2019;29(12):3885‐3901 e5. doi:10.1016/j.celrep.2019.11.058
Dimitriadi M, Derdowski A, Kalloo G, et al. Decreased function of survival motor neuron protein impairs endocytic pathways. Proc Natl Acad Sci USA. 2016;113(30):E4377‐E4386. doi:10.1073/pnas.1600015113
van Bergeijk J, Rydel‐Konecke K, Grothe C, Claus P. The spinal muscular atrophy gene product regulates neurite outgrowth: importance of the C terminus. FASEB J. 2007;21(7):1492‐1502. doi:10.1096/fj.06-7136com
Simic G, Mladinov M, Seso Simic D, et al. Abnormal motoneuron migration, differentiation, and axon outgrowth in spinal muscular atrophy. Acta Neuropathol. 2008;115(3):313‐326. doi:10.1007/s00401-007-0327-1
Hensel N, Stockbrugger I, Rademacher S, et al. Bilateral crosstalk of rho‐ and extracellular‐signal‐regulated‐kinase (ERK) pathways is confined to an unidirectional mode in spinal muscular atrophy (SMA). Cell Signal. 2014;26(3):540‐548. doi:10.1016/j.cellsig.2013.11.027
Bowerman M, Shafey D, Kothary R. Smn depletion alters profilin II expression and leads to upregulation of the RhoA/ROCK pathway and defects in neuronal integrity. J Mol Neurosci. 2007;32(2):120‐131. doi:10.1007/s12031-007-0024-5
Hensel N, Rademacher S, Claus P. Chatting with the neighbors: crosstalk between Rho‐kinase (ROCK) and other signaling pathways for treatment of neurological disorders. Front Neurosci. 2015;9:198. doi:10.3389/fnins.2015.00198
Hensel N, Baskal S, Walter LM, Brinkmann H, Gernert M, Claus P. ERK and ROCK functionally interact in a signaling network that is compensationally upregulated in spinal muscular atrophy. Neurobiol Dis. 2017;108:352‐361. doi:10.1016/j.nbd.2017.09.005
Hensel N, Cieri F, Santonicola P, et al. Impairment of the neurotrophic signaling hub B‐Raf contributes to motoneuron degeneration in spinal muscular atrophy. Proc Natl Acad Sci USA. 2021;118(18): e2007785118. doi:10.1073/pnas.2007785118
Lee SH, Dominguez R. Regulation of actin cytoskeleton dynamics in cells. Mol Cells. 2010;29(4):311‐325. doi:10.1007/s10059-010-0053-8
Hensel N, Claus P. The actin cytoskeleton in SMA and ALS: how does it contribute to Motoneuron degeneration? Neuroscientist. 2018;24(1):54‐72. doi:10.1177/1073858417705059
Giesemann T, Rathke‐Hartlieb S, Rothkegel M, et al. A role for polyproline motifs in the spinal muscular atrophy protein SMN. Profilins bind to and colocalize with smn in nuclear gems. J Biol Chem. 1999;274(53):37908‐37914. doi:10.1074/jbc.274.53.37908
Nölle A, Zeug A, van Bergeijk J, et al. The spinal muscular atrophy disease protein SMN is linked to the Rho‐kinase pathway via profilin. Hum Mol Genet. 2011;20(24):4865‐4878. doi:10.1093/hmg/ddr425
Bowerman M, Anderson CL, Beauvais A, Boyl PP, Witke W, Kothary R. SMN, profilin IIa and plastin 3: a link between the deregulation of actin dynamics and SMA pathogenesis. Mol Cell Neurosci. 2009;42(1):66‐74. doi:10.1016/j.mcn.2009.05.009
Ferron F, Rebowski G, Lee SH, Dominguez R. Structural basis for the recruitment of profilin‐actin complexes during filament elongation by Ena/VASP. EMBO J. 2007;26(21):4597‐4606. doi:10.1038/sj.emboj.7601874
Da Silva JS, Medina M, Zuliani C, Di Nardo A, Witke W, Dotti CG. RhoA/ROCK regulation of neuritogenesis via profilin IIa‐mediated control of actin stability. J Cell Biol. 2003;162(7):1267‐1279. doi:10.1083/jcb.200304021
Sharma A, Lambrechts A, le Hao T, et al. A role for complexes of survival of motor neurons (SMN) protein with gemins and profilin in neurite‐like cytoplasmic extensions of cultured nerve cells. Exp Cell Res. 2005;309(1):185‐197. doi:10.1016/j.yexcr.2005.05.014
Cashman NR, Durham HD, Blusztajn JK, et al. Neuroblastoma × spinal cord (NSC) hybrid cell lines resemble developing motor neurons. Dev Dyn. 1992;194(3):209‐221. doi:10.1002/aja.1001940306
Claus P, Bruns AF, Grothe C. Fibroblast growth factor‐2(23) binds directly to the survival of motoneuron protein and is associated with small nuclear RNAs. Biochem J. 2004;384(Pt 3):559‐565. doi:10.1042/BJ20040801
Franz P, Gassl V, Topf A, Eckelmann L, Iorga B, Tsiavaliaris G. A thermophoresis‐based biosensor for real‐time detection of inorganic phosphate during enzymatic reactions. Biosens Bioelectron. 2020;169:112616. doi:10.1016/j.bios.2020.112616
Bernabo P, Tebaldi T, Groen EJN, et al. In vivo Translatome profiling in spinal muscular atrophy reveals a role for SMN protein in ribosome biology. Cell Rep. 2017;21(4):953‐965. doi:10.1016/j.celrep.2017.10.010
