PMID- 35468848 OWN - NLM STAT- MEDLINE DCOM- 20220427 LR - 20220716 IS - 2051-5960 (Electronic) IS - 2051-5960 (Linking) VI - 10 IP - 1 DP - 2022 Apr 25 TI - Impaired signaling for neuromuscular synaptic maintenance is a feature of Motor Neuron Disease. PG - 61 LID - 10.1186/s40478-022-01360-5 [doi] LID - 61 AB - A central event in the pathogenesis of motor neuron disease (MND) is the loss of neuromuscular junctions (NMJs), yet the mechanisms that lead to this event in MND remain to be fully elucidated. Maintenance of the NMJ relies upon neural agrin (n-agrin) which, when released from the nerve terminal, activates the postsynaptic Muscle Specific Kinase (MuSK) signaling complex to stabilize clusters of acetylcholine receptors. Here, we report that muscle from MND patients has an increased proportion of slow fibers and muscle fibers with smaller diameter. Muscle cells cultured from MND biopsies failed to form large clusters of acetylcholine receptors in response to either non-MND human motor axons or n-agrin. Furthermore, levels of expression of MuSK, and MuSK-complex components: LRP4, Caveolin-3, and Dok7 differed between muscle cells cultured from MND patients compared to those from non-MND controls. To our knowledge, this is the first time a fault in the n-agrin-LRP4-MuSK signaling pathway has been identified in muscle from MND patients. Our results highlight the n-agrin-LRP4-MuSK signaling pathway as a potential therapeutic target to prolong muscle function in MND. CI - (c) 2022. The Author(s). FAU - Ding, Qiao AU - Ding Q AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Kesavan, Kaamini AU - Kesavan K AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Lee, Kah Meng AU - Lee KM AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Wimberger, Elyse AU - Wimberger E AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Robertson, Thomas AU - Robertson T AD - Pathology Queensland, Faculty of Medicine, Royal Brisbane and Women's Hospital, Herston, QLD, 4006, Australia. FAU - Gill, Melinder AU - Gill M AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Power, Dominique AU - Power D AD - Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Chang, Jeryn AU - Chang J AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. AD - Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Fard, Atefeh T AU - Fard AT AD - Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Mar, Jessica C AU - Mar JC AD - Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Henderson, Robert D AU - Henderson RD AD - Department of Neurology, Royal Brisbane and Women's Hospital, 4006, Herston, QLD, Australia. AD - University of Queensland Centre for Clinical Research, The University of Queensland, Herston, QLD, 4006, Australia. FAU - Heggie, Susan AU - Heggie S AD - Department of Neurology, Royal Brisbane and Women's Hospital, 4006, Herston, QLD, Australia. FAU - McCombe, Pamela A AU - McCombe PA AD - Department of Neurology, Royal Brisbane and Women's Hospital, 4006, Herston, QLD, Australia. AD - University of Queensland Centre for Clinical Research, The University of Queensland, Herston, QLD, 4006, Australia. FAU - Jeffree, Rosalind L AU - Jeffree RL AD - Department of Neurosurgery, Royal Brisbane and Women's Hospital, Herston, QLD, 4006, Australia. FAU - Colditz, Michael J AU - Colditz MJ AD - Department of Neurosurgery, Royal Brisbane and Women's Hospital, Herston, QLD, 4006, Australia. FAU - Hilliard, Massimo A AU - Hilliard MA AD - Clem Jones Centre for Ageing Dementia Research, Queensland Brain Institute, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Ng, Dominic C H AU - Ng DCH AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Steyn, Frederik J AU - Steyn FJ AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. AD - Department of Neurology, Royal Brisbane and Women's Hospital, 4006, Herston, QLD, Australia. AD - University of Queensland Centre for Clinical Research, The University of Queensland, Herston, QLD, 4006, Australia. FAU - Phillips, William D AU - Phillips WD AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Wolvetang, Ernst J AU - Wolvetang EJ AD - Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, St. Lucia, QLD, 4072, Australia. FAU - Ngo, Shyuan T AU - Ngo ST AUID- ORCID: 0000-0002-1388-2108 AD - Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, St. Lucia, QLD, 4072, Australia. s.ngo@uq.edu.au. AD - Department of Neurology, Royal Brisbane and Women's Hospital, 4006, Herston, QLD, Australia. s.ngo@uq.edu.au. AD - University of Queensland Centre for Clinical Research, The University of Queensland, Herston, QLD, 4006, Australia. s.ngo@uq.edu.au. FAU - Noakes, Peter G AU - Noakes PG AUID- ORCID: 0000-0001-9821-8478 AD - School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia. p.noakes@uq.edu.au. AD - Department of Neurology, Royal Brisbane and Women's Hospital, 4006, Herston, QLD, Australia. p.noakes@uq.edu.au. AD - Clem Jones Centre for Ageing Dementia Research, Queensland Brain Institute, The University of Queensland, St. Lucia, QLD, 4072, Australia. p.noakes@uq.edu.au. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220425 PL - England TA - Acta Neuropathol Commun JT - Acta neuropathologica communications JID - 101610673 RN - 0 (Agrin) RN - 0 (LDL-Receptor Related Proteins) RN - 0 (Receptors, Cholinergic) SB - IM MH - *Agrin/metabolism MH - Humans MH - LDL-Receptor Related Proteins/metabolism MH - *Motor Neuron Disease MH - Receptors, Cholinergic/metabolism MH - Signal Transduction PMC - PMC9040261 OTO - NOTNLM OT - ALS OT - Acetylcholine receptors OT - Agrin OT - Amyotrophic Lateral Sclerosis OT - Motor neurons OT - MuSK OT - Neuromuscular junction COIS- All authors declare no competing interests. EDAT- 2022/04/27 06:00 MHDA- 2022/04/28 06:00 PMCR- 2022/04/25 CRDT- 2022/04/26 05:11 PHST- 2022/04/06 00:00 [received] PHST- 2022/04/06 00:00 [accepted] PHST- 2022/04/26 05:11 [entrez] PHST- 2022/04/27 06:00 [pubmed] PHST- 2022/04/28 06:00 [medline] PHST- 2022/04/25 00:00 [pmc-release] AID - 10.1186/s40478-022-01360-5 [pii] AID - 1360 [pii] AID - 10.1186/s40478-022-01360-5 [doi] PST - epublish SO - Acta Neuropathol Commun. 2022 Apr 25;10(1):61. doi: 10.1186/s40478-022-01360-5.