Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
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LA RECHERCHE DANS LES MALADIES RARES 28 Février 2020 - STRASBOURG Test de Dgkk comme cible thérapeutique du syndrome de l’X fragile dans les souris Fmr1- KO Hervé MOINE
Fragile X-syndrome - First cause of familial intellectual disability (1/4000 m, 1/8000 f) - hyperactivity, autism, hypersensitivity, stereotypies… - facial abnormalities, macroorchidism… - "Synaptopathy" - abnormal dendritic spines in patients + Fmr1 KO mice - synaptic plasticity alterations in mouse FXS (mGluR-LTD & LTP altered) - Triplet repeat disease (Verkerk et al. 1991; Kremer et al., 1991; Fu et al., 1991) X-fragile unaffected CGGn > 200 mutation Fragile X Methylation 55-200 premutation FXTAS, POF M 5-50 normal Irwin et al. 2002 CpG FMR1 5’UTR 3’UTR No treatment FMRP Function?
FMRP: A protein involved in mRNA metabolism soma Dendritic spine Postsynaptic compartment Polyribosomes Nucleus Neuronal granules dendrite Stress granules
Loss of FMRP: excessive mGluR signaling mGluRI (Huber et al. 2002, Bear et al. 2004) soma Dendritic spine Postsynaptic compartment Nucleus Polyribosomes + Neuronal granules Alteration of Synapse functioning mGluRI-LTD increase & LTP decrease dendrite Stress granules
FMRP function? soma Dendritic spine Postsynaptic compartment Polyribosomes Nucleus Neuronal granules dendrite mRNA targets? Stress granules
FMRP CLIP-microarray : DGKk mRNA is a main target of FMRP Fmr1 KO Fmr1 Wt soma Dendritic spine Postsynaptic compartment Log10 (pValue) Polyribosomes Nucleus Neuronal granules Log2 (fold change) n=5 dendrite [AIWt CLIP/AIWt Input]/[AIKO CLIP/AIKO Input] Stress granules
FMRP controls DGKk synthesis Bogi Zambo / Oktay Cakil Human cerebellum HeLa+DGKk CTR FXS 1 2 3 1 2 3 4 Dgkk DGKk 250 100 FMRP FMRP 35 Dgkk mRNA GAPDH COS-1 cells *** DGKk-FL 100 siC siFmr1 DGKk(HA) FMRP GAPDH 0 r1 C si Fm si
DGKk : Diacylglycerol kinase kappa Diacylglycerol Phosphatidic Acid (DAG) (PA) Dgkk Dgkk DAG PA FMRP Dgkk mRNA
DGKk : a master regulator of lipid signaling Presynaptic neuron Glutamate PiP2 DAG PA Excitatory synapse mGluRI Gq PLC Dgkk FMRP Dgkk mRNA Dendritic spine Postsynaptic neuron
DGKk : a master regulator of lipid signaling Presynaptic neuron Glutamate PiP2 DAG PA AMPAR Excitatory synapse mGluRI Gq PLC Ras PKC Homer GRP PIKE-L Ras Dgkk PI3K RAF Akt FMRP Dgkk mRNA mGluR-LTD TSC1/2 MEK1/2 S6K Rheb ERK1/2 mTOR Mnk 4E-BP eIF4E Local protein translation (spine growth)
DGKk : a master regulator of lipid signaling Presynaptic neuron Glutamate PiP2 DAG PA Excitatory synapse mGluRI Gq PLC Ras PKC Homer Rac GRP PAK PIKE-L Ras Dgkk Actin filament stabilization PI3K (spine maintenance) RAF Akt FMRP Dgkk mRNA TSC1/2 MEK1/2 S6K Rheb ERK1/2 mTOR Mnk 4E-BP eIF4E Local protein translation (spine growth)
