RT Journal Article SR Electronic T1 C9ORF72-derived poly-GA DPRs undergo endocytic uptake in iAstrocytes and spread to motor neurons JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202101276 DO 10.26508/lsa.202101276 VO 5 IS 9 A1 Paolo M Marchi A1 Lara Marrone A1 Laurent Brasseur A1 Audrey Coens A1 Christopher P Webster A1 Luc Bousset A1 Marco Destro A1 Emma F Smith A1 Christa G Walther A1 Victor Alfred A1 Raffaele Marroccella A1 Emily J Graves A1 Darren Robinson A1 Allan C Shaw A1 Lai Mei Wan A1 Andrew J Grierson A1 Stephen J Ebbens A1 Kurt J De Vos A1 Guillaume M Hautbergue A1 Laura Ferraiuolo A1 Ronald Melki A1 Mimoun Azzouz YR 2022 UL https://www.life-science-alliance.org/content/5/9/e202101276.abstract AB Dipeptide repeat (DPR) proteins are aggregation-prone polypeptides encoded by the pathogenic GGGGCC repeat expansion in the C9ORF72 gene, the most common genetic cause of amyotrophic lateral sclerosis and frontotemporal dementia. In this study, we focus on the role of poly-GA DPRs in disease spread. We demonstrate that recombinant poly-GA oligomers can directly convert into solid-like aggregates and form characteristic β-sheet fibrils in vitro. To dissect the process of cell-to-cell DPR transmission, we closely follow the fate of poly-GA DPRs in either their oligomeric or fibrillized form after administration in the cell culture medium. We observe that poly-GA DPRs are taken up via dynamin-dependent and -independent endocytosis, eventually converging at the lysosomal compartment and leading to axonal swellings in neurons. We then use a co-culture system to demonstrate astrocyte-to-motor neuron DPR propagation, showing that astrocytes may internalise and release aberrant peptides in disease pathogenesis. Overall, our results shed light on the mechanisms of poly-GA cellular uptake and propagation, suggesting lysosomal impairment as a possible feature underlying the cellular pathogenicity of these DPR species.