Étude longitudinale d’un modèle murin de dystonie progressive causée par un gain de fonction du récepteur bêta de l’acide rétinoïque
We previously described several patients with a severe and progressive form of early-onset dystonia who carried de novo mutations in the retinoic acid receptor beta gene (RARB). RARB is a transcription factor that is activated upon binding to retinoic acid (RA), whose signaling is required for proper development of the brain. Transfection studies indicate that these de novo mutations increase RARB transcriptional activity, suggesting that they confer a gain-of-function (GOF) propriety to the protein. Dystonia is typically explained by some dysfunction of the striatum, a region where RARB is predominantly expressed. Interestingly, loss of Rarb function in mice leads to a reduction of striatonigral neurons and motor abnormalities, suggesting a disruption in early development of striatal circuits. We hypothesized that the motor impairment of patients with RARB GOF mutations is caused by increased RARB signaling in the striatum, possibly disrupting homeostatic control of the same pathways as those affected by decreased Rarb signaling. Using CRISPR-Cas9 technology, we generated mice carrying the mutation p.R394C, which is homologous to the GOF mutation p.R387C found in several patients. These RarbR394C/+ mice show locomotor impairments reminiscent of that of other mouse models of dystonia, along with a decreased striatopallidal neuronal population. Our data suggest that GOF mutations in RARB induce dystonia by disrupting striatal dopaminergic signaling necessary for functional equilibrium. This work might also shed light on common neurodegenerative disorders of the basal ganglia including Huntington’s and Parkinson’s disease, in which RA and RARB signaling appear to be compromised.
Striatum Retinoic acid Dystonia Gain-of-function De novo mutation