Graded and pan-neural disease phenotypes of Rett Syndrome linked with dosage of functional MeCP2

Protein Cell. 2021 Aug;12(8):639-652. doi: 10.1007/s13238-020-00773-z. Epub 2020 Aug 27.

Abstract

Rett syndrome (RTT) is a progressive neurodevelopmental disorder, mainly caused by mutations in MeCP2 and currently with no cure. We report here that neurons from R106W MeCP2 RTT human iPSCs as well as human embryonic stem cells after MeCP2 knockdown exhibit consistent and long-lasting impairment in maturation as indicated by impaired action potentials and passive membrane properties as well as reduced soma size and spine density. Moreover, RTT-inherent defects in neuronal maturation could be pan-neuronal and occurred in neurons with both dorsal and ventral forebrain features. Knockdown of MeCP2 led to more severe neuronal deficits as compared to RTT iPSC-derived neurons, which appeared to retain partial function. Strikingly, consistent deficits in nuclear size, dendritic complexity and circuitry-dependent spontaneous postsynaptic currents could only be observed in MeCP2 knockdown neurons but not RTT iPSC-derived neurons. Both neuron-intrinsic and circuitry-dependent deficits of MeCP2-deficient neurons could be fully or partially rescued by re-expression of wild type or T158M MeCP2, strengthening the dosage dependency of MeCP2 on disease phenotypes and also the partial function of the mutant. Our findings thus reveal stable neuronal maturation deficits and unexpectedly, graded sensitivities of neuron-inherent and neural transmission phenotypes towards the extent of MeCP2 deficiency, which is informative for future therapeutic development.

Keywords: MeCP2; Rett Syndrome; human pluripotent stem cell; neural differentiation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials / genetics
  • Base Sequence
  • Cell Differentiation
  • Fibroblasts / cytology
  • Fibroblasts / metabolism
  • Gene Dosage
  • Gene Expression
  • Gene Knockdown Techniques
  • Genetic Complementation Test
  • Human Embryonic Stem Cells / cytology
  • Human Embryonic Stem Cells / metabolism
  • Humans
  • Induced Pluripotent Stem Cells / cytology
  • Induced Pluripotent Stem Cells / metabolism
  • Methyl-CpG-Binding Protein 2 / deficiency
  • Methyl-CpG-Binding Protein 2 / genetics*
  • Neural Stem Cells / metabolism*
  • Neural Stem Cells / pathology
  • Neurons / metabolism*
  • Neurons / pathology
  • Phenotype
  • Primary Cell Culture
  • Prosencephalon / metabolism*
  • Prosencephalon / pathology
  • Rett Syndrome / genetics*
  • Rett Syndrome / metabolism
  • Rett Syndrome / pathology
  • Severity of Illness Index
  • Synaptic Transmission

Substances

  • MECP2 protein, human
  • Methyl-CpG-Binding Protein 2