Page 101 - AN-4-1
P. 101

Advanced Neurology                                                       TDP-43 regulates IFN1 production



            1. Introduction                                    as transcription factors for IFN1 (specifically IFN-α
                                                               and IFN-β) and associated cytokines. 13-15  In humans
            Amyotrophic  lateral  sclerosis (ALS)  is  a fatal   and mice, interferon-producing cells (IPCs) comprise
            neurodegenerative disease characterized by the     0.2% – 0.8% of peripheral blood mononuclear cells and
            progressive degeneration of upper and lower motor   selectively express toll-like receptor (TLR) 7 and toll-
            neurons, leading to muscle weakness, atrophy, paralysis,   like receptor 9. On viral stimulation, IPCs secrete large
                                          1,2
            and ultimately respiratory failure.  A hallmark of   quantities of IFN1, which activate B-cells, natural killer
            ALS is the abnormal cytoplasmic mislocalization    cells, T-cells, and myeloid dendritic cells during antiviral
            and aggregation of TAR DNA-binding protein 43      immune responses.  Although IRF3 and IRF7 share
                                                                               16
            (TDP43), observed in over 90% of ALS cases.  TDP43,   structural and functional similarities, their roles are
                                                   1
            a ubiquitously expressed protein, plays a crucial   distinct and essential. IRF7, a critical regulator of IFN1-
            role in maintaining  cellular survival under normal   dependent immune responses, plays a more prominent
            physiological conditions. Studies have shown that   role than IRF3 in systemic IFN induction. Studies with
            TDP43 disrupts RNA metabolism, endocytosis, the    IRF7-deficient (IRF7 ) mice have demonstrated that
                                                                                −/−
            ubiquitin-proteasome system (UPS), and mitochondrial   IRF7 is indispensable for inducing IFN-α/β expression.
            function.  Furthermore, autophagy-related proteins,
                   3-6
            such as light chain 3 (LC3) and p62, have been found   These mice show a significant reduction in serum IFN
                                                               levels and heightened susceptibility to viral infections,
            to colocalize with TDP43 aggregates, and TDP43     emphasizing  the  importance  of  IRF7  in  innate  and
            downregulation reduces LC3 and p62 levels,  indicating   adaptive immunities. 16,17  While IRF3 is ubiquitously
                                                7,8
            a reciprocal regulatory relationship between TDP43 and
            autophagy. Recent findings suggest that TANK-binding   expressed across various cell types, IRF7 is highly
            kinase 1 (TBK1) overexpression promotes the autophagic   expressed in plasmacytoid dendritic cells. Despite this,
                                                               IRF7 remains essential for regulating IFN1 production.
                                                                                                            18
            degradation of endogenous TDP43.  In addition to
                                           9
            TBK1, other ALS-associated genes, such as ubiquilin-2   TBK1 has been widely studied for its role in interacting
            (UBQLN2),  C9orf72, and profilin-1 (PFN1), have also   with autophagy receptors, including p62 and optineurin,
            been implicated in regulating TDP43 dynamics. 10-12  which are essential in regulating selective autophagy. By
                                                               phosphorylating these receptors, TBK1 enables the targeting
              Most ALS cases are sporadic, with TBK1 mutations
            identified as  a significant contributing factor in   of damaged proteins and organelles to autophagosomes for
                                                               degradation, serving as a crucial component in the cellular
            approximately 4% of ALS and frontotemporal dementia
            (FTD) patients.  FTD refers to a group of neurological   protein degradation pathway. Autophagy, a vital cellular
                         9
            disorders caused by neurodegeneration in the brain,   mechanism for eliminating toxic protein aggregates and
            leading to shrinkage of these regions. This condition   unwanted materials, is often dysregulated in ALS/FTD,
                                                               implicating its role in disease progression. For instance,
            can impact behavior, personality, and motor functions.
            TBK1, an innate immune kinase, activates interferon   TBK1 mutations result in the accumulation of autophagic
            regulatory factors (IRF) including IRF3 and IRF7,   markers LC3 and p62 (SQSTM1), impairing autophagic
                                                                       13,19-23
            which,  in  turn, promote the  production of  type  I   induction.   Similarly, mutations in UBQLN2, another
                                                               ALS-associated gene, impair TBK1’s binding to p62,
            interferons (IFN1). In TBK1  mice, pathological                                    15
                                       Δ/Δ
            findings include hyperkeratosis, necrosis, hyperplasia,   further disrupting autophagic induction.  TBK1-deficient
            inflammatory cell infiltration, and edema in the skin at   mice show elevated LC3 and p62 levels, reinforcing the link
                                                                                                           14,15
            2 weeks of age. In comparison to TBK1  and TBK1    between TBK1 dysfunction and impaired autophagy.
                                                        +/Δ
                                             +/−
            mice, these mice show heightened vulnerability to   In addition, mutations in  p62 are linked to ALS/FTD,
                                                               emphasizing that autophagic dysfunction plays a critical
            lipopolysaccharide (LPS)-induced lethality at 3 months,
            marked by elevated levels of pro-inflammatory      role in the pathogenesis of neurodegeneration.
            cytokines in serum, including tumor necrosis factor-  The present study explored the effect of TDP43 on
            alpha, interleukin-6 (IL-6), granulocyte-macrophage   TBK1, revealing that TDP43 overexpression significantly
            colony-stimulating factor (GM-CSF), and keratinocyte   reduced TBK1 expression, accompanied by decreased
            chemoattractant. The heightened immune response and   IRF7 and IFN1 production. However, overexpression
            cytokine production in TBK1  mice are attributed to an   of IRF7 alleviated these reductions. These findings
                                    Δ/Δ
            expanded circulating mononuclear cell compartments   indicate that TDP43 negatively regulates TBK1-mediated
            and elevated immune cell activation. 13,14  On activation,   IFN1 production through IRF7, and disruption of
            TBK1 facilitates IRF3 and IRF7 homodimerization    this pathway may be a key factor in TDP43-associated
            and nuclear translocation, enabling them to function   neurodegeneration.


            Volume 4 Issue 1 (2025)                         95                               doi: 10.36922/an.6272
   96   97   98   99   100   101   102   103   104   105   106