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Johanna E. Hakonen, Vincenzo Sorrentino, Rossella Avagliano Trezza, Marit B. de Wissel, Marlene van den Berg, Boris Bleijlevens, Fred van Ruissen, Ben Distel, Frank Baas, Noam Zelcer, Marian A.J. Weterman, LRSAM1-mediated ubiquitylation is disrupted in axonal Charcot–Marie–Tooth disease 2P, Human Molecular Genetics, Volume 26, Issue 11, 1 June 2017, Pages 2034–2041, https://doi.org/10.1093/hmg/ddx089
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Abstract
Charcot–Marie–Tooth (CMT) disease type 2 is a genetically heterogeneous group of inherited neuropathies characterized by motor and sensory deficits as a result of peripheral axonal degeneration. We recently reported a frameshift (FS) mutation in the Really Interesting New Gene finger (RING) domain of LRSAM1 (c.2121_2122dup, p.Leu708Argfs) that encodes an E3 ubiquitin ligase, as the cause of axonal-type CMT (CMT2P). However, the frequency of LRSAM1 mutations in CMT2 and the functional basis for their association with disease remains unknown. In this study, we evaluated LRSAM1 mutations in two large Dutch cohorts. In the first cohort (n = 107), we sequenced the full LRSAM1 coding exons in an unbiased fashion, and, in the second cohort (n = 468), we specifically sequenced the last, RING-encoding exon in individuals where other CMT-associated genes had been ruled out. We identified a novel LRSAM1 missense mutation (c.2120C > T, p.Pro707Leu) mapping to the RING domain. Based on our genetic analysis, the occurrence of pathogenic LRSAM1 mutations is estimated to be rare. Functional characterization of the FS, the identified missense mutation, as well as of another recently reported pathogenic missense mutation (c.2081G > A, p.Cys694Tyr), revealed that in vitro ubiquitylation activity was largely abrogated. We demonstrate that loss of the E2–E3 interaction that is an essential prerequisite for supporting ubiquitylation of target substrates, underlies this reduced ubiquitylation capacity. In contrast, LRSAM1 dimerization and interaction with the bona fide target TSG101 were not disrupted. In conclusion, our study provides further support for the role of LRSAM1 in CMT and identifies LRSAM1-mediated ubiquitylation as a common determinant of disease-associated LRSAM1 mutations.
Introduction
Charcot–Marie–Tooth (CMT) disease is a group of common hereditary polyneuropathies with a frequency of occurrence estimated at 1:3300 in the general population (1). CMT is characterized by progressive and length-dependent loss of peripheral nerves leading to muscle weakness and/or sensory loss in distal limbs (2). It is a highly heterogeneous disease, both clinically and genetically, but can be grossly divided into two major forms based on electrophysiological nerve-conduction studies in patients (3,4). The most common form of CMT is the autosomal dominant demyelinating neuropathy (CMT1), which is defined by reduced nerve conduction velocities (NCVs) (5,6). Multiple genes have been associated with this form of CMT, and at large are implicated in myelination or neurodevelopment (7). The second CMT form, CMT2, is an axonal neuropathy characterized by nearly normal NCVs, but reduced nerve conduction amplitudes (6) suggesting that the defect is primary axonal. In addition to their clinical distinction, the two CMTs differ in their underlying genetic cause and, in contrast to CMT1, many CMT2-linked genes are not specifically associated with neural functions. As such, elucidating the function of CMT2-associated genes is a necessary first step in order to understand the mechanism behind this type of the disease.
Recent studies by our group, and others, have implicated mutations in LRSAM1 in CMT2 (8–13). The LRSAM1 gene is highly expressed in spinal cord motor neurons and encodes an E3 ubiquitin ligase that has been implicated in endocytosis, viral budding and clearance of intracellular bacteria by autophagy (8,14,15). Intriguingly, LRSAM1 mutations have been linked to both dominant and recessive forms of CMT2. A recessive form has been reported in a Canadian family as a result of a homozygous mutation in the penultimate LRSAM1 exon leading to a complete absence of the protein (9). We previously reported a dominant autosomal form due to a frameshift (FS) mutation in LRSAM1 mapping to the C-terminal Really Interesting New Gene finger (RING) domain of the protein (8), a finding that was independently confirmed by two additional studies (9,10). This domain, found in other E3 ubiquitin ligases, is required for both E3 dimerization and ubiquitylation, which is a common post-transcriptional modification that plays a role in a diverse cellular process (16). Ubiquitylation requires the sequential activity of an E1 activating enzyme, E2 conjugating enzyme and E3 ligase and is subject to spatiotemporal regulation (17). Clustering of the disease-associated mutations to the RING domain points toward the E3 ubiquitin ligase activity of LRSAM1 as being an important determinant of its involvement in CMT2. However, the frequency of LRSAM1 RING mutations in CMT patients and their functional consequences are unknown. To address these issues, we investigated the frequency of LRSAM1 mutations in a Dutch CMT cohort and functionally characterized the consequence of RING mutations on LRSAM1 activity. Here, we report a novel pathogenic LRSAM1 missense mutation and provide a functional basis for the association of LRSAM1 RING mutations with CMT2.
