Abstract
Local control of gene expression provides critical mechanisms for regulating development, maintenance and plasticity in the nervous system. Among the strategies known to govern gene expression locally, mRNA transport and translation have emerged as essential for a neuron’s ability to navigate developmental cues, and to establish, strengthen and remove synaptic connections throughout lifespan. Substantiating the role of RNA processing in the nervous system, several RNA binding proteins have been implicated in both developmental and age dependent neurodegenerative disorders. Of these, TDP-43 is an RNA binding protein that has emerged as a common denominator in amyotrophic lateral sclerosis (ALS), frontotemporal dementia (FTD) and related disorders due to the identification of causative mutations altering its function and its accumulation in cytoplasmic aggregates observed in a significant fraction of ALS/FTD cases, regardless of etiology. TDP-43 is involved in multiple aspects of RNA processing including splicing, transport and translation. Given that one of the early events in disease pathogenesis is mislocalization from the nucleus to the cytoplasm, several studies have focused on elucidating the pathogenic role of TDP-43 in cytoplasmic translation. Here we review recent findings describing TDP-43 translational targets and potential mechanisms of translation dysregulation in TDP-43 proteinopathies across multiple experimental models including cultured cells, flies, mice and patient derived neurons.
Introduction
One of the most unique features of a neuron is its dramatic morphology. Aside from the requisite cell body, which contains the nucleus and as little as 1% of the cytoplasm, neurons typically wield a robust network of processes including dendrites and a single axon (reviewed in ). In humans, the axon can extend beyond a meter in length and forge tens of thousands of synaptic connections (reviewed in ). Dendrites are highly branched processes and serve as the postsynaptic component of the synapse. This level of compartmentalization poses unique challenges and opportunities for spatiotemporally sensitive processes, especially for critical neuronal functions such as neural and synaptic plasticity. More specifically, neurite outgrowth, maintenance, branching, axonal turning, synaptogenesis, and synapse maintenance require carefully orchestrated, spatially and temporally controlled protein synthesis, which is achieved in part through mRNA localization and local translation (reviewed in Sutton and Schuman, 2006; ; ; ). A growing body of work over the last two decades has revealed significant dysregulation of translation in several neurodevelopmental and neurodegenerative diseases such as Fragile X Syndrome (FXS), autism spectrum disorders (ASD), amyotrophic lateral sclerosis (ALS), spinal muscular atrophy (SMA), and Alzheimer’s Disease (AD) (reviewed in ; ; Liu-Yesucevitz et al., 2011; ; ). Therefore, local translation has emerged as a critical mechanism underlying the pathogenesis of neurological disorders across lifespan.
Regulated primarily by RNA binding proteins, proper maintenance of RNA homeostasis is necessary for healthy function of the neuron. Aberrant function of several RNA binding proteins including TAR DNA-binding protein 43 (TDP-43), Fused in Sarcoma (FUS) and Senataxin (SETX) has been linked to neurodegenerative disease pathogenesis. TDP-43 is of particular interest as it participates in numerous RNA processing steps and has been identified as a major component of pathological cytoplasmic inclusions in ALS and frontotemporal dementia (FTD) (). These cytoplasmic accumulations, collectively referred to as TDP-43 proteinopathy, are a hallmark of neuron degeneration in multiple disorders including ALS (97% of cases), FTD (45% of cases) (Ling et al., 2013), Alzheimer’s disease (AD, 57% of cases), and Lewy Body Dementia (McAleese et al., 2017). Together with the identification of disease causative mutations in 2–4% of ALS patients, these findings establish TDP-43 as a common denominator across multiple neurodegenerative diseases.
Recent reports have identified TDP-43 dependent alterations in the translatome (MacNair et al., 2016; Neelagandan et al., 2019; Marques et al., 2020; Lehmkuhl et al., 2021). Whether this occurs directly, via TDP-43 association with the translation machinery or indirectly, by disturbing cellular homeostasis, recently reported translation targets of TDP-43 proteinopathy have uncovered a plethora of cellular pathways that are providing insights into potential therapeutic strategies for ALS. Here we highlight recent discoveries and mechanistic insights into TDP-43 dependent translation dysregulation in ALS/FTD.
