Absence of the Autophagy Adaptor SQSTM1/p62 Causes Childhood-Onset Neurodegeneration with Ataxia, Dystonia, and Gaze Palsy

SQSTM1 (sequestosome 1; also known as p62) encodes a multidomain scaffolding protein involved in various key cellular processes, including the removal of damaged mitochondria by its function as a selective autophagy receptor. Heterozygous variants in SQSTM1 have been associated with Paget disease of...

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Published inAmerican journal of human genetics Vol. 99; no. 3; pp. 735 - 743
Main Authors Haack, Tobias B., Ignatius, Erika, Calvo-Garrido, Javier, Iuso, Arcangela, Isohanni, Pirjo, Maffezzini, Camilla, Lönnqvist, Tuula, Suomalainen, Anu, Gorza, Matteo, Kremer, Laura S., Graf, Elisabeth, Hartig, Monika, Berutti, Riccardo, Paucar, Martin, Svenningsson, Per, Stranneheim, Henrik, Brandberg, Göran, Wedell, Anna, Kurian, Manju A., Hayflick, Susan A., Venco, Paola, Tiranti, Valeria, Strom, Tim M., Dichgans, Martin, Horvath, Rita, Holinski-Feder, Elke, Freyer, Christoph, Meitinger, Thomas, Prokisch, Holger, Senderek, Jan, Wredenberg, Anna, Carroll, Christopher J., Klopstock, Thomas
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2016
Cell Press
Elsevier
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Abstract SQSTM1 (sequestosome 1; also known as p62) encodes a multidomain scaffolding protein involved in various key cellular processes, including the removal of damaged mitochondria by its function as a selective autophagy receptor. Heterozygous variants in SQSTM1 have been associated with Paget disease of the bone and might contribute to neurodegeneration in amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). Using exome sequencing, we identified three different biallelic loss-of-function variants in SQSTM1 in nine affected individuals from four families with a childhood- or adolescence-onset neurodegenerative disorder characterized by gait abnormalities, ataxia, dysarthria, dystonia, vertical gaze palsy, and cognitive decline. We confirmed absence of the SQSTM1/p62 protein in affected individuals’ fibroblasts and found evidence of a defect in the early response to mitochondrial depolarization and autophagosome formation. Our findings expand the SQSTM1-associated phenotypic spectrum and lend further support to the concept of disturbed selective autophagy pathways in neurodegenerative diseases.
AbstractList SQSTM1 (sequestosome 1; also known as p62) encodes a multidomain scaffolding protein involved in various key cellular processes, including the removal of damaged mitochondria by its function as a selective autophagy receptor. Heterozygous variants in SQSTM1 have been associated with Paget disease of the bone and might contribute to neurodegeneration in amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). Using exome sequencing, we identified three different biallelic loss-of-function variants in SQSTM1 in nine affected individuals from four families with a childhood- or adolescence-onset neurodegenerative disorder characterized by gait abnormalities, ataxia, dysarthria, dystonia, vertical gaze palsy, and cognitive decline. We confirmed absence of the SQSTM1/p62 protein in affected individuals' fibroblasts and found evidence of a defect in the early response to mitochondrial depolarization and autophagosome formation. Our findings expand the SQSTM1-associated phenotypic spectrum and lend further support to the concept of disturbed selective autophagy pathways in neurodegenerative diseases.
SQSTM1 (sequestosome 1; also known as p62 ) encodes a multidomain scaffolding protein involved in various key cellular processes, including the removal of damaged mitochondria by its function as a selective autophagy receptor. Heterozygous variants in SQSTM1 have been associated with Paget disease of the bone and might contribute to neurodegeneration in amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). Using exome sequencing, we identified three different biallelic loss-of-function variants in SQSTM1 in nine affected individuals from four families with a childhood- or adolescence-onset neurodegenerative disorder characterized by gait abnormalities, ataxia, dysarthria, dystonia, vertical gaze palsy, and cognitive decline. We confirmed absence of the SQSTM1/p62 protein in affected individuals’ fibroblasts and found evidence of a defect in the early response to mitochondrial depolarization and autophagosome formation. Our findings expand the SQSTM1 -associated phenotypic spectrum and lend further support to the concept of disturbed selective autophagy pathways in neurodegenerative diseases.
