synapse development

突触发展
  • 文章类型: Journal Article
    神经元接受相关的兴奋和抑制水平,一个对正常大脑功能很重要的特征。然而,在电路布线的动态期间,兴奋性和抑制性输入之间的这种关系是如何建立的,目前仍未被探索。使用多种技术,包括子宫内电穿孔,电子显微镜,和电生理学,我们揭示了兴奋性和抑制性突触在发育中的CA1海马神经元树突上的分布密切相关。这种相关性存在于短的树枝状拉伸(<20μm)内,令人惊讶的是,在早期发育过程中最为明显,随着成熟度急剧下降。激发和抑制之间的紧密匹配是出乎意料的,因为抑制性突触在形成时缺乏活性区,并表现出受损的诱发释放。我们建议抑制性突触作为稳定的支架来平衡不断增长的兴奋水平。这种关系随着时间的推移而减少,提示亚细胞平衡在早期神经元功能和回路形成中的关键作用。
    Neurons receive correlated levels of excitation and inhibition, a feature that is important for proper brain function. However, how this relationship between excitatory and inhibitory inputs is established during the dynamic period of circuit wiring remains unexplored. Using multiple techniques, including in utero electroporation, electron microscopy, and electrophysiology, we reveal a tight correlation in the distribution of excitatory and inhibitory synapses along the dendrites of developing CA1 hippocampal neurons. This correlation was present within short dendritic stretches (<20 μm) and, surprisingly, was most pronounced during early development, sharply declining with maturity. The tight matching between excitation and inhibition was unexpected, as inhibitory synapses lacked an active zone when formed and exhibited compromised evoked release. We propose that inhibitory synapses form as a stabilizing scaffold to counterbalance growing excitation levels. This relationship diminishes over time, suggesting a critical role for a subcellular balance in early neuronal function and circuit formation.
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  • 文章类型: Journal Article
    突触粘附分子neuroligin-1(NLGN1)参与兴奋性突触的分化,但确切的潜在分子机制仍在争论中。这里,我们探索了NLGN1酪氨酸磷酸化在这个过程中的作用,专注于受体酪氨酸激酶(RTK)的子集,即FGFR1和Trks,其先前被描述为在独特的细胞内残基(Y782)处磷酸化NLGN1。
    我们在分离的海马神经元中使用了这些RTK的药理抑制剂和遗传操作,随后生化测量NLGN1磷酸化和兴奋性突触支架的免疫细胞化学染色。
    这项研究表明:(i)FGFR和Trk抑制剂减少了由Neurexin交联诱导的PSD-95在新的NLGN1簇上的积累;(ii)FGFR和Trk抑制剂损害了由NLGN1过度表达引起的PSD-95点的增加;(iii)BDNF引起的TrkB激活,增加了由TrGN1的punctaNLGN1Y782A突变体没有观察到的效果。
    一起,我们的数据确定TrkB是负责NLGN1酪氨酸磷酸化的主要RTK之一,并揭示TrkB活性对于NLGN1的突触作用是必需的。
    UNASSIGNED: The synaptic adhesion molecule neuroligin-1 (NLGN1) is involved in the differentiation of excitatory synapses, but the precise underlying molecular mechanisms are still debated. Here, we explored the role of NLGN1 tyrosine phosphorylation in this process, focusing on a subset of receptor tyrosine kinases (RTKs), namely FGFR1 and Trks, that were previously described to phosphorylate NLGN1 at a unique intracellular residue (Y782).
    UNASSIGNED: We used pharmacological inhibitors and genetic manipulation of those RTKs in dissociated hippocampal neurons, followed by biochemical measurement of NLGN1 phosphorylation and immunocytochemical staining of excitatory synaptic scaffolds.
    UNASSIGNED: This study shows that: (i) the accumulation of PSD-95 at de novo NLGN1 clusters induced by neurexin crosslinking is reduced by FGFR and Trk inhibitors; (ii) the increase in PSD-95 puncta caused by NLGN1 over-expression is impaired by FGFR and Trk inhibitors; (iii) TrkB activation by BDNF increases NLGN1 phosphorylation; and (iv) TrkB knock-down impairs the increase of PSD-95 puncta caused by NLGN1 over-expression, an effect which is not seen with the NLGN1 Y782A mutant.
    UNASSIGNED: Together, our data identify TrkB as one of the major RTKs responsible for NLGN1 tyrosine phosphorylation, and reveal that TrkB activity is necessary for the synaptogenic effects of NLGN1.
