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Impaired eIF5A function causes a Mendelian disorder that is partially rescued in model systems by spermidine

Authors: Víctor Faundes; Martin D. Jennings; Siobhan Crilly; Sarah Legraie; Sarah E. Withers; Sara Cuvertino; Sally J. Davies; +17 Authors

Impaired eIF5A function causes a Mendelian disorder that is partially rescued in model systems by spermidine

Abstract

AbstractThe structure of proline prevents it from adopting an optimal position for rapid protein synthesis. Poly-proline-tract (PPT) associated ribosomal stalling is resolved by highly conserved eIF5A, the only protein to contain the amino acid hypusine. We show that de novo heterozygous EIF5A variants cause a disorder characterized by variable combinations of developmental delay, microcephaly, micrognathia and dysmorphism. Yeast growth assays, polysome profiling, total/hypusinated eIF5A levels and PPT-reporters studies reveal that the variants impair eIF5A function, reduce eIF5A-ribosome interactions and impair the synthesis of PPT-containing proteins. Supplementation with 1 mM spermidine partially corrects the yeast growth defects, improves the polysome profiles and restores expression of PPT reporters. In zebrafish, knockdown eif5a partly recapitulates the human phenotype that can be rescued with 1 µM spermidine supplementation. In summary, we uncover the role of eIF5A in human development and disease, demonstrate the mechanistic complexity of EIF5A-related disorder and raise possibilities for its treatment.

Keywords

Male, Polyamine, 570, Embryo, Nonmammalian, Adolescent, Promotes translation, Protein Conformation, Science, Developmental Disabilities, Micrognathism, Intellectual disability, 610, Article, Hypusine, In-vivo, Peptide Initiation Factors, Complex, Animals, Humans, Protein Isoforms, Amino Acid Sequence, Elongation, Child, Lysine, Q, Gene Expression Regulation, Developmental, RNA-Binding Proteins, Messenger-rna, Translation factor EIF5A, Protein Biosynthesis, Microcephaly, Female, Peptides, Ribosomes, Mutations

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
52
Top 1%
Top 10%
Top 1%
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