Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares

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Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
LA RECHERCHE DANS
LES MALADIES RARES

28 Février 2020 -
STRASBOURG

                     Test de Dgkk comme cible thérapeutique

                     du syndrome de l’X   fragile dans les souris Fmr1- KO

                                          Hervé MOINE
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
Fragile X-syndrome
- First cause of familial intellectual disability (1/4000 m, 1/8000 f)
       - hyperactivity, autism, hypersensitivity, stereotypies…
       - facial abnormalities, macroorchidism…
- "Synaptopathy"
       - abnormal dendritic spines in patients + Fmr1 KO mice
       - synaptic plasticity alterations
       in mouse FXS (mGluR-LTD & LTP altered)
- Triplet repeat disease (Verkerk et al. 1991; Kremer et al., 1991; Fu et al., 1991)   X-fragile   unaffected

                             CGGn

                            > 200         mutation    Fragile X
           Methylation

                             55-200     premutation   FXTAS, POF

                    M         5-50
                                      normal
                                                                                          Irwin et al. 2002
                  CpG
                                                 FMR1
                          5’UTR                                    3’UTR
                                                                                              No treatment
                            FMRP
                                                 Function?
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
FMRP: A protein involved in mRNA metabolism

             soma
                                                                      Dendritic spine
                                                                      Postsynaptic
                                                                      compartment

                       Polyribosomes

   Nucleus

                                                  Neuronal granules

                                       dendrite

                    Stress granules
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
Loss of FMRP: excessive mGluR signaling

                                      mGluRI
                                      (Huber et al. 2002,
                                      Bear et al. 2004)
            soma

                                                                                           Dendritic spine
                                                                                        Postsynaptic
                                                                                        compartment

  Nucleus
                      Polyribosomes
                                                                         +
                                                     Neuronal granules

                                                                                  Alteration of
                                                                             Synapse functioning
                                                                         mGluRI-LTD increase & LTP decrease

                                          dendrite

                   Stress granules
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
FMRP function?

           soma
                                                                           Dendritic spine
                                                                           Postsynaptic
                                                                           compartment

                     Polyribosomes

 Nucleus

                                                Neuronal granules

                                     dendrite

                                                                    mRNA targets?
                  Stress granules
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
FMRP CLIP-microarray : DGKk mRNA is a main target of FMRP

                                    Fmr1 KO                           Fmr1 Wt

                                                 soma
                                                                                                                     Dendritic spine
                                                                                                                     Postsynaptic
                                                                                                                     compartment
Log10 (pValue)

                                                            Polyribosomes

                      Nucleus

                                                                                                 Neuronal granules

                 Log2 (fold change)                                             n=5
                                                                                      dendrite
                 [AIWt CLIP/AIWt Input]/[AIKO CLIP/AIKO Input]

                                                        Stress granules
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
FMRP controls DGKk synthesis                                                      Bogi Zambo / Oktay Cakil

                                                        Human cerebellum

                                            HeLa+DGKk
                                                             CTR            FXS
                                                         1    2    3   1   2      3     4
       Dgkk                        DGKk                                                     250

                                                                                            100
                                   FMRP
              FMRP                                                                          35
                     Dgkk mRNA     GAPDH

                                                         COS-1 cells
                                                                                  ***
                                            DGKk-FL
                                                                   100
                                            siC         siFmr1

                                 DGKk(HA)

                                 FMRP
                                 GAPDH
                                                                       0

                                                                                     r1
                                                                             C
                                                                           si

                                                                                   Fm
                                                                                 si
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
DGKk : Diacylglycerol kinase kappa

          Diacylglycerol   Phosphatidic Acid
              (DAG)             (PA)

                                                  Dgkk

                       Dgkk
                                                 DAG     PA
                              FMRP
                                     Dgkk mRNA
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
DGKk : a master regulator of lipid signaling
                                         Presynaptic
                                         neuron
   Glutamate

                           PiP2
                                  DAG           PA                 Excitatory synapse
    mGluRI
                      Gq
                           PLC

                                        Dgkk
                                                FMRP
                                                       Dgkk mRNA

