CCNF mutations in amyotrophic lateral sclerosis and frontotemporal dementia

Abstract

Amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) are overlapping, fatal neurodegenerative disorders in which the molecular and pathogenic basis remains poorly understood. Ubiquitinated protein aggregates, of which TDP-43 is a major component, are a characteristic pathological feature of most ALS and FTD patients. Here we use genome-wide linkage analysis in a large ALS/FTD kindred to identify a novel disease locus on chromosome 16p13.3. Whole-exome sequencing identified a CCNF missense mutation at this locus. Interrogation of international cohorts identified additional novel CCNF variants in familial and sporadic ALS and FTD. Enrichment of rare protein-altering CCNF variants was evident in a large sporadic ALS replication cohort. CCNF encodes cyclin F, a component of an E3 ubiquitin-protein ligase complex (SCF^{Cyclin F} ). Expression of mutant CCNF in neuronal cells caused abnormal ubiquitination and accumulation of ubiquitinated proteins, including TDP-43 and a SCF^{Cyclin F} substrate. This implicates common mechanisms, linked to protein homeostasis, underlying neuronal degeneration.

ARTICLE

Received 10 Aug 2015 | Accepted 7 Mar 2016 | Published 15 Apr 2016

Kelly L. Williams1,2,3, Simon Topp4, Shu Yang1,2, Bradley Smith4, Jennifer A. Fita1,2, Sadaf T. Warraich1, Katharine Y. Zhang1,

Natalie Farrawell5, Caroline Vance4, Xun Hu4, Alessandra Chesi6, Claire S. Leblond7,8, Albert Lee1,9, Stephanie L. Rayner1,Vinod Sundaramoorthy1,10, Carol Dobson-Stone11,12, Mark P. Molloy1,9, Marka van Blitterswijk13, Dennis W. Dickson13, Ronald C. Petersen14, Neill R. Graff-Radford15, Bradley F. Boeve14, Melissa E. Murray13, Cyril Pottier13, Emily Don1, Claire Winnick1, Emily P. McCann1,Alison Hogan1, Hussein Daoud7,8, Annie Levert7,8, Patrick A. Dion7,8, Jun Mitsui16, Hiroyuki Ishiura16, Yuji Takahashi16, Jun Goto16, Jason Kost17,18, Cinzia Gellera19, Athina Soragia Gkazi4, Jack Miller4, Joanne Stockton20, William S. Brooks11, Karyn Boundy21, Meraida Polak22, Jos Luis Munoz-Blanco23, Jess Esteban-Prez24,25, Alberto Rbano26, Orla Hardiman27, Karen E. Morrison20,28,29, Nicola Ticozzi30,31, Vincenzo Silani30,31, Jacqueline de Belleroche32, Jonathan D. Glass22, John B.J. Kwok11,12, Gilles J. Guillemin1,Roger S. Chung1, Shoji Tsuji16,33, Robert H. Brown Jr18, Alberto Garca-Redondo24,25, Rosa Rademakers13, John E. Landers18, Aaron D. Gitler6, Guy A. Rouleau7,8, Nicholas J. Cole1,3, Justin J. Yerbury5, Julie D. Atkin1,10, Christopher E. Shaw4, Garth A. Nicholson1,2,3,34 & Ian P. Blair1,2

Amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) are overlapping, fatal neuro-degenerative disorders in which the molecular and pathogenic basis remains poorly understood. Ubiquitinated protein aggregates, of which TDP-43 is a major component, are a characteristic pathological feature of most ALS and FTD patients. Here we use genome-wide linkage analysis in a large ALS/FTD kindred to identify a novel disease locus on chromosome 16p13.3. Whole-exome sequencing identied a CCNF missense mutation at this locus. Interrogation of international cohorts identied additional novel CCNF variants in familial and sporadic ALS and FTD. Enrichment of rare protein-altering CCNF variants was evident in a large sporadic ALS replication cohort. CCNF encodes cyclin F, a component of an E3 ubiquitinprotein ligase complex (SCFCyclin F). Expression of mutant CCNF in neuronal cells caused abnormal ubiquitination and accumulation of ubiquitinated proteins, including TDP-43 and a SCFCyclin F substrate. This implicates common mechanisms, linked to protein homeostasis, underlying neuronal degeneration.

1 Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales 2109, Australia. 2 Northcott Neuroscience Laboratory, ANZAC Research Institute, Sydney, New South Wales 2139, Australia. 3 Sydney Medical School, University of Sydney, Sydney, New South Wales 2006, Australia.

