In vitro prion-like behaviour of TDP-43 in ALS

Phillip Smethurst1, Jia Newcombe2, Claire Troakes3

  • 1Department of Molecular Neuroscience, UCL Institute of Neurology, Queen Square House, Queen Square, London WC1N 3BG, United Kingdom.

Neurobiology of Disease
|September 4, 2016
PubMed

Insights

Amyotrophic lateral sclerosis (ALS) is a motor neuron disease where TDP-43 protein misfolds like a prion. This study shows TDP-43 seeds polymerize and spread, mimicking prion disease mechanisms in ALS.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Prion Disease Research

Background:

  • Amyotrophic lateral sclerosis (ALS) is a motor neuron disease characterized by TDP-43 proteinopathy.
  • ALS shares similarities with prion diseases, suggesting a common 'prion-like' pathobiology involving TDP-43.
  • Over 95% of ALS cases involve insoluble, aggregated, phosphorylated, and cleaved TDP-43.

Purpose of the Study:

  • To systematically investigate the hypothesis that ALS is a prion-like disorder.
  • To determine if TDP-43 exhibits prion-like properties in the context of ALS.

Main Methods:

  • Demonstrated seeded polymerization of TDP-43 in vitro using ALS patient brain and spinal cord tissue.
  • Showcased the formation of characteristic TDP-43 pathology recapitulating ALS inclusions.
  • Propagated TDP-43 pathology serially and demonstrated cell-to-cell spread.
  • Replicated findings in a murine motor neuron-like cell line (NSC-34).

Main Results:

  • TDP-43 undergoes seeded polymerization in vitro from ALS tissues.
  • Seeded TDP-43 forms insoluble, aggregated, and phosphorylated pathology mirroring ALS inclusions.
  • TDP-43 pathology can be serially propagated and spreads between cells, akin to prion diseases.
  • TDP-43 seeding in NSC-34 cells induced oligomer formation and reduced cell viability.

Conclusions:

  • ALS exhibits prion-like characteristics driven by TDP-43.
  • TDP-43 acts as a misfolded protein capable of seeded polymerization and cell-to-cell propagation.
  • These findings support ALS as a prion-like disorder and may inform therapeutic strategies.