Eliminación de la proteína ataxina-2 agregada como vía terapéutica para SCA2

Escrito por el Dr. Vitaliy Bondar Editado por el Dr. Hayley McLoughlin. Publicado inicialmente en el 5 de febrero de 2021. Traducción al español fueron hechas por FEDAES y Carlos Barba.

Una nueva investigación sugiere que la proteína ataxina-2 mutante abruma a las células en SCA2, lo que lleva a una disminución de la autofagia y la eliminación de las proteínas dañadas.

Se pueden hacer muchas comparaciones entre células y seres humanos. Al igual que los humanos, las células pueden acumular basura y desechos en ciertos momentos y este desorden con el tiempo se vuelve problemático e incluso tóxico. Esto es precisamente lo que Jonathan Henry Wardman y sus colegas de la Universidad de Copenhague decidieron investigar a nivel celular. Preguntaron si la falta de una eliminación adecuada de las proteínas defectuosas de la enfermedad afecta la supervivencia y el bienestar celular.

Los investigadores optaron por estudiar células derivadas de un paciente que tiene ataxia espinocerebelosa tipo 2 (SCA2). La causa de SCA2 es la expansión de la repetición CAG en el gen ATAXIN-2 , que codifica la cadena de aminoácidos de poliglutamina en una proteína de unión al ARN , ataxina-2. Se encuentra que la proteína ATXN2 expandida poliQ defectuosa se agrega dentro de la célula y las horas extraordinarias pueden afectar su supervivencia. La acumulación de productos proteicos agregados derivados de genes mutados es un sello distintivo de muchos tipos de ataxias espinocerebelosas, así como de otras formas de trastornos neurodegenerativos como la enfermedad de Parkinson.

No está claro cómo la agregación de proteínas afecta la supervivencia celular. Sin embargo, se han correlacionado múltiples defectos celulares con la agregación de ataxina-2. Por ejemplo, se ha informado que las mitocondrias que generan energía para una célula funcionan de manera anormal en modelos celulares SCA2. Además, un mecanismo de depuración celular, llamado autofagia , que es responsable de limpiar los compartimentos celulares defectuosos y ciertas proteínas rotas, se muestra menos eficaz en varios modelos de SCA2. Estos mecanismos los autores decidieron investigar en su artículo de investigación recientemente publicado.

scientist using microscope
Una nueva investigación que utiliza células SCA2 arroja luz sobre las causas de los síntomas de la enfermedad. Foto de Chokniti Khongchum en Pexels.com

Los científicos identificaron por primera vez la evidencia de disfunción celular SCA2 mediante la detección de una elevación significativa de los niveles de caspasa-9 y caspasa-8. Son proteínas que indican estrés celular y muerte. Los autores plantearon la hipótesis de que dicha disfunción celular puede deberse a la acumulación de ataxina-2 defectuosa. Para probar esta hipótesis, decidieron bloquear sistemáticamente dos vías celulares que procesan proteínas defectuosas: proteostasis y autofagia.

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BDNF can reverse ataxia in SCA1 mice, even after symptom onset

Written by Anna Cook Edited by Dr. David Bushart

Brain-derived neurotrophic factor can prevent ataxia in SCA1 mice. New research shows that the treatment works even if it’s started after mice develop signs of ataxia.

SCA1 is a neurodegenerative disease caused by a mutation in the Ataxin1 gene. People with SCA1 often develop symptoms around 30-40 years old, although this can vary. The most common symptoms include ataxia, or movement problems that make it difficult to move and walk. These symptoms get progressively worse, eventually leading to problems with swallowing or speaking. There is currently no cure for SCA1 so it is important that research is conducted into potential treatments.

The lab of Dr. Marija Cvetanovic at the University of Minnesota has been using a mouse model of SCA1 to try to identify new treatments. In the past, these researchers have shown that a molecule called brain-derived neurotrophic factor (BDNF) could delay the onset of ataxia in a mouse model of SCA1.

A laboratory mouse sitting on a researcher's hand.
Research using SCA1 mice shows that BDNF treatment can have an impact, even after ataxia symptoms begin showing. Photo used under license by unoL/Shutterstock.com.

BDNF is a molecule found in the brain that is very important for healthy brain development. It is needed to keep many processes in the brain working normally. The researchers showed that levels of BDNF were reduced in the brains of SCA1 mice. The researchers injected BDNF into the brains of these mice to try to make up for the lost BDNF. This treatment, before the mice had begun to develop symptoms of ataxia, prevented the onset of motor problems and Purkinje cell death. You can read more about those findings in this past SCASource article.

This previous work was very promising, but there was one problem. In this study, the treatment was only tested before the SCA1 mice developed signs of motor problems or changes in their brains. In the real world, if we want to help SCA1 patients, we need treatments that will work even once the disease has started to progress. It was therefore important for the researchers to find out whether this treatment would work later in disease progression. That is exactly what they did next: In December 2020, the Cvetanovic lab published the results from their study testing BDNF as a treatment after mice had started to develop signs of SCA1.

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El tratamiento para la SCA1 no causa efectos secundarios no deseados en un modelo de ratón

Escrito por el Dr. Ronald Buijsen Editado por la Dra. Larissa Nitschke. Publicado inicialmente en el 28 de Enero de 2021. Traducción al español fueron hechas por FEDAES y Carlos Barba.

O’Callaghan y sus colegas muestran que los enfoques terapéuticos novedosos para reducir la proteína que causa la enfermedad en SCA1 no aumentan el riesgo de desarrollar cáncer o enfermedad de Alzheimer en ratones SCA1.