Translation Dysregulation in TDP-43 Proteinopathy
TDP-43 Structural Features—Implications for Translation
TDP-43 is an evolutionarily conserved DNA/RNA binding protein comprising four primary domains: an N-terminal domain (NTD, aa: 1–103) with a nuclear localization signal (NLS, aa: 82–98), two RNA-recognition motifs (RRMs, aa: 104–200, 191–262), and an intrinsically disordered C-terminal low-complexity domain (LCD, aa: 274–413) (see Figure 1). Insights from key structural features and disease causative mutations in TDP-43 highlight important mechanisms that drive TDP-43 pathogenesis. The vast majority of ALS/FTD causing mutations reside within its LCD and were shown to increase the propensity of TDP-43 to aggregate (Johnson et al., 2009; ). In cases of familial ALS the A315 residue is mutated to E or T (A315E and A315T), which can lead to the assembly of tightly packing steric zippers that form stable fibrils (Nelson et al., 2005). The A315E mutation and phosphorylation of A315T also introduce electrostatic interactions into the amyloidogenic core regions of TDP-43, stabilizing larger fibril conformations that can seed irreversible aggregates (). These TDP-43 aggregates could cause translation inhibition of sequestered mRNAs or affect translation by association with factors that regulate protein synthesis (Ramaswami et al., 2013). Interestingly, oligomerization of TDP-43 through the N-terminal domain via salt bridges between D22 and R55, E3 and R52, as well as E17 and R52 has been shown to antagonize TDP-43 proteinopathy by spatially separating LCDs that may otherwise aggregate (). Furthermore, the tandem RRMs of TDP-43 are of central importance to the specificity and activity of the wild-type protein, contributing to most of its RNA binding activity. The two RRMs have distinct nucleotide specificities, but mainly recognize (UG/TG)n repeat RNA via the organization of key aromatic and charged residues (Lukavsky et al., 2013). Recent findings suggest that the RNA binding activity of TDP-43 may be of particular interest in disease, as association with long sequences of UG rich RNA has been shown to dissolve optogenetically induced TDP-43 aggregates in vitro and reduce neurotoxicity (Mann et al., 2019; ). Another interesting feature of the RRM domains is the presence of a salt bridge, R151/D247, that is not required for RNA binding per se, but regulates affinity and specificity (). Disrupting the R151/D247 salt bridge affects RNA binding and destabilizes the protein, which mitigates toxicity.
FIGURE 1
Recently, a short TDP-43 (sTDP-43) isoform upregulated by neuronal hyperactivity has been identified (Weskamp et al., 2020). It results from alternative splicing that removes most of the C terminus unstructured domain and introduces a functional nuclear export signal (NES) that causes it to localize to the cytoplasm where it can drive the aggregation of endogenous, full length TDP-43 (Weskamp et al., 2020). TDP-43 has also been shown to undergo liquid-liquid phase separation (LLPS) via its LCD, which may facilitate aggregation (
TDP-43 Mislocalization to the Cytoplasm Is a Critical Event in Disease Pathogenesis
Under physiological conditions, TDP-43 resides predominantly in the nucleus where it modulates transcription, splicing and miRNA biogenesis (
TDP-43, Stress Granules, and Translation
As an RNA binding protein, TDP-43 has a broad influence on gene expression, however, its impact on translation in particular is not well understood. Aside from direct alterations to the translation machinery, disturbances in granule dynamics and mRNA localization may contribute considerably to changes in the translatome. As new transcripts are generated in canonical cap-dependent translation (reviewed in Jackson et al., 2010), the growing pre-mRNA strands are available to associate with RNA binding proteins and form highly dynamic ribonucleoprotein (RNP) complexes (Moore and Proudfoot, 2009). The composition of an RNP complex changes with respect to its location and function in RNA metabolism, providing a mechanism for controlling the translational fate of the mRNAs it associates with (Singh et al., 2015). In the cytoplasm, translationally repressed RNP complexes can remodel into higher order structures such as stress granules, neuronal RNA transport granules, and P-bodies (
