LIMK1 variants are associated with divergent endocrinological phenotypes and altered exocytosis dynamics

Irena J J Muffels1, Theodore Carter2, Holger Rehmann3

  • 1Department of Metabolic Diseases, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, the Netherlands.

Iscience
|June 10, 2025
PubMed

Insights

De novo variants in LIM kinase 1 (LIMK1) cause distinct actin remodeling and exocytosis defects, impacting development and glucose regulation. This study reveals LIMK1

Area of Science:

  • Molecular biology
  • Genetics
  • Endocrinology

Background:

  • LIM kinase 1 (LIMK1) is crucial for actin remodeling and exocytosis via cofilin phosphorylation.
  • LIMK1 de novo variants can lead to diverse clinical presentations.

Purpose of the Study:

  • To investigate the functional impact of two distinct LIMK1 de novo variants.
  • To correlate these variants with observed phenotypic differences in patients.

Main Methods:

  • Analysis of patient phenotypes: epileptic encephalopathy, developmental delay, immune deficiency, and glucose dysregulation.
  • Assessment of actin polymerization levels in affected individuals.
  • Functional studies of insulin-secreting cell lines expressing LIMK1 variants to evaluate exocytosis dynamics and insulin secretion.

Main Results:

  • Individual 1 with a LIMK1 variant showed decreased actin polymerization and slower exocytosis, associated with neurological and developmental issues.
  • Individual 2 with a different LIMK1 variant exhibited increased actin polymerization and rapid, uncontrolled exocytosis, linked to immune and metabolic dysfunction.
  • Both variants resulted in increased overall insulin secretion despite differing exocytosis rates.

Conclusions:

  • LIMK1 variants can have opposing effects on cofilin phosphorylation and actin dynamics, leading to divergent phenotypes.
  • Dysregulated insulin exocytosis due to LIMK1 variants may contribute to glucose dysregulation.
  • This study highlights LIMK1's critical role in fine-tuning insulin secretion and its broader physiological implications.

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