Author : Lam Son Nguyen
Publisher :
Page : 488 pages
File Size : 22,18 MB
Release : 2013
Category : Developmental disabilities
ISBN :
Nonsense mediated mRNA decay (NMD) functions to degrade transcripts containing premature termination codons and to regulate normal expression of the transcriptome. We identified mutations in UPF3B, a core member of NMD, as the cause of intellectual disability (ID) with or without other neuro-psychiatric traits and congenital anomalies. Recently, Thrombocytopenia with Absent Radius (TAR) syndrome was linked to compound heterozygous mutations in RBM8A, another NMD factor. About 7% of TAR patients also display ID, suggesting a common etiology underlying abnormal brain development in patients with compromised NMD. To gauge into the role of NMD in the brain, we assessed the transcriptome wide deregulation as a consequence of compromised NMD in lymphoblastoid cell lines (LCLs) of patients with UPF3B mutations using RNA-Seq and exon array. We showed that up to 5% of the transcriptome was impacted on, affecting multiple genes with important neuronal functions. Among these, we demonstrated that up regulation of ARHGAP24 isoform 1, which encodes an actin cytoskeleton remodeling protein, severely disrupted the axonal growth and hindered the survival of primary hippocampal neurons. This suggested that deregulation of ARHGAP24 isoform 1, among other important neuronal genes, contributed directly to the patients' neuronal phenotype. We expanded our inquiry into the role of other NMD factors in the brain. We surveyed copy number variants (CNVs) encompassing 18 NMD genes in 57,365 patients and 20,474 controls and identified 11 de novo CNVs encompassing UPF2, another core NMD factor which encodes for a direct interacting partner of UPF3B. The transcriptome deregulation due to heterozygous loss of UPF2 in these patients was 95% similar to those of patients with UPF3B mutations, suggesting that UPF2 is a novel, dosage sensitive neuro-developmental gene. Additionally, CNVs of other four NMD genes UPF3A, SMG6, EIF4A3 and RNPS1 were also significantly enriched in the patients, and likely contributed to neurodevelopmental disease etiology. Overall, our work emphasizes the importance of properly functioning NMD in normal brain development. It also lays a solid foundation for future investigations into the causative and predisposing (when mutated) or modifying (when dosage imbalanced or polymorphic) role of NMD genes in a broad spectrum of neurological disorders.