%0 Journal Article %T Annexin A11 mutations are associated with nuclear envelope dysfunction in vivo and in human tissue. %A Marchica V %A Biasetti L %A Barnard J %A Li S %A Nikolaou N %A Frosch MP %A Lucente DE %A Eldaief M %A King A %A Fanto M %A Troakes C %A Houart C %A Smith BN %J Brain %V 0 %N 0 %D 2024 Jul 11 %M 38989900 %F 15.255 %R 10.1093/brain/awae226 %X Annexin A11 mutations are a rare cause of amyotrophic lateral sclerosis (ALS), wherein replicated protein variants P36R, G38R, D40G and D40Y are located in a small-alpha helix within the long, disordered N-terminus. To elucidate disease mechanisms, we characterised the phenotypes induced by a genetic loss of function (LoF) and by misexpression of G38R and D40G in vivo. Loss of Annexin A11 results in a low-penetrant behavioural phenotype and aberrant axonal morphology in zebrafish homozygous knockout larvae, which is rescued by human WT Annexin A11. Both Annexin A11 knockout/down and ALS variants trigger nuclear dysfunction characterised by Lamin B2 mis-localisation. The Lamin B2 signature also presented in anterior horn, spinal cord neurons from post-mortem ALS+/-FTD patient tissue possessing G38R and D40G protein variants. These findings suggest mutant Annexin A11 acts as a dominant negative, revealing a potential early nucleopathy highlighting nuclear envelope abnormalities preceding behavioural abnormality in animal models.