Results
Identification of a novel missense LRSAM1 mutation associated with CMT2

Identification of LRSAM1 mutations in CMT2 patients. Sanger sequencing of genomic DNA of CMT patients (n = 468) revealed two mutations in exon 25 of LRSAM1; c.2121_2122dup and c.2120C > T. The previously described mutation c.2121_2122dup (LRSAM1FS) is caused by an insertion of 2 base pairs and results a frame shift. In c.2120C > T (LRSAM12120), a single base pair change is observed which is predicted to be pathogenic. Arrows indicate the mutation site.
RING-mediated dimerization is maintained in mutant LRSAM1

A CMT-associated mutation in the RING domain of LRSAM1 does not impair dimerization. Wild type and the CMT-associated LRSAM1 RING mutants (c.2121_2122dup and c.2120C > T). LRSAM1 were cloned into yeast-2-hybrid prey and bait plasmids as indicated. Transformed haploid yeast were mated and diploid cells were serially diluted and plated on selective medium (-HIS, -ADE). An image from the first serial dilution (105 diploid cells plated) is shown. Results are representative of three biological replicates. 3AT (3-amino-1,2,4-triazole) serves as an indicator of interaction strength.
A CMT-associated RING mutation does not affect the interaction of LRSAM1 with TSG101

A CMT-associated mutation in the RING domain of LRSAM1 does not impair the interaction between LRSAM1 and TSG101. HEK293T cells were transfected with the indicated FLAG-LRSAM1 and GFP-TSG101 expression plasmids at a 1:1 ratio. After 48 h, cells were harvested, lysed and subsequently, samples were immunoblotted and analyzed as indicated. Immunoblots shown are representative of three independent experiments. Bands shown were obtained from the same blot. WT, wild type; FS, CMT-associated LRSAM1 RING mutation (c.2121_2122dup).
RING mutations abolish the interaction with the E2 conjugating enzyme UBC13

Interaction with the E2 ubiquitin-conjugating enzyme UBC13 is lost in CMT-associated LRSAM1 mutants. Wild-type (WT) or CMT-associated LRSAM1 mutant constructs were used as “bait” in a yeast-two-hybrid assay together with the E2 ubiquitin enzyme UBC13 (“prey”). A strong interaction with UBC13 was observed with LRSAM1WT and LRSAM11717, but not with the CMT-associated LRSAM1 mutations LRSAM12120, LRSAM12081 and LRSAM1FS. An image from the first serial dilution (105 diploid cells plated per condition) is shown and results are representative of two biological replicates. LRSAM1 wild type, LRSAM1WT; LRSAM11717, LRSAM1 polymorphism (c.1717C > A); LRSAM1FS, LRSAM1 RING mutation (c.2121_2122dup); LRSAM12120, LRSAM1 RING mutation (c.2120C > T); LRSAM12081, LRSAM1 RING mutation (c.2081G > A); 3AT (3-amino-1,2,4-triazole).
Ubiquitylation is impaired in CMT-associated LRSAM1 RING mutants

CMT-associated mutations in the LRSAM1 RING domain attenuate ubiquitin ligase activity. (A) Coomassie-stained SDS-PAGE gels with purified His6-MBP-tagged recombinant wild type (WT) and mutant LRSAM1 RING proteins (FS, 2120, 2081). Note that the frameshift (FS) RING migrates with lower mobility, consistent with it having a higher molecular weight as a result of a 12 amino acid extension. (B) In vitro ubiquitylation assay using the indicated LRSAM1 RINGs with the E2 enzymes UbcH5a or UBC13/UEV1a. Reactions were separated on SDS-PAGE gels and ubiquitin and the MBP-RING were detected by immunoblotting. A representative immunoblot from three independent experiments is shown. The poly-ubiquitin chains and the mono- and di-ubiquitylated MBP RING are indicated.