4 Medical Research Council Centre for Neurodegeneration Research, Department of Clinical Neuroscience, Institute of Psychiatry, Kings College London, London SE5 8AF, UK.

5 Illawarra Health and Medical Research Institute, School of Biological Sciences, University of Wollongong, Wollongong, New South Wales 2522, Australia. 6 Department of Genetics, Stanford University School of Medicine, Stanford, California 94305, USA. 7 Montreal Neurological Institute and Hospital, Department of Neurology and Neurosurgery, McGill University, Montreal, Qubec, Canada H3A 2B4. 8 Pathology and Cellular Biology Department, Montreal University, Montreal, QC H3T 1J4 Qubec, Canada. 9 Australian Proteome Analysis Facility, Macquarie University, Sydney, New South Wales 2109, Australia. 10 Department of Biochemistry, La Trobe University, Melbourne, Victoria 3086, Australia. 11 Neuroscience Research Australia, Randwick, Sydney, New South Wales 2031, Australia. 12 School of Medical Sciences, University of New South Wales, Kensington, Sydney, New South Wales 2052, Australia. 13 Department of Neuroscience, Mayo Clinic Florida, Jacksonville, Florida 32224, USA. 14 Department of Neurology, Mayo Clinic Rochester, Rochester, Minneapolis 55905, USA. 15 Department of Neurology, Mayo Clinic Florida, Jacksonville, Florida, 32224, USA. 16 Medical Genome Center, The University of Tokyo Hospital, The University of Tokyo, Tokyo 113-8655, Japan. 17 Worcester Polytechnic Institute, Worcester, Massachusetts 01609, USA. 18 Department of Neurology, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA. 19 Unit of Genetics of Neurodegenerative and Metabolic Diseases, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy. 20 School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK. 21 The Queen Elizabeth Hospital, Woodville South, South Australia 5011, Australia. 22 Department of Neurology, Emory University, Atlanta, Georgia 30322, USA. 23 Unidad de ELA, Instituto de Investigacin Hospital Gregorio Marann de Madrid, Sermas 28007, Spain. 24 Unidad de ELA, Instituto de Investigacin Hospital 12 de Octubre de Madrid, Sermas 28041, Spain. 25 Centro de Investigacin Biomdica en Red de Enfermedades Raras (CIBERER U-723), Madrid 28029, Spain. 26 Banco de Tejidos, Centro Alzheimer Fundacin Reina Soa, Fundacin CIEN, Madrid 28071, Spain. 27 Academic Unit of Neurology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin 2, Republic of Ireland. 28 Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK. 29 Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UK. 30 Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy. 31 Department of Pathophysiology and Transplantation, Dino Ferrari CenterUniversit degli Studi di Milano, 20122 Milan, Italy. 32 Neurogenetics Group, Division of Brain Sciences, Imperial College London, Hammersmith Hospital Campus, London W12 0NN, UK. 33 Department of Neurology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan. 34 Molecular Medicine Laboratory, Concord Hospital, New South Wales 2139, Australia. Correspondence and requests for materials should be addressed to I.P.B. (email: mailto:[email protected]

Web End [email protected] ).

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DOI: 10.1038/ncomms11253 OPEN

CCNF mutations in amyotrophic lateral sclerosis and frontotemporal dementia

ARTICLE NATURE COMMUNICATIONS | DOI: 10.1038/ncomms11253

Amyotrophic lateral sclerosis (ALS) is a late-onset fatal disorder characterized by the progressive degeneration of upper and lower motor neurons. Approximately 10% of

ALS cases have a positive family history (familial ALS) and appear clinically indistinguishable from sporadic ALS cases. Mutations in several genes including SOD1, TARDBP, FUS, UBQLN2, PFN1, OPTN, VCP, MATR3, TUBA4A and C9ORF72 account for approximately two-thirds of familial ALS and 5% of sporadic ALS cases111. Other ALS families are not linked to known loci and the cause of most sporadic ALS also remains unknown. Upto 15% of ALS patients are also diagnosed with frontotemporal dementia (FTD) and segregation of both ALS and FTD may be seen within families, particularly those with mutations in C9ORF72 (refs 7,8).

