Integrative transcriptome-wide association analyses reveal PRKCG-linked GABAergic dysfunction in Fragile X-associated
Yulin Jin1, Yiqu Cao1,2, Wenjing Ma3
1Department of Human Genetics, School of Medicine, Emory University, Atlanta, GA, USA.
Nature Communications
|January 8, 2026
Summary
Fragile X-associated tremor/ataxia syndrome (FXTAS) involves gene FMR1 CGG repeat expansions. This study reveals inhibitory neuron dysfunction and PRKCG as a key disease modifier, offering therapeutic insights.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Fragile X-associated tremor/ataxia syndrome (FXTAS) is a neurodegenerative disorder linked to FMR1 gene CGG repeat expansions.
- The exact molecular mechanisms causing neurodegeneration in FXTAS are not fully understood.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying FXTAS pathogenesis.
- To identify key genes and cell types involved in FXTAS.
Main Methods:
- A multi-omics strategy and transcriptome-wide association studies (TWAS) were employed.
- Conditional mouse models expressing expanded CGG repeats in GABAergic neurons were utilized.
- Functional screening in Drosophila was performed.
Main Results:
- Brain-region-specific molecular signatures and significant gene dysregulation in inhibitory neurons were identified.
- Selective expression of expanded CGG repeats in GABAergic neurons mimicked FXTAS pathology in mice.
- PRKCG was identified as a genetic modifier of FXTAS, with evidence linking its overexpression to disease onset.
- hnRNPA2/B1 was found to sequester CGG repeat RNA, affecting numerous dysregulated mRNAs in GABAergic neurons.
Conclusions:
- GABAergic neurons play a critical role in the pathogenesis of FXTAS.
- PRKCG is a significant modulator of CGG repeat-associated neurotoxicity and a potential therapeutic target for FXTAS.
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