Article,
Monoallelic de novo AJAP1 loss-of- function variants disrupt trans-synaptic control of neurotransmitter release
Affiliations
- [1] University of Basel [NORA names: Switzerland; Europe, Non-EU; OECD];
- [2] Albert-Ludwigs-Universität [NORA names: Germany; Europe, EU; OECD];
- [3] Institute of Science and Technology Austria [NORA names: Austria; Europe, EU; OECD];
- [4] University of Copenhagen [NORA names: KU University of Copenhagen; University; Denmark; Europe, EU; Nordic; OECD];
- [5] University of Lausanne [NORA names: Switzerland; Europe, Non-EU; OECD];
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Abstract
Adherens junction-associated protein 1 (AJAP1) has been implicated in brain diseases; however, a pathogenic mechanism has not been identified. AJAP1 is widely expressed in neurons and binds to γ-aminobutyric acid type B receptors (GBRs), which inhibit neurotransmitter release at most synapses in the brain. Here, we show that AJAP1 is selectively expressed in dendrites and trans-synaptically recruits GBRs to presynaptic sites of neurons expressing AJAP1. We have identified several monoallelic AJAP1 variants in individuals with epilepsy and/or neurodevelopmental disorders. Specifically, we show that the variant p.(W183C) lacks binding to GBRs, resulting in the inability to recruit them. Ultrastructural analysis revealed significantly decreased presynaptic GBR levels in Ajap1-/- and Ajap1W183C/+ mice. Consequently, these mice exhibited reduced GBR-mediated presynaptic inhibition at excitatory and inhibitory synapses, along with impaired synaptic plasticity. Our study reveals that AJAP1 enables the postsynaptic neuron to regulate the level of presynaptic GBR-mediated inhibition, supporting the clinical relevance of loss-of- function AJAP1 variants.