The aetiology of ALS remains poorly understood but recent ALS gene discoveries are providing insight into pathological disease mechanisms and are critical to the development of in vitro and in vivo models to study pathogenesis. Coupling linkage analysis with next-generation sequencing provides a powerful approach for the identication of novel ALS genes. Here we use this approach to discover a pathogenic CCNF mutation in a large ALS-FTD family. Additional CCNF mutations were identied in diverse international familial ALS and FTD cohorts. Signicant enrichment of novel and rare protein-altering variants in CCNF was observed in a replication cohort of sporadic ALS cases relative to controls. A hallmark pathological feature of most ALS and FTD cases is the presence of abnormally ubiquitinated proteins, particularly TDP-43, in neuronal cytoplasmic inclusions12. We demonstrated that mutant cyclin F, encoded by CCNF, resulted in abnormal ubiquitination and accumulation of ubiquitinated proteins, including TDP-43.

ResultsLinkage mapping implicates a new ALS locus on chromosome 16. To identify novel ALS loci, we performed two independent genome-wide scans for linkage in an Australian multi-generational family (FALS10, historically of UK ancestry) comprising 10 individuals with ALS and/or FTD (Fig. 1a). The family displays autosomal dominant inheritance of disease and mutations in all known ALS genes were excluded. The rst genome-wide scan for linkage, which used 10 K Affymetrix single-nucleotide polymorphism (SNP) arrays, implicated candidate loci with maximum multipoint LOD scores 41.9 but o3, on chromosomes 11p15.4-p14.3, 16p13.3-p12.3 and 20p13-p12.2, respectively (Supplementary Fig. 1b). The second genome-wide scan for linkage, which used 539 microsatellite markers, generated LOD scores 43.0 at a single candidate region on chromosome 16 (maximum genome-wide two-point LOD score of 3.16, y 0, at D16S3065) that overlapped the

chromosome 16 interval identied by the initial, SNP-based, linkage scan (Supplementary Fig. 1a). Fine mapping and recombinant haplotype analysis using a dense coverage of microsatellite markers spanning the chromosome 16 interval rened the minimal candidate region to 7.5 Mb on chromosome 16p13.3 anked by D16S521 and D16S418, with a maximum two-point LOD score of 3.24, y 0, at D16S3082 (Supplementary

Table 1). Multipoint linkage analysis of the 7.5 Mb disease haplotype indicated LOD scores 43 across the entire linked disease interval (Supplementary Fig. 1c). In summary, unbiased genome-wide linkage analysis in family FALS10 identied a single novel familial ALS/FTD locus on chromosome 16p13.3.

A missense mutation in CCNF in a large ALS/FTD family. Four family members with ALS or FTD (FALS10, individuals II:10, II:13, III:1 and III:15) were chosen for whole-exome sequencing.

The mean read depth for these patients was 119.3, with an

average of 6.01 109 base pairs sequenced per individual.

To identify candidate mutations, exome sequence variants were annotated and ltered (Supplementary Table 2) using the following criteria: the variant was present in four affected family members, resulted in altered amino-acid sequence, and was absent from public SNP databases including dbSNP137, the 1000 Genomes Project (40.001 frequency, October 2011 release), the

NHLBI Exome Sequencing Project (ESP) exome variant server (6,503 sequenced human exomes), and ExAC database (40.001 frequency). Of the two variants that remained following ltering, one was located within the linked region on chromosome 16p13.3 and the other lies in a region on chromosome 22 that was excluded by linkage analysis (LOD scores o 2 for multiple

anking markers). The variant in the linked region lies in the CCNF gene, leads to an A to G substitution at position 1,861 of the coding DNA (c.1861A4G) and results in an amino-acid substitution of serine with glycine at codon 621 at the protein level (p.S621G). Sanger sequencing of 29 family members demonstrated segregation of the mutation in all affected family members for whom DNA was available (three ALS and one FTD). We also genotyped the offspring of other ALS patients for whom DNA was unavailable (deceased), and demonstrated segregation of the mutation in a further three patients (that is, obligate carriers, Fig. 1a,b). As such, we have shown segregation of the CCNF c.1861A4G mutation in seven ALS patients from family FALS10. The mutation was present in four at-risk family members (three o40 years, one o60 years). This variant was absent from 1,831 control individuals recruited from the same population. This variant is present in the ExAC database as a singleton (MAF 8.629 10 6). It is important to note that the

ExAC database also includes other reported ALS/FTD mutations as singletons (including SOD1, FUS and GRN). Here unbiased whole-exome sequencing in family FALS10 identied two novel missense variants as candidate pathogenic mutations, one of which lies within the novel linked locus on chromosome 16p13.3 and segregated with disease.

