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Persistent export bias of TDP-43 under native autoregulation links insoluble accumulation to nuclear dysfunction
Genri Toyama1, Shingo Koide1, Takuma Yamagishi1
1Department of Neurology, Brain Research Institute, Niigata University; Niigata 951-8585, Japan.
Neurobiology of Disease
|August 4, 2026
Summary
Cytoplasmic mislocalization of TDP-43 causes disease. Even with autoregulation, export bias leads to insoluble TDP-43, causing nuclear defects and disease progression in ALS and FTLD.
Area of Science:
- Neuroscience
- Molecular Biology
- Genetics
Background:
- Nuclear depletion and cytoplasmic mislocalization of TDP-43 are key pathological hallmarks of amyotrophic lateral sclerosis (ALS) and frontotemporal lobar degeneration (FTLD).
- TDP-43 protein levels are regulated by its 3' untranslated region (3' UTR), but its protective role during chronic cytoplasmic mislocalization is not fully understood.
Purpose of the Study:
- To investigate whether TDP-43's native autoregulation remains protective when the protein is biased towards the cytoplasm.
- To model the effects of chronic cytoplasmic mislocalization on TDP-43 function and pathology.
Main Methods:
- Engineered full-length human TDP-43 with an N-terminal nuclear export signal (NES) while preserving the 3' UTR autoregulatory module.
- Utilized HEK293T and differentiated SH-SY5Y cells, as well as human induced pluripotent stem cell (iPSC)-derived neurons to assess TDP-43 behavior.
- Performed functional rescue experiments by depleting endogenous TARDBP and comparing wild-type (WT) TDP-43 with NES-TDP-43.
Main Results:
- NES insertion induced cytoplasmic bias and promoted detergent-insoluble TDP-43 species in cell models.
- In neurons, cytoplasmic shift, TDP-43 foci, and splicing defects correlated with the export-biased load.
- While NES-TDP-43 expression increased TARDBP transcripts, the protein accumulated in insoluble fractions, failing to restore nuclear function or normalize splicing.
Conclusions:
- Persistent cytoplasmic export bias of TDP-43 converts its native autoregulation into a maladaptive feedback loop.
- Compensatory TDP-43 output is diverted to insoluble cytoplasmic fractions, uncoupled from nuclear recovery.
- Abundance alone is insufficient to restore function when TDP-43 is export-biased, highlighting the critical role of nuclear localization for preventing pathology in ALS and FTLD.
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