Journal: JCI Insight / Year: 2024 Title: Missense variants in CMS22 patients reveal that PREPL has both enzymatic and nonenzymatic functions. Authors: Yenthe Monnens / Anastasia Theodoropoulou / Karen Rosier / Kritika Bhalla / Alexia Mahy / Roeland Vanhoutte / Sandra Meulemans / Edoardo Cavani / Aleksandar Antanasijevic / Irma Lemmens / ...Authors: Yenthe Monnens / Anastasia Theodoropoulou / Karen Rosier / Kritika Bhalla / Alexia Mahy / Roeland Vanhoutte / Sandra Meulemans / Edoardo Cavani / Aleksandar Antanasijevic / Irma Lemmens / Jennifer A Lee / Catherine J Spellicy / Richard J Schroer / Ricardo A Maselli / Chamindra G Laverty / Patrizia Agostinis / David J Pagliarini / Steven Verhelst / Maria J Marcaida / Anne Rochtus / Matteo Dal Peraro / John Wm Creemers / Abstract: Congenital myasthenic syndrome-22 (CMS22, OMIM 616224) is a rare genetic disorder caused by deleterious genetic variation in the prolyl endopeptidase-like (PREPL) gene. Previous reports have ...Congenital myasthenic syndrome-22 (CMS22, OMIM 616224) is a rare genetic disorder caused by deleterious genetic variation in the prolyl endopeptidase-like (PREPL) gene. Previous reports have described patients with deletions and nonsense variants in PREPL, but nothing is known about the effect of missense variants in the pathology of CMS22. In this study, we have functionally characterized missense variants in PREPL from 3 patients with CMS22, all with hallmark phenotypes. Biochemical evaluation revealed that these missense variants do not impair hydrolase activity, thereby challenging the conventional diagnostic criteria and disease mechanism. Structural analysis showed that the variants affect regions most likely involved in intraprotein or protein-protein interactions. Indeed, binding to a selected group of known interactors was differentially reduced for the 3 variants. The importance of nonhydrolytic functions of PREPL was investigated in catalytically inactive PREPL p.Ser559Ala cell lines, which showed that hydrolytic activity of PREPL is needed for normal mitochondrial function but not for regulating AP1-mediated transport in the transgolgi network. In conclusion, these studies showed that CMS22 can be caused not only by deletion and truncation of PREPL but also by missense variants that do not necessarily result in a loss of hydrolytic activity of PREPL.
Model: UltrAuFoil R1.2/1.3 / Material: GOLD / Support film - Material: GOLD / Support film - topology: HOLEY / Support film - Film thickness: 50 / Pretreatment - Type: GLOW DISCHARGE / Pretreatment - Time: 90 sec.
Vitrification
Cryogen name: ETHANE / Chamber humidity: 95 % / Chamber temperature: 4 K / Instrument: LEICA EM GP
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Electron microscopy
Microscope
FEI TITAN KRIOS
Image recording
Film or detector model: FEI FALCON IV (4k x 4k) / Average electron dose: 60.0 e/Å2
Electron beam
Acceleration voltage: 300 kV / Electron source: FIELD EMISSION GUN
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