Abstract
TAR DNA-binding protein of 43 kDa (TDP-43) is a ubiquitously expressed ribonucleoprotein that participates in gene expression regulation. Since the discovery of aggregated TDP-43 as a pathological hallmark in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis (ALS) in 2006, this protein has been predominantly linked to neurodegenerative diseases. The pathophysiological role of aggregated TDP-43 in these diseases is not completely understood; however, it is believed that both toxic gain-of-function and loss-of-function mechanisms are involved. TDP-43 has also been identified as a secondary pathology in other neurological disorders, including Polyglutamine (PolyQ) Diseases and specifically, Huntington’s disease (HD). TDP-43 has been observed to colocalize with mutant Huntingtin inclusions in HD, but only a few studies have explored the molecular interactions between them. However, several case reports of individuals with the HTT mutation and ALS-like syndrome suggest potential interactions and involvement of TDP-43 in the pathophysiology and phenotype of some individuals with HD. Investigations into other PolyQ diseases, such as Spinocerebellar Ataxias, have provided additional evidence supporting the interaction between PolyQ regions in other genes and TDP-43. Research examining TDP-43 as a biomarker for HD is limited and further investigations are needed to elucidate the implications of TDP-43 in HD and its potential utility as a biomarker.
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Abbreviations
- ALS:
-
Amyotrophic Lateral Sclerosis
- ATXN1:
-
Ataxin 1
- ATXN2:
-
Ataxin 2
- bvFTLD:
-
behavioral variant-Frontotemporal Lobar Dementia
- CFTR:
-
Cystic Fibrosis Transmembrane Conductance Regulator
- CSF:
-
Cerebrospinal fluid
- DN:
-
Dystrophic Neurites
- FTLD:
-
Frontotemporal Lobar Dementia
- FUS:
-
Fused in Sarcoma protein
- GFNI:
-
Granulofilamentous neuronal inclusions
- GOF:
-
toxic Gain-of-function
- HD:
-
Huntington’s Disease
- HIV-1:
-
Human Immunodeficiency Virus type 1
- Htt:
-
Huntingtin protein
- IBMPFD-ALS:
-
Inclusion Body Myopathy, Paget’s Disease, and FTLD-ALS
- LATE:
-
Limbic-predominant age-related TDP-43 encephalopathy
- LOF:
-
Loss-of-function
- mHtt:
-
mutant Huntingtin protein
- MRI:
-
Magnetic Resonance Imaging
- mRNA:
-
messenger RNA
- NCI:
-
Neural Cytoplasmatic Inclusions
- nfPPA:
-
non-fluent Primary Progressive Aphasia
- NII:
-
Neural Intranuclear Inclusions.
- OIWM:
-
Oligodendorglial Inclusions in White Matter
- PGRN:
-
Progranulin
- PolyQ:
-
Polyglutamine
- pTDP-43:
-
phosphorylated TDP-43
- SCA:
-
Spinocerebellar Ataxia
- SIMOA:
-
Single MOlecule Array
- svPPA:
-
semantic-variant Primary Progressive Aphasia
- TDP-43:
-
TAR DNA-binding protein of 43 kDa
References
Alami, N. H., Smith, R. B., Carrasco, M. A., Williams, L. A., Winborn, C. S., Han, S. S. W., et al. (2014). Axonal transport of TDP-43 mRNA granules is impaired by ALS-causing mutations. Neuron, 81(3), 536–543.
Arnold, E. S., Ling, S. C., Huelga, S. C., Lagier-Tourenne, C., Polymenidou, M., Ditsworth, D., et al. (2013a). ALS-linked TDP-43 mutations produce aberrant RNA splicing and adult-onset motor neuron disease without aggregation or loss of nuclear TDP-43. Proceedings of the National Academy of Sciences of the United States of America, 110(8), E736–E745.
Arnold, S. J., Dugger, B. N., & Beach, T. G. (2013b). TDP-43 deposition in prospectively followed, cognitively normal elderly individuals: Correlation with argyrophilic grains but not other concomitant pathologies. Acta Neuropathologica, 126(1), 51–57.