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  • 文章类型: Journal Article
    Proper regulation of synapse formation and elimination is critical for establishing mature neuronal circuits and maintaining brain function. Synaptic abnormalities, such as defects in the density and morphology of postsynaptic dendritic spines, underlie the pathology of various neuropsychiatric disorders. Protocadherin 17 (PCDH17) is associated with major mood disorders, including bipolar disorder and depression. However, the molecular mechanisms by which PCDH17 regulates spine number, morphology, and behavior remain elusive. In this study, we found that PCDH17 functions at postsynaptic sites, restricting the number and size of dendritic spines in excitatory neurons. Selective overexpression of PCDH17 in the ventral hippocampal CA1 results in spine loss and anxiety- and depression-like behaviors in mice. Mechanistically, PCDH17 interacts with actin-relevant proteins and regulates actin filament (F-actin) organization. Specifically, PCDH17 binds to ROCK2, increasing its expression and subsequently enhancing the activity of downstream targets such as LIMK1 and the phosphorylation of cofilin serine-3 (Ser3). Inhibition of ROCK2 activity with belumosudil (KD025) ameliorates the defective F-actin organization and spine structure induced by PCDH17 overexpression, suggesting that ROCK2 mediates the effects of PCDH17 on F-actin content and spine development. Hence, these findings reveal a novel mechanism by which PCDH17 regulates synapse development and behavior, providing pathological insights into the neurobiological basis of mood disorders.
    突触形成和消除过程的准确调控对于成熟神经环路的建立和大脑功能的维持至关重要。突触异常,例如突触后树突棘的密度和形态缺陷是神经精神疾病的病理机制。原钙黏蛋白17(Protocadherin 17,PCDH17)与主要的情绪障碍疾病紧密相关,例如双相情感障碍和抑郁症。然而,PCDH17调控树突棘数量和形态,以及行为的分子机制尚未阐明。在该研究中,我们发现PCDH17在兴奋性神经元的突触后发挥调节作用限制了树突棘的数量和大小。同时,在小鼠腹侧海马CA1选择性地过表达PCDH17造成树突棘丢失以及焦虑和抑郁样行为。在机制层面,PCDH17与肌动蛋白(actin)相关分子有相互作用,并调节肌动蛋白丝(F-actin)组装。具体来说,PCDH17结合ROCK2,并增加ROCK2及其下游靶点LIMK1的蛋白表达水平和cofilin Ser3位点的磷酸化水平。利用Belumosudil(KD025)抑制ROCK2活性后可改善过表达PCDH17引起的肌动蛋白丝组装和树突棘形态缺陷。该结果表明ROCK2介导PCDH17对肌动蛋白丝和树突棘发育的影响。综上所述,我们的研究揭示了PCDH17调节突触发育和行为的新机制,从而为情绪障碍疾病的神经生物学机理提供了病理学角度的深刻理解。.
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  • 文章类型: Journal Article
    组织形态发生仍然知之甚少。在植物中,一个核心问题是发育器官的3D细胞结构如何有助于其最终形状。我们通过对胚珠形态发生的比较分析来解决这个问题,利用被子植物胚珠形状的多样性。这里,我们提供了以单细胞分辨率计算的卡米米娜hirsuta胚珠发育的3D数字地图集,并将其与拟南芥的等效地图集进行比较。我们引入了基于神经的拓扑分析,作为无偏检测细胞结构差异的工具,并通过比较形态计量学和视觉检查证实了两个同源组织之间的拓扑差异。我们发现拓扑结构的差异,细胞体积的变化和组织的生长模式在片状的整体和球形的chalaza,与胚珠曲率的差异有关。相比之下,辐射,尽管内部细胞拓扑结构和组织生长方式不同,但圆锥形胚珠原基和nucelli的形状相似。我们的结果支持这样的观点,即组织的结构组织与其在3D细胞结构的进化转变过程中对形状变化的敏感性有关。
    Synaptic development requires multiple signaling pathways to ensure successful connections. Transmembrane receptors are optimally positioned to connect the synapse and the rest of the neuron, often acting as synaptic organizers to synchronize downstream events. One such organizer, the LDL receptor-related protein LRP4, is a cell surface receptor that has been most well-studied postsynaptically at mammalian neuromuscular junctions. Recent work, however, identified emerging roles, but how LRP4 acts as a presynaptic organizer and the downstream mechanisms of LRP4 are not well understood. Here, we show that LRP4 functions presynaptically at Drosophila neuromuscular synapses, acting in motoneurons to instruct pre- and postsynaptic development. Loss of presynaptic LRP4 results in multiple defects, impairing active zone organization, synapse growth, physiological function, microtubule organization, synaptic ultrastructure and synapse maturation. We further demonstrate that LRP4 promotes most aspects of presynaptic development via a downstream SR-protein kinase, SRPK79D. These data demonstrate a function for presynaptic LRP4 as a peripheral synaptic organizer, highlight a downstream mechanism conserved with its CNS function in Drosophila, and underscore previously unappreciated but important developmental roles for LRP4 in cytoskeletal organization, synapse maturation and active zone organization.