        Dendritic spine

                                        Postsynaptic
                                        neuron
Hervé MOINE Test de Dgkk comme cible thérapeutique du syndrome de l' X fragile dans les souris Fmr1- KO - Fondation maladies rares
DGKk : a master regulator of lipid signaling
                                                       Presynaptic
                                                       neuron
   Glutamate

                           PiP2
                                             DAG              PA                                 AMPAR   Excitatory synapse
    mGluRI
                   Gq
                        PLC
                                             Ras PKC
               Homer                         GRP
                  PIKE-L             Ras               Dgkk
                           PI3K
                                     RAF
                  Akt                                         FMRP
                                                                      Dgkk mRNA            mGluR-LTD
                     TSC1/2         MEK1/2
                                                 S6K
                             Rheb      ERK1/2

                                  mTOR          Mnk

                                      4E-BP        eIF4E

                                                                     Local protein translation
                                                                     (spine growth)
DGKk : a master regulator of lipid signaling
                                                       Presynaptic
                                                       neuron
   Glutamate

                           PiP2
                                             DAG              PA                                                Excitatory synapse
    mGluRI
                   Gq
                        PLC
                                             Ras PKC
               Homer                                           Rac
                                             GRP                  PAK
                  PIKE-L             Ras               Dgkk                           Actin filament stabilization
                           PI3K                                                       (spine maintenance)
                                     RAF
                  Akt                                         FMRP
                                                                      Dgkk mRNA
                     TSC1/2         MEK1/2
                                                 S6K
                             Rheb      ERK1/2

                                  mTOR          Mnk

                                      4E-BP        eIF4E

                                                                     Local protein translation
                                                                     (spine growth)
A novel FXS pathomechanism: DAG/PA unbalance
                                                              Presynaptic
                                                              neuron
   Glutamate

                                  PiP2
    mGluRI                                        DAG                PA
                                                                                                                Excitatory synapse

                          Gq
                               PLC
                                                    Ras PKC
                      Homer                                           Rac
                                                    GRP                  PAK
                         PIKE-L
                                  PI3K
                                            Ras

                                            RAF
                                                              Dgkk
                                                                                           -
                         Akt                                         FMRP
                                                                              Dgkk mRNA
                                                                                                                                      Fragile X
                                           MEK1/2
                            TSC1/2                                                             Actin filament stabilization
                                                        S6K
                                    Rheb      ERK1/2                                           (spine maintenance)
                                         mTOR          Mnk                                                                                    PA
                                             4E-BP        eIF4E                                                                      DAG
           Enhanced
                                                                          +
           in F X S
           Decreased                                                          Local protein translation
           in F X S
                                                                              (spine growth)
Knockdown of DGKk recapitulates FXS phenotype
                                                                                            AAV9-Gfp-shRNA Scramble
                                                                                            AAV9-Gfp-shRNA DGKK

                                                                                Day 1        Day 28
                                         Fmr1 KO                                Injection   Analysis

             Dgkk KD

          hippocampal slices CA1                   LTP                                                 LTD
              Fmr1-Wt          Fmr1-KO
      SH-control   SH-DGKk                           LFS (900 pulses at 5 Hz)
                                                                                                         TBS ( 3x5 bursts at 5 Hz)

                                                                                                                       Tabet et al. PNAS 2016
DGKk : a therapeutic target for FXS ?
         Could up-regulation of DGK activity rescue Fmr1-KO phenotypes?

               - Dgkk                               + Dgkk
                        Fmr1 KO      Fmr1 KO

          1)
                        Pharmacological rescue : Pioglitazone
          2)            Gene therapy : AAV-DGKk
AAV-∆N-DGKk rescue of Fmr1-KO mouse
               ∆N-DGKk transgene rescues dendritic spines of Fmr1-KO neurons

                                                                               Fmr1-KO                                                        SH-scramble
                         Fmr1-Wt
                                                                                                                                              SH-DGKK
           SH-scramble               SH-DGKk                                            +∆N-DGKk                                              Fmr1-KO                             100