Ballatore, C., Lee, V. M. Y., & Trojanowski, J. Q. (2007). Tau-mediated neurodegeneration in Alzheimer’s disease and related disorders. Nature Reviews. Neuroscience, 8(9), 663–672.
Banfi, S., Servadio, A., Chung, M. Y., Kwiatkowski, T. J., McCall, A. E., Duvick, L. A., et al. (1994). Identification and characterization of the gene causing type 1 spinocerebellar ataxia. Nature Genetics, 7(4), 513–520.
Barabási, A. L., Gulbahce, N., & Loscalzo, J. (2011). Network medicine: A network-based approach to human disease. Nature Reviews. Genetics, 12(1), 56–68.
Barmada, S. J., Skibinski, G., Korb, E., Rao, E. J., Wu, J. Y., & Finkbeiner, S. (2010). Cytoplasmic mislocalization of TDP-43 is toxic to neurons and enhanced by a mutation associated with familial amyotrophic lateral sclerosis. The Journal of Neuroscience, 30(2), 639–649.
Bates, G. P., Dorsey, R., Gusella, J. F., Hayden, M. R., Kay, C., Leavitt, B. R., et al. (2015). Huntington disease. Nature Reviews Disease Primers, 1(1), 15005.
Bäumer, D., East, S. Z., Tseu, B., Zeman, A., Hilton, D., Talbot, K., et al. (2014). FTLD-ALS of TDP-43 type and SCA2 in a family with a full ataxin-2 polyglutamine expansion. Acta Neuropathologica, 128(4), 597–604.
Bunting, E. L., Hamilton, J., & Tabrizi, S. J. (2022). Polyglutamine diseases. Current Opinion in Neurobiology, 72, 39–47.
Buratti, E., & Baralle, F. E. (2001). Characterization and functional implications of the RNA binding properties of nuclear factor TDP-43, a novel splicing regulator of CFTR exon 9. The Journal of Biological Chemistry, 276(39), 36337–36343.
Buratti, E., & Baralle, F. E. (2009). The molecular links between TDP-43 dysfunction and neurodegeneration. Advances in Genetics, 66, 1–34.
Chen-Plotkin, A. S., Lee, V. M. Y., & Trojanowski, J. Q. (2010). TAR DNA-binding protein 43 in neurodegenerative disease. Nature Reviews Neurology, 6(4), 211–220.
Clippinger, A. K., D’Alton, S., Lin, W. L., Gendron, T. F., Howard, J., Borchelt, D. R., et al. (2013). Robust cytoplasmic accumulation of phosphorylated TDP-43 in transgenic models of tauopathy. Acta Neuropathologica, 126(1), 39–50.
Conti, E., Sala, G., Diamanti, S., Casati, M., Lunetta, C., Gerardi, F., et al. (2021). Serum naturally occurring anti-TDP-43 auto-antibodies are increased in amyotrophic lateral sclerosis. Scientific Reports, 11, 1978.
Coudert, L., Nonaka, T., Bernard, E., Hasegawa, M., Schaeffer, L., & Leblanc, P. (2019). Phosphorylated and aggregated TDP-43 with seeding properties are induced upon mutant Huntingtin (mHtt) polyglutamine expression in human cellular models. Cellular and Molecular Life Sciences, 76(13), 2615–2632.
Culver, B. P., DeClercq, J., Dolgalev, I., Yu, M. S., Ma, B., Heguy, A., et al. (2016). Huntington’s Disease Protein Huntingtin Associates with its own mRNA. Journal of Huntington’s Disease, 5(1), 39–51.
Daoud, H., Belzil, V., Martins, S., Sabbagh, M., Provencher, P., Lacomblez, L., et al. (2011). Association of long ATXN2 CAG repeat sizes with increased risk of amyotrophic lateral sclerosis. Archives of Neurology, 68(6), 739–742.
Dewan, R., Chia, R., Ding, J., Hickman, R. A., Stein, T. D., Abramzon, Y., et al. (2021). Pathogenic Huntingtin repeat expansions in patients with frontotemporal dementia and amyotrophic lateral sclerosis. Neuron, 109(3), 448–460.e4.
