Related Experiment Video
Updated: Jul 2, 2025

Real-Time Fluorescent Measurement of Synaptic Functions in Models of Amyotrophic Lateral Sclerosis
Published on: July 16, 2021
Stimulating VAPB-PTPIP51 ER-mitochondria tethering corrects FTD/ALS mutant TDP43 linked Ca2+ and synaptic defects.
Andrea Markovinovic1, Sandra M Martín-Guerrero2, Gábor M Mórotz2
1Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, SE5 9RX, London, UK. andrea.markovinovic@kcl.ac.uk.
Restoring endoplasmic reticulum-mitochondria signaling by enhancing VAPB-PTPIP51 tethers may treat frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS). The drug UDCA corrects TDP-43 damage and inhibits GSK3β activation, offering therapeutic potential for these neurodegenerative diseases.
Area of Science:
- Neuroscience
- Cell Biology
- Molecular Biology
Background:
- Frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS) are linked neurodegenerative diseases characterized by TAR DNA-binding protein-43 (TDP43) pathology.
- Disrupted signaling between the endoplasmic reticulum (ER) and mitochondria, mediated by VAPB-PTPIP51 tethers, is implicated in FTD/ALS pathogenesis.
- This disruption involves the activation of glycogen kinase-3β (GSK3β) in response to TDP43-related insults.
Purpose of the Study:
- To investigate whether enhancing ER-mitochondria signaling via VAPB-PTPIP51 tethers can correct TDP43-induced damage in FTD/ALS.
- To determine if ursodeoxycholic acid (UDCA) can ameliorate TDP43-linked damage to ER-mitochondria communication and its therapeutic potential.
Main Methods:
- Overexpression of VAPB or PTPIP51 to enhance ER-mitochondria signaling.
- Assessing the impact on inositol 1,4,5-trisphosphate (IP3) receptor-mediated Ca2+ delivery to mitochondria.
- Evaluating synaptic function and the effect of UDCA on VAPB-PTPIP51 interaction and GSK3β activation in TDP43 models.
Main Results:
- Overexpression of VAPB or PTPIP51 restored normal Ca2+ delivery to mitochondria and improved synaptic function, counteracting mutant TDP43-induced damage.
- Ursodeoxycholic acid (UDCA) was found to correct TDP43-associated damage to the VAPB-PTPIP51 interaction.
- UDCA's therapeutic effect was linked to the inhibition of TDP43-mediated GSK3β activation.
Conclusions:
- Enhancing ER-mitochondria signaling through VAPB-PTPIP51 tethers shows promise for treating FTD/ALS.
- UDCA demonstrates potential as a therapeutic agent for FTD/ALS by restoring ER-mitochondria communication and inhibiting GSK3β.
- Targeting VAPB-PTPIP51 tethers represents a potential therapeutic strategy for FTD/ALS and other age-related neurodegenerative diseases.

