Davee Department of Neurology, and.
Department of Physiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
J Clin Invest. 2018 Jun 1;128(6):2252-2265. doi: 10.1172/JCI96765. Epub 2018 Apr 23.
Spinocerebellar ataxia type 1 (SCA1) is an adult-onset neurodegenerative disease caused by a polyglutamine expansion in the protein ATXN1, which is involved in transcriptional regulation. Although symptoms appear relatively late in life, primarily from cerebellar dysfunction, pathogenesis begins early, with transcriptional changes detectable as early as a week after birth in SCA1-knockin mice. Given the importance of this postnatal period for cerebellar development, we asked whether this region might be developmentally altered by mutant ATXN1. We found that expanded ATXN1 stimulates the proliferation of postnatal cerebellar stem cells in SCA1 mice. These hyperproliferating stem cells tended to differentiate into GABAergic inhibitory interneurons rather than astrocytes; this significantly increased the GABAergic inhibitory interneuron synaptic connections, disrupting cerebellar Purkinje cell function in a non-cell autonomous manner. We confirmed the increased basket cell-Purkinje cell connectivity in human SCA1 patients. Mutant ATXN1 thus alters the neural circuitry of the developing cerebellum, setting the stage for the later vulnerability of Purkinje cells to SCA1. We propose that other late-onset degenerative diseases may also be rooted in subtle developmental derailments.
脊髓小脑共济失调 1 型(SCA1)是一种成人发病的神经退行性疾病,由 ATXN1 蛋白中的多聚谷氨酰胺扩展引起,该蛋白参与转录调节。尽管症状在生命后期才出现,主要表现为小脑功能障碍,但发病机制早在 SCA1 基因敲入小鼠出生后一周即可检测到转录变化时就已经开始。鉴于出生后时期对小脑发育的重要性,我们想知道突变 ATXN1 是否会使该区域在发育上发生改变。我们发现,扩展的 ATXN1 刺激 SCA1 小鼠出生后小脑干细胞的增殖。这些过度增殖的干细胞倾向于分化为 GABA 能抑制性中间神经元,而不是星形胶质细胞;这显著增加了 GABA 能抑制性中间神经元的突触连接,以非细胞自主的方式破坏小脑浦肯野细胞的功能。我们在人类 SCA1 患者中证实了篮状细胞-浦肯野细胞连接的增加。因此,突变 ATXN1 改变了发育中小脑的神经回路,为浦肯野细胞对 SCA1 的后期易感性奠定了基础。我们提出,其他迟发性退行性疾病也可能源于微妙的发育失调。