CCNF variants in ALS/FTD from diverse geographic populations. To determine whether mutations in CCNF are present in other ALS and FTD patients, we used targeted sequencing, whole-exome sequencing or whole-genome sequencing in the following discovery cohorts: index cases from 75 Australian ALS families, 159 UK ALS families, 108 USA ALS families, 100 Canadian ALS families, 99 Italian ALS families, 32 Japanese ALS families, 30 Spanish ALS families, 16 Irish ALS families, 283 Japanese sporadic ALS cases, 168 French-Canadian sporadic ALS cases,26 USA sporadic ALS cases, 49 USA ALS trios, 99 USA FTD (FTLD-TDP) cases, 43 Australian FTD families and 29 Australian sporadic FTD cases. In familial ALS and/or FTD patients, we identied ve additional novel missense mutations in CCNF (Table 1). In sporadic ALS and/or FTD patients, we found 19 protein-altering variants in CCNF (missense, nonsense and frameshift), including seven novel variants (Supplementary Table 4). Sanger sequencing conrmed all novel CCNF variants. Most of the novel variants substitute amino acids that are highly conserved across species (Fig. 1d). All variants were examined in large control cohorts and data sets including: dbSNP; NHLBI ESP Exome Variant Server, 1000 Genomes Project, ExAC, the Japanese Human Genetic Variation Database and 967 Australian control exomes (of European ancestry). Selected variants were also tested in population-specic control cohorts from the UK, USA, Canada and Japan. None of the familial mutations or novel sporadic variants were present in genotyped controls and were absent from the public databases (Table 1). The average age of

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l772T

Figure 1 | CCNF mutations in ALS-FTD identied following genetic linkage analysis and exome sequencing. (a) Pedigree of family FALS10. All family members from whom DNA was available for genotyping are indicated by either wild type (WT) for CCNF, or by mutation in CCNF (S621G). Individuals with ALS are represented by a black-lled symbol, individuals with FTD by a grey-lled symbol. Arrows indicate samples used for exome sequencing.(b) Sequence traces of WT and c.1861A4G mutation identied in family FALS10. (c) Diagrammatic representation of cyclin F protein and the location of novel mutations identied in this study. Cyclin F contains three functional modules within its protein structure. The F-box domain forms a pseudocatalytic

module, the two cyclin domains form the substrate recruitment module and the C terminus contains both a nuclear localization signal (NLS) and a PEST sequence (short stretch of amino acids enriched in proline, glutamic acid, serine and threonine) that form the regulatory module16. (d) Multiple sequence alignment of cyclin F across species showing evolutionary conservation of the substituted amino-acid residues (indicated by arrows). Sequences include NP_001752.2 (human), NP_001252844.1 (chimpanzee), NP_031660.3 (mouse), NP_001093944.1 (rat), NP_001092340.1 (cow), NP_001079901.1 (frog) and NP_996931.1 (zebrash).

Table 1 | ALS and/or FTD mutations in CCNF.

Amino-acid change Nucleotide change Exon Cohort Control samples (Sanger and exome) Public database MAF Familialp.S3G 7A4G 1 1/99 US FTLD-ALS 0/1038 US controls 0/657 AU controls 0/967 AU control exomes

Absent

p.K97R 290A4G 4 1/159 UK FALS 0/897 UK controls 0/967 AU control exomes

Absent

p.S195R 585T4G 6 1/30 SP FALS 0/967 AU control exomes Absentp.S509P 1525T4C 13 1/99 IT FALS 1/168 CA SALS

0/361 CA controls 0/967 AU control exomes

Absent

p.S621G 1861A4G 16 1/75 AU FALS 0/864 AU Sanger controls 0/967 AU control exomes

Absent*

p.I772T 2315T4C 17 1/159 UK FALS 0/897 UK controls 0/967 AU control exomes

Absent

Sporadic

p.T181I 542C4T 6 1/283 JA SALS 0/514 JA controls0/967 AU control exomes

Absent*

p.R392T 1175G4C 11 1/99 US FTLD 0/1038 US controls 0/967 AU control exomes

Absent

p.T543I 1628C4T 15 1/283 JA SALS 0/514 JA controls0/967 AU control exomes

Absent

p.E624K 1870G4A 16 1/49 US SALS trios 0/801 AU Sanger controls 0/967 AU control exomes

Absent*

ALS, Amyotrophic lateral sclerosis; AU, Australian; CA, Canadian; ESP, Exome Sequencing Project; IT, Italian; MAF, minor allele frequency; SP, Spanish; UK, United Kingdom; US, USA.