Discussion
LRSAM1 is one of the several genes recently identified to cause CMT2 (8,9). In this study, we set out to determine the frequency of LRSAM1 mutations that contribute to CMT and in doing so, also to identify novel CMT-associated LRSAM1 mutations. As is the case with other CMT2 genes, LRSAM1 mutations proved to be rare. Direct sequencing of the last exon encoding the RING domain yielded a novel CMT-associated missense mutation, c.2120C > T (p.Pro707Leu), that is also one of the first reported missense mutations in LRSAM1. We show evidence demonstrating that CMT2-associated mutations impair the interaction between LRSAM1 and its cognate E2 enzyme, and that this results in severe loss of ubiquitylation activity. As such, our results point towards impaired LRSAM1-mediated ubiquitylation as the underlying disease mechanism
LRSAM1 is a member of the RING family of E3 ubiquitin ligases. To date, all reported autosomal dominant LRSAM1 mutations congregate in the RING domain; a domain present in RING E3 ligases that is essential for their dimerization and ubiquitylation activity (21,26,27). Furthermore, while our study was under review, two additional missense mutations in LRSAM1 were reported affecting the same amino-acid (p.Cys694 > Tyr, p.Cys694 > Arg) (12,13). Using several distinct experimental approaches, we evaluated the consequence of a panel of CMT2-associated RING mutations on LRSAM1 function. This allowed us to rule out disrupted LRSAM1 dimerization, and loss of interaction with the bona fide ubiquitylation target TSG101 as plausible explanations for the association of LRSAM1 with CMT2. The RING domain also mediates the interaction between the E2 and the E3 and three global Y2H screens investigating the E2–E3 interactome reported an interaction between LRSAM1 and the E2 enzymes UBC13 (UBE2N) and UbcH5A (UBE2D1) (23,24,28). Our study confirmed the interaction between WT LRSAM1 and UBC13, and further demonstrated that the CMT-associated mutations in LRSAM1 ablated the interaction with UBC13, thus affecting a property of LRSAM1 that is crucial for efficient target ubiquitylation. Concordantly, we demonstrate that this strongly attenuates the ubiquitylation activity of the CMT-associated RING proteins in vitro. Ubiquitin is able to form different types of ubiquitin chains depending on the interacting E2 enzyme, thereby targeting the ubiquitylated protein to distinct cellular fates (29,30). Recent studies demonstrated that LRSAM1 can predominantly form K6, K27, K29 and K48 poly-ubiquitin chains with members of the UBE2D family of E2 enzymes (15,31). With this in mind, it is interesting to point out that UBC13, with which LRSAM1 interacts, has been specifically reported to generate K63-linked ubiquitin chains that are implicated in non-proteolytic signaling and trafficking (22,32). As such, our results expand the repertoire of ubiquitin linkages that LRSAM1 facilitates. Future studies are needed to determine the global landscape of LRSAM1 ubiquitylation targets.
Interestingly, LRSAM1 has been associated with both dominant and recessive forms of CMT (9). While no protein could be detected in the lymphocytes of a patient carrying the homozygous recessive mutation, patients with autosomal-dominant mutations retain an unaffected WT allele (9). Dimerization of WT LRSAM1 with mutant LRSAM1, both of which are present in patients carrying a heterozygous dominant mutation, was not affected. However, the mutant proteins were not able to form homodimers, which may partially contribute to the pathogenic phenotype. Since the patients with the recessive loss of function mutations and dominant cases have a similar clinical phenotype, the dominant mutation most probably exerts its effect in a dominant-negative manner. Heterodimers composed of WT and mutant LRSAM1 may be non-functional and, therefore, point towards a loss-of-function mechanism. Alternatively, mutant LRSAM1 may have altered function or binding partners resulting in toxic gain-of-function. These possibilities do not rule out other LRSAM1-dependent mechanisms. Indeed, two recent reports suggest that LRSAM1 RING mutants influence gene expression, potentially as a result of an altered interaction with RNA binding proteins (12,13). Moreover, our preliminary results suggest that CMT2-associated LRSAM1 variants have the propensity to form aggregates in cells (data not shown), offering an additional mechanism by which these mutations can contribute to CMT2.
Our results are in line with the emerging importance of ubiquitylation as a post-translational modification in neurological disease. In addition to LRSAM1, other E3 ubiquitin ligases have been reported to play a role in neurodegenerative diseases. TRIM2, also a member of the RING E3 ubiquitin family, was recently implicated in early-onset axonal neuropathy in which altered TRIM2-mediated ubiquitylation resulted in axonal degradation (33). In addition to its involvement in CMT, LRSAM1 was reported as a potential modifier of Huntington’s disease owing to its ability to regulate localization and clearance of the Htt protein (34). Another well-known E3 ligase, Parkin, is associated with familial Parkinson’s disease (35–37). Intriguingly, Parkin is reported to associate with UBC13 and to stimulate K63-linked poly-ubiquitylation formation (38). Coincidently, three patients of the original family in which we identified the frame shift mutation in LRSAM1 developed Parkinson’s disease later in life (39), suggesting a broader role for LRSAM1 in neurodegenerative diseases.
