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Published on: October 20, 2023
CERT1 mutations perturb human development by disrupting sphingolipid homeostasis
Charlotte Gehin1, Museer A Lone2, Winston Lee3,4
1Institute of Bioengineering (IBI), École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
Mutations in the ceramide transporter CERT1 cause intellectual disability by disrupting sphingolipid regulation. Inhibiting CERT1 shows promise for treating ceramide transporter (CerTra) syndrome.
Area of Science:
- Biochemistry
- Neuroscience
- Genetics
Background:
- Sphingolipids are crucial for neural functions like synaptic transmission.
- Mutations in the ceramide transporter CERT1 are linked to intellectual disability, but the mechanism is unclear.
Purpose of the Study:
- To investigate the pathogenic mechanism of de novo missense variants in CERT1.
- To understand the role of CERT1 autoregulation in sphingolipid homeostasis and its connection to clinical severity.
Main Methods:
- Characterization of 31 individuals with de novo CERT1 missense variants.
- Structural analysis of a novel dimeric helical domain in CERT1.
- Pharmacological inhibition of CERT1 in a Drosophila melanogaster model.
Main Results:
- Several CERT1 variants disrupt a dimeric helical domain essential for homeostatic inactivation.
- Disruption of CERT1 autoregulation leads to uncontrolled sphingolipid production.
- Pharmacological inhibition of CERT1 ameliorated disease phenotypes in a Drosophila model.
Conclusions:
- CERT1 autoregulation is central to controlling sphingolipid biosynthetic flux.
- Findings reveal insights into CERT1 structural organization and its role in CerTra syndrome.
- Pharmacological targeting of CERT1 offers a potential therapeutic strategy for CerTra syndrome.
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