CCNF accession NM_001761. Data were mined from whole exome or genome sequence data and validated by Sanger sequencing. Public databases include dbSNP; NHLBI ESP Exome Variant Server and 1000 Genomes Project.*Variant was present as a singleton in ExAC, frequency of 8.6 10

6.

disease onset in familial ALS cases with a CCNF mutation is55.38.0 (Supplementary Table 3). Detailed clinical descriptions are provided in the Supplemental Information. No clear relationship was evident between the location of mutations and clinical phenotype. Familial ALS/FTD mutations in CCNF were present in the overall cohorts from these diverse geographic populations at frequencies ranging from 0.6 to 3.3%, which is comparable to the frequency of mutations in TARDBP (which

encodes TDP-43) and FUS that have been reported in familial ALS cohorts13.

Enrichment of rare protein-altering variants in sporadic ALS. To further evaluate whether rare protein-altering CCNF variants are associated with sporadic ALS, we examined an independent replication cohort of cases and controls. CCNF variants were

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ARTICLE NATURE COMMUNICATIONS | DOI: 10.1038/ncomms11253

identied in 611 Australian sporadic ALS cases and 1,424 cases from the ALS Data Browser data set. For the control data set, we used rare CCNF variants from the ExAC database (MAF o0.0001). Variants were subject to analysis if they were considered functional (nonsense, missense or frameshift) and passed quality ltres (described in Methods). Fishers exact test revealed an enrichment of rare protein-altering variants in CCNF among sporadic ALS patients (1.39%) compared with controls (0.67%), P 6.58 10 4.

UPS dysfunction and ubiquitination of TDP-43. CCNF (also called FBXO1) encodes the 786 amino-acid cyclin F protein (Fig. 1c). Cyclin F is a member of the cyclin protein family, but unlike most cyclins, it does not bind or activate a cyclin dependent kinase (CDK)14. Cyclin F is also a member of the F-box protein family characterized by an F-box motif that binds directly to SKP1, which in turn recruits CUL1 to form a SCF (SKP1-CUL1-F-box protein) E3 ubiquitinprotein ligase complex (SCFCyclin F)15,16. E3s mediate the ubiquitination and proteasomal degradation of target proteins and are an integral component of the ubiquitin proteasome system (UPS).

Aberrant misfolded proteins are targeted for disposal by protein degradation pathways including the UPS and autophagic lysosomal system, both of which are components of the complex network that maintains protein homeostasis (proteostasis). The accumulation of neuronal protein aggregates in ALS patients implicates dysfunction of the proteostasis network through inappropriate or inadequate response to aberrant proteins17. As a ubiquitinprotein ligase, cyclin F catalyses the transfer of activated ubiquitin to target proteins15. To investigate whether the ALS/FTD-associated variants in cyclin F lead to proteostasis dysfunction, we used the UPS reporter, GFPu, that consists of a 16 amino-acid degron (CL1, a specic substrate for the UPS), fused to the carboxyl terminus of green uorescent protein (GFP)18. The degron sequence ensures rapid degradation of the GFP fusion through ubiquitin-mediated pathways, and the accumulation of this GFP reporter indicates UPS impairment. We conrmed that GFPu signal correlates with UPS function in a motor neuron-like cell line (NSC-34) by inhibiting proteasome function using either the chemical inhibitor MG132, or expression of a mutant huntingtin exon 1 fragment containing an expanded polyQ sequence previously shown to inhibit the proteasome19 (Supplementary Fig. 2). Next, we co-transfected the NSC-34 cell line with GFPu and either mutant cyclin F or wild-type cyclin F (Supplementary Table 4). Signicantly higher levels of GFPu uorescence were observed for cyclin F with ALS/FTD-associated variants, indicating UPS dysfunction (Fig. 2a). This effect was independent of cyclin F expression levels (Fig. 2b). To examine whether the signicant accumulation of GFPu arose from the loss of proteasome activity or occurred upstream of the proteasome, we used two separate ubiquitin-independent small peptide 20S proteasome activity assays. These demonstrated that the UPS dysfunction was not due to altered proteolysis in the proteasome (Supplementary Fig. 3), consistent instead with the dysfunction stemming from abnormal ubiquitination or transport to the proteasome, mechanisms that are mediated, in part, by cyclin F. Consistent with these observations, western blotting conrmed the presence of signicantly more ubiquitinated proteins in neuronal cell lines expressing mutant cyclin F (Fig. 3a,b). Collectively our data suggest that ALS/FTD-associated variants in CCNF modify the activity of SCFCyclin F resulting in overaccumulation of ubiquitinated proteins. To specically demonstrate this, we found higher levels of the known SCFCyclin F target, RRM2 (Fig. 3a,b), including higher levels of ubiquitinated RRM2 (Fig. 3c), in neuronal cells expressing mutant cyclin F. Notably, we also observed

substantially elevated levels of ubiquitinated TDP-43 in neuronal cells expressing mutant cyclin F (Fig. 3c).