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  • 文章类型: Journal Article
    哺乳动物大脑中的突触形成是一个复杂而动态的过程,需要数十个分子家族的协调功能,例如细胞粘附分子(CAM)和配体-受体对(Ephs/Ephrins,Neuroligins/Neurexins,信号素/神经丛蛋白)。由于大量的分子参与者和基因家族中可能的功能冗余,确定单个分子的精确突触作用具有挑战性,这是理解这些基因突变对大脑功能的影响的关键。此外,已知很少有分子专门调节GABA能或谷氨酸能突触,特别是GABA能突触形成的细胞和分子机制尚未完全了解。我们以前证明,Sema4D(Sema4D)调节哺乳动物海马中的GABA能突触发育,而对谷氨酸能突触发育没有影响,这种效应是通过与其高亲和力受体结合而发生的,Plexin-B1.此外,我们证明RNAi介导的神经丛蛋白-B2敲低降低GABA能突触密度,提示两种受体在此过程中起作用.这里,我们对神经丛蛋白-B1和神经丛蛋白-B2受体进行了结构-功能研究,以确定每个受体中突触功能所需的蛋白质结构域.Further,我们检查突触前神经元是否需要神经丛蛋白B2,突触后神经元,或两者都调节GABA能突触形成。我们的数据显示,Plexin-B1和Plexin-B2在调节GABA能突触形成方面具有非冗余功能,并表明跨膜域可能是功能差异的基础。我们还提供了神经丛蛋白-B2在突触前GABA能中间神经元中表达的证据,以及突触后锥体细胞,调节海马中GABA能突触的形成。这些发现为未来研究神经丛蛋白B受体信号传导下游突触形成所需的精确信号传导途径奠定了基础。
    Synapse formation in the mammalian brain is a complex and dynamic process requiring coordinated function of dozens of molecular families such as cell adhesion molecules (CAMs) and ligand-receptor pairs (Ephs/Ephrins, Neuroligins/Neurexins, Semaphorins/Plexins). Due to the large number of molecular players and possible functional redundancies within gene families, it is challenging to determine the precise synaptogenic roles of individual molecules, which is key to understanding the consequences of mutations in these genes for brain function. Furthermore, few molecules are known to exclusively regulate either GABAergic or glutamatergic synapses, and cell and molecular mechanisms underlying GABAergic synapse formation in particular are not thoroughly understood. We previously demonstrated that Semaphorin-4D (Sema4D) regulates GABAergic synapse development in the mammalian hippocampus while having no effect on glutamatergic synapse development, and this effect occurs through binding to its high affinity receptor, Plexin-B1. In addition, we demonstrated that RNAi-mediated Plexin-B2 knock-down decreases GABAergic synapse density suggesting that both receptors function in this process. Here, we perform a structure-function study of the Plexin-B1 and Plexin-B2 receptors to identify the protein domains in each receptor which are required for its synaptogenic function. Further, we examine whether Plexin-B2 is required in the presynaptic neuron, the postsynaptic neuron, or both to regulate GABAergic synapse formation. Our data reveal that Plexin-B1 and Plexin-B2 function non-redundantly to regulate GABAergic synapse formation and suggest that the transmembrane domain may underlie functional distinctions. We also provide evidence that Plexin-B2 expression in presynaptic GABAergic interneurons, as well as postsynaptic pyramidal cells, regulates GABAergic synapse formation in hippocampus. These findings lay the groundwork for future investigations into the precise signaling pathways required for synapse formation downstream of Plexin-B receptor signaling.
