Elevated ERK/P90 Ribosomal S6 Kinase Activity Underlies PNAS PLUS Audiogenic Seizure Susceptibility in Fragile X Mice

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Elevated ERK/P90 Ribosomal S6 Kinase Activity Underlies PNAS PLUS Audiogenic Seizure Susceptibility in Fragile X Mice Elevated ERK/p90 ribosomal S6 kinase activity underlies PNAS PLUS audiogenic seizure susceptibility in fragile X mice Kirsty Sawickaa,1,2,3, Alexander Pyronneaua,1, Miranda Chaoa, Michael V. L. Bennetta,3, and R. Suzanne Zukina,3 aDominick P. Purpura Department of Neuroscience, Albert Einstein College of Medicine, New York, NY 10461 Contributed by Michael V. L. Bennett, August 8, 2016 (sent for review June 24, 2016; reviewed by Leonard K. Kaczmarek and Siqiong June Liu) Fragile X syndrome (FXS) is the most common heritable cause of protein synthesis (∼15–20%) suggests that secondary effects on intellectual disability and a leading genetic form of autism. The translation are also involved (9). Consistent with this finding, FMRP Fmr1 KO mouse, a model of FXS, exhibits elevated translation in targets include components of ERK (extracellular signal-regulated the hippocampus and the cortex. ERK (extracellular signal-regulated kinase) and mTOR (mechanistic target of rapamycin) signaling and kinase) and mTOR (mechanistic target of rapamycin) signaling reg- proteins involved in translation initiation and elongation (2). ulate protein synthesis by activating downstream targets critical to PI3K/Akt/mTOR signaling is overactivated in the hippocam- translation initiation and elongation and are known to contribute pus of Fmr1 KO mice (10, 11). Genetic and pharmacological to hippocampal defects in fragile X. Here we show that the effect of interventions that reduce the activity of PI3-kinase (PI3K) or the loss of fragile X mental retardation protein (FMRP) on these path- downstream effector S6 kinase (S6K) have both shown promise ways is brain region specific. In contrast to the hippocampus, ERK for the rescue of disease-relevant phenotypes in the Fmr1 KO (but not mTOR) signaling is elevated in the neocortex of fragile X mouse (12, 13). In contrast, ERK signaling appears normal in mice. Phosphorylation of ribosomal protein S6, typically a down- the hippocampus with no change in basal or activated levels of stream target of mTOR, is elevated in the neocortex, despite normal protein phosphorylation (10, 14). However, emerging evidence mTOR activity. This is significant in that S6 phosphorylation facili- supports the concept that loss of FMRP can lead to synaptic de- tates translation, correlates with neuronal activation, and is altered fects that differ in an age-, synapse-, cell-, and/or brain region- in neurodevelopmental disorders. We show that in fragile X mice, specific manner as, for example, synapse-specific defects in synaptic S6 is regulated by ERK via the “alternative” S6 kinase p90-ribosomal plasticity (15), inhibitory circuit dysfunction (16), and dendritic spine S6 kinase (RSK), as evidenced by the site of elevated phosphoryla- morphology (17). Thus, the present study was undertaken to examine NEUROSCIENCE tion and the finding that ERK inhibition corrects elevated RSK and the hypothesis that aberrant ERK signaling outside of the hippo- S6 activity. These findings indicate that signaling networks are al- campus may contribute to synaptic phenotypes in fragile X mice. tered in the neocortex of fragile X mice such that S6 phosphoryla- Here we show that whereas mTOR signaling is elevated at syn- tion receives aberrant input from ERK/RSK. Importantly, an RSK apses of the hippocampus (11), ERK (but not mTOR) signaling is inhibitor reduces susceptibility to audiogenic seizures in fragile X elevated at synapses of the neocortex of Fmr1 KO mice. We further mice. Our findings identify RSK as a therapeutic target for fragile X show that phosphorylation of ribosomal protein S6, typically a and suggest the therapeutic potential of drugs for the treatment of target and downstream effector of mTOR, is elevated and lies FXS may vary in a brain-region–specific manner. downstream of ERK via the “alternative” S6 kinase p90-ribosomal S6 kinase (RSK), providing evidence of a noncanonical signaling intellectual disability | autism | mTOR | FMRP | RSK pathway. Consistent with this, the brain-penetrant RSK inhibitor, BI-D1870, prevents audiogenic seizures, a hallmark feature of ragile X syndrome (FXS) is the most common heritable form Fof intellectual disability and a leading genetic cause of autism. Significance Individuals with FXS typically suffer from a range of cognitive and behavioral deficits that can include anxiety, stereotypic move- Fragile X syndrome is the most common heritable cause of in- ments, hyperactivity, seizures, and aggression, as well as social tellectual disability and autism. Elevated protein synthesis is con- deficits typical of autism (1). FXS is caused by transcriptional si- sidered a major contributor to the pathophysiology of fragile FMR1 lencing or mutation of the gene encoding