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Elevating expression of MeCP2 T158M rescues DNA binding and Rett syndrome–like phenotypes
Janine M. Lamonica, … , Sigrid Veasey, Zhaolan Zhou
Janine M. Lamonica, … , Sigrid Veasey, Zhaolan Zhou
Published April 10, 2017
Citation Information: J Clin Invest. 2017;127(5):1889-1904. https://doi.org/10.1172/JCI90967.
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Research Article Genetics Neuroscience

Elevating expression of MeCP2 T158M rescues DNA binding and Rett syndrome–like phenotypes

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Abstract

Mutations in the X-linked gene encoding methyl-CpG–binding protein 2 (MeCP2) cause Rett syndrome (RTT), a neurological disorder affecting cognitive development, respiration, and motor function. Genetic restoration of MeCP2 expression reverses RTT-like phenotypes in mice, highlighting the need to search for therapeutic approaches. Here, we have developed knockin mice recapitulating the most common RTT-associated missense mutation, MeCP2 T158M. We found that the T158M mutation impaired MECP2 binding to methylated DNA and destabilized MeCP2 protein in an age-dependent manner, leading to the development of RTT-like phenotypes in these mice. Genetic elevation of MeCP2 T158M expression ameliorated multiple RTT-like features, including motor dysfunction and breathing irregularities, in both male and female mice. These improvements were accompanied by increased binding of MeCP2 T158M to DNA. Further, we found that the ubiquitin/proteasome pathway was responsible for MeCP2 T158M degradation and that proteasome inhibition increased MeCP2 T158M levels. Together, these findings demonstrate that increasing MeCP2 T158M protein expression is sufficient to mitigate RTT-like phenotypes and support the targeting of MeCP2 T158M expression or stability as an alternative therapeutic approach.

Authors

Janine M. Lamonica, Deborah Y. Kwon, Darren Goffin, Polina Fenik, Brian S. Johnson, Yue Cui, Hengyi Guo, Sigrid Veasey, Zhaolan Zhou

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Figure 4

Tg elevation of MeCP2 T158M protein expression ameliorates behavioral deficits in male Mecp2T158M/y mice.

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Tg elevation of MeCP2 T158M protein expression ameliorates behavioral de...
(A) Western blot analysis of MeCP2 protein levels in brain nuclear lysate from male mice of all 4 genotypes at 12 weeks of age. Dot plot indicates the total amount of MeCP2 protein in Mecp2+/y (n = 5, black), Mecp2+/y T158M–Tg (n = 6, yellow), Mecp2T158M/y (n = 7, blue), and Mecp2T158M/y T158M–Tg (n = 7, red) mice. MeCP2 levels were quantified using β-actin for normalization and are represented as the fold-change relative to Mecp2T158M/y. (B) Kaplan-Meier survival curve (n = 35, 21, 38, and 18 per genotype) shows increased lifespan in Mecp2T158M/y T158M–Tg animals (median survival of ~150 days) relative to that of Mecp2T158M/y mice (median survival of ~92 days). Censored animals are indicated by a tick mark. (C) Body weights (n = 14, 14, 16, and 12) and (D) brain weights (n = 7, 9, 9, and 13) at 12 weeks were partially rescued in Mecp2T158M/y T158M–Tg animals. (E) The number of beam breaks in an open field assay (n = 13, 13, 25, and 31) was significantly increased in Mecp2T158M/y T158M–Tg animals compared with Mecp2T158M/y animals at 10 weeks of age. (F) Rotarod performance of 12-week-old animals (n = 12, 20, 15, and 29). The impaired performance of Mecp2T158M/y mice was rescued in Mecp2T158M/y T158M–Tg animals. ****P < 0.0001, by 2-way ANOVA. (G) Representative plethysmographic tracings (time bar: 2 s). Red boxes delineate apneic episodes. (H) Respiratory irregularity scores and (I) number of apneas per hour (n = 9, 5, 10, and 10) at 8 weeks of age. Mecp2T158M/y T158M–Tg males had reduced respiratory irregularities and apneas relative to Mecp2T158M/y mice. Heatmaps indicating changes in (J) event-related power and (K) PLF in response to auditory stimulation in 10- to 14-week-old animals show rescue of information processing in Mecp2T158M/y T158M–Tg mice. Comparisons in A, C, D, E, H, and I were done using 1-way ANOVA, followed by Tukey’s post-hoc test. *P < 0.05, **P < 0.01, ***P < 0.001, and ****P < 0.0001. All error bars represent the mean ± SEM.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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