Presenter of 1 Presentation
IMPAIRED SORLA MATURATION AND TRAFFICKING AS A NEW MECHANISM FOR SORL1 MISSENSE VARIANTS IN ALZHEIMER DISEASE
Abstract
Aims
The SorLA protein, encoded by the SORL1 gene, is a major player in Alzheimer’s disease (AD) pathophysiology. Functional and genetic studies demonstrated that SorLA deficiency results in increased production of Aβ peptides, and thus a higher risk of AD. A large number of SORL1 missense variants have been identified in AD patients, but their functional consequences remain largely undefined.
Methods
In an initial screening, we overexpressed 71 SORL1 variants, identified in AD patients, in HEK293 cells to analyze the maturation profile and subcellular localization of SorLA. Five of these variations were further studied in details in CRISPR/Cas9-modified hiPSCs.
Results
Overexpression analyses revealed that 15 of the 71 SORL1 variants induced a maturation and trafficking-deficient phenotype. Validation studies on endogenous SORL1 expression in hiPSCs confirmed that maturation-defective variants were largely retained in the endoplasmic reticulum, resulting in a reduction in the delivery of SorLA to the plasma membrane and endosomal system. Importantly, this was associated with an increase of Abeta secretion, demonstrating a loss-of-function effect of these SorLA variants regarding this ultimate readout, and a direct link with AD pathophysiology. Structural analysis suggested that impaired cellular trafficking of SorLA could be due to subtle variations of the protein 3D structure resulting from changes in the interatomic interactions.
Conclusions
We here identify a new pathophysiological mechanism, by which a subset of rare SORL1 missense variants identified in AD patients induce a likely misfolded protein, thus altering the protein maturation and trafficking, and leading to a loss of the protective function of SorLA towards Abeta secretion.