Abstract

Fragile X Tremor Ataxia Syndrome (FXTAS) is a common inherited neurodegenerative disorder caused by expansion of a CGG trinucleotide repeat in the 5′UTR of the fragile X syndrome (FXS) gene, FMR1. The expanded CGG repeat is thought to induce toxicity as RNA, and in FXTAS patients mRNA levels for FMR1 are markedly increased. Despite the critical role of FMR1 mRNA in disease pathogenesis, the basis for the increase in FMR1 mRNA expression is unknown. Here we show that overexpressing any of three histone deacetylases (HDACs 3, 6, or 11) suppresses CGG repeat–induced neurodegeneration in a Drosophila model of FXTAS. This suppression results from selective transcriptional repression of the CGG repeat–containing transgene. These findings led us to evaluate the acetylation state of histones at the human FMR1 locus. In patient-derived lymphoblasts and fibroblasts, we determined by chromatin immunoprecipitation that there is increased acetylation of histones at the FMR1 locus in pre-mutation carriers compared to control or FXS derived cell lines. These epigenetic changes correlate with elevated FMR1 mRNA expression in pre-mutation cell lines. Consistent with this finding, histone acetyltransferase (HAT) inhibitors repress FMR1 mRNA expression to control levels in pre-mutation carrier cell lines and extend lifespan in CGG repeat–expressing Drosophila. These findings support a disease model whereby the CGG repeat expansion in FXTAS promotes chromatin remodeling in cis, which in turn increases expression of the toxic FMR1 mRNA. Moreover, these results provide proof of principle that HAT inhibitors or HDAC activators might be used to selectively repress transcription at the FMR1 locus.

Highlights

  • Fragile X tremor ataxia syndrome (FXTAS) is a recently described adult onset neurodegenerative disorder affecting approximately 1:3000 men and, less frequently, women over the age of 50[1]

  • Our results demonstrate that over-expression of three separate histone deacetylases (HDACs 3, 6, or 11) suppress CGG-repeat induced neurodegeneration in a Drosophila model of FXTAS

  • To evaluate this in the human context, we utilized patient-derived lymphoblasts and fibroblasts from premutation carriers and found that the FMR1 locus preferentially associates with acetylated histones and this association correlates with elevated FMR1 mRNA expression

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Summary

Introduction

Fragile X tremor ataxia syndrome (FXTAS) is a recently described adult onset neurodegenerative disorder affecting approximately 1:3000 men and, less frequently, women over the age of 50[1]. FXTAS patients develop cerebellar and cortical atrophy with widespread neurodegeneration. These gross pathologic changes are associated with intranuclear ubiquitin-positive inclusions in neurons and astrocytes of the cerebellum and cerebral cortex [3,4]. FXTAS results from pathological expansion of a CGG trinucleotide repeat in the 59UTR of the FMR1 gene. FXTAS patients have modest expansions of between 55 and 200 CGG repeats.

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