Author Carroll, Christopher J.
Wedell, Anna
Hayflick, Susan A.
Stranneheim, Henrik
Lönnqvist, Tuula
Berutti, Riccardo
Maffezzini, Camilla
Graf, Elisabeth
Horvath, Rita
Paucar, Martin
Meitinger, Thomas
Tiranti, Valeria
Kremer, Laura S.
Brandberg, Göran
Strom, Tim M.
Iuso, Arcangela
Hartig, Monika
Svenningsson, Per
Senderek, Jan
Ignatius, Erika
Wredenberg, Anna
Venco, Paola
Calvo-Garrido, Javier
Kurian, Manju A.
Suomalainen, Anu
Dichgans, Martin
Freyer, Christoph
Isohanni, Pirjo
Klopstock, Thomas
Gorza, Matteo
Holinski-Feder, Elke
Haack, Tobias B.
Prokisch, Holger
AuthorAffiliation 12 Department of Pediatrics, Oregon Health & Science University, Portland, OR 97239, USA
15 Unit of Molecular Neurogenetics – Pierfranco and Luisa Mariani Center for the study of Mitochondrial Disorders in Children, IRCCS Foundation Neurological Institute “C. Besta,” 20126 Milan, Italy
16 Institute for Stroke and Dementia Research, Ludwig-Maximilians-University of Munich, 81377 Munich, Germany
18 DZNE - German Center for Neurodegenerative Diseases, 80336 Munich, Germany
3 Research Programs Unit, Molecular Neurology, University of Helsinki, 00290 Helsinki, Finland
21 Department of Neurology, Friedrich-Baur-Institute, Ludwig-Maximilians-University, 80336 Munich, Germany
19 MGZ - Medical Genetics Center, 80335 Munich, Germany
10 Neurosciences Unit, Institute of Child Health, University College London, London WC1N 3BG, UK
20 Institute of Genetic Medicine, MRC Centre for Neuromuscular Diseases, Newcastle University, Newcastle upon Tyne NE1 3BZ, UK
2 Institute of Human Genetics, Helmholtz Zentrum Mün
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ContentType Journal Article
Copyright 2016 American Society of Human Genetics
Copyright © 2016 American Society of Human Genetics. All rights reserved.
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2016 American Society of Human Genetics. 2016 American Society of Human Genetics
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Snippet SQSTM1 (sequestosome 1; also known as p62) encodes a multidomain scaffolding protein involved in various key cellular processes, including the removal of...
SQSTM1 (sequestosome 1; also known as p62 ) encodes a multidomain scaffolding protein involved in various key cellular processes, including the removal of...
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SubjectTerms Adolescent
Adult
Age of Onset
Amyotrophic lateral sclerosis
Ataxia - complications
Ataxia - genetics
Autophagosomes - metabolism
Autophagosomes - pathology
Autophagy
Autophagy - genetics
Child
Cognition Disorders - genetics
Dementia
Dysarthria - complications
Dysarthria - genetics
Dystonia - complications
Dystonia - genetics
Female
Fibroblasts - metabolism
Gait - genetics
Genotype & phenotype
Humans
Male
Medicin och hälsovetenskap
Mitochondria
Mitochondria - metabolism
Mitochondria - pathology
Movement Disorders - complications
Movement Disorders - genetics
Neurodegenerative Diseases - complications
Neurodegenerative Diseases - genetics
Neurodegenerative Diseases - physiopathology
Pedigree
Phenotype
Proteins
RNA, Messenger - analysis
Sequestosome-1 Protein - deficiency
Sequestosome-1 Protein - genetics
Supranuclear Palsy, Progressive - complications
Supranuclear Palsy, Progressive - genetics
Young Adult
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Title Absence of the Autophagy Adaptor SQSTM1/p62 Causes Childhood-Onset Neurodegeneration with Ataxia, Dystonia, and Gaze Palsy
URI https://dx.doi.org/10.1016/j.ajhg.2016.06.026
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