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  • 文章类型: Journal Article
    神经发育障碍(NDDs)包括具有高遗传异质性的各种神经系统疾病,以认知延迟或受损为特征,通信,适应性行为,和精神运动技能。这些疾病导致儿童发病率显著,从而给家庭和医疗保健/教育系统带来负担。然而,缺乏早期诊断和有效的治疗方法。因此,需要一种更紧密的方法来探索这些疾病。小胶质细胞,中枢神经系统内的初级吞噬细胞,对调节神经元活力至关重要,影响突触动力学,并确定神经发育结果。尽管近几十年来自闭症谱系障碍(ASD)和精神分裂症(SZ)的神经生物学基础引起了人们的关注。小胶质细胞在ASD和SZ中的作用尚不清楚,需要进一步讨论.在这次审查中,我们精心强调了小胶质细胞在神经发育过程中发挥的重要且经常是多方面的作用,并推测了可能参与ASD和SZ等疾病的潜在小胶质细胞机制.最重要的是全面了解小胶质细胞和神经元之间相互作用的复杂性,以设计有效的,有针对性的治疗策略,以减轻NDD的影响。
    Neurodevelopmental disorders (NDDs) include various neurological disorders with high genetic heterogeneity, characterized by delayed or impaired cognition, communication, adaptive behavior, and psychomotor skills. These disorders result in significant morbidity for children, thus burdening families and healthcare/educational systems. However, there is a lack of early diagnosis and effective therapies. Therefore, a more connected approach is required to explore these disorders. Microglia, the primary phagocytic cells within the central nervous system, are crucial in regulating neuronal viability, influencing synaptic dynamics, and determining neurodevelopmental outcomes. Although the neurobiological basis of autism spectrum disorder (ASD) and schizophrenia (SZ) has attracted attention in recent decades, the role of microglia in ASD and SZ remains unclear and requires further discussion. In this review, the important and frequently multifaceted roles that microglia play during neurodevelopment are meticulously emphasized and potential microglial mechanisms that might be involved in conditions such as ASD and SZ are postulated. It is of utmost importance to acquire a comprehensive understanding of the complexities of the interplay between microglia and neurons to design effective, targeted therapeutic strategies to mitigate the effects of NDDs.
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  • 文章类型: Journal Article
    Cofilactin棒病理学,可以引发突触丢失,已经在啮齿动物神经元中进行了广泛的研究,海马片,和人神经退行性疾病如阿尔茨海默病(AD)的体内小鼠模型。在这些系统中,由疾病相关因素诱导的杆形成,如AD中淀粉样蛋白-β(Aβ)的可溶性寡聚体,利用需要细胞朊病毒蛋白(PrPC)的途径,NADPH氧化酶(NOX),和细胞因子/趋化因子受体(CCR5和/或CXCR4)。然而,杆途径尚未在人类神经元模型中进行系统评估。这里,我们描述了从人诱导的多能干细胞(iPSCs)分化的谷氨酸能神经元在PrPC依赖性途径的激活剂作用下形成棒的过程.基质的优化,细胞密度,神经胶质条件培养基的使用产生了一个强大的系统,用于研究在没有神经胶质的情况下Aβ诱导的棒的发育,提示细胞自主途径。年轻神经元中的棒诱导需要PrPC的异位表达,但是这种依赖性在第55天消失了。杆诱导途径内蛋白质的定量表明,PrPC和CXCR4表达的增加可能是第35天和第55天之间杆对Aβ的反应加倍的因素。FDA批准的CXCR4和CCR5拮抗剂抑制杆反应。主要在树突中观察到棒,尽管严重的细胞骨架破坏阻止了超过40%的棒分配给轴突或树突。在没有神经胶质的情况下,在这种情况下,杆更容易被观察到,神经元成熟并激发动作电位,但不形成功能性突触。然而,含有PSD95的树突棘与含有谷氨酸转运体的突触前囊泡的轴突区域相关,VGLUT1。因此,我们的研究结果确定干细胞衍生的神经元是研究人类细胞环境中的cofilactin杆状蛋白形成和开发有效治疗策略的稳健模型,用于治疗由不同杆状蛋白引发剂引起的多种蛋白病引起的痴呆.