Taken together, our results indicate that LRSAM1-mediated ubiquitylation is relevant for the etiology of CMT2. Future studies aimed at identification of LRSAM1 ubiquitylation targets and interacting proteins are necessary to obtain a comprehensive view of the changes that ultimately lead to CMT. While next generation sequencing techniques have accelerated discovery of disease-associated variants, development of functional assays has lagged behind. We provide here a functional assay to test RING domain LRSAM1 mutants. Finally, we propose that the role of LRSAM1 may extend beyond peripheral neurologic disease, warranting further investigation into its role in neurodegenerative diseases affecting the central nervous system. Whether the mechanisms linking LRSAM1 to CMT2 and these other diseases are shared remains to be determined.
Materials and Methods
DNA samples and sequencing
All DNA samples were obtained with patient’s consent. Genomic DNA was isolated from blood using standard procedures. For the targeted sequencing, 1 µg of genomic DNA was used for preparing a sequencing library that was pre-amplified for 8 cycles. Subsequently, 1 µg of pre-amplified libraries of 6–14 patients was used for one CMT capture according to the procedure described by Nimblegen. The custom-made CMT-specific capture (Nimblegen, Roche) which was developed for diagnostic screening of peripheral neuropathies and included the coding parts of LRSAM1 was followed by sequencing with the miSeq V2 kit on an Illumina miSeq sequencer. Alignment and re-alignment were performed using HG19 and BWAMEM.0.7.8. For variant calling, GATK-2.8-1-g932cd3a was used. Variants were callable when meeting all quality criteria we have for this procedure (i.e. coverage of at least 30× with both base and mapping quality ≥20). Non-callable positions or regions were filled in by Sanger sequence analysis. For direct Sanger sequencing of the RING-containing exon (exon 25 of LRSAM1; NM_138361.5) samples from 468 CMT patients without pathogenic mutation in MPZ, GJB1, PMP22, RAB7A, LITAF, EGR2, HSPB1, GARS, MFN2, BSCL2, SH3TC2, DMN1, LMNA, CTDP1, NDRG1 and GDAP1 were included. For amplification, 20 ng of genomic DNA was used as template in a PCR reaction with exon 25-specific M13-tagged primers (M13exon25-FWD 5′-TGTAAAACGAC GGCCAG TGTA GGG CCAG CCACATGC-3′ and M13exon25-REV 5′-CAGGAAAC AGCTA TGACCGCAGCAGATCCGTGATTAGG-3′) and Hotfire polymerase (Solys Biodyne), according to the manufacturer’s protocol. The amplified PCR products were treated with shrimp alkaline phosphatase and exonuclease I prior to sequencing using the Big Dye Terminator cycle-sequencing kit and M13 primers on an ABI3730xl sequencer (Thermo Scientific). DNA sequences were analyzed with CodonCode Aligner (CodonCode Corporation, Centerville, MA, USA) and Alamut Visual 2.7 ref 2 (Interactive Software, Rouen, France).
Plasmids and expression constructs
Expression plasmids for FLAG tagged full-length WT, FS LRSAM1 mutant, and GFP-TSG101 were reported previously (8,18). The WT LRSAM1 RING was amplified from the full-length WT LRSAM1 expression plasmid (8) and inserted into the bacterial expression plasmid His6-MBP-DEST (a kind gift of Dr D. Waugh, NCI) using gateway cloning. The RING missense constructs were generated by site-directed mutagenesis using the QuickChange II XL kit (Agilent Technologies) and WT RING construct as a template. The FS LRSAM1 RING was generated as above, but with a full-length FS LRSAM1 expression plasmid as template (8). All RING constructs started at codon 1995 of the LRSAM1 coding sequence (corresponding to amino acid 665). The FS results in an alternative stop codon, which extends the protein by 12 amino acids beyond the native stop codon. For the Y2H assays, WT or mutated LRSAM1 (c.2121_2122dup, c.2120C > T, c.1717C > A, c.2081G > A) were cloned into pACT2-DEST or pGDBU-DEST with Gateway recombination. The pGDBU-UBC13 plasmid was described previously (19).
