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A quantitative cell-based reporter links TDP-43 aggregation and dysfunction to define pathogenic mechanisms
Lohany Dias Mamede1, Miwei Hu2, Jaime Vaquer-Alicea3
1Edward Doisy Department of Biochemistry and Molecular Biology, Saint Louis University School of Medicine, St. Louis, Missouri, United States of America.
Plos Biology
|March 24, 2026
Summary
Prion-like seeding of TDP-43 aggregates causes dysfunction in neurodegenerative diseases. Reducing ataxin-2 levels can decrease aggregation and restore TDP-43 activity, offering a therapeutic strategy.
Area of Science:
- Neuroscience
- Molecular Biology
- Genetics
Background:
- TDP-43 pathology is central to neurodegenerative diseases like ALS and FTD.
- Cytoplasmic TDP-43 aggregates correlate with loss of normal nuclear function.
- Understanding the link between TDP-43 aggregation and dysfunction is crucial.
Purpose of the Study:
- To develop and utilize a cell-based reporter to study TDP-43 aggregation and loss of function.
- To investigate the mechanisms linking TDP-43 aggregation to cellular dysfunction.
- To identify potential therapeutic targets for TDP-43 proteinopathies.
Main Methods:
- Developed a quantitative human biosensor cell line for TDP-43 aggregation and function.
- Used prion-like seeding to induce TDP-43 aggregation.
- Assessed downstream effects including DNA damage and cryptic exon splicing.
- Tested the effect of ataxin-2 reduction on TDP-43 pathology.
Main Results:
- Prion-like seeding of TDP-43 aggregates led to nuclear depletion and loss of function.
- Induced cryptic exon splicing and DNA damage in biosensor cells and human neurons.
- Demonstrated that TDP-43 aggregate seeding disrupts TDP-43 autoregulation and homeostasis.
- Reducing ataxin-2 levels mitigated TDP-43 aggregation and restored function.
Conclusions:
- TDP-43 aggregate seeding initiates a toxic feed-forward mechanism.
- Targeting ataxin-2 offers a strategy to reduce TDP-43 aggregation and toxicity.
- This work provides a platform for studying TDP-43 dysfunction and developing interventions.