DiscussionWe performed whole-genome linkage analysis and whole-exome sequencing in one of the largest ALS/FTD pedigrees to be described in recent years. ALS/FTD was signicantly linked to a single locus encompassing CCNF and exome sequencing identied a single CCNF mutation that segregated with seven affected family members. We extended mutation discovery and rare variant analysis to ALS/FTD cohorts from diverse geographic populations, most of European ancestry. Analysis in a replication cohort showed a signicant enrichment of novel and rare protein-altering CCNF variants in sporadic ALS patients. This suggests that aberrant cyclin F plays a role in both familial and sporadic ALS pathogenesis. Diagnosis of primary lateral sclerosis (PLS, an upper motor neuron disease) in a mutation carrier suggests that the spectrum of CCNF-linked motor neuron disease is wider than ALS.

a

**

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1,500

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500 Wild type Novel FALS/FTD

Novel SALS/FTD

b

l772TS3G S621G

R392T

E624K

S509P S195R

CCNF level

1,500

Figure 2 | Mutant cyclin F impairs ubiquitin-mediated proteasomal degradation. NSC-34 cells were co-transfected with GFPu and either wild type or mutant cyclin F, tagged with mCherry. GFPu uorescence intensity was analysed by ow cytometry 48 h post transfection. (a) Plot of GFPu uorescence intensity following ow cytometry. A signicantly higher level of GFPu uorescence was observed in cells expressing novel cyclin F mutations (blue data points) when compared with those expressing wt CCNF (red data points) WT v FALS/FTD P 0.0017, d.f. 11; WT v SALS/

FTD P 0.001, d.f. 7; two-tailed unpaired Students t-test). (b) The higher

level of GFPu uorescence was independent of the level of cyclin F as quantied using mCherry signalR-squared 0.13. Red dashed lines

represent the WT mean. Data are represented as mean,s.e.m. n 3 (n is

one experiment consisting of the mean of 50,000 cells); **Po0.01. d.f., degrees of freedom.

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a b

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Cyclin F-mCherry

TDP-43

-actin

Ubiquitin-IP Supernatent

Neuro-2a NSC-34

Figure 3 | Increased ubiquitinated proteins in neuronal cell lines expressing mutant cyclin F. NSC-34 and Neuro-2a cells were transfected with wild-type or mutant cyclin F (p.S621G) expression constructs, and cells were collected after 24 h. (a,b) Cells transfected with mutant cyclin F (p.S621G) show increased levels (normalized to transfected cyclin F-mCherry) of ubiquitinated proteins and a known cyclin FSCF complex target, RRM2 (Neuro-2a: Ubiq/cyclin F, P 0.025; RRM2/cyclin F, P 0.020. NSC-34: Ubiq/cyclin F, P 0.032; RRM2/cyclin F, P 0.023; two-tailed unpaired Students t-test).

(c) Immunoprecipitation (IP) of ubiquitinated proteins from transfected Neuro-2a cells (wild-type and mutant cyclin F (p.S621G)) show elevated levels of ubiquitinated RRM2 and TDP-43 in neuronal cells expressing mutant cyclin F. Full-length blots are presented in Supplementary Fig. 4. Data are represented as means.e.m. n 3; *Po0.05.

Neuronal accumulations of ubiquitinated TDP-43 are a major pathological feature of almost all ALS cases, and the majority of FTD cases. However, the mechanisms responsible for TDP-43 ubiquitination are poorly understood. We demonstrated that ALS/FTD-associated variants in CCNF are responsible for abnormal increases in ubiquitination of TDP-43 and may to be responsible for wider changes in protein homeostasis. Further studies can now commence to conrm whether CCNF mutations lead to aberrant misfolded proteins and the accumulation of neuronal protein aggregates in ALS and FTD patients.