Schill Y, Bijata M, Kopach O, et al. Serotonin 5‐HT(4) receptor boosts functional maturation of dendritic spines via RhoA‐dependent control of F‐actin. Commun Biol. 2020;3(1):76. doi:10.1038/s42003-020-0791-x
Muller FE, Schade SK, Cherkas V, et al. Serotonin receptor 4 regulates hippocampal astrocyte morphology and function. Glia. 2021;69(4):872‐889. doi:10.1002/glia.23933
Blatnik AJ, McGovern VL, Le TT, Iyer CC, Kaspar BK, Burghes AHM. Conditional deletion of SMN in cell culture identifies functional SMN alleles. Hum Mol Genet. 2020;29(21):3477‐3492. doi:10.1093/hmg/ddaa229
Bubb MR, Govindasamy L, Yarmola EG, et al. Polylysine induces an antiparallel actin dimer that nucleates filament assembly: crystal structure at 3.5‐A resolution. J Biol Chem. 2002;277(23):20999‐21006. doi:10.1074/jbc.M201371200
Detering NT, Schuning T, Hensel N, Claus P. The phospho‐landscape of the survival of motoneuron protein (SMN) protein: relevance for spinal muscular atrophy (SMA). Cell Mol Life Sci. 2022;79(9):497. doi:10.1007/s00018-022-04522-9
Qu YJ, Bai JL, Cao YY, et al. Mutation Spectrum of the survival of motor neuron 1 and functional analysis of variants in Chinese spinal muscular atrophy. J Mol Diagn. 2016;18(5):741‐752. doi:10.1016/j.jmoldx.2016.05.004
Yu‐Jin Q, Juan D, Er‐zhen L, et al. Subtle mutations in the SMN1 gene in Chinese patients with SMA: p.Arg288Met mutation causing SMN1 transcript exclusion of exon7. BMC Med Genet. 2012;13:86. doi:10.1186/1471-2350-13-86
Rossoll W, Kroning AK, Ohndorf UM, Steegborn C, Jablonka S, Sendtner M. Specific interaction of Smn, the spinal muscular atrophy determining gene product, with hnRNP‐R and gry‐rbp/hnRNP‐Q: a role for Smn in RNA processing in motor axons? Hum Mol Genet. 2002;11(1):93‐105. doi:10.1093/hmg/11.1.93
Jablonka S, Bandilla M, Wiese S, et al. Co‐regulation of survival of motor neuron (SMN) protein and its interactor SIP1 during development and in spinal muscular atrophy. Hum Mol Genet. 2001;10(5):497‐505. doi:10.1093/hmg/10.5.497
McWhorter ML, Monani UR, Burghes AH, Beattie CE. Knockdown of the survival motor neuron (Smn) protein in zebrafish causes defects in motor axon outgrowth and pathfinding. J Cell Biol. 2003;162(5):919‐931. doi:10.1083/jcb.200303168
Pagliardini S, Giavazzi A, Setola V, et al. Subcellular localization and axonal transport of the survival motor neuron (SMN) protein in the developing rat spinal cord. Hum Mol Genet. 2000;9(1):47‐56.
Fan L, Simard LR. Survival motor neuron (SMN) protein: role in neurite outgrowth and neuromuscular maturation during neuronal differentiation and development. Hum Mol Genet. 2002;11(14):1605‐1614. doi:10.1093/hmg/11.14.1605
Walter LM, Franz P, Lindner R, Tsiavaliaris G, Hensel N, Claus P. Profilin2a‐phosphorylation as a regulatory mechanism for actin dynamics. FASEB J. 2020;34(2):2147‐2160. doi:10.1096/fj.201901883R
Janzen E, Wolff L, Mendoza‐Ferreira N, et al. PLS3 overexpression delays ataxia in Chp1 mutant mice. Front Neurosci. 2019;13:993. doi:10.3389/fnins.2019.00993
Muinos‐Buhl A, Rombo R, Janzen E, et al. Combinatorial ASO‐mediated therapy with low dose SMN and the protective modifier Chp1 is not sufficient to ameliorate SMA pathology hallmarks. Neurobiol Dis. 2022;171:105795. doi:10.1016/j.nbd.2022.105795
Muinos‐Buhl A, Rombo R, Ling KK, et al. Long‐term SMN‐ and Ncald‐ASO combinatorial therapy in SMA mice and NCALD‐ASO treatment in hiPSC‐derived motor neurons show protective effects. Int J Mol Sci. 2023;24(4): 4198. doi:10.3390/ijms24044198
Walsh MB, Janzen E, Wingrove E, et al. Genetic modifiers ameliorate endocytic and neuromuscular defects in a model of spinal muscular atrophy. BMC Biol. 2020;18(1):127. doi:10.1186/s12915-020-00845-w
Wirth B, Karakaya M, Kye MJ, Mendoza‐Ferreira N. Twenty‐five years of spinal muscular atrophy research: from phenotype to genotype to therapy, and what comes next. Annu Rev Genomics Hum Genet. 2020;21:231‐261. doi:10.1146/annurev-genom-102319-103602
Wolff L, Strathmann EA, Muller I, et al. Plastin 3 in health and disease: a matter of balance. Cell Mol Life Sci. 2021;78(13):5275‐5301. doi:10.1007/s00018-021-03843-5
Hennlein L, Ghanawi H, Gerstner F, et al. Plastin 3 rescues cell surface translocation and activation of TrkB in spinal muscular atrophy. J Cell Biol. 2023;222(3): e202204113. doi:10.1083/jcb.202204113