                                                                                                                                                            Spine stability (%)
                                                                                                                                              Fmr1-KO
                                                                                                                                                                                   80                            SH-scramble
                                                                                                                                              +∆N-DGKk
                                                                                                                                                                                   60                        *   SH-DGKK
                                                                                                                                                                                   40                            Fmr1-KO
                                                                                                                                                                                   20                            Fmr1-KO
                                                                                                                                                                                                                 +∆N-DGKk
                                                         hippocampal organotypic cultures (12 DIV)                                                                                  0   5   24   48     72
        hippocampal slices CA1                                                                                                                                                               Time (h)

              AAV9-∆N-DGKk transduces efficiently neurons in vitro and in vivo

                                                                                                            HA                    DAPI
                                                                                                      NT
AAV9-GFP
                                                                                                                                                      + Dgkk

                                                                                                     AAV9-∆N-DGKk                           Fmr1 KO

AAV9-∆N-DGKk
                                                                                                                                         GETEX maturation
                                                                                                           4 weeks transduction
                                                                                                                                         project In progress
                   Cortical neurons (14 days in vitro)
AAV-Dgkk gene therapy approach in Fmr1-KO mouse
    Rh10, intracranial injection, 4 sites : striatum + hippocampe (10^11 VG/mouse)                                                                                                           Actimétrie (32h)
    PHPeB retroorbital injection (5.10^11 VG/mouse)                                                                                                                                          Elevated plus maze
                                                                                                                                                                                             Open field test
                      Wt                                                                                                                                                                     Novel object recognition test

                                                                 AAV injection                                                                                                               Stereotypies (Head shakes)
                                                                                                                                                                                             Grooming
                                                                                                                                                                                             Nesting
                      KO                                                                                                                                                                     Social preference / recognition
                                                                                                                   8 weeks
                                                                                                                                                                                              Behavioral tests    Electrophysiological analyses                            Molecular analyses
                                                                                                    4 weeks
                                                                                                                                         Behavioral tests     Molecular analyses
                      KO+AAV
                                 W1     W2                  W3    W4   W5                      W6    W7       W8     W9                        W10          W11   W12          W13                 W14     W15       W16       W17                                   W18

Rh10-∆N-DGKK (+4 weeks)

                                                                                                                                                                                                                               Social memory-sniffing duration (%)
  Distance traveled

                                                                         % time in open arms

                                                                                                                     open arms entries
                                        Total arm entries

                                                                                                                                                                          % buried marbles
                           Wt KO KO                         Wt KO KO                            Wt KO KO                                       Wt KO KO                                            Wt KO KO                                                           Wt KO KO
n=24                             +AAV                             +AAV                                +AAV                                           +AAV                                                +AAV                                                               +AAV
Conclusions :
                            + Pioglitazone
                            + Dgkk
                Fragile X                    Normal

                       PA

            DAG                          DAG       PA

    up-regulation of DGK activity ameliorates Fmr1-KO phenotypes
Perspectives :

- Preclinical validation of Dgkk targeting

- Mechanism of Dgkk control by FMRP ?

                         G
                        4eIF4E
                                      40S          ? --   Binding site ? Clip-seq
                                                          FMRP/ribosome interaction
                    e IF                    FMRP
                                 4A
                      P
                    AAAABP
                       AAA            DGKk mRNA

- Functions of DGKk in higher brain functions?
              DGKk-KO                       Fmr1-KO
                                 ?
                                 =
Acknowledgments
Present members
                                 Collaborators
Karima Habbas
                                 Hélène Puccio
Boggi Zambo
                                 Arnaud Duchon      IGBMC
Oktay Cakil
                                 Yann Herault
Eric Flatter
                                 Françoise Piguet ICM Paris
Jean-Louis Mandel
                                 Nicolas Vitale INCI Strasbourg
                                 Dimitri Heintz IBMP Strasbourg
Former members
                                 Olivier Manzoni INMED Marseille
Ricardos Tabet
Andréa Geoffroy                  Flora Tassone UC Davis
Fumi Hoshino                     Antonina Fedorova SATT Conectus
Zaiane Schmitt                   Barbara Bardoni IPMC Nice

                             Fonds Paul Mandel
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