Abnormal protein homeostasis has been hypothesized to play a role in ALS pathogenesis. Convincing genetic linkage to familial ALS has also been shown for UBQLN2, which encodes ubiquilin 2, a protein that physically associates with ubiquitin ligases and proteasomes to mediate protein degradation14. Ubiquilin-2-positive neuronal inclusions are seen in affected motor neurons of some ALS and ALS/FTD patients, and ALS-linked mutations in ubiquilin 2 have also been shown to impair protein degradation mediated by the UPS4,20. Several other molecules that are functionally linked with cellular protein degradation pathways have also been associated with ALS (reviewed by Ling et al.17). Putative ALS-associated variants have been described in SQSTM1/p62, a ubiquitin binding protein with roles in protein degradation via the proteasome and autophagy. Interestingly, one of these SQSTM1/p62 variants and two cyclin F mutations described here, lie in a PEST sequence, a domain that is thought to act as a signal peptide for protein degradation21. ALS mutations have also been described in OPTN, an autophagic adaptor protein that binds substrates targeted for degradation and delivers them to autophagosomes6. OPTN-linked pathogenic mechanisms remain to be determined. A VCP mutation linked to inclusion body myopathy with Pagets disease of the bone and frontotemporal dementia (IBMPFD) impairs ER-associated degradation of ubiquitinated proteins from the ER22. VCP mutations have also been described in ALS cases

but the mechanisms by which these lead to motor neuron degeneration remain unclear10. There is also evidence that defects in molecules functionally related to cyclin F play a role in other neurodegenerative diseases. Mutations in the related F-box only protein 7 gene (FBXO7) cause autosomal recessive, early-onset, parkinsonian-pyramidal syndrome and lead to decreased stability of the FBXO7 protein23. Similar to cyclin F, the F-box motif of FBXO7 interacts directly with Skp1 to form the SCF E3 ubiquitinprotein ligase complex15. Furthermore, around 10% of early-onset Parkinsons disease cases are caused by mutations in PARK2, which encodes Parkin, an E3-ubiquitin ligase. Parkin mutations impair degradation of its substrates, leading to accumulation of toxic products and eventually cell death24.

The known ALS proteins TDP-43 and FUS are capable of assembling into stress granules in response to oxidative stress and environmental insults, a process that is accelerated by ALS-linked mutations (reviewed by Li et al.25). Indeed, stress granules have been described as the crucibles of ALS pathogenesis25. Stress granules play a role in messenger RNA homeostasis and form during cellular stress, presumably to halt translation of non-essential transcripts. TIA-1, a messenger RNA-binding protein, translocates from the nucleus to seed stress granule formation in the cytoplasm. It was recently demonstrated that TIA-1 knockdown in mouse spinal cord and cerebellum led to marked and consistent increase in the expression of CCNF26.

Like most known ALS-linked molecules, it remains to be determined whether the functional consequences of CCNF mutations lead to a toxic gain of function or dominant-negative loss of function or haploinsufciency. We found one CCNF frameshift variant (p.L372fs) that did not segregate with disease, suggesting that a dominant toxic gain of function may be required for mutant CCNF pathogenicity.

Segregation of the mutation with disease was clearly established in the large discovery family but could not be determined for other familial mutations in the discovery cohort due to the

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absence of DNA from other affected family members. This is now typical for familial ALS/FTD cohort studies, as almost all extended kindreds have been solved, leaving only single probands. We cannot conclusively determine that the additional novel familial CCNF mutations are the sole cause of disease, however, most substitute highly conserved residues and led to UPS dysfunction in vitro. Further resequencing of CCNF is warranted in other ALS and FTD cohorts, particularly those of European ancestry. Our data suggest that mutation of the encoded E3 ubiquitin ligase caused abnormal ubiquitination, implicating that common mechanisms, linked to protein home-ostasis, underlie neurodegeneration in ALS and FTD. Additional functional studies, including animal models, can now commence to assess the pathogenic mechanism, and identify the targets of the mutant SCFCyclin F complex. These target molecules may, in turn, be considered candidate ALS and FTD genes.

Methods

Participants and samples. Patients, family members and unrelated controls were recruited under informed written consent as approved by the institutional review boards of Macquarie University, Kings College London, Imperial College London, University of Massachusetts at Worcester, Stanford University, Emory University, McGill University Health Center, University of New South Wales, Mayo Clinic, Queen Elizabeth Hospital (South Birmingham Research Ethics Committee), Beaumont Hospital, Hospital Universitario 12 de Octubre, Fundacin CIEN, IRCCS Istituto Auxologico Italiano and Fondazione IRCCS Istituto Neurologico C. Besta, and the University of Tokyo. Patients were diagnosed with denite or probable ALS according to El Escorial criteria27. Patients had previously been screened for mutations/expansions in known ALS genes including TARDBP, SOD1, FUS, UBQLN2, OPTN, VCP, PFN1 and C9ORF72. Formalin-xed, parafn-embedded cervical spinal cord sections from Australian patients and neurologically normal controls were provided by New South Wales Tissue Resource Centre (Sydney, Australia).