Elden, A. C., Kim, H. J., Hart, M. P., Chen-Plotkin, A. S., Johnson, B. S., Fang, X., et al. (2010). Ataxin-2 intermediate-length polyglutamine expansions are associated with increased risk for ALS. Nature, 466(7310), 1069–1075.
Feneberg, E., Steinacker, P., Lehnert, S., Schneider, A., Walther, P., Thal, D. R., et al. (2014). Limited role of free TDP-43 as a diagnostic tool in neurodegenerative diseases. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 15(5–6), 351–356.
Foulds, P., McAuley, E., Gibbons, L., Davidson, Y., Pickering-Brown, S. M., Neary, D., et al. (2008). TDP-43 protein in plasma may index TDP-43 brain pathology in Alzheimer’s disease and frontotemporal lobar degeneration. Acta Neuropathologica, 116(2), 141–146.
Foulds, P. G., Davidson, Y., Mishra, M., Hobson, D. J., Humphreys, K. M., Taylor, M., et al. (2009). Plasma phosphorylated-TDP-43 protein levels correlate with brain pathology in frontotemporal lobar degeneration. Acta Neuropathologica, 118(5), 647–658.
Fuentealba, R. A., Udan, M., Bell, S., Wegorzewska, I., Shao, J., Diamond, M. I., et al. (2010). Interaction with polyglutamine aggregates reveals a Q/N-rich domain in TDP-43. The Journal of Biological Chemistry, 285(34), 26304–26314.
Gao, J., Wang, L., Huntley, M. L., Perry, G., & Wang, X. (2018). Pathomechanisms of TDP-43 in neurodegeneration. Journal of Neurochemistry. https://doi.org/10.1111/jnc.14327
Gerbich, T. M., & Gladfelter, A. S. (2021). Moving beyond disease to function: Physiological roles for polyglutamine-rich sequences in cell decisions. Current Opinion in Cell Biology, 69, 120–126.
Hart, M. P., Brettschneider, J., Lee, V. M. Y., Trojanowski, J. Q., & Gitler, A. D. (2012). Distinct TDP-43 pathology in ALS patients with ataxin 2 intermediate-length polyQ expansions. Acta Neuropathologica, 124(2), 221–230.
Kanai, K., Kuwabara, S., Sawai, S., Nakata, M., Misawa, S., Isose, S., et al. (2008). Genetically confirmed Huntington’s disease masquerading as motor neuron disease. Movement Disorders, 23(5), 748–751.
Lee, E. B., Lee, V. M. Y., & Trojanowski, J. Q. (2012). Gains or losses: Molecular mechanisms of TDP43-mediated neurodegeneration. Nature Reviews Neuroscience, 13(1), 38–50.
Lee, E. B., Porta, S., Baer, G. M., Xu, Y., Suh, E., Kwong, L. K., et al. (2017). Expansion of the classification of FTLD-TDP: Distinct pathology associated with rapidly progressive frontotemporal degeneration. Acta Neuropathologica, 134(1), 65–78.
Lee, J. M., Huang, Y., Orth, M., Gillis, T., Siciliano, J., Hong, E., et al. (2022). Genetic modifiers of Huntington disease differentially influence motor and cognitive domains. American Journal of Human Genetics, 109(5), 885–899.
Magrané, J., Cortez, C., Gan, W. B., & Manfredi, G. (2014). Abnormal mitochondrial transport and morphology are common pathological denominators in SOD1 and TDP43 ALS mouse models. Human Molecular Genetics, 23(6), 1413–1424.
Marte, L., Boronat, S., Barrios, R., Barcons-Simon, A., Bolognesi, B., Cabrera, M., et al. (2022). Expression of Huntingtin and TDP-43 derivatives in fission yeast can cause both beneficial and toxic effects. International Journal of Molecular Sciences, 23(7), 3950.
Martinez-Horta, S., Perez-Perez, J., van Duijn, E., Fernandez-Bobadilla, R., Carceller, M., Pagonabarraga, J., et al. (2016). Neuropsychiatric symptoms are very common in premanifest and early stage Huntington’s disease. Parkinsonism & Related Disorders, 25, 58–64.