Purification of recombinant LRSAM1 RING domain expressed in Escherichia coli
His6-MBP-tagged LRSAM1 RING proteins were produced in the bacterial RIPL strain (Novagen). Bacteria were grown in LB at 37 °C to an A600 of 0.6 and induced with 1 mM isopropyl 1-thio-β-d-galactopyranoside for 4 h. Bacterial pellets were collected, lysed in lysis buffer (50 mM Tris-HCl, pH 7.6, 0.5 M NaCl, 5 mM imidazole and 1 mM DTT) supplemented with protease inhibitors and subsequently sonicated on ice to disrupt cellular integrity. Cell debris was removed by centrifugation and lysates loaded onto HisTrap HP columns (GE Healthcare) coupled to a cooled (4 °C) NGC Quest 10 Plus purification system (Bio-Rad). Bound proteins were eluted with imidazole, desalted using Hi-Trap desalting columns (GE Healthcare), and collected in elution buffer (20 mM Tris-HCl, pH 7.6, 100 mM NaCl, 1 mM DTT). Aliquots were frozen in liquid N2 and stored at −80 °C.
In vitro ubiquitylation assay
Recombinant rabbit E1, UBCH5a, UBC13 and UEV1a were described previously (20). Briefly, reactions were carried out at 37 °C for 2 h in 20μl reactions containing 25 mM Tris, pH 8, 100 mM NaCl, 5 mM MgCl2, 1 mM DTT and the following as indicated: 5 mM ATP, 0.4 μg of recombinant rabbit E1, 0.4 μg of UBCH5a or UBC13 and UEV1a, 2.5 μg of ubiquitin (Biomol), and 1 μg of LRSAM1 RING. Reactions were stopped by the addition of SDS-PAGE loading buffer and subjected to immunoblotting as described.
Y2H assay
The Saccharomyces cerevisiae strains used in this study were PJ69-4a (trp1-901 leu2-3,112 ura3-52 his3-200 gal4D gal80D LYS2::GAL1-HIS3 GAL2-ADE2 met2::GAL7-lacZ) and PJ69-4α (trp1-901 leu2-3,112 ura3-52 his3-200 gal4D gal80D LYS2::GAL1-HIS3 GAL2-ADE2 met2::GAL7-lacZ). PJ69-4a cells were transformed with pACT2-DEST encoding WT or mutant LRSAM1, while PJ69-4α cells were transformed with the indicated pGDBU-DEST constructs. Culturing conditions and Y2H assay protocol have been described previously (19). 3-AT is a competitive inhibitor of the HIS3 gene product and, therefore, increases the stringency of the HIS- selection and is used as a strength indicator.
Cell culture and transfection
HEK293T cells were maintained in DMEM (Invitrogen) supplemented with 10% fetal bovine serum (FBS) (Gibco) and 10 000 U/mL Penicillin–Streptomycin (Sigma-Aldrich) at 37 °C and 5% CO2. Transfection of the cells was carried out in 6-wells format with sub-confluent cells using JetPrime (Polyplus-transfection) according to the manufacturer’s instructions. Transfection efficiency was monitored by co-transfection with an expression plasmid for GFP or mCherry and was consistently >85%.
Immunoblotting and co-immunoprecipitation
HEK293 cells were lysed in NP40 lysis buffer (Boston Bioproducts, Ashland, MA, USA) 48 h post-transfection. Total cell lysates were cleared by centrifugation at 1000g for 5 min at 4 °C. For co-immunoprecipitation, the lysates were incubated with 20 μL prewashed anti-Flag M2 affinity beads (Sigma-Aldrich) for 16 h at 4 °C. Subsequently, beads were washed four times with NP40 lysis buffer and immunoprecipitated protein eluted by boiling in SDS-PAGE loading buffer. Samples were separated by SDS-PAGE electrophoresis and transferred to a nitrocellulose membrane (Invitrogen) and probed as indicated with antibodies against Flag (M2, Sigma-Aldrich, 1:1000), GFP (Biolegend, 1:1000) ACTIN (Sigma-Aldrich, 1:1000) ubiquitin (FK2, Biomol, 1:1000) and MBP (clone 17, Sigma-Aldrich, 1:2000). Secondary horseradish peroxidase-conjugated antibodies (Dako) were used and visualized with chemiluminescence on a Fuji LAS4000 (GE Healthcare). All immunoblots are representatives of at least two independent experiments.
Acknowledgements
We thank members of the Frank Baas lab, members of the Zelcer group and Irith Koster for their comments and suggestions on this manuscript.
Conflict of Interest statement. None declared.
Funding
This work was supported by the Prinses Beatrix Spierfonds (W.OR15). N.Z. is supported by an ERC Consolidator grant (617376) from the European Research Council and by Stichting Zabawas.
References
Author notes
These authors contributed equally to the study.
Present address: Department of Neuroscience, Erasmus MC, Wytemaweg 80, Rotterdam 3015 CN, The Netherlands.