A novel FXS pathomechanism: DAG/PA unbalance Presynaptic neuron Glutamate PiP2 mGluRI DAG PA Excitatory synapse Gq PLC Ras PKC Homer Rac GRP PAK PIKE-L PI3K Ras RAF Dgkk - Akt FMRP Dgkk mRNA Fragile X MEK1/2 TSC1/2 Actin filament stabilization S6K Rheb ERK1/2 (spine maintenance) mTOR Mnk PA 4E-BP eIF4E DAG Enhanced + in F X S Decreased Local protein translation in F X S (spine growth)
Knockdown of DGKk recapitulates FXS phenotype AAV9-Gfp-shRNA Scramble AAV9-Gfp-shRNA DGKK Day 1 Day 28 Fmr1 KO Injection Analysis Dgkk KD hippocampal slices CA1 LTP LTD Fmr1-Wt Fmr1-KO SH-control SH-DGKk LFS (900 pulses at 5 Hz) TBS ( 3x5 bursts at 5 Hz) Tabet et al. PNAS 2016
DGKk : a therapeutic target for FXS ? Could up-regulation of DGK activity rescue Fmr1-KO phenotypes? - Dgkk + Dgkk Fmr1 KO Fmr1 KO 1) Pharmacological rescue : Pioglitazone 2) Gene therapy : AAV-DGKk
AAV-∆N-DGKk rescue of Fmr1-KO mouse ∆N-DGKk transgene rescues dendritic spines of Fmr1-KO neurons Fmr1-KO SH-scramble Fmr1-Wt SH-DGKK SH-scramble SH-DGKk +∆N-DGKk Fmr1-KO 100 Spine stability (%) Fmr1-KO 80 SH-scramble +∆N-DGKk 60 * SH-DGKK 40 Fmr1-KO 20 Fmr1-KO +∆N-DGKk hippocampal organotypic cultures (12 DIV) 0 5 24 48 72 hippocampal slices CA1 Time (h) AAV9-∆N-DGKk transduces efficiently neurons in vitro and in vivo HA DAPI NT AAV9-GFP + Dgkk AAV9-∆N-DGKk Fmr1 KO AAV9-∆N-DGKk GETEX maturation 4 weeks transduction project In progress Cortical neurons (14 days in vitro)
AAV-Dgkk gene therapy approach in Fmr1-KO mouse Rh10, intracranial injection, 4 sites : striatum + hippocampe (10^11 VG/mouse) Actimétrie (32h) PHPeB retroorbital injection (5.10^11 VG/mouse) Elevated plus maze Open field test Wt Novel object recognition test AAV injection Stereotypies (Head shakes) Grooming Nesting KO Social preference / recognition 8 weeks Behavioral tests Electrophysiological analyses Molecular analyses 4 weeks Behavioral tests Molecular analyses KO+AAV W1 W2 W3 W4 W5 W6 W7 W8 W9 W10 W11 W12 W13 W14 W15 W16 W17 W18 Rh10-∆N-DGKK (+4 weeks) Social memory-sniffing duration (%) Distance traveled % time in open arms open arms entries Total arm entries % buried marbles Wt KO KO Wt KO KO Wt KO KO Wt KO KO Wt KO KO Wt KO KO n=24 +AAV +AAV +AAV +AAV +AAV +AAV
Conclusions : + Pioglitazone + Dgkk Fragile X Normal PA DAG DAG PA up-regulation of DGK activity ameliorates Fmr1-KO phenotypes
Perspectives : - Preclinical validation of Dgkk targeting - Mechanism of Dgkk control by FMRP ? G 4eIF4E 40S ? -- Binding site ? Clip-seq FMRP/ribosome interaction e IF FMRP 4A P AAAABP AAA DGKk mRNA - Functions of DGKk in higher brain functions? DGKk-KO Fmr1-KO ? =
Acknowledgments Present members Collaborators Karima Habbas Hélène Puccio Boggi Zambo Arnaud Duchon IGBMC Oktay Cakil Yann Herault Eric Flatter Françoise Piguet ICM Paris Jean-Louis Mandel Nicolas Vitale INCI Strasbourg Dimitri Heintz IBMP Strasbourg Former members Olivier Manzoni INMED Marseille Ricardos Tabet Andréa Geoffroy Flora Tassone UC Davis Fumi Hoshino Antonina Fedorova SATT Conectus Zaiane Schmitt Barbara Bardoni IPMC Nice Fonds Paul Mandel
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