Martinez-Horta, S., Sampedro, F., Horta-Barba, A., Perez-Perez, J., Pagonabarraga, J., Gomez-Anson, B., et al. (2020). Structural brain correlates of dementia in Huntington’s disease. Neuroimage Clinical, 28, 102415.
Nelson, P. T., Dickson, D. W., Trojanowski, J. Q., Jack, C. R., Boyle, P. A., Arfanakis, K., et al. (2019). Limbic-predominant age-related TDP-43 encephalopathy (LATE): Consensus working group report. Brain, 142(6), 1503–1527.
Neumann, M., Sampathu, D. M., Kwong, L. K., Truax, A. C., Micsenyi, M. C., Chou, T. T., et al. (2006). Ubiquitinated TDP-43 in frontotemporal lobar degeneration and amyotrophic lateral sclerosis. Science, 314(5796), 130–133.
Nishihira, Y., Tan, C. F., Onodera, O., Toyoshima, Y., Yamada, M., Morita, T., et al. (2008). Sporadic amyotrophic lateral sclerosis: Two pathological patterns shown by analysis of distribution of TDP-43-immunoreactive neuronal and glial cytoplasmic inclusions. Acta Neuropathologica, 116(2), 169–182.
Niss, F., Piñero-Paez, L., Zaidi, W., Hallberg, E., & Ström, A. L. (2022). Key modulators of the stress granule response TIA1, TDP-43, and G3BP1 are altered by polyglutamine-expanded ATXN7. Molecular Neurobiology, 59(8), 5236–5251.
Ou, S. H., Wu, F., Harrich, D., García-Martínez, L. F., & Gaynor, R. B. (1995). Cloning and characterization of a novel cellular protein, TDP-43, that binds to human immunodeficiency virus type 1 TAR DNA sequence motifs. Journal of Virology, 69(6), 3584–3596.
Ren, Y., Li, S., Chen, S., Sun, X., Yang, F., Wang, H., et al. (2021). TDP-43 and phosphorylated TDP-43 levels in paired plasma and CSF samples in amyotrophic lateral sclerosis. Frontiers in Neurology, 14(12), 663637.
Ross, C. A., & Tabrizi, S. J. (2011). Huntington’s disease: From molecular pathogenesis to clinical treatment. Lancet Neurology, 10(1), 83–98.
Sadeghian, H., O’Suilleabhain, P. E., Battiste, J., Elliott, J. L., & Trivedi, J. R. (2011). Huntington chorea presenting with motor neuron disease. Archives of Neurology, 68(5), 650–652.
Sampedro, F., Martínez-Horta, S., Pérez-Pérez, J., Pérez-González, R., Horta-Barba, A., Campolongo, A., et al. Plasma TDP-43 reflects cortical neurodegeneration and correlates with neuropsychiatric symptoms in Huntington’s disease. Clinical Neuroradiology [Internet]. 2022 Mar 3 [cited 2022 Dec 10]; Available from: https://link.springer.com/10.1007/s00062-022-01150-5
Saudou, F., & Humbert, S. (2016). The biology of Huntingtin. Neuron, 89(5), 910–926.
Schwab, C., Arai, T., Hasegawa, M., Yu, S., & McGeer, P. L. (2008). Colocalization of transactivation-responsive DNA-binding protein 43 and Huntingtin in inclusions of Huntington disease. Journal of Neuropathology and Experimental Neurology, 67(12), 1159–1165.
Seidel, K., den Dunnen, W. F. A., Schultz, C., Paulson, H., Frank, S., de Vos, R. A., et al. (2010). Axonal inclusions in spinocerebellar ataxia type 3. Acta Neuropathologica, 120(4), 449–460.
Sreedharan, J., Blair, I. P., Tripathi, V. B., Hu, X., Vance, C., Rogelj, B., et al. (2008). TDP-43 mutations in familial and sporadic amyotrophic lateral sclerosis. Science, 319(5870), 1668–1672.
St-Amour, I., Turgeon, A., Goupil, C., Planel, E., & Hébert, S. S. (2018). Co-occurrence of mixed proteinopathies in late-stage Huntington’s disease. Acta Neuropathologica, 135(2), 249–265.
