Skip to main content

RNF213 as a Susceptibility Gene for Moyamoya Disease has Multifunctional Roles in Biological Processes

  • Chapter
  • First Online:
Moyamoya Disease: Current Knowledge and Future Perspectives

Abstract

RNF213 has been identified as a susceptibility gene for moyamoya disease (MMD), and a rare founder variant in RNF213 p. R4810K markedly increases the risk of MMD in East Asian populations. RNF213, a huge protein, harbors two tandem AAA+ ATPase domains and a ring finger domain. Although the physiological and pathological roles of RNF213 are largely obscure, RNF213 has been reported to be involved in various biological processes, and these processes are possibly linked to susceptibilities to several stressors. In this chapter, we review the functional properties of RNF213, focusing particularly on its variants such as p.R4810K, and the RNF213-associated susceptibilities reported in some stress models. The low penetrance of RNF213 p.R4810K, however, implies that environmental factors play an essential role in MMD development in addition to genetic predisposition. We also introduce our ongoing research and intermediate results on the environmental factors involved in RNF213-mediated MMD development.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Baba T, Houkin K, Kuroda S. Novel epidemiological features of moyamoya disease. J Neurol Neurosurg Psychiatry. 2008;79(8):900–4. https://doi.org/10.1136/jnnp.2007.130666.

    Article  CAS  PubMed  Google Scholar 

  2. Ahn IM, Park DH, Hann HJ, Kim KH, Kim HJ, Ahn HS. Incidence, prevalence, and survival of moyamoya disease in Korea: a nationwide, population-based study. Stroke. 2014;45(4):1090–5. https://doi.org/10.1161/strokeaha.113.004273.

    Article  PubMed  Google Scholar 

  3. Miao W, Zhao PL, Zhang YS, Liu HY, Chang Y, Ma J, et al. Epidemiological and clinical features of Moyamoya disease in Nanjing, China. Clin Neurol Neurosurg. 2010;112(3):199–203. https://doi.org/10.1016/j.clineuro.2009.11.009.

    Article  PubMed  Google Scholar 

  4. Uchino K, Johnston SC, Becker KJ, Tirschwell DL. Moyamoya disease in Washington state and California. Neurology. 2005;65(6):956–8. https://doi.org/10.1212/01.wnl.0000176066.33797.82.

    Article  PubMed  Google Scholar 

  5. Tominaga T, Suzuki N, Miyamoto S, Koizumi A, Kuroda S, Takahashi J. Recommendations for the management of moyamoya disease: a statement from research committee on spontaneous occlusion of the circle of Willis (moyamoya disease) [2nd edition]. Surg Cereb Stroke. 2018;46(1):1–24.

    Article  Google Scholar 

  6. Mineharu Y, Liu W, Inoue K, Matsuura N, Inoue S, Takenaka K, et al. Autosomal dominant moyamoya disease maps to chromosome 17q253. Neurology. 2008;70(24 Pt 2):2357–63.

    Article  CAS  Google Scholar 

  7. Koizumi A. Genetic analysis of familial moyamoya. In: Hashimoro N, editor. Annual report of the research committee on spontaneous occlusion of the circle of Willis (Moyamoya disease) by science research Grants of Ministry of Health. Japan: Labor and Welfare; 2010.

    Google Scholar 

  8. Liu W, Morito D, Takashima S, Mineharu Y, Kobayashi H, Hitomi T, et al. Identification of RNF213 as a susceptibility gene for moyamoya disease and its possible role in vascular development. PLoS One. 2011;6(7):e22542. https://doi.org/10.1371/journal.pone.0022542PONE-D-10-04031.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Kamada F, Aoki Y, Narisawa A, Abe Y, Komatsuzaki S, Kikuchi A, et al. A genome-wide association study identifies RNF213 as the first Moyamoya disease gene. J Hum Genet. 2011;56(1):34–40.

    Article  CAS  Google Scholar 

  10. Liao X, Deng J, Dai W, Zhang T, Yan J. Rare variants of RNF213 and moyamoya/non-moyamoya intracranial artery stenosis/occlusion disease risk: a meta-analysis and systematic review. Environ Health Prev Med. 2017;22(1):75. https://doi.org/10.1186/s12199-017-0680-1.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Koizumi A, Kobayashi H, Hitomi T, Harada KH, Habu T, Youssefian S. A new horizon of moyamoya disease and associated health risks explored through RNF213. Environ Health Prev Med. 2016;21(2):55–70. https://doi.org/10.1007/s12199-015-0498-7.