Translation can also occur independent of the 5′ cap, driven by the presence of Internal Ribosome Entry Sites (IRESs), initially discovered within viral RNAs and subsequently identified within mRNAs with certain structural features (Pelletier and Sonenberg, 1988). Cap independent translation mechanisms remain less understood compared to canonical translation and rely on RNA binding proteins known as IRES Trans-Activating Factors (ITAFs), which also play a variety of other roles in the cell (
TDP-43—Ribosome Association and Effects on Translation
The ribostasis hypothesis posits that cytoplasmic accumulation of TDP-43 leads to mRNA sequestration and translation inhibition. In support of this hypothesis, various reports indicate that TDP-43 may act as a global repressor of translation. Indeed, TDP-43 depletion in HEK cells by siRNA causes a global increase in translational yield (
TDP-43-induced changes in translation may occur through TDP-43 association with components of the protein synthesis machinery (
TABLE 1
| Manuscript | Model | TDP-43 variant/expression | Key methods | Key findings | Effects on translation | Targets/Mechanism |
| Mice; primary neurons; patient-derived stem cell MNs | ΔNLS-TDP-43 | Microfluidic culture; dox TET-off; IF; RNA IP; OPP incorporation | Cytoplasmic TDP-43 forms axonal RNP condensates, reduces local protein synthesis. Restoring TDP-43 localization reinnervates NMJs. | Axon; NMJ | Mitochondrial proteins (ATP5A1, Cox4i1, Ndufa4) | |
| Mice; HEK293 cells | TDPΔCR | Behavior; IF; IHC; SUnSET; electrophys. | Behavior/neuronal abnormalities without TDP-43 proteinopathy. Global increase in protein synthesis. Enrichment of specific targets. | Global | PABPC4, PABPC1, RPS6, EEF1A1, RPL7 | |
| Lehmkuhl et al. (2021) | Drosophila MNs; patient spinal cords | TDP-43WT; TDP-43G298S (overexpressed); TBPHRNAi | TRAP; RNA IP; RNA seq. Bioinformatics | Identified novel target. TDP-43 proteinopathy causes loss of Dlp at NMJ, increase/dlp puncta at neuropil. | Global; NMJ | Dlp |
| Wong et al. (2021) | Mice; primary neurons; HEK293 cells | Endogenous; TDP-43 Tg (overexpressed) | dSTORM; IF; RPM; | TDP-43 associates with FMRP, Staufen on RNP granules. TDP-43 proteinopathy prevents activation-induced dissolution of RNPs. | Dendrites | Map1b, GluR1, CamKII |
| Nagano et al. (2020) | Cortical neurons | TDP-43 knockdown (shRNA) | MS2 tagging system; FISH; IF; IHC; RNA IP | TDP-43 is necessary for transport of ribosomal protein mRNA in axons. | Axons | Ribosomal proteins (Rp141, Rp126, Rps7) |
| Marques et al. (2020) | Mice | TDP-43A315T; hTDP-43 hemizygous control | TRAP; RNA seq. | Identified novel translational targets of TDP-43 associated with onset of motor symptoms. | Global | Syngr4 (up), Plekhb1 (down) |
| Mice; HEK293 cells | ΔNLS-TDP-43 (overexpressed) | SUnSET; Polysome profiling; IHC | Global reduction in protein synthesis, in vitro and in vivo. | Global | ||
| Primary hippocampal neurons; pyramidal neurons | Endogenous; TDP-43 knockdown (siRNA) | TRICK RNA biosensor; RNA FISH/IF | TDP-43 cooperates with FMRP, Staufen1 to regulate dendritic mRNA transport. | Dendrites | Rac1 | |
| Neelagandan et al. (2019) | MN like cells; primary cortical neurons | hTDP-43; TDP-43A315T (overexpressed) | TRAP; ribosome footprinting; polysome profiling | TDP-43 associates with ribosomes. Enhanced translation of specific targets. | Global | Camta1, Mig12, Dennd4a (A315T) |
| Russo et al. (2017) | SHSY5Y neuroblastoma cells | ΔNLS-TDP-43 (overexpressed) | SUnSET; polysome profiling; IF | TDP-43 associates with ribosomes via RACK1. Global reduction in protein synthesis. | Global | RACK1 |
| Drosophila MNs | TDP-43WT; TDP-43G298S (overexpressed) | Polysome profiling; IHC | TDP-43 impairs hsc70-4 translation by mRNA sequestration. | NMJ | hsc70-4 | |
| Ishiguro et al. (2016) | Escherichia coli; HEK293 cells | Endogenous, purified TDP-43 | SELEX | TDP-43 associates with G quadruplex containing mRNAs. | Global | G quadruplex mRNAs |
