CDKL5 deficiency predisposes neurons to cell death through the deregulation of SMAD3 signaling

  • Claudia Fuchs
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Giorgio Medici
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Stefania Trazzi
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Laura Gennaccaro
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Giuseppe Galvani
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Chiara Berteotti
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Elisa Ren
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Manuela Loi
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
  • Elisabetta Ciani
    Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy

説明

<jats:title>Abstract</jats:title><jats:p>CDKL5 deficiency disorder (CDD) is a rare encephalopathy characterized by early onset epilepsy and severe intellectual disability. CDD is caused by mutations in the X‐linked cyclin‐dependent kinase‐like 5 (<jats:italic>CDKL5</jats:italic>) gene, a member of a highly conserved family of serine‐threonine kinases. Only a few physiological substrates of CDKL5 are currently known, which hampers the discovery of therapeutic strategies for CDD. Here, we show that SMAD3, a primary mediator of TGF‐β action, is a direct phosphorylation target of CDKL5 and that CDKL5‐dependent phosphorylation promotes SMAD3 protein stability. Importantly, we found that restoration of the SMAD3 signaling through TGF‐β1 treatment normalized defective neuronal survival and maturation in <jats:italic>Cdkl5</jats:italic> knockout (KO) neurons. Moreover, we demonstrate that <jats:italic>Cdkl5</jats:italic> KO neurons are more vulnerable to neurotoxic/excitotoxic stimuli. <jats:italic>In vivo</jats:italic> treatment with TGF‐β1 prevents increased NMDA‐induced cell death in hippocampal neurons from <jats:italic>Cdkl5</jats:italic> KO mice, suggesting an involvement of the SMAD3 signaling deregulation in the neuronal susceptibility to excitotoxic injury of <jats:italic>Cdkl5</jats:italic> KO mice. Our finding reveals a new function for CDKL5 in maintaining neuronal survival that could have important implications for susceptibility to neurodegeneration in patients with CDD.</jats:p>

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