    Article  CAS  PubMed  Google Scholar 

  12. Okazaki S, Morimoto T, Kamatani Y, Kamimura T, Kobayashi H, Harada K, et al. Moyamoya disease susceptibility variant RNF213 p.R4810K increases the risk of ischemic stroke attributable to large-artery atherosclerosis. Circulation. 2019;139(2):295–8. https://doi.org/10.1161/CIRCULATIONAHA.118.038439.

    Article  CAS  PubMed  Google Scholar 

  13. Morimoto T, Mineharu Y, Ono K, Nakatochi M, Ichihara S, Kabata R, et al. Significant association of RNF213 p.R4810K, a moyamoya susceptibility variant, with coronary artery disease. PLoS One. 2017;12(4):e0175649. https://doi.org/10.1371/journal.pone.0175649.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Kobayashi H, Kabata R, Kinoshita H, Morimoto T, Ono K, Takeda M, et al. Rare variants in RNF213, a susceptibility gene for moyamoya disease, are found in patients with pulmonary hypertension and aggravate hypoxia-induced pulmonary hypertension in mice. Pulm Circ. 2018;8(3):2045894018778155. https://doi.org/10.1177/2045894018778155.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Liu W, Hitomi T, Kobayashi H, Harada KH, Koizumi A. Distribution of moyamoya disease susceptibility polymorphism p.R4810K in RNF213 in east and southeast Asian populations. Neurol Med Chir. 2012;52(5):299–303. DN/JST.JSTAGE/nmc/52.299 [pii]

    Article  Google Scholar 

  16. Kuriyama S, Kusaka Y, Fujimura M, Wakai K, Tamakoshi A, Hashimoto S, et al. Prevalence and clinicoepidemiological features of moyamoya disease in Japan: findings from a nationwide epidemiological survey. Stroke. 2008;39(1):42–7. https://doi.org/10.1161/strokeaha.107.490714.

    Article  PubMed  Google Scholar 

  17. Wakai K, Tamakoshi A, Ikezaki K, Fukui M, Kawamura T, Aoki R, et al. Epidemiological features of moyamoya disease in Japan: findings from a nationwide survey. Clin Neurol Neurosurg. 1997;99(Suppl 2):S1–5. https://doi.org/10.1016/s0303-8467(97)00031-0.

    Article  PubMed  Google Scholar 

  18. Morito D, Nishikawa K, Hoseki J, Kitamura A, Kotani Y, Kiso K, et al. Moyamoya disease-associated protein mysterin/RNF213 is a novel AAA+ ATPase, which dynamically changes its oligomeric state. Sci Rep. 2014;4:4442. https://doi.org/10.1038/srep04442.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Metzger MB, Pruneda JN, Klevit RE, Weissman AM. RING-type E3 ligases: master manipulators of E2 ubiquitin-conjugating enzymes and ubiquitination. Biochimica et Biophysica Acta (BBA)-molecular. Cell Res. 2014;1843(1):47–60.

    CAS  Google Scholar 

  20. Ohkubo K, Sakai Y, Inoue H, Akamine S, Ishizaki Y, Matsushita Y, et al. Moyamoya disease susceptibility gene RNF213 links inflammatory and angiogenic signals in endothelial cells. Sci Rep. 2015;5:13191. https://doi.org/10.1038/srep13191.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Kobayashi H, Matsuda Y, Hitomi T, Okuda H, Shioi H, Matsuda T, et al. Biochemical and functional characterization of RNF213 (Mysterin) R4810K, a susceptibility mutation of Moyamoya disease, in angiogenesis in vitro and in vivo. J Am Heart Assoc. 2015;4(7) https://doi.org/10.1161/JAHA.115.002146.

  22. Key J, Maletzko A, Kohli A, Gispert S, Torres-Odio S, Wittig I, et al. Loss of mitochondrial ClpP, Lonp1, and Tfam triggers transcriptional induction of Rnf213, a susceptibility factor for moyamoya disease. Neurogenetics. 2020; https://doi.org/10.1007/s10048-020-00609-2.

