Published January 1, 2024 | Version v1
Journal article Open

<i>SNUPN</i> deficiency causes a recessive muscular dystrophy due to RNA mis-splicing and ECM dysregulation

  • 1. Koc Univ, Sch Med KUSoM, Dept Med Genet, Lab Funct Genom, Istanbul, Turkiye
  • 2. Koc Univ Hosp, Diagnost Ctr Genet Dis, Dept Med Genet, Istanbul, Turkiye
  • 3. Ctr Leon Berard, Dept Biopathol, Lyon, France
  • 4. Univ Zurich, Inst Med Genet, Zurich, Switzerland
  • 5. Childrens & Youth Hosp Bult, Dept Neonatol, Hannover, Germany
  • 6. Univ Miami, Miller Sch Med, Dr John T Macdonald Fdn Dept Human Genet, Miami, FL 33136 USA
  • 7. Ohio State Univ, Coll Med, Nationwide Childrens Hosp, Div Neurol, Columbus, OH USA

Description

SNURPORTIN-1, encoded by SNUPN, plays a central role in the nuclear import of spliceosomal small nuclear ribonucleoproteins. However, its physiological function remains unexplored. In this study, we investigate 18 children from 15 unrelated families who present with atypical muscular dystrophy and neurological defects. Nine hypomorphic SNUPN biallelic variants, predominantly clustered in the last coding exon, are ascertained to segregate with the disease. We demonstrate that mutant SPN1 failed to oligomerize leading to cytoplasmic aggregation in patients' primary fibroblasts and CRISPR/Cas9-mediated mutant cell lines. Additionally, mutant nuclei exhibit defective spliceosomal maturation and breakdown of Cajal bodies. Transcriptome analyses reveal splicing and mRNA expression dysregulation, particularly in sarcolemmal components, causing disruption of cytoskeletal organization in mutant cells and patient muscle tissues. Our findings establish SNUPN deficiency as the genetic etiology of a previously unrecognized subtype of muscular dystrophy and provide robust evidence of the role of SPN1 for muscle homeostasis.

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