The Journal of Clinical Investigation (Aug 2023)

Reduction of nemo-like kinase increases lysosome biogenesis and ameliorates TDP-43–related neurodegeneration

  • Leon Tejwani,
  • Youngseob Jung,
  • Hiroshi Kokubu,
  • Sowmithra Sowmithra,
  • Luhan Ni,
  • Changwoo Lee,
  • Benjamin Sanders,
  • Paul J. Lee,
  • Yangfei Xiang,
  • Kimberly Luttik,
  • Armand Soriano,
  • Jennifer Yoon,
  • Junhyun Park,
  • Hannah H. Ro,
  • Hyoungseok Ju,
  • Clara Liao,
  • Sofia Massaro Tieze,
  • Frank Rigo,
  • Paymaan Jafar-Nejad,
  • Janghoo Lim

Journal volume & issue
Vol. 133, no. 16

Abstract

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Protein aggregation is a hallmark of many neurodegenerative disorders, including amyotrophic lateral sclerosis (ALS). Although mutations in TARDBP, encoding transactive response DNA-binding protein 43 kDa (TDP-43), account for less than 1% of all ALS cases, TDP-43–positive aggregates are present in nearly all ALS patients, including patients with sporadic ALS (sALS) or carrying other familial ALS–causing (fALS-causing) mutations. Interestingly, TDP-43 inclusions are also present in subsets of patients with frontotemporal dementia, Alzheimer’s disease, and Parkinson’s disease; therefore, methods of activating intracellular protein quality control machinery capable of clearing toxic cytoplasmic TDP-43 species may alleviate disease-related phenotypes. Here, we identify a function of nemo-like kinase (Nlk) as a negative regulator of lysosome biogenesis. Genetic or pharmacological reduction of Nlk increased lysosome formation and improved clearance of aggregated TDP-43. Furthermore, Nlk reduction ameliorated pathological, behavioral, and life span deficits in 2 distinct mouse models of TDP-43 proteinopathy. Because many toxic proteins can be cleared through the autophagy/lysosome pathway, targeted reduction of Nlk represents a potential approach to therapy development for multiple neurodegenerative disorders.

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