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Updated: Jun 16, 2026

An Electrochemiluminescence-Based Assay for MeCP2 Protein Variants
Published on: May 22, 2020
Unraveling autophagic imbalances and therapeutic insights in Mecp2-deficient models
Alessandro Esposito1, Tommaso Seri2, Martina Breccia3
1Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy. esposito.alessandro@hsr.it.
Abstract:
Loss-of-function mutations in MECP2 are associated to Rett syndrome (RTT), a severe neurodevelopmental disease. Mainly working as a transcriptional regulator, MeCP2 absence leads to gene expression perturbations resulting in deficits of synaptic function and neuronal activity. In addition, RTT patients and mouse models suffer from a complex metabolic syndrome, suggesting that related cellular pathways might contribute to neuropathogenesis. Along this line, autophagy is critical in sustaining developing neuron homeostasis by breaking down dysfunctional proteins, lipids, and organelles.Here, we investigated the autophagic pathway in RTT and found reduced content of autophagic vacuoles in Mecp2 knock-out neurons. This correlates with defective lipidation of LC3B, probably caused by a deficiency of the autophagic membrane lipid phosphatidylethanolamine. The administration of the autophagy inducer trehalose recovers LC3B lipidation, autophagosomes content in knock-out neurons, and ameliorates their morphology, neuronal activity and synaptic ultrastructure. Moreover, we provide evidence for attenuation of motor and exploratory impairment in Mecp2 knock-out mice upon trehalose administration. Overall, our findings open new perspectives for neurodevelopmental disorders therapies based on the concept of autophagy modulation.
Insights
Boosting autophagy with trehalose can improve neuronal function and motor skills in Rett syndrome models by restoring cellular waste clearance pathways and enhancing neuron health.
Area of Science:
- Neuroscience
- Molecular Biology
- Cellular Biology
Background:
- Loss-of-function mutations in MECP2 cause Rett syndrome (RTT), a severe neurodevelopmental disorder characterized by synaptic deficits and metabolic dysfunction.
- Autophagy, a cellular degradation process, is crucial for neuronal homeostasis, but its role in RTT neuropathogenesis is not well understood.
Purpose of the Study:
- To investigate the autophagic pathway's involvement in Rett syndrome.
- To explore the therapeutic potential of modulating autophagy in RTT models.
Main Methods:
- Examined autophagic vacuoles and LC3B lipidation in Mecp2 knock-out (KO) neurons.
- Administered trehalose, an autophagy inducer, to Mecp2 KO neurons and mice.
- Assessed neuronal morphology, activity, synaptic ultrastructure, and motor behavior.
Main Results:
- Mecp2 KO neurons exhibited reduced autophagic vacuoles and defective LC3B lipidation, suggesting impaired autophagosome formation.
- Trehalose treatment restored LC3B lipidation and autophagosome content, improving neuronal morphology, activity, and synaptic structure in vitro.
- Trehalose administration ameliorated motor and exploratory deficits in Mecp2 KO mice.
Conclusions:
- Autophagy is impaired in RTT models, contributing to neuropathogenesis.
- Trehalose-induced autophagy modulation represents a promising therapeutic strategy for Rett syndrome and potentially other neurodevelopmental disorders.
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