Abstract

The neurological dysfunction in amyotrophic lateral sclerosis (ALS)/motor neurone disease (MND) is associated with defective nerve-muscle contacts early in the disease suggesting that perturbations of cell adhesion molecules (CAMs) linking the pre- and post-synaptic components of the neuromuscular junction (NMJ) are involved. To search for candidate proteins implicated in this degenerative process, researchers have studied the Drosophila larval NMJ and find that the cytoskeleton-associated protein, adducin, is ideally placed to regulate synaptic contacts. By controlling the levels of synaptic proteins, adducin can de-stabilize synaptic contacts. Interestingly, elevated levels of phosphorylated adducin have been reported in ALS patients and in a mouse model of the disease. Adducin is regulated by phosphorylation through protein kinase C (PKC), some isoforms of which exhibit Ca2+-dependence, raising the possibility that changes in intracellular Ca2+ might alter PKC activation and secondarily influence adducin phosphorylation. Furthermore, adducin has interactions with the alpha subunit of the Na+/K+-ATPase. Thus, the phosphorylation of adducin may secondarily influence synaptic stability at the NMJ and so influence pre- and post-synaptic integrity at the NMJ in ALS.

Highlights

  • The neurological dysfunction in amyotrophic lateral sclerosis (ALS)/motor neurone disease (MND) is associated with defective nerve-muscle contacts early in the disease suggesting that perturbations of cell adhesion molecules (CAMs) linking the pre- and post-synaptic components of the neuromuscular junction (NMJ) are involved

  • The neurodegenerative disorder amyotrophic lateral sclerosis (ALS), known as motor neurone disease (MND), is a motor system disease that causes progressive motoneuron loss in the spinal cord and brainstem leading to weakness and loss of muscle innervation, as well as the degeneration of descending motor tracts from the brain and subcortical structures resulting in spasticity (Eisen and Krieger, 2006; Su et al, 2014)

  • Gene mutations associated with familial ALS (FALS) have been under intense scrutiny, and such mutations are currently identified in approximately 50% of FALS patients

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Summary

THE NEURODEGENERATIVE DISEASE AMYOTROPHIC LATERAL SCLEROSIS

The neurodegenerative disorder amyotrophic lateral sclerosis (ALS), known as motor neurone disease (MND), is a motor system disease that causes progressive motoneuron loss in the spinal cord and brainstem leading to weakness and loss of muscle innervation (i.e., denervation), as well as the degeneration of descending motor tracts from the brain and subcortical structures resulting in spasticity (Eisen and Krieger, 2006; Su et al, 2014). At post-mortem, ALS patients have lost large numbers of spinal motoneurons, interneurons and other neuronal populations, but with considerable side-to-side asymmetry and variability at spinal and brain stem levels (Tsukagoshi et al, 1979; Swash et al, 1986). These findings are, by their very nature, end-stage effects and do not reflect the early stages of the disease. The large majority of ALS cases appear sporadically in the general population without evidence for an inherited gene mutation (‘‘sporadic ALS’’)

Adducin at the NMJ in ALS
SELECTIVE VULNERABILITY OF MOTONEURONS IN ALS
ALS INITIALLY AFFECTS THE DISTAL MOTONEURON AXON AND NEUROMUSCULAR SYNAPSE
MITOCHONDRIAL DYSFUNCTION IN ALS
The Distal Axon and Synapse are Regulated by the Actin Cytoskeleton
Adducin is Present in Synapses of the Mammalian CNS
CONCLUSIONS
Findings
AUTHOR CONTRIBUTIONS
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