SMPD4 regulates mitotic nuclear envelope dynamics and its loss causes microcephaly and diabetes

Daphne J Smits1, Rachel Schot1, Nathalie Krusy2

  • 1Department of Clinical Genetics, ErasmusMC University Medical Center Rotterdam, Rotterdam 3015GD, The Netherlands.

Insights

Loss-of-function variants in SMPD4 cause a severe neurodevelopmental disorder and microcephaly. Affected individuals also develop insulin-dependent diabetes, linked to impaired nuclear envelope function and NPC insertion.

Area of Science:

  • Genetics and Molecular Biology
  • Neuroscience
  • Endocrinology

Background:

  • Biallelic loss-of-function variants in SMPD4 lead to a severe neurodevelopmental disorder characterized by microcephaly and early mortality.
  • SMPD4 encodes a neutral sphingomyelinase crucial for sphingomyelin hydrolysis and membrane lipid homeostasis, localizing to the endoplasmic reticulum and nuclear envelope, and interacting with nuclear pore complexes (NPCs).

Purpose of the Study:

  • To refine the clinical phenotype of SMPD4 loss-of-function variants, including age-dependent non-cerebral abnormalities.
  • To investigate the cellular and organ-level functions of SMPD4, particularly its role in neural development and pancreatic beta-cell function.

Main Methods:

  • Clinical characterization of five individuals from three families with SMPD4 variants, including longitudinal data.
  • In vitro studies using human neural stem cells and fibroblasts to assess SMPD4 function, including knock-down experiments.
  • In vivo studies using embryonic mouse brain models to evaluate the impact of Smpd4 knockdown on cortical development.

Main Results:

  • Individuals with SMPD4 variants exhibit severe neurodevelopmental disorder, microcephaly, and insulin-dependent diabetes mellitus.
  • SMPD4 depletion in neural stem cells reduces proliferation, prolongs mitosis, and impairs nuclear envelope reassembly and NPC insertion.
  • SMPD4 deficiency in fibroblasts shows reduced neutral sphingomyelinase activity without altering bulk lipid levels, suggesting a localized function.
  • Smpd4 knockdown in mouse embryos disrupts cortical progenitor proliferation and promotes premature differentiation.

Conclusions:

  • SMPD4 loss-of-function causes a complex disorder affecting both neurodevelopment and endocrine function, with diabetes being a frequent age-dependent manifestation.
  • Impaired nuclear envelope bending and NPC insertion due to SMPD4 deficiency likely underlie the observed cerebral corticogenesis defects and pancreatic beta-cell dysfunction.
  • SMPD4 plays a critical role in maintaining nuclear envelope integrity during mitosis, impacting cell proliferation and differentiation in the developing brain.

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