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Functional and molecular defects of hiPSC-derived neurons from patients with ATM deficiency
L Carlessi1, E Fusar Poli1, G Bechi2
1Department of Experimental Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Amadeo 42, 20133 Milano, Italy.
Abstract:
Loss of ataxia telangiectasia mutated (ATM) kinase, a key factor of the DNA damage response (DDR) pathway, causes the cancer predisposing and neurodegenerative syndrome ataxia-telangiectasia (A-T). To investigate the mechanisms of neurodegeneration, we have reprogrammed fibroblasts from ATM-null A-T patients and normal controls to pluripotency (human-induced pluripotent stem cells), and derived from these neural precursor cells able to terminally differentiate into post-mitotic neurons positive to >90% for β-tubulin III+/microtubule-associated protein 2+. We show that A-T neurons display similar voltage-gated potassium and sodium currents and discharges of action potentials as control neurons, but defective expression of the maturation and synaptic markers SCG10, SYP and PSD95 (postsynaptic density protein 95). A-T neurons exhibited defective repair of DNA double-strand breaks (DSBs) and repressed phosphorylation of ATM substrates (e.g., γH2AX, Smc1-S966, Kap1-S824, Chk2-T68, p53-S15), but normal repair of single-strand breaks, and normal short- and long-patch base excision repair activities. Moreover, A-T neurons were resistant to apoptosis induced by the genotoxic agents camptothecin and trabectedin, but as sensitive as controls to the oxidative agents. Most notably, A-T neurons exhibited abnormal accumulation of topoisomerase 1-DNA covalent complexes (Top1-ccs). These findings reveal that ATM deficiency impairs neuronal maturation, suppresses the response and repair of DNA DSBs, and enhances Top1-cc accumulation. Top1-cc could be a risk factor for neurodegeneration as they may interfere with transcription elongation and promote transcriptional decline.
Insights
Ataxia telangiectasia mutated (ATM) deficiency in neurons impairs maturation and DNA repair, leading to abnormal accumulation of topoisomerase 1-DNA covalent complexes, a potential driver of neurodegeneration.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Ataxia-telangiectasia (A-T) is a neurodegenerative syndrome caused by loss of ATM kinase, a crucial DNA damage response protein.
- Understanding the molecular mechanisms of A-T neurodegeneration is essential for developing therapeutic strategies.
Purpose of the Study:
- To investigate the impact of ATM deficiency on neuronal development, DNA damage response, and potential neurodegenerative pathways.
- To model A-T neurodegeneration using patient-derived induced pluripotent stem cells and differentiated neurons.
Main Methods:
- Reprogramming of patient and control fibroblasts into human-induced pluripotent stem cells (hiPSCs).
- Differentiation of hiPSCs into neural precursor cells and subsequently into post-mitotic neurons.
- Electrophysiological recordings, assessment of DNA double-strand break (DSB) repair, and analysis of DNA damage response markers.
- Evaluation of apoptosis sensitivity and topoisomerase 1-DNA covalent complex (Top1-cc) accumulation.
Main Results:
- A-T neurons exhibited normal electrophysiological properties but defective expression of neuronal maturation and synaptic markers (SCG10, SYP, PSD95).
- A-T neurons showed impaired DSB repair and reduced phosphorylation of ATM substrates, with normal single-strand break repair.
- A-T neurons accumulated abnormal levels of Top1-ccs and were resistant to specific genotoxic agents but not oxidative stress.
Conclusions:
- ATM deficiency impairs neuronal maturation and DNA double-strand break repair.
- Abnormal accumulation of Top1-ccs in A-T neurons may contribute to neurodegeneration by disrupting transcription.
- These findings highlight a novel mechanism linking ATM deficiency, DNA repair defects, and neurodegeneration.
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