CRISPR-Cas9 Screens Identify the RNA Helicase DDX3X as a Repressor of C9ORF72 (GGGGCC)n Repeat-Associated Non-AUG Translation

Neuron. 2019 Dec 4;104(5):885-898.e8. doi: 10.1016/j.neuron.2019.09.003. Epub 2019 Oct 3.

Abstract

Hexanucleotide GGGGCC repeat expansion in C9ORF72 is the most prevalent genetic cause of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). One pathogenic mechanism is the aberrant accumulation of dipeptide repeat (DPR) proteins produced by the unconventional translation of expanded RNA repeats. Here, we performed genome-wide CRISPR-Cas9 screens for modifiers of DPR protein production in human cells. We found that DDX3X, an RNA helicase, suppresses the repeat-associated non-AUG translation of GGGGCC repeats. DDX3X directly binds to (GGGGCC)n RNAs but not antisense (CCCCGG)n RNAs. Its helicase activity is essential for the translation repression. Reduction of DDX3X increases DPR levels in C9ORF72-ALS/FTD patient cells and enhances (GGGGCC)n-mediated toxicity in Drosophila. Elevating DDX3X expression is sufficient to decrease DPR levels, rescue nucleocytoplasmic transport abnormalities, and improve survival of patient iPSC-differentiated neurons. This work identifies genetic modifiers of DPR protein production and provides potential therapeutic targets for C9ORF72-ALS/FTD.

Keywords: ALS; CRISPR-Cas9 screen; DDX3X; FTD; RAN translation; RNA; helicase; neurodegeneration; repeat expansion.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amyotrophic Lateral Sclerosis / metabolism*
  • Animals
  • C9orf72 Protein / biosynthesis*
  • CRISPR-Cas Systems
  • DEAD-box RNA Helicases / metabolism*
  • Drosophila
  • Frontotemporal Dementia / metabolism*
  • Humans
  • Protein Biosynthesis / physiology
  • Repetitive Sequences, Nucleic Acid

Substances

  • C9orf72 Protein
  • C9orf72 protein, human
  • DDX3X protein, human
  • DEAD-box RNA Helicases