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.

EMBO Molecular Medicine
|October 14, 2024
PubMed

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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