Microglial phagolysosome dysfunction and altered neural communication amplify phenotypic severity in Prader-Willi

Felipe Correa-da-Silva1,2,3,4, Jenny Carter5, Xin-Yuan Wang6

  • 1Department of Endocrinology and Metabolism, Amsterdam University Medical Centers, Location AMC. University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands.

Acta Neuropathologica
|March 31, 2024
PubMed

Insights

Prader-Willi Syndrome (PWS) subtypes show distinct genetic causes. Type I PWS involves more gene loss, leading to greater neurodevelopmental issues due to microglial dysfunction and altered neural communication.

Area of Science:

  • Neurogenetics
  • Developmental Biology
  • Molecular Psychiatry

Background:

  • Prader-Willi Syndrome (PWS) is a rare genetic neurodevelopmental disorder.
  • PWS is caused by paternal deletion of genes on chromosome 15.
  • Two subtypes, PWS T1 and PWS T2, differ in the number of haploinsufficient genes, with PWS T1 exhibiting more severe phenotypes.

Purpose of the Study:

  • To investigate the neuropathological mechanisms underlying phenotypic severity differences between PWS T1 and PWS T2.
  • To identify cellular and molecular distinctions in hypothalamic tissues between PWS subtypes.

Main Methods:

  • Postmortem hypothalamic tissues from PWS T1 and PWS T2 individuals were analyzed.
  • Transcriptomic and cell-specific protein profiling were performed on white matter, neurons, and glial cells.
  • Murine models with Cyfip1 haploinsufficiency were used to study microglial defects.

Main Results:

  • PWS T1 tissues showed diminished pathways for cell structure, integrity, and neuronal communication compared to PWS T2.
  • Glymphatic system activity was heightened in PWS T1.
  • Microglial phagolysosome dysfunction and altered neural communication were identified as key contributors to PWS T1 severity.

Conclusions:

  • Genetic subtypes of PWS have distinct molecular and cellular underpinnings.
  • Microglial defects, specifically phagolysosome dysfunction, are critical in the more severe PWS T1 phenotype.
  • Altered neural communication pathways significantly contribute to the clinical presentation of PWS subtypes.