Structural and functional impact of the POLD1 Ser605del variant in MDPL syndrome: insights from protein-protein

Michela Murdocca1, Isabella Romeo2,3, Serena Maccaroni1

  • 1Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, Rome, 00133, Italy.

Human Genomics
|November 11, 2025
PubMed
Abstract

Insights

The POLD1 Ser605del variant in Mandibular hypoplasia, Deafness, Progeroid features, and Lipodystrophy (MDPL) syndrome disrupts DNA polymerase delta function and links to telomere biology, contributing to premature aging.

Area of Science:

  • Molecular Biology
  • Genetics
  • Biochemistry

Background:

  • Mandibular hypoplasia, Deafness, Progeroid features, and Lipodystrophy (MDPL) syndrome is a rare genetic disorder caused by POLD1 gene variants.
  • A common variant, POLD1 Ser605del, affects DNA polymerase delta, crucial for DNA replication and repair, with implications for aging and genome stability.

Purpose of the Study:

  • To investigate the functional consequences of the POLD1 Ser605del variant on DNA polymerase delta activity and protein interactions.
  • To explore the link between POLD1 dysfunction, telomere biology, and the premature aging phenotypes observed in MDPL syndrome.

Main Methods:

  • Combined structural modeling, molecular dynamics simulations, and protein-protein interaction (PPI) analyses to assess the impact of Ser605del.
  • Bioinformatic tools were used to characterize the interaction network of the variant.
  • Expression levels of POLD1, TRF1, and PARP1 were analyzed in MDPL patient fibroblasts using RT-qPCR and Western Blot, with and without X-ray irradiation.

Main Results:

  • The Ser605del variant impairs DNA binding and dTTP binding in DNA polymerase delta.
  • This deletion creates a novel FSLYP motif, enhancing interaction with the telomeric protein TRF1, and dysregulating PARP1 involved in telomere maintenance.
  • Experiments confirmed increased POLD1-TRF1 binding and PARP1 dysregulation in MDPL fibroblasts, with a decreasing trend observed after irradiation, particularly in older patients.

Conclusions:

  • A novel FSLYP motif in Ser605del POLD1 mediates aberrant TRF1 interaction, establishing a link between POLD1, telomere biology, and premature aging.
  • This study provides new insights into MDPL pathogenesis and suggests potential therapeutic avenues targeting aging-related pathways.

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