Cell Reports (Mar 2016)

Identification of a Post-translational Modification with Ribitol-Phosphate and Its Defect in Muscular Dystrophy

  • Motoi Kanagawa,
  • Kazuhiro Kobayashi,
  • Michiko Tajiri,
  • Hiroshi Manya,
  • Atsushi Kuga,
  • Yoshiki Yamaguchi,
  • Keiko Akasaka-Manya,
  • Jun-ichi Furukawa,
  • Mamoru Mizuno,
  • Hiroko Kawakami,
  • Yasuro Shinohara,
  • Yoshinao Wada,
  • Tamao Endo,
  • Tatsushi Toda

DOI
https://doi.org/10.1016/j.celrep.2016.02.017
Journal volume & issue
Vol. 14, no. 9
pp. 2209 – 2223

Abstract

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Glycosylation is an essential post-translational modification that underlies many biological processes and diseases. α-dystroglycan (α-DG) is a receptor for matrix and synaptic proteins that causes muscular dystrophy and lissencephaly upon its abnormal glycosylation (α-dystroglycanopathies). Here we identify the glycan unit ribitol 5-phosphate (Rbo5P), a phosphoric ester of pentose alcohol, in α-DG. Rbo5P forms a tandem repeat and functions as a scaffold for the formation of the ligand-binding moiety. We show that enzyme activities of three major α-dystroglycanopathy-causing proteins are involved in the synthesis of tandem Rbo5P. Isoprenoid synthase domain-containing (ISPD) is cytidine diphosphate ribitol (CDP-Rbo) synthase. Fukutin and fukutin-related protein are sequentially acting Rbo5P transferases that use CDP-Rbo. Consequently, Rbo5P glycosylation is defective in α-dystroglycanopathy models. Supplementation of CDP-Rbo to ISPD-deficient cells restored α-DG glycosylation. These findings establish the molecular basis of mammalian Rbo5P glycosylation and provide insight into pathogenesis and therapeutic strategies in α-DG-associated diseases.