| MacNair et al. (2016) | Mice; spinal cord motor neurons | TDP-43A315T (overexpressed) | TRAP; microarray analysis; IF; IHC | Identified two novel translational mRNA targets of TDP-43. | Global | DDX58 (up), MTHFSD (down) |
| Majumder et al. (2016) | HEK293 cells; primary mouse hippocampal neurons; | TDP-43 knockdown (RNAi) | FISH; RNA IP; IF | TDP-43 and FMRP co-repress translation of specific mRNAs. | Global; dendrites | Rac1, Map1b, GluR1 |
Summary of key findings on the role and mechanism of TDP-43 in regulating translation.
MN, motor neuron; NMJ, neuromuscular junction; IF, immunofluorescence; SUnSET, surface sensing of translation; IP, Immunoprecipitation; IHC, immunohistochemistry; RPM, ribopuromycylation; dSTORM, direct stochastic optical reconstruction microscopy; OPP, O-propargyl-puromycin; FISH, fluorescence in situ hybridization; SELEX, systematic evolution of ligands by exponential enrichment.
These studies suggest that TDP-43 may play a direct role in translational control, perhaps by direct association with ribosomes. In SHSY5Y neuroblastoma cells, TDP-43 associates with ribosomes via RACK1, a WD40 scaffold protein that binds the 40S ribosomal subunit near the mRNA exit channel and functions as a docking site for several translation machinery proteins (
Local Dysregulation of Translation: Axons and Dendrites
RNP Granule Dynamics and Transport—A Role for TDP-43 in mRNA Localization
Neural plasticity during development and synaptic remodeling relies on the local synthesis of proteins in axons and dendrites (
The physical association between TDP-43, FMRP and Staufen in post-synaptic RNP granules was recently confirmed in primary mouse cortical neurons using super-resolution fluorescence microscopy (dSTORM) (Wong et al., 2021). To mechanistically investigate the potential co-regulation of RNP granule transport in dendrites via TDP-43, Staufen1, and FMRP, molecular beacons were used to characterize the dynamics of Rac1 RNP granules in primary hippocampal neurons (
Evidence for TDP-43 Mediated Local Translation
In addition to its role in mRNA localization, TDP-43 was shown to be necessary for inhibition of translation within actively transporting RNP granules (
FIGURE 2

Physiological control of local translation by TDP-43. Post-synaptic translation (top left panel): in dendrites, activation of the post-synaptic neuron triggers the dissolution of dendritic RNP granules that in turn, causes the release of translationally silenced mRNAs making them available for translation. TDP-43 is a component of dendritic RNP granules and regulates dendritic translation of various mRNAs (Rac1, GluR1, Map1b, CamKII) (Wong et al., 2021). Stress and transport granules (bottom panel): TDP-43 associates with stress and RNA transport granules and is necessary for dendritic (
Proper analysis of the spatiotemporal regulation of local translation in axons and at synaptic terminals requires the ability to experimentally manipulate them, independent from the soma. A recent report describes a novel platform for studying motor neuron axons and neuromuscular junctions by co-culturing primary motor neurons and muscles in microfluidic chambers, enabling fluidic separation and experimental manipulation of the motor neuron cell-bodies and axons, respectively (
Additional evidence connecting mRNA transport and translation deficits was obtained from live imaging and microarray analyses of mouse cortical neurons depleted of TDP-43 (Nagano et al., 2020). RNAi knock-down of TDP-43 caused downregulation of a particular subset of ribosomal protein (RP) mRNAs in neurites but not in the cell-body, as shown by microarray analysis. To track the transport of RP mRNA by TDP-43 in living cells, fluorescence microscopy was conducted on cultured cortical neurons simultaneously expressing mCherry TDP-43 and mRNAs labeled using the MS2 tagging system (
Specific Candidate Targets as Mediators of TDP-43 Toxicity