    Cofilactin rod pathology, which can initiate synapse loss, has been extensively studied in rodent neurons, hippocampal slices, and in vivo mouse models of human neurodegenerative diseases such as Alzheimer\'s disease (AD). In these systems, rod formation induced by disease-associated factors, such as soluble oligomers of Amyloid-β (Aβ) in AD, utilizes a pathway requiring cellular prion protein (PrPC), NADPH oxidase (NOX), and cytokine/chemokine receptors (CCR5 and/or CXCR4). However, rod pathways have not been systematically assessed in a human neuronal model. Here, we characterize glutamatergic neurons differentiated from human-induced pluripotent stem cells (iPSCs) for the formation of rods in response to activators of the PrPC-dependent pathway. Optimization of substratum, cell density, and use of glial-conditioned medium yielded a robust system for studying the development of Aβ-induced rods in the absence of glia, suggesting a cell-autonomous pathway. Rod induction in younger neurons requires ectopic expression of PrPC, but this dependency disappears by Day 55. The quantification of proteins within the rod-inducing pathway suggests that increased PrPC and CXCR4 expression may be factors in the doubling of the rod response to Aβ between Days 35 and 55. FDA-approved antagonists to CXCR4 and CCR5 inhibit the rod response. Rods were predominantly observed in dendrites, although severe cytoskeletal disruptions prevented the assignment of over 40% of the rods to either an axon or dendrite. In the absence of glia, a condition in which rods are more readily observed, neurons mature and fire action potentials but do not form functional synapses. However, PSD95-containing dendritic spines associate with axonal regions of pre-synaptic vesicles containing the glutamate transporter, VGLUT1. Thus, our results identified stem cell-derived neurons as a robust model for studying cofilactin rod formation in a human cellular environment and for developing effective therapeutic strategies for the treatment of dementias arising from multiple proteinopathies with different rod initiators.
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  • 文章类型: Journal Article
    经验调节感觉回路中的突触形成和功能。哺乳动物视网膜中的抑制性突触是如何通过视觉线索来雕刻的,目前尚不清楚。通过使用感官剥夺范式,我们发现视觉线索调节两种GABA突触类型(GABAA和GABAC受体突触)的成熟,定位在视杆双极细胞(RBC)的轴突末端-二级视网膜神经元,与夜视电路有关。缺乏视觉线索会导致RBC末端的GABAA突触保持反应较慢的未成熟受体构型,并阻止GABAC突触的受体募集。此外,这两个GABA突触的组织蛋白,LRRTM4不聚集在暗饲养的RBC突触处。超微结构,RBC末端的带状输出/抑制性输入突触的总数保持不变,尽管当电路在没有视觉线索的情况下发展时,带状突触输出位点排列错误。感觉剥夺还改变了RBC的固有电生理特性和整个RBC末端的氯化物转运蛋白的表达。介绍正常的12小时明暗住房条件有助于深色饲养的RBCGABA突触的成熟和内在RBC特性的恢复。揭示了光依赖性视网膜细胞和突触可塑性的新元素。
    Experience regulates synapse formation and function across sensory circuits. How inhibitory synapses in the mammalian retina are sculpted by visual cues remains unclear. By use of a sensory deprivation paradigm, we find that visual cues regulate maturation of two GABA synapse types (GABAA and GABAC receptor synapses), localized across the axon terminals of rod bipolar cells (RBCs)-second-order retinal neurons integral to the night-vision circuit. Lack of visual cues causes GABAA synapses at RBC terminals to retain an immature receptor configuration with slower response profiles and prevents receptor recruitment at GABAC synapses. Additionally, the organizing protein for both these GABA synapses, LRRTM4, is not clustered at dark-reared RBC synapses. Ultrastructurally, the total number of ribbon-output/inhibitory-input synapses across RBC terminals remains unaltered by sensory deprivation, although ribbon synapse output sites are misarranged when the circuit develops without visual cues. Intrinsic electrophysiological properties of RBCs and expression of chloride transporters across RBC terminals are additionally altered by sensory deprivation. Introduction to normal 12-h light-dark housing conditions facilitates maturation of dark-reared RBC GABA synapses and restoration of intrinsic RBC properties, unveiling a new element of light-dependent retinal cellular and synaptic plasticity.
