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Spinal muscular atrophy with respiratory distress type 1 (SMARD1) is an autosomal recessive neuronal disorder in infants. The disease is marked by early onset of respiratory distress and predominantly distal muscle weakness, as consequences of diaphragmatic paralysis and progressive degeneration of  motor neurons in the spinal cord, respectively. Genetically, SMARD1 is caused by mutations in the single gene encoding Immunoglobulin µ-Binding Protein 2 (IGHMBP2). Despite the tissue specific degeneration observed in SMARD1 patients, the disease gene product IGHMBP2 is ubiquitously expressed in human and mouse tissues. Therefore, SMARD1 appears to be a motor neuron disease caused by the malfunction of a “housekeeping” protein, rather than a neuron specific factor. IGHMBP2 harbors an N-terminal DEXDc-type helicase/ATPase domain and has been classified as a member of the Superfamily 1 (SF1) of helicases. This protein has been assigned to various cellular activities such as DNA replication, pre-mRNA splicing and transcription. However its precise function in either process has remained elusive. The study presented here aimed at the enzymatic characterization of IGHMBP2, the identification of a specific cellular process to which IGHMBP2 is connected and the role of this factor in the pathophysiology of SMARD1. As a first step toward this end, a two-step purification strategy was established, which enabled the large-scale purification of properly folded and enzymatically active IGHMBP2. In vitro enzymatic studies using this recombinant protein defined IGHMBP2 as an ATP-dependent helicase that catalyzes unwinding of duplices composed of either DNA or RNA in a 5’→3’ direction. In contrast to previous reports, indirect immunofluorescence studies revealed a predominantly cytoplasmic localization of IGHMBP2. Size-fractionation studies and affinity-purification experiments further showed that IGHMBP2 is part of an RNase-sensitive macromolecular complex, which was identified as the ribosome. Interestingly, IGHMBP2 was abundantly detected in both subunits as well as to 80S ribosomes but only in small amounts in actively translating polysomes. These data strongly point to a role of IGHMBP2 in ribosomes-associated gene regulation control, such as in mRNA stabilization or mRNA translation. However, its precise function in those pathways remains to be identified. The biochemical and enzymatic characterization of IGHMBP2 allowed for the first time insights into the pathomechanism of SMARD1. SMARD1-causing pathogenic IGHMBP2 variants were investigated for their enzymatic activities and interaction with ribosomal subunits. Interestingly, among all missense mutations that have been tested thus far, none obstructs association with ribosomal subunits. However, these mutants exhibit specific defects in either the ATPase or RNA helicase activity or both. The data suggest that defects in the enzymatic activity of IGHMBP2 directly correlate with the pathogenesis of SMARD1. Furthermore, these data also raise the possibility that the disease SMARD1 is caused by alterations in the cellular translation machinery.
Muscle atrophy and diaphragmatic palsy are the clinical characteristics of spinal muscular atrophy with respiratory distress type 1 (SMARD1), and are well represented in the neuromuscular degeneration \((Nmd^{2J})\) mouse, modeling the juvenile form of SMARD1. Both in humans and mice mutations in the IGHMBP2 gene lead to motoneuron degeneration. We could previously demonstrate that treatment with a polyethylene glycol-coupled variant of IGF1 (PEG-IGF1) improves motor functions accompanied by reduced fiber degeneration in the gastrocnemius muscle and the diaphragm, but has no beneficial effect on motoneuron survival. These data raised the question which cell autonomous disease mechanisms contribute to dysfunction and loss of Ighmbp2-deficient motoneurons. An analysis of primary Ighmbp2-deficient motoneurons exhibited differentiation deficits such as reduced spontaneous \(Ca^{2+}\) transients and altered axon elongation, which was not compensated by PEG-IGF1. This points to an IGF1 independent mechanism of motoneuron degeneration that deserves treatment approaches in addition to IGF1.
Spinal muscular atrophy with respiratory distress type 1 (SMARD1) is a fatal monogenic motoneuron disease in children with unknown etiology caused by mutations in the immunoglobulin μ-binding protein 2 (IGHMBP2) gene coding for DNA/RNA ATPase/helicase. Despite detailed knowledge of the underlying genetic changes, the cellular mechanisms leading to this disease are not well understood. In the Nmd2J ("neuromuscular disorder") mouse, the mouse model for the juvenile form of SMARD1 patients, in which similar pathological features as diaphragmatic paralysis and skeletal muscle atrophy are observed. Ex vivo studies in Nmd2J mice showed that loss of the motor axon precedes atrophy of the gastrocnemius muscle and does not correlate with neurotransmission defects in the motor endplate. The already described independent myogenic anomalies in the diaphragm and heart of the Nmd2J mouse raised the question whether spinal motoneuron degeneration develops cell autonomously. Ighmbp2 is predominantly localized in the cytoplasm and seems to bind to ribosomes and polysomes, suggesting a role in mRNA metabolism.
In this Ph.D. thesis, morphological and functional analyses of isolated Ighmbp2-deficient (Ighmbp2-def.) motoneurons were performed to answer the question whether the SMARD1 phenotype results from dysregulation of protein biosynthesis. Ighmbp2-deficient motoneurons show only negligible morphological alterations with respect to a slight increase in axonal branches. This observation is consistent with only minor changes of transcriptome based on RNA sequencing data from Ighmbp2-deficient motoneurons. Only the mRNA of fibroblast growth factor receptor 1 (Fgfr1) showed significant up-regulation in Ighmbp2-deficient motoneurons. Furthermore, no global aberrations at the translational level could be detected using pulsed SILAC (Stable Isotope Labeling by Amino acids in cell culture), AHA (L-azidohomoalanine) labeling and SUnSET (SUrface SEnsing of Translation) methods. However, a reduced β-actin protein level was observed at the growth cones of Ighmbp2-deficient motoneurons, which was accompanied with a reduced level of Imp1 protein, a known β-actin mRNA interactor. Live-cell imaging studies using fluorescence recovery after photobleaching (FRAP) showed translational down-regulation of eGFPmyr-β-actin 3'UTR mRNA in the growth cones and the cell bodies, although the amount of β-actin mRNA and the total protein amount in Ighmbp2-deficient motoneurons showed no aberrations. This compartment-specific reduction of β-actin protein occurred independently of a non-existent direct IGHMBPF2 binding to β-actin mRNA. Fgfr1, which was upregulated on the RNA level, did not show an increased protein amount in Ighmbp2-deficient motoneurons, whereas a reduced amount could be detected. Interestingly, a correlation could be found between the reduced amount of the Imp1 protein and the increased Fgfr1 mRNA, since the IMP1 protein binds the FGFR1 mRNA and thus could influence the transport and translation of FGFR1 mRNA. In summary, all data suggest that Ighmbp2 deficiency leads to a local but modest disturbance of protein biosynthesis, which might contribute to the motoneuron defects of SMARD1.