RT Journal Article SR Electronic T1 DNA damage in embryonic neural stem cell determines FTLDs’ fate via early-stage neuronal necrosis JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202101022 DO 10.26508/lsa.202101022 VO 4 IS 7 A1 Hidenori Homma A1 Hikari Tanaka A1 Meihua Jin A1 Xiaocen Jin A1 Yong Huang A1 Yuki Yoshioka A1 Christian JF Bertens A1 Kohei Tsumaki A1 Kanoh Kondo A1 Hiroki Shiwaku A1 Kazuhiko Tagawa A1 Hiroyasu Akatsu A1 Naoki Atsuta A1 Masahisa Katsuno A1 Katsutoshi Furukawa A1 Aiko Ishiki A1 Masaaki Waragai A1 Gaku Ohtomo A1 Atsushi Iwata A1 Takanori Yokota A1 Haruhisa Inoue A1 Hiroyuki Arai A1 Gen Sobue A1 Masaki Sone A1 Kyota Fujita A1 Hitoshi Okazawa YR 2021 UL https://www.life-science-alliance.org/content/4/7/e202101022.abstract AB The early-stage pathologies of frontotemporal lobal degeneration (FTLD) remain largely unknown. In VCPT262A-KI mice carrying VCP gene mutation linked to FTLD, insufficient DNA damage repair in neural stem/progenitor cells (NSCs) activated DNA-PK and CDK1 that disabled MCM3 essential for the G1/S cell cycle transition. Abnormal neural exit produced neurons carrying over unrepaired DNA damage and induced early-stage transcriptional repression-induced atypical cell death (TRIAD) necrosis accompanied by the specific markers pSer46-MARCKS and YAP. In utero gene therapy expressing normal VCP or non-phosphorylated mutant MCM3 rescued DNA damage, neuronal necrosis, cognitive function, and TDP43 aggregation in adult neurons of VCPT262A-KI mice, whereas similar therapy in adulthood was less effective. The similar early-stage neuronal necrosis was detected in PGRNR504X-KI, CHMP2BQ165X-KI, and TDPN267S-KI mice, and blocked by embryonic treatment with AAV–non-phospho-MCM3. Moreover, YAP-dependent necrosis occurred in neurons of human FTLD patients, and consistently pSer46-MARCKS was increased in cerebrospinal fluid (CSF) and serum of these patients. Collectively, developmental stress followed by early-stage neuronal necrosis is a potential target for therapeutics and one of the earliest general biomarkers for FTLD.