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Advanced Neurology                                                  PSD-95 in neurodevelopmental disorders



            synapses during brain development is attributed to its   mobility of AMPARs is associated with the depletion of
            interactions and functional implications with NMDAR   PSD-95, both within the nanocluster and throughout the
            and AMPAR. Notably, PSD-95 is essential in stabilizing   PSD. 20
            NMDAR at the postsynaptic membrane and is involved
            in synapse formation, microtubule network dynamics,   PSD-95 is intricately involved in glutamatergic
            axonal elongation, and cell adhesion. 16,18  PSD-95, in its   transmission,  synaptic  plasticity,  and  the
            palmitoylated form, organizes in nanoclusters within   structural development of dendritic spines during
            the PSD (Figure  2A). These nanoclusters, approximately   neurodevelopment. 12,16   For  instance,  PSD-95  directly
            100 nm in diameter with an enrichment factor of 1.8, are   binds to stargazin/TARPs, which in turn interact with
            critical organizers of AMPAR.  Interestingly, increased   the AMPAR subunit  GluR1.  This interaction leads to
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                         A                                     B























                         C                                     D























            Figure 2. PSD-95 and neurodevelopmental diseases. (A) PSD-95 protein connections in the postsynaptic density. Postsynaptic density-95 (PSD-95)
            interacts directly and indirectly with many macromolecules at the PSD. PDZ domains of PSD-95 bind directly to N-methyl-d-aspartic acid receptors
            (NMDAR). PSD-95 also interacts with ADAM22, neuroligin, and K  channels. PSD-95 has indirect interactions with α-amino-3-hydroxy-5-methyl-4-
                                                        +
            isox-azoleproprionic acid receptors (AMPAR) through stargazin. (B) PSD-95 and schizophrenia (SCZ). Elevated changes in multiple genes that code for
            proteins lead to NMDA dysfunction in SCZ. PSD-95 establishes direct connections with SCZ-associated proteins such as DISC1 and neuroligin, thus
            impacting vital protein complexes essential for formation. (C) PSD-95 and autism spectrum disorder (ASD). Notably, various genes associated with
            autism, such as fragile X mental retardation 1 (FMRP), have been linked to the breakdown of PSD-95 and the removal of synapses. This suggests that PSD-
            95-related problems in synapse removal may contribute to autism in cases with different genetic origins. (D) PSD-95 and attention-deficit hyperactivity
            disorder (ADHD). ADHD could lead to a disrupted NMDAR and AMPAR at the membrane, resulting in a loss or deficient amount of PSD-95.
            Abbreviations: GK: Guanylate kinase; GKAP: Guanylate kinase-associated protein; PDZ: PSD-95/disks large/zona occluden; SH3: Src homology 3.


            Volume 3 Issue 1 (2024)                         3                         https://doi.org/10.36922/an.2095
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