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A regulatory path associated with X-linked intellectual disability and epilepsy links KDM5C to the polyalanine
Loredana Poeta1, Francesca Fusco, Denise Drongitis
1Institute of Genetics and Biophysics Adriano Buzzati Traverso, Consiglio Nazionale delle Ricerche, Naples 80131, Italy.
Insights
Aristaless-related homeobox (ARX) gene mutations causing intellectual disability (ID) and epilepsy disrupt the regulation of KDM5C gene expression. This ARX-KDM5C pathway involves chromatin remodeling and impacts disease severity in children.
Area of Science:
- Genetics
- Neuroscience
- Developmental Biology
Background:
- Intellectual disability (ID) and epilepsy frequently co-occur, significantly impacting child development.
- Mutations in the aristaless-related homeobox (ARX) gene, specifically polyalanine expansions, are linked to X-linked ID (XLID) and epilepsy syndromes.
- Lysine-specific demethylase 5C (KDM5C) is implicated in XLID and chromatin remodeling.
Purpose of the Study:
- To investigate the regulatory relationship between ARX and KDM5C in the context of XLID and epilepsy.
- To determine how ARX polyalanine expansions affect KDM5C gene regulation and downstream effects.
- To elucidate a potential ARX-dependent mechanism involving chromatin remodeling in ID and epilepsy.
Main Methods:
- Analysis of ARX mutations with varying polyalanine expansions in individuals with XLID/epilepsy.
- Assessment of ARX binding to the KDM5C regulatory region.
- Quantitative RT-PCR to measure Kdm5c mRNA levels in murine Arx-knockout cells.
- Evaluation of KDM5C protein levels and H3K4me3 signals during neuronal differentiation.
Main Results:
- ARX directly regulates KDM5C expression via a conserved noncoding element.
- Polyalanine expansions in ARX lead to hypomorphic mutations with reduced trans-activity and impaired KDM5C binding.
- ARX mutations cause Kdm5c mRNA downregulation and decreased KDM5C protein in developing neurons.
- Reduced KDM5C levels inversely correlate with increased H3K4me3, suggesting chromatin remodeling alterations.
Conclusions:
- ARX polyalanine expansions disrupt KDM5C gene regulation.
- The ARX-KDM5C interaction represents a potential pathway contributing to the pathophysiology of XLID and epilepsy.
- Altered ARX function impacting KDM5C expression and chromatin remodeling may correlate with disease severity.
Abstract:
Intellectual disability (ID) and epilepsy often occur together and have a dramatic impact on the development and quality of life of the affected children. Polyalanine (polyA)-expansion-encoding mutations of aristaless-related homeobox (ARX) cause a spectrum of X-linked ID (XLID) diseases and chronic epilepsy, including infantile spasms. We show that lysine-specific demethylase 5C (KDM5C), a gene known to be mutated in XLID-affected children and involved in chromatin remodeling, is directly regulated by ARX through the binding in a conserved noncoding element. We have studied altered ARX carrying various polyA elongations in individuals with XLID and/or epilepsy. The changes in polyA repeats cause hypomorphic ARX alterations, which exhibit a decreased trans-activity and reduced, but not abolished, binding to the KDM5C regulatory region. The altered functioning of the mutants tested is likely to correlate with the severity of XLID and/or epilepsy. By quantitative RT-PCR, we observed a dramatic Kdm5c mRNA downregulation in murine Arx-knockout embryonic and neural stem cells. Such Kdm5c mRNA diminution led to a severe decrease in the KDM5C content during in vitro neuronal differentiation, which inversely correlated with an increase in H3K4me3 signal. We established that ARX polyA alterations damage the regulation of KDM5C expression, and we propose a potential ARX-dependent path acting via chromatin remodeling.
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