  23. Lindner DJ. Interferons as antiangiogenic agents. Curr Oncol Rep. 2002;4(6):510–4. https://doi.org/10.1007/s11912-002-0065-4.

    Article  PubMed  Google Scholar 

  24. Hitomi T, Habu T, Kobayashi H, Okuda H, Harada KH, Osafune K, et al. Downregulation of Securin by the variant RNF213 R4810K (rs112735431, G>A) reduces angiogenic activity of induced pluripotent stem cell-derived vascular endothelial cells from moyamoya patients. Biochem Biophys Res Commun. 2013;438(1):13–9. https://doi.org/10.1016/j.bbrc.2013.07.004S0006-291X(13)01144-3.

    Article  CAS  PubMed  Google Scholar 

  25. Kobayashi H, Brozman M, Kyselova K, Viszlayova D, Morimoto T, Roubec M, et al. RNF213 rare variants in Slovakian and Czech Moyamoya disease patients. PLoS One. 2016;11(10):e0164759. https://doi.org/10.1371/journal.pone.0164759.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Zhou C, Tong Y, Wawrowsky K, Melmed S. PTTG acts as a STAT3 target gene for colorectal cancer cell growth and motility. Oncogene. 2014;33(7):851–61. https://doi.org/10.1038/onc.2013.16.

    Article  CAS  PubMed  Google Scholar 

  27. Malik MT, Kakar SS. Regulation of angiogenesis and invasion by human pituitary tumor transforming gene (PTTG) through increased expression and secretion of matrix metalloproteinase-2 (MMP-2). Mol Cancer. 2006;5:61. https://doi.org/10.1186/1476-4598-5-61.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Ishikawa H, Heaney AP, Yu R, Horwitz GA, Melmed S. Human pituitary tumor-transforming gene induces angiogenesis. J Clin Endocrinol Metab. 2001;86(2):867–74. https://doi.org/10.1210/jcem.86.2.7184.

    Article  CAS  PubMed  Google Scholar 

  29. Tokairin K, Hamauchi S, Ito M, Kazumata K, Sugiyama T, Nakayama N, et al. Vascular smooth muscle cell Derived from IPS cell of Moyamoya disease - comparative characterization with endothelial cell Transcriptome. J Stroke Cerebrovasc Dis. 2020;29(12) https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105305.

  30. Sugihara M, Morito D, Ainuki S, Hirano Y, Ogino K, Kitamura A, et al. The AAA+ ATPase/ubiquitin ligase mysterin stabilizes cytoplasmic lipid droplets. J Cell Biol. 2019;218(3):949–60. https://doi.org/10.1083/jcb.201712120.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Takeda M, Tezuka T, Kim M, Choi J, Oichi Y, Kobayashi H, et al. Moyamoya disease patient mutations in the RING domain of RNF213 reduce its ubiquitin ligase activity and enhance NFkappaB activation and apoptosis in an AAA+ domain-dependent manner. Biochem Biophys Res Commun. 2020; https://doi.org/10.1016/j.bbrc.2020.02.024.

  32. Hitomi T, Habu T, Kobayashi H, Okuda H, Harada KH, Osafune K, et al. The moyamoya disease susceptibility variant RNF213 R4810K (rs112735431) induces genomic instability by mitotic abnormality. Biochem Biophys Res Commun. 2013;439(4):419–26. https://doi.org/10.1016/j.bbrc.2013.08.067S0006-291X(13)01414-9.

    Article  CAS  PubMed  Google Scholar 

  33. Banh RS, Iorio C, Marcotte R, Xu Y, Cojocari D, Rahman AA, et al. PTP1B controls non-mitochondrial oxygen consumption by regulating RNF213 to promote tumour survival during hypoxia. Nat Cell Biol. 2016;18(7):803–13. https://doi.org/10.1038/ncb3376.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Morimoto T, Enmi JI, Hattori Y, Iguchi S, Saito S, Harada KH, et al. Dysregulation of RNF213 promotes cerebral hypoperfusion. Sci Rep. 2018;8(1):3607. https://doi.org/10.1038/s41598-018-22064-8.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Lin C-Y, Chang C, Cheung W-M, Lin M-H, Chen J-J, Hsu CY, et al. Dynamic changes in vascular permeability, cerebral blood volume, vascular density, and size after transient focal cerebral ischemia in rats: evaluation with contrast-enhanced magnetic resonance imaging. J Cereb Blood Flow Metab. 2008;28(8):1491–501.