the RNA-binding X. ERK (extracellular signal-regulated kinase) and mTOR (mecha- protein, FMRP (fragile X mental retardation protein). FMRP nistic target of rapamycin) are key signaling molecules in two > binds to 1,000 mRNAs, including transcripts encoding both pre- prominent pathways that regulate protein synthesis. A major and postsynaptic proteins important for synaptic function, and finding of this study is that ERK (but not mTOR) signaling is ele- represses their translation via ribosome stalling (2). Loss of FMRP vated in the neocortex of fragile X mice. Elevated ERK activity expression in fragile X syndrome would be expected to cause causes overactivation of p90-ribosomal S6 kinase (RSK) and translational derepression of these target mRNAs. hyperphosphorylation of ribosomal protein S6. Audiogenic sei- FMRP is strategically localized to dendrites, dendritic spines, zures in fragile X mice, which mimic sensory hypersensitivity in axons, and cell bodies to control protein synthesis. Loss of FMRP fragile X humans, are prevented by RSK inhibition. Thus, RSK is causes enhanced protein synthesis, which can lead to altered spine a potential therapeutic target for treatment of fragile X. morphology, synaptic circuits, and synaptic function with robust effects on higher cognitive function. The excessive, unchecked Author contributions: K.S., A.P., M.V.L.B., and R.S.Z. conceived and designed research; protein synthesis and impaired stimulus-induced protein synthesis K.S., A.P., and M.C., performed research, collected and assembled the data; K.S., A.P., M.C., M.V.L.B., and R.S.Z. analyzed and interpreted data; and K.S., A.P., M.C., M.V.L.B., are considered to be major contributors to the pathophysiology of and R.S.Z. wrote and approved the final manuscript. fragile X (3–5). Increased protein synthesis has been demon- Fmr1 Reviewers: L.K.K., Yale University School of Medicine; and S.J.L., Louisiana State University strated in whole-animal studies in fragile X mice ( KO) that Health Sciences Center. model the loss of FMRP function responsible for the human The authors declare no conflict of interest. disorder (6), brain slices from fragile X mice (7), and cell cultures 1K.S. and A.P. contributed equally to this work. from human subjects with fragile X (8). FMRP directly regulates 2Present address: Laboratory of Molecular Neuro-Oncology, The Rockefeller University, the translation of a specific subset of target mRNAs. Given that New York, NY 10065. ∼ these represent 5% of all mRNAs and are relatively low-abun- 3To whom correspondence may be addressed. Email: [email protected], suzanne. dance transcripts, the magnitude of the observed increase in global [email protected], or [email protected]. www.pnas.org/cgi/doi/10.1073/pnas.1610812113 PNAS Early Edition | 1of8 Downloaded by guest on October 1, 2021 sensory hypersensitivity in fragile X mice. These findings provide A E evidence of disease-dependent alterations of the ERK/RSK sig- pSer217/221-MEK pThr308-Akt naling network in the neocortex of fragile X mice. WT KO WT KO p-MEK 45 kDa p-Akt 60 kDa Results MEK 45 kDa Akt 60 kDa ERK but Not mTOR Signaling Is Elevated in the Cortex of Fmr1 KO GAPDH 37 kDa GAPDH 37 kDa Mice. Elevated protein synthesis is a hallmark feature of Fmr1 p-MEK Total MEK p-Akt Total Akt KO mice (13, 18, 19). The ERK/MAPK and mTOR pathways are two critical signaling pathways that regulate protein synthesis 1 * 1 1 1 in the brain and have been implicated in the pathophysiology of p-Akt/Akt Akt/GAPDH p-MEK/MEK 0 MEK/GAPDH 0 0 0 fragile X (3, 4). We focused on the neocortex, because neocortical WT KO WT KO KOWT KOWT network activity is enhanced in fragile X (20), and protein- synthesis–dependent synaptic plasticity is impaired in the fragile B F X cortex (21). ERK/MAPK signaling is initiated by activation of pThr185/Tyr187-ERK pSer2448-mTOR Ras, which phosphorylates the protein kinase MEK. We first WT KO WT KO examined the phosphorylation status and abundance of the up- p-ERK1/2 42/44 kDa p-mTOR 289 kDa stream kinase MEK, which phosphorylates and activates ERK, in ERK1/2 42/44 kDa mTOR 289 kDa the neocortex of young fragile X mice. Phosphorylation of MEK GAPDH 37 kDa GAPDH 37 kDa at Ser217/221 showed a small yet significant increase, indicative p-ERK1/2 Total ERK1/2 p-mTOR Total mTOR of activation, in whole-cell lysates isolated from the neocortex of 4-wk-old Fmr1 KO mice vs. wild-type littermates with little or no **** 1 1 1 1 change in total MEK abundance (Fig. 1A). We next examined the phosphorylation status and abundance of the downstream mTOR/GAPDH ERK1/2/GAPDH 0 0 p-mTOR/mTOR 0 0 target of MEK, ERK1/2, in young fragile X mice. Phosphoryla- p-ERK1/2/ERK1/2 WT KO WT KO WT KO KOWT tion of ERK1/2 at Thr185/Tyr187 was elevated, indicative of activation, in whole-cell lysates from the neocortex of 4-wk-old C pThr195/202-MNK G pThr37/46-4EBP Fmr1 KO mice relative to that of control littermates, with little WT KO WT KO or no change in total ERK abundance (Fig.
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