Las personas afectadas con ataxia espinocerebelosa tipo 1 o SCA1 llevan una expansión de un tramo repetitiva de ADN en el ATXN1 gen. La expandido ATXN1 gen codifica una proteína expandido ataxina-1, que se acumula y causa toxicidad en el cerebro. Esto provoca problemas de coordinación motora y letalidad prematura. Hasta ahora, no existe ningún tratamiento que ralentice, detenga o revierta la progresión de la enfermedad SCA1.

Aún así, varios estudios preclínicos demostraron que la reducción de los niveles de proteína ataxina-1 puede mejorar los déficits de coordinación motora en modelos de ratón SCA1. Una estrategia para reducir los niveles de ataxina-1 es el uso de oligonucleótidos antisentido (ASO) . Estos tratamientos de ASO escinden específicamente el ARNm de Atxn1 y reducen los niveles de proteína ataxina-1.

Este estudio, publicado por el grupo del Dr. Harry Orr en 2018 , mostró que la inyección de ASO en el cerebro de ratones SCA1 mejora los déficits motores, prolonga la supervivencia y revierte las anomalías neuroquímicas. Sin embargo, la reducción de los niveles de la proteína ataxina-1 podría provocar una expresión alterada de otras proteínas en el cerebro. Esto podría afectar la seguridad de esta estrategia de tratamiento. Por lo tanto, este estudio de seguimiento investigó si la reducción de los niveles de proteína ataxina-1 produce efectos no deseados.

a brown laboratory mouse sits in a researcher's gloved hand
El tratamiento con ASO para reducir los niveles de ataxina-1 no causa efectos secundarios no deseados en un modelo de ratón SCA1. La Imagen fue obtenida de Rama de Wikimedia.
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Four diseases, One Gene: CACNA1A

Written by Dr. Judit Pérez Edited by Dr. David Bushart

A new case report describes how a new mutation in the CACNA1A gene causes ataxia with seizures.

Genes and their diseases

Hereditary ataxias are caused by mutations in different genes that affect how different parts of the brain and spinal cord work. Usually, the affected genes predict how one would expect the patient’s clinical signs and symptoms to look. The reverse can also be true. For example, a set of clinical signs and symptoms may raise suspicion of a known genetic disease, which allows doctors to perform focused genetic testing to confirm the diagnosis. These correlations are helpful for doctors and patients in understanding the diagnostic process and disease outlook.

New mutation, new disease

A study by Stendel and colleagues was inspired by a patient who developed ataxia in mid-adulthood that slowly worsened over the next decades of his life. The progression resembled that of spinocerebellar ataxias with repeat expansions in their genes as the culprits. However, when doctors performed the usual genetic testing for ataxia genes, they did not find a match. Nevertheless, suspicion for an ataxia gene playing a role remained high. The patient had experienced seizures as a child (called “absence seizures”), which didn’t entirely fit the picture of known SCAs. Where to go from here? The scientists next broadened their search to include 118 genes that are known to cause ataxia or other diseases that include ataxia symptoms.  To their surprise, they found a previously unidentified mutation in a well-known ataxia gene called CACNA1A.

Human brain digital illustration. Electrical activity, flashes and lightning on a blue background.
CACNA1A is a gene that instructs brain cells to make a protein called Cav2.1, which helps neurons communicate. But now mutations in the CACNA1A gene are now connected to four different diseases. Photo used under license by Yurchanka Siarhei/Shutterstock.com.
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Failure to repair DNA damage may be linked to SCA3

Written by Dr. Ambika Tewari Edited by Dr. Maria do Carmo Costa

Mutations in Ataxin-3 protein prevent the normal functioning of a DNA repair enzyme leading to an accumulation of errors

Cells are bombarded by thousands of DNA damaging events each day from internal and external sources. Internal sources include routine processes that occur within cells that generate reactive byproducts, while external sources include ultraviolet radiation. This DNA damage can be detrimental to cells. But the coordination of many DNA repair proteins helps to maintain the integrity of the genome. This prevent the accumulation of mutations that can lead to cancer.

DNA repair proteins play very important roles in the nervous system. During development, cells are actively growing and dividing and can incur many errors during these processes. Therefore, it is not surprising that numerous DNA repair proteins are expressed in the mammalian brain to prevent the accumulation of DNA damage. To much DNA damage can produce devastating consequences.

Damaged DNA molecule
Ataxin-3 plays a role in a DNA repair pathway which fixes double-strand DNA break. If these breaks are not fixed, there are devastating consequences. Photo used under license by Rost9/Shutterstock.com.

In fact, DNA repair deficiencies usually result in profound nervous system dysfunction in humans. Examples include neurodegeneration, microcephaly and brain tumors. Altered DNA repair signaling has been implicated in neurodegenerative disorders such as Alzheimer’s disease, Parkinson’s disease, and Huntington’s disease. This implicates DNA repair proteins in genome maintenance in the nervous system. There are many different types of DNA damage and DNA repair. Each repair process has its own proteins and sequence of events that lead to either repair or cell death.

Ataxin-3 is known for its role in Spinocerebellar ataxia type 3 (SCA3), an autosomal dominant disorder caused by a repeat expansion in the ATXN3 gene. Symptoms are progressive and include prominent ataxia, impaired balance, spasticity and eye abnormalities. These symptoms are primarily a result of cerebellum dysfunction, but brainstem and spinal cord regions also show abnormalities in SCA3 patients. Recent studies have shown that ataxin-3 is part of a complex of proteins that repair single-strand DNA breaks. A crucial member of this complex, polynucleotide kinase 3’-phosphatase (PNKP), is actively involved in not only repairing single-strand but also double-strand breaks. Since the activity of PNKP is dependent on ataxin-3, this group of researchers were eager to investigate whether ataxin-3 also functioned in the repair of double-strand DNA damage.

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