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  • 文章类型: Journal Article
    将未成熟的神经元网络细化为有效的成熟神经元网络对于神经系统的发育和功能至关重要。突触细化的这个过程是由神经元活动相关的融合突触输入的竞争驱动的。从而消除了弱投入,稳定了强投入。神经元活动,无论是自发活动还是经验诱发活动,已知驱动许多大脑区域的突触细化。最近的研究正在揭示检测神经元活动并将其转化为分子信号的方式和机制,这些信号可以适当地调节较弱突触的消除和较强突触的稳定。这里,我们强调了在突触细化过程中自发活动和诱发活动如何指导神经元活动依赖性竞争。然后,我们专注于神经元活动如何转化为确定和执行突触细化的分子线索。对突触细化的潜在机制的全面了解可以导致以突触功能异常为特征的神经精神疾病的新治疗策略。
    The refinement of immature neuronal networks into efficient mature ones is critical to nervous system development and function. This process of synapse refinement is driven by the neuronal activity-dependent competition of converging synaptic inputs, resulting in the elimination of weak inputs and the stabilization of strong ones. Neuronal activity, whether in the form of spontaneous activity or experience-evoked activity, is known to drive synapse refinement in numerous brain regions. More recent studies are now revealing the manner and mechanisms by which neuronal activity is detected and converted into molecular signals that appropriately regulate the elimination of weaker synapses and stabilization of stronger ones. Here, we highlight how spontaneous activity and evoked activity instruct neuronal activity-dependent competition during synapse refinement. We then focus on how neuronal activity is transformed into the molecular cues that determine and execute synapse refinement. A comprehensive understanding of the mechanisms underlying synapse refinement can lead to novel therapeutic strategies in neuropsychiatric diseases characterized by aberrant synaptic function.
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  • 文章类型: Journal Article
    GRIN2B相关的神经发育障碍是由GRIN2B基因突变引起的罕见疾病,其编码NMDA受体的GluN2B亚基。大多数患有GRIN2B相关神经发育障碍的个体表现为智力障碍和发育迟缓。运动障碍,自闭症谱系障碍,癫痫也很常见。已经在GRIN2B中鉴定了大量致病性从头突变。然而,目前尚不清楚这些变异如何导致该疾病的临床症状。最近的研究已经开始解决这个问题。这里,我们描述了用于更好地了解该疾病病理生理学的关键实验方法。我们讨论了几种不同的致病性GRIN2B变体对NMDA受体特性的影响。然后,我们批判性地回顾了关键研究,研究了当疾病相关的GluN2B变体在神经元中表达时观察到的突触和神经发育表型。这些数据提供了令人信服的证据,表明各种GluN2B突变体干扰神经元分化,枝晶形态发生,突触发生,和突触可塑性。最后,我们确定了重要的悬而未决的问题和考虑因素,以便将来进行旨在了解这种复杂疾病的研究.一起,现有数据提供了对GRIN2B相关神经发育障碍的病理生理机制的见解,并强调了比较个体影响的重要性,疾病相关变异。了解分子,由广泛的GRIN2B变体产生的细胞和回路表型应导致鉴定表征疾病并导致其症状的核心神经发育表型。这些信息可以帮助指导治疗GRIN2B相关神经发育障碍个体的有效治疗策略的开发和应用。
    The GRIN2B-related neurodevelopmental disorder is a rare disease caused by mutations in the GRIN2B gene, which encodes the GluN2B subunit of NMDA receptors. Most individuals with GRIN2B-related neurodevelopmental disorder present with intellectual disability and developmental delay. Motor impairments, autism spectrum disorder, and epilepsy are also common. A large number of pathogenic de novo mutations have been identified in GRIN2B. However, it is not yet known how these variants lead to the clinical symptoms of the disease. Recent research has begun to address this issue. Here, we describe key experimental approaches that have been used to better understand the pathophysiology of this disease. We discuss the impact of several distinct pathogenic GRIN2B variants on NMDA receptor properties. We then critically review pivotal studies examining the synaptic and neurodevelopmental phenotypes observed when disease-associated GluN2B variants are expressed in neurons. These data provide compelling evidence that various GluN2B mutants interfere with neuronal differentiation, dendrite morphogenesis, synaptogenesis, and synaptic plasticity. Finally, we identify important open questions and considerations for future studies aimed at understanding this complex disease. Together, the existing data provide insight into the pathophysiological mechanisms that underlie GRIN2B-related neurodevelopmental disorder and emphasize the importance of comparing the effects of individual, disease-associated variants. Understanding the molecular, cellular and circuit phenotypes produced by a wide range of GRIN2B variants should lead to the identification of core neurodevelopmental phenotypes that characterize the disease and lead to its symptoms. This information could help guide the development and application of effective therapeutic strategies for treating individuals with GRIN2B-related neurodevelopmental disorder.
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