Steinacker, P., Barschke, P., & Otto, M. (2019). Biomarkers for diseases with TDP-43 pathology. Molecular and Cellular Neurosciences, 97, 43–59.
Sturchio, A., Duker, A. P., Muñoz-Sanjuan, I., & Espay, A. J. Subtyping monogenic disorders: Huntington disease. In: Handbook of clinical neurology [Internet]. Elsevier; 2023 [cited 2023 Mar 12]. pp. 171–184. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780323855556000035
Tada, M., Coon, E. A., Osmand, A. P., Kirby, P. A., Martin, W., Wieler, M., et al. (2012). Coexistence of Huntington’s disease and amyotrophic lateral sclerosis: A clinicopathologic study. Acta Neuropathologica, 124(5), 749–760.
Tan, C. F., Yamada, M., Toyoshima, Y., Yokoseki, A., Miki, Y., Hoshi, Y., et al. (2009). Selective occurrence of TDP-43-immunoreactive inclusions in the lower motor neurons in Machado-Joseph disease. Acta Neuropathologica, 118(4), 553–560.
Tauffenberger, A., Chitramuthu, B. P., Bateman, A., Bennett, H. P. J., & Parker, J. A. (2013). Reduction of polyglutamine toxicity by TDP-43, FUS and progranulin in Huntington’s disease models. Human Molecular Genetics, 22(4), 782–794.
Tazelaar, G. H. P., Boeynaems, S., De Decker, M., van Vugt, J. J. F. A., Kool, L., Goedee, H. S., et al. (2020). ATXN1 repeat expansions confer risk for amyotrophic lateral sclerosis and contribute to TDP-43 mislocalization. Brain Communications, 2(2), fcaa064.
Toyoshima, Y., & Takahashi, H. (2014). TDP-43 pathology in polyglutamine diseases: With reference to amyotrphic lateral sclerosis: TDP-43 and polyQ. Neuropathology, 34(1), 77–82.
Toyoshima, Y., Tanaka, H., Shimohata, M., Kimura, K., Morita, T., Kakita, A., et al. (2011). Spinocerebellar ataxia type 2 (SCA2) is associated with TDP-43 pathology. Acta Neuropathologica, 122(3), 375–378.
Tziortzouda, P., Van Den Bosch, L., & Hirth, F. (2021). Triad of TDP43 control in neurodegeneration: Autoregulation, localization and aggregation. Nature Reviews Neuroscience, 22(4), 197–208.
van Dellen, A., & Hannan, A. J. (2004). Genetic and environmental factors in the pathogenesis of Huntington’s disease. Neurogenetics, 5(1), 9–17.
Vuono, R., Winder-Rhodes, S., de Silva, R., Cisbani, G., Drouin-Ouellet, J., REGISTRY Investigators of the European Huntington’s Disease Network, et al. (2015). The role of tau in the pathological process and clinical expression of Huntington’s disease. Brain, 138(Pt 7), 1907–1918.
Walker, F. O. (2007). Huntington’s disease. Lancet, 369(9557), 218–228.
Wexler, N. S., Lorimer, J., Porter, J., Gomez, F., Moskowitz, C., Shackell, E., et al. (2004). Venezuelan kindreds reveal that genetic and environmental factors modulate Huntington’s disease age of onset. Proceedings of the National Academy of Sciences of the United States of America, 101(10), 3498–3503.
Zhang, Y. J., Xu, Y. F., Cook, C., Gendron, T. F., Roettges, P., Link, C. D., et al. (2009). Aberrant cleavage of TDP-43 enhances aggregation and cellular toxicity. Proceedings of the National Academy of Sciences of the United States of America, 106(18), 7607–7612.
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Rodríguez-Antigüedad, J., Pérez-Pérez, J., Kulisevsky, J. (2023). TAR DNA-Binding Protein 43 as a Potential Biomarker for Huntington’s Disease. In: Thomas, E.A., Parkin, G.M. (eds) Biomarkers for Huntington's Disease. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-031-32815-2_14
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