Short title: Synthetic excitatory synaptic organizerOne Sentence Summary: Structural biology information was used to design CPTX, a synthetic protein that induces functional excitatory synapses and restores normal behaviors in mouse models of neurological 10 diseases.
AbstractNeuronal synapses undergo structural and functional changes throughout life, essential for nervous system physiology. However, these changes may also perturb the excitatory/inhibitory neurotransmission balance and trigger neuropsychiatric and neurological disorders. Molecular 45 tools to restore this balance are highly desirable. Here, we report the design and characterization of CPTX, a synthetic synaptic organizer combining structural elements from cerebellin-1 and neuronal pentraxin-1 to interact with presynaptic neurexins and postsynaptic AMPA-type ionotropic glutamate receptors. CPTX induced the formation of excitatory synapses in vitro and in vivo and restored synaptic functions, motor coordination, spatial and contextual memories, and 50 locomotion in mouse models for cerebellar ataxia, Alzheimer's disease and spinal cord injury, respectively. Thus, CPTX represents a prototype for novel structure-guided biologics that can efficiently repair or remodel neuronal circuits.
Main Text
55A broad range of neuropsychiatric and neurological disorders, including autism spectrum disorders, epilepsy, schizophrenia and Alzheimer's disease, are thought to be caused by an imbalance between excitatory and inhibitory (E/I) synaptic functions (1-5). During organism development, but also throughout life, the formation and remodeling of complex yet precise neuronal circuits rely on specific synaptic organizing proteins (6, 7). These include cell adhesion 60 molecules, such as neurexins (Nrxs), neuroligins (8, 9) and receptor protein tyrosine phosphatases (10), as well as secreted proteins, such as fibroblast growth factors, semaphorins, Wnt and 3 extracellular scaffolding proteins (ESPs) (7, 11, 12). ESPs directly connect pre-and postsynaptic membrane proteins to form molecular bridges that span the synaptic cleft and mediate bidirectional signaling. For example, cerebellin-1 (Cbln1) is released from parallel fibers (PFs; axons 65 of cerebellar granule cells) and contributes to the synapse-spanning tripartite complex Nrx/Cbln1/GluD2 (the ionotropic glutamate receptor family member delta-2) ( Fig. 1A, left) by simultaneously binding Nrx isoforms containing the 30-residue "spliced sequence 4" (SS4) insert (Nrx(+4)) expressed at PF terminals and the amino-terminal domains (ATD, also known as NTD) of GluD2 on Purkinje cells (PCs) (13-15). Importantly, a single injection of recombinant Cbln1 70 into the cerebellum can restore ~75% PF-PC synapses and normal motor coordination within 1 d after injection in adult Cbln1-null mice in vivo (16). Cerebellins (Cbln1-4) are expressed in nearly all brain regions with distinct patterns and developmental dynamics (17, 18). Cbln1 promotes the formation or maintenance of excitatory synapses in the nucleus accumbens (19), ...