TY - JOUR
T1 - INPP5K and SIL1 associated pathologies with overlapping clinical phenotypes converge through dysregulation of PHGDH
AU - Hathazi, Denisa
AU - Cox, Dan
AU - D'Amico, Adele
AU - Tasca, Giorgio
AU - Charlton, Richard
AU - Carlier, Robert Yves
AU - Baumann, Jennifer
AU - Kollipara, Laxmikanth
AU - Zahedi, René P.
AU - Feldmann, Ingo
AU - Deleuze, Jean Francois
AU - Torella, Annalaura
AU - Cohn, Ronald
AU - Robinson, Emily
AU - Ricci, Francesco
AU - Jungbluth, Heinz
AU - Fattori, Fabiana
AU - Boland, Anne
AU - O'Connor, Emily
AU - Horvath, Rita
AU - Barresi, Rita
AU - Lochmüller, Hanns
AU - Urtizberea, Andoni
AU - Jacquemont, Marie Line
AU - Nelson, Isabelle
AU - Swan, Laura
AU - Bonne, Gisèle
AU - Roos, Andreas
PY - 2021/8/1
Y1 - 2021/8/1
N2 - Marinesco-Sjögren syndrome is a rare human disorder caused by biallelic mutations in SIL1 characterized by cataracts in infancy, myopathy and ataxia, symptoms which are also associated with a novel disorder caused by mutations in INPP5K. While these phenotypic similarities may suggest commonalties at a molecular level, an overlapping pathomechanism has not been established yet. In this study, we present six new INPP5K patients and expand the current mutational and phenotypical spectrum of the disease showing the clinical overlap between Marinesco-Sjögren syndrome and the INPP5K phenotype. We applied unbiased proteomic profiling on cells derived from Marinesco-Sjögren syndrome and INPP5K patients and identified alterations in d-3-PHGDH as a common molecular feature. d-3-PHGDH modulates the production of l-serine and mutations in this enzyme were previously associated with a neurological phenotype, which clinically overlaps with Marinesco-Sjögren syndrome and INPP5K disease. As l-serine administration represents a promising therapeutic strategy for d-3-PHGDH patients, we tested the effect of l-serine in generated sil1, phgdh and inpp5k a+b zebrafish models, which showed an improvement in their neuronal phenotype. Thus, our study defines a core phenotypical feature underpinning a key common molecular mechanism in three rare diseases and reveals a common and novel therapeutic target for these patients.
AB - Marinesco-Sjögren syndrome is a rare human disorder caused by biallelic mutations in SIL1 characterized by cataracts in infancy, myopathy and ataxia, symptoms which are also associated with a novel disorder caused by mutations in INPP5K. While these phenotypic similarities may suggest commonalties at a molecular level, an overlapping pathomechanism has not been established yet. In this study, we present six new INPP5K patients and expand the current mutational and phenotypical spectrum of the disease showing the clinical overlap between Marinesco-Sjögren syndrome and the INPP5K phenotype. We applied unbiased proteomic profiling on cells derived from Marinesco-Sjögren syndrome and INPP5K patients and identified alterations in d-3-PHGDH as a common molecular feature. d-3-PHGDH modulates the production of l-serine and mutations in this enzyme were previously associated with a neurological phenotype, which clinically overlaps with Marinesco-Sjögren syndrome and INPP5K disease. As l-serine administration represents a promising therapeutic strategy for d-3-PHGDH patients, we tested the effect of l-serine in generated sil1, phgdh and inpp5k a+b zebrafish models, which showed an improvement in their neuronal phenotype. Thus, our study defines a core phenotypical feature underpinning a key common molecular mechanism in three rare diseases and reveals a common and novel therapeutic target for these patients.
KW - BiP
KW - INPP5K
KW - L-serine
KW - PHGDH
KW - SIL1
UR - http://www.scopus.com/inward/record.url?scp=85115905290&partnerID=8YFLogxK
U2 - 10.1093/brain/awab133
DO - 10.1093/brain/awab133
M3 - Article
C2 - 33792664
AN - SCOPUS:85115905290
SN - 0006-8950
VL - 144
SP - 2427
EP - 2442
JO - Brain
JF - Brain
IS - 8
ER -