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Poly-dipeptides produced from C9orf72 hexanucleotide repeats cause selective motor neuron hyperexcitability in ALS
Yunhee Jo1, Jiwon Lee2, Seul-Yi Lee1
1Department of Physiology, Sungkyunkwan University School of Medicine, Suwon 16419, Korea.
Summary
The C9orf72 gene mutation, a common cause of ALS, leads to motor cortex hyperexcitability. Proline-arginine peptides increase sodium currents, causing motor neuron hyperactivation in C9orf72-linked ALS.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- The GGGGCC hexanucleotide repeat expansion in the C9orf72 gene is the leading genetic cause of amyotrophic lateral sclerosis (ALS).
- Early stages of C9orf72-linked ALS are characterized by motor cortex hyperexcitability, but the underlying mechanisms are not fully understood.
- Previous research focused on toxic poly-dipeptides, yet their precise role in motor neuron dysfunction remains unclear.
Purpose of the Study:
- To elucidate the molecular mechanisms responsible for motor cortex hyperexcitability in C9orf72-related ALS.
- To investigate the role of proline-arginine poly-dipeptides in altering neuronal excitability.
- To identify the specific ion channels involved in the observed motor neuron hyperactivation.
Main Methods:
- Investigated the effects of proline-arginine poly-dipeptides on cortical motor neurons.
- Assessed changes in neuronal excitability using electrophysiological recordings.
- Examined the involvement of the Nav1.2/β4 sodium channel complex in motor cortex neurons.
Main Results:
- Proline-arginine poly-dipeptides were found to induce hyperexcitability in cortical motor neurons.
- This hyperexcitability is mediated by an increase in persistent sodium currents.
- The Nav1.2/β4 sodium channel complex, highly expressed in the motor cortex, was identified as the key conductor of these currents.
Conclusions:
- The C9orf72 mutation leads to motor neuron hyperexcitability via proline-arginine poly-dipeptides.
- These peptides enhance persistent sodium currents through the Nav1.2/β4 sodium channel complex.
- This mechanism provides a basis for understanding motor neuron hyperactivation and subsequent degeneration in C9orf72-linked ALS.

