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Altered Phase Separation and Cellular Impact in C9orf72-Linked ALS/FTD
Daniel A Solomon1,2, Rebekah Smikle2, Matthew J Reid2
1UK Dementia Research Institute at King's College London, London, United Kingdom.
Frontiers in Cellular Neuroscience
|May 10, 2021
Summary
The C9orf72 repeat expansion causes ALS and FTD by disrupting cellular phase separation. Toxic proteins and RNA from this mutation impair membraneless organelles, leading to disease pathology.
Area of Science:
- Neuroscience
- Cell Biology
- Genetics
Background:
- The C9orf72 repeat expansion mutation is a primary genetic cause of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD).
- Cellular compartmentalization via liquid-liquid phase separation (LLPS) is crucial for forming membraneless organelles.
Purpose of the Study:
- To review the principles of phase separation in the context of C9orf72-ALS/FTD.
- To discuss how C9orf72-associated dipeptide repeat proteins (DPRs) and repeat RNA perturb physiological LLPS.
- To explore the impact of abnormal phase separation on TDP-43 proteinopathy and potential therapeutic strategies.
Main Methods:
- Review of existing literature on C9orf72, LLPS, and neurodegenerative diseases.
- Analysis of the role of DPRs and repeat RNA in phase separation.
- Discussion of the functional consequences of perturbed LLPS in C9orf72-ALS/FTD.
Main Results:
- Toxic DPRs and repeat RNA, translated from the C9orf72 mutation, undergo aberrant phase separation.
- This abnormal phase separation disrupts the formation and function of essential membraneless organelles.
- Perturbed LLPS contributes to cellular dysfunction and pathological hallmarks like TDP-43 proteinopathy.
Conclusions:
- Abnormal phase separation is a key pathogenic mechanism in C9orf72-linked ALS and FTD.
- Targeting aberrant LLPS presents a potential therapeutic avenue for C9orf72-ALS/FTD.