Although TDP-43 appears to play a critical role in modulating RNP granule dynamics and mRNA localization, identifying specific translational targets of TDP-43 remains paramount in the development of novel therapeutics. Early reports identified Rac1 and futsch/Map1b, key regulators of neural plasticity, as specific mRNA targets of TDP-43 (Majumder et al., 2012;
Additional translational targets of TDP-43 have recently been reported. In aged mice expressing mutant TDP-43A315T, TRAP and microarray analyses revealed seven genes that are differentially expressed. Of these, four candidates (Ddx58, Ccl4, Prickle4, and Mthfsd) were confirmed by immunofluorescence in mouse spinal cord motor neurons. Immunohistochemistry experiments in patient derived spinal cords confirmed that DDX58 and MTHFSD, both of which are RNA binding proteins, are differentially expressed in ALS compared to controls (MacNair et al., 2016). Another study characterized changes to the motor neuron translatome in TDP-43A315T transgenic mice, specifically at the onset of motor symptoms (Marques et al., 2020). By comparing transgenic mice with wild type littermates and asymptomatic mice hemizygous for the wild type hTDP-43 transgene (Chat bacTRAP; hTDP-43WT), translational changes specifically associated with disease could be distinguished. Candidate mRNAs Syngr4 and Plekhb1 were up- and downregulated, respectively, at the transition from asymptomatic to early symptomatic motor dysfunction, as identified by TRAP and RNA sequencing approaches in spinal cord motor neurons (Marques et al., 2020). Validation experiments confirmed that SYNGR4 and PLEKHB1 protein levels were dysregulated as predicted. Interestingly, these targets were altered in two different mouse models of TDP-43 proteinopathy (TDP-43A315T and TDP-43Q331K), suggesting that they may play critical role in the progression of mutant TDP-43 driven ALS (Marques et al., 2020).
Moreover, overexpression of TDP-43 (wild type and A315T) in motor neuron-like cells and in primary cortical neurons enhanced the translation of Camta1 and Mig12 mRNAs through 5′UTR binding. Conversely, translation of Dennd4a was enhanced specifically by mutant TDP-43A315T through the 3′UTR (Neelagandan et al., 2019). Importantly, independent studies in cultured ALS motor neurons and an in vivo murine model of Parkinson’s disease identified CAMTA1 and DENND4A as “master regulators” of transcriptional programs in neurodegenerative disease (
A more recent study using RNA immunoprecipitation assays, TRAP, and bioinformatics analyses, reported the glypican Dally like protein (Dlp) as a novel TDP-43 candidate target, based on the enrichment of dlp mRNA in TDP-43 complexes and depletion from ribosomes in the context of TDP-43 proteinopathy (Lehmkuhl et al., 2021). This study further shows that surprisingly, while Dlp expression in synaptic terminals at the neuromuscular junction is significantly reduced, Dlp protein accumulates in puncta within the ventral cord neuropil suggesting that a combination of translation and transport defects are at play, and that these effects may be compartment specific. Interestingly, TDP-43 knock-down by RNAi (TBPHRNAi) was sufficient to deplete Dlp from the NMJ, but not induce significant ventral cord neuropil puncta, highlighting that TDP-43 nuclear depletion and cytoplasmic accumulation have distinct contributions to disease pathomechanism. Restoring Dlp by overexpression, in motor neurons specifically, restores Dlp expression at the synaptic terminal and mitigates TDP-43-dependent locomotor deficits. Importantly, these findings align with ALS patient data indicating that GPC6 protein, a human homolog of Dlp, accumulates in puncta within the spinal cord, mimicking the Dlp accumulations in the Drosophila ventral cord neuropil (Lehmkuhl et al., 2021). Additional targets identified in Drosophila using TRAP include metabolic pathways (e.g., pentose phosphate, nuclear encoded components electron transport chain components, oxidative stress). Of note, overexpressing glucose 6 phosphate dehydrogenase (G6PD), which is predicted to be downtranslated in the context of TDP-43G298S, mitigates locomotor deficits in Drosophila models and highlights a role for metabolic rewiring in degenerating motor neurons (Lehmkuhl et al., 2021).