Auteurs

Tobias Schüning (T)

SMATHERIA gGmbH - Non-Profit Biomedical Research Institute, Hannover, Germany.
Department of Anatomy and Cell Biology, Faculty of Medicine, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Andre Zeug (A)

Institute of Cellular Neurophysiology, Hannover Medical School, Hannover, Germany.

Katharina Strienke (K)

SMATHERIA gGmbH - Non-Profit Biomedical Research Institute, Hannover, Germany.
Department of Anatomy and Cell Biology, Faculty of Medicine, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Peter Franz (P)

Cellular Biophysics, Institute for Biophysical Chemistry, Hannover Medical School, Hannover, Germany.

Georgios Tsiavaliaris (G)

Cellular Biophysics, Institute for Biophysical Chemistry, Hannover Medical School, Hannover, Germany.

Niko Hensel (N)

Department of Anatomy and Cell Biology, Faculty of Medicine, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Gabriella Viero (G)

Institute of Biophysics (IBF), CNR Unit at Trento, Trento, Italy.

Evgeni Ponimaskin (E)

Department of Anatomy and Cell Biology, Faculty of Medicine, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Peter Claus (P)

SMATHERIA gGmbH - Non-Profit Biomedical Research Institute, Hannover, Germany.
Center for Systems Neuroscience (ZSN), Hannover, Germany.
Institute of Functional and Applied Anatomy, Hannover Medical School, Hannover, Germany.

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