    Article  Google Scholar 

  36. Sonobe S, Fujimura M, Niizuma K, Nishijima Y, Ito A, Shimizu H, et al. Temporal profile of the vascular anatomy evaluated by 9.4-T magnetic resonance angiography and histopathological analysis in mice lacking RNF213: a susceptibility gene for moyamoya disease. Brain Res. 2014;1552:64–71. https://doi.org/10.1016/j.brainres.2014.01.011.

    Article  CAS  PubMed  Google Scholar 

  37. Kobayashi H, Yamazaki S, Takashima S, Liu W, Okuda H, Yan J, et al. Ablation of Rnf213 retards progression of diabetes in the Akita mouse. Biochem Biophys Res Commun. 2013;432(3):519–25. https://doi.org/10.1016/j.bbrc.2013.02.015S0006-291X(13)00238-6.

    Article  CAS  PubMed  Google Scholar 

  38. Wang J, Takeuchi T, Tanaka S, Kubo SK, Kayo T, Lu D, et al. A mutation in the insulin 2 gene induces diabetes with severe pancreatic beta-cell dysfunction in the Mody mouse. J Clin Invest. 1999;103(1):27–37. https://doi.org/10.1172/JCI4431.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Oyadomari S, Koizumi A, Takeda K, Gotoh T, Akira S, Araki E, et al. Targeted disruption of the Chop gene delays endoplasmic reticulum stress–mediated diabetes. J Clin Investig. 2002;109(4):525–32. https://doi.org/10.1172/jci0214550.

    Article  CAS  PubMed  Google Scholar 

  40. Piccolis M, Bond LM, Kampmann M, Pulimeno P, Chitraju C, Jayson CBK, et al. Probing the global cellular responses to lipotoxicity caused by saturated fatty acids. Mol Cell. 2019;74(1):32–44 e8. https://doi.org/10.1016/j.molcel.2019.01.036.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Houkin K, Ito M, Sugiyama T, Shichinohe H, Nakayama N, Kazumata K, et al. Review of past research and current concepts on the etiology of moyamoya disease. Neurol Med Chir. 2012;52(5):267–77.

    Article  Google Scholar 

  42. Mikami T, Suzuki H, Komatsu K, Mikuni N. Influence of inflammatory disease on the pathophysiology of Moyamoya disease and quasi-moyamoya disease. Neurol Med Chir. 2019; https://doi.org/10.2176/nmc.ra.2019-0059.

  43. Kinumaki A, Sekizuka T, Hamada H, Kato K, Yamashita A, Kuroda M. Characterization of the gut microbiota of Kawasaki disease patients by metagenomic analysis. Front Microbiol. 2015;6:824. https://doi.org/10.3389/fmicb.2015.00824.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Ahel J, Lehner A, Vogel A, Schleiffer A, Meinhart A, Haselbach D, et al. Moyamoya disease factor RNF213 is a giant E3 ligase with a dynein-like core and a distinct ubiquitin-transfer mechanism. elife. 2020;9 https://doi.org/10.7554/eLife.56185.

Download references

Acknowledgment

This study is supported by the grant, Shin-Gakujyutu funded by the Ministry of Education, Culture, Sports, Science and Technology of Japan (17H06397).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Akio Koizumi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kobayashi, H., Harada, K.H., Habu, T., Nakamura, Y., Kim, J., Koizumi, A. (2021). RNF213 as a Susceptibility Gene for Moyamoya Disease has Multifunctional Roles in Biological Processes. In: Kuroda, S. (eds) Moyamoya Disease: Current Knowledge and Future Perspectives. Springer, Singapore. https://doi.org/10.1007/978-981-33-6404-2_4

Download citation

  • DOI: https://doi.org/10.1007/978-981-33-6404-2_4

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-33-6403-5

  • Online ISBN: 978-981-33-6404-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics