Abstract
Sphingolipids are a diverse family of lipids with critical structural and signalling functions in the mammalian nervous system, where they are abundant in myelin membranes. Serine palmitoyltransferase, the enzyme that catalyses the rate-limiting reaction of sphingolipid synthesis, is composed of multiple subunits including an activating subunit, SPTSSA. Sphingolipids are both essential and cytotoxic and their synthesis must therefore be tightly regulated. Key to the homeostatic regulation are the ORMDL proteins that are bound to serine palmitoyltransferase and mediate feedback inhibition of enzymatic activity when sphingolipid levels become excessive. Exome sequencing identified potential disease-causing variants in SPTSSA in three children presenting with a complex form of hereditary spastic paraplegia. The effect of these variants on the catalytic activity and homeostatic regulation of serine palmitoyltransferase was investigated in human embryonic kidney cells, patient fibroblasts and Drosophila. Our results showed that two different pathogenic variants in SPTSSA caused a hereditary spastic paraplegia resulting in progressive motor disturbance with variable sensorineural hearing loss and language/cognitive dysfunction in three individuals. The variants in SPTSSA impaired the negative regulation of serine palmitoyltransferase by ORMDLs leading to excessive sphingolipid synthesis based on biochemical studies and in vivo studies in Drosophila. These findings support the pathogenicity of the SPTSSA variants and point to excessive sphingolipid synthesis due to impaired homeostatic regulation of serine palmitoyltransferase as responsible for defects in early brain development and function.
Original language | English |
---|---|
Pages (from-to) | 1420-1435 |
Number of pages | 16 |
Journal | Brain |
Volume | 146 |
Issue number | 4 |
DOIs | |
State | Published - Apr 1 2023 |
Keywords
- ORMDLs
- SPTSSA
- hereditary spastic paraplegia
- serine palmitoyltransferase
- sphingolipids
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In: Brain, Vol. 146, No. 4, 01.04.2023, p. 1420-1435.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - SPTSSA variants alter sphingolipid synthesis and cause a complex hereditary spastic paraplegia
AU - Srivastava, Siddharth
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AU - Gable, Kenneth
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AU - Renteria, Genecee
AU - Signer, Rebecca H.
AU - Sinsheimer, Janet S.
AU - Wan, Jijun
AU - Wang, Lee Kai
AU - Perry, Katherine Wesseling
AU - Woods, Jeremy D.
AU - Alvey, Justin
AU - Andrews, Ashley
AU - Bale, Jim
AU - Bohnsack, John
AU - Botto, Lorenzo
AU - Carey, John
AU - Pace, Laura
AU - Longo, Nicola
AU - Marth, Gabor
AU - Moretti, Paolo
AU - Quinlan, Aaron
AU - Velinder, Matt
AU - Viskochi, Dave
AU - Bayrak-Toydemir, Pinar
AU - Mao, Rong
AU - Westerfield, Monte
AU - Bican, Anna
AU - Brokamp, Elly
AU - Duncan, Laura
AU - Hamid, Rizwan
AU - Kennedy, Jennifer
AU - Kozuira, Mary
AU - Newman, John H.
AU - Phillipsiii, John A.
AU - Rives, Lynette
AU - Robertson, Amy K.
AU - Solem, Emily
AU - Cogan, Joy D.
AU - Cole, F. Sessions
AU - Hayes, Nichole
AU - Kiley, Dana
AU - Sisco, Kathy
AU - Wambach, Jennifer
AU - Wegner, Daniel
AU - Baldridge, Dustin
AU - Pak, Stephen
AU - Schedl, Timothy
AU - Shin, Jimann
AU - Solnica-Krezel, Lilianna
AU - Sadjadi, Reza
AU - Elpeleg, Orly
AU - Lee, Chia Hsueh
AU - Bellen, Hugo J.
AU - Edvardson, Simon
AU - Eichler, Florian
AU - Dunn, Teresa M.
N1 - Publisher Copyright: © 2023 Published by Oxford University Press on behalf of the Guarantors of Brain.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - Sphingolipids are a diverse family of lipids with critical structural and signalling functions in the mammalian nervous system, where they are abundant in myelin membranes. Serine palmitoyltransferase, the enzyme that catalyses the rate-limiting reaction of sphingolipid synthesis, is composed of multiple subunits including an activating subunit, SPTSSA. Sphingolipids are both essential and cytotoxic and their synthesis must therefore be tightly regulated. Key to the homeostatic regulation are the ORMDL proteins that are bound to serine palmitoyltransferase and mediate feedback inhibition of enzymatic activity when sphingolipid levels become excessive. Exome sequencing identified potential disease-causing variants in SPTSSA in three children presenting with a complex form of hereditary spastic paraplegia. The effect of these variants on the catalytic activity and homeostatic regulation of serine palmitoyltransferase was investigated in human embryonic kidney cells, patient fibroblasts and Drosophila. Our results showed that two different pathogenic variants in SPTSSA caused a hereditary spastic paraplegia resulting in progressive motor disturbance with variable sensorineural hearing loss and language/cognitive dysfunction in three individuals. The variants in SPTSSA impaired the negative regulation of serine palmitoyltransferase by ORMDLs leading to excessive sphingolipid synthesis based on biochemical studies and in vivo studies in Drosophila. These findings support the pathogenicity of the SPTSSA variants and point to excessive sphingolipid synthesis due to impaired homeostatic regulation of serine palmitoyltransferase as responsible for defects in early brain development and function.
AB - Sphingolipids are a diverse family of lipids with critical structural and signalling functions in the mammalian nervous system, where they are abundant in myelin membranes. Serine palmitoyltransferase, the enzyme that catalyses the rate-limiting reaction of sphingolipid synthesis, is composed of multiple subunits including an activating subunit, SPTSSA. Sphingolipids are both essential and cytotoxic and their synthesis must therefore be tightly regulated. Key to the homeostatic regulation are the ORMDL proteins that are bound to serine palmitoyltransferase and mediate feedback inhibition of enzymatic activity when sphingolipid levels become excessive. Exome sequencing identified potential disease-causing variants in SPTSSA in three children presenting with a complex form of hereditary spastic paraplegia. The effect of these variants on the catalytic activity and homeostatic regulation of serine palmitoyltransferase was investigated in human embryonic kidney cells, patient fibroblasts and Drosophila. Our results showed that two different pathogenic variants in SPTSSA caused a hereditary spastic paraplegia resulting in progressive motor disturbance with variable sensorineural hearing loss and language/cognitive dysfunction in three individuals. The variants in SPTSSA impaired the negative regulation of serine palmitoyltransferase by ORMDLs leading to excessive sphingolipid synthesis based on biochemical studies and in vivo studies in Drosophila. These findings support the pathogenicity of the SPTSSA variants and point to excessive sphingolipid synthesis due to impaired homeostatic regulation of serine palmitoyltransferase as responsible for defects in early brain development and function.
KW - ORMDLs
KW - SPTSSA
KW - hereditary spastic paraplegia
KW - serine palmitoyltransferase
KW - sphingolipids
UR - http://www.scopus.com/inward/record.url?scp=85153121693&partnerID=8YFLogxK
U2 - 10.1093/brain/awac460
DO - 10.1093/brain/awac460
M3 - Article
C2 - 36718090
AN - SCOPUS:85153121693
SN - 0006-8950
VL - 146
SP - 1420
EP - 1435
JO - Brain
JF - Brain
IS - 4
ER -