Interestingly, several recent studies have identified mRNA targets of TDP-43 that encode distinct populations of proteins, such as ribosomal proteins (RPs), mitochondrial proteins, and translation factors (Nagano et al., 2020;
Discussion
Growing evidence of alterations to the translatome in TDP-43 proteinopathies supports a multifaceted role for TDP-43 involvement in translation, highlighting both physiological and pathogenic functions. TDP-43 knock-down studies demonstrate that TDP-43 is necessary for the RNP-mediated transport of mRNAs into axons (
Although TDP-43 dependent alterations in the global translatome are well documented (
Regardless of mechanism, it is clear that TDP-43 accumulation in the cytoplasm is driving translation dysregulation (see Figure 3). The identification of specific targets is critical for understanding the mechanisms underlying TDP-43 dependent proteinopathies and has already uncovered common alterations across models, such as cellular metabolism, synaptic function and cytoplasmic translation (
FIGURE 3

Translation impairments in TDP-43 proteinopathies. Post-synaptically, TDP-43 proteinopathy prevents the dissolution of dendritic RNP granules (Wong et al., 2021), thereby repressing the local translation of key mediators of synaptic plasticity (Rac1, GluR1, Map1b, CamKII). Cytoplasmic accumulation of TDP-43 in axons results in the formation of RNP condensates and causes a reduction in local translation of various mRNAs, including ribosomal proteins (Rp141, Rp126, Rps7) and nuclear encoded mitochondrial proteins (ATP5A1, Cox4i1, Ndufa4) (Nagano et al., 2020;
Questions remain on the potential connections between TDP-43’s role in transcription, splicing, RNA stability and translation that could help identify additional strategies for restoring more downstream translation deficits. A significant caveat is the limited knowledge regarding the physiological role of TDP-43 in RNA processing within the cytoplasm. The discovery of the cytoplasmically localized sTDP-43 (Weskamp et al., 2020), the increased availability of endogenously tagged TDP-43 models, and higher resolution imaging technologies, may help overcome this barrier and lead to a better understanding of the mechanistic differences between healthy and degenerating neurons that could in turn uncover novel therapeutic strategies for ALS and related neurodegenerative disorders.
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Statements
Author contributions
RTB, NPM, and DCZ wrote the manuscript. SL, RTB, and NPM made the figures. All authors contributed to the article and approved the submitted version.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
TDP-43, ALS, FTD, translation, axon, dendrite, synapse, neurodegeneration
Citation
Bjork RT, Mortimore NP, Loganathan S and Zarnescu DC (2022) Dysregulation of Translation in TDP-43 Proteinopathies: Deficits in the RNA Supply Chain and Local Protein Production. Front. Neurosci. 16:840357. doi: 10.3389/fnins.2022.840357
Received
21 December 2021
Accepted
09 February 2022
Published
07 March 2022
Volume
16 - 2022
Edited by
Lin Guo, Thomas Jefferson University, United States
Reviewed by
Martin Lothar Duennwald, Western University, Canada; Chiara F. Valori, German Center for Neurodegeneratives, Helmholtz Association of German Research Centers (HZ), Germany
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© 2022 Bjork, Mortimore, Loganathan and Zarnescu.
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*Correspondence: Daniela C. Zarnescu, zarnescu@arizona.edu
This article was submitted to Neurodegeneration, a section of the journal Frontiers in Neuroscience
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