Genetic linkage analysis. Genomic DNA was extracted from peripheral blood using standard protocols. For SNP-based genetic linkage analysis, genotyping was undertaken using the Affymetrix GeneChip Mapping 10Kv2.0 XbaI Array containing 10,204 SNP markers following the manufacturers instructions and apparatus (Affymetrix, Santa Clara, CA, USA). The raw microarray feature intensities were processed using the Affymetrix Genotyping Tools software package (GCOS/GTYPE) to derive SNP genotypes, marker order and linear chromosomal location. Parametric multipoint linkage analysis of SNP data was performed using Merlin v1.1 with intermarker distances obtained from the Marsheld (http://research.marshfieldclinic.org/

Web End =http://research.marsheldclinic.org/) and deCODE (http://www.decode.com/

Web End =http://www.decode.com/) sex-averaged SNP linkage maps.

For microsatellite-based genetic linkage analysis, genotyping was performed by deCODE genetics using 539 microsatellite markers spaced at an average of 8 cM. Two-point and multipoint linkage analysis was performed using the FASTLINK v4.1 program of the easyLINKAGE v5.08 package28,29 and graphed using R package lodplot v1.2. All available family members were used for analysis. Parameters for linkage analysis included autosomal dominant inheritance, age-dependent penetrance (030 years, 1%; 3140 years, 30%; 4150 years, 50%; 5160 years, 70%; 6170 years, 85%, 470 years, 90%), a disease allele frequency of0.0001, equal male and female recombination, and equal marker allele frequencies. For ne mapping across the chr16p13.3 haplotype, control allele frequencies and, where available, CEPH allele frequencies were used to calculate two-point and multipoint LOD scores. Multipoint linkage analysis was performed under three penetrance models including the age-dependent penetrance classes described above, as well as 100 and 70% disease penetrance.

Sequencing and mutation analysis. Exomes were captured using TruSeq Exome Enrichment kit or Agilent SureSelectXT Human All Exon V4. Paired-end sequencing was performed using the Illumina HiSeq2000 instrument.

CCNF exons were sequenced using Fluidigm Access Array target enrichment and the MiSeq sequencing platform (Illumina). Amplicon primers were designed using the Fluidigim D3 Design Studio to produce 150 bp amplicons targeting the exons of CCNF.

Validation and analysis of the CCNF mutations was performed by direct DNA sequencing following PCR amplication of coding exons (NM_001761). PCR products were Sanger sequenced using Big-Dye terminator sequencing and an ABI 3730XL DNA analyser (Applied Biosystems).

SNP genotyping in control individuals was performed using a custom TaqMan SNP genotyping assay according to the manufacturers instructions (Life Technologies) and analysed using a Viia 7 real-time PCR system(Life Technologies).

Control exome data from 967 neurologically healthy individuals of predominantly Western European descent obtained from the Diamantina Institute, University of Queensland (Diamantina Australian Control Collection).

Bioinformatics. Sequencing reads generated by the Illumina platform were aligned to the hg19 human genome assembly using BWA v0.6.1 (ref. 30), variants were called using SAMtools v0.1.16 (ref. 31) and annotated using ANNOVAR32. Annotated variants were compared among affected family members and controls using R v3.1.1 (http://www.R-project.org/

Web End =http://www.R-project.org/) 33. Filtering of variants was performed using dbSNP (releases 131, 132, 134 and 137; https://www.ncbi.nlm.nih.gov/SNP/

Web End =https://www.ncbi.nlm.nih.gov/SNP/ ), 1000 Genomes Project (Nov 2010 release; http://www.1000genomes.org/

Web End =http://www.1000genomes.org/ ) and the ESP exome variant server (ESP6500 data release; http://evs.gs.washington.edu/EVS/

Web End =http://evs.gs.washington.edu/EVS/ ).

Sequence reads generated by MiSeq were mapped to the hg19 human genome assembly using BWA30. GATK3436 was applied to mapped reads for realigning and recalibration of base quality scores and variant calling. ANNOVAR32 was used for annotation of variants.

Quality lters for rare variant enrichment analysis include read depth Z10 in 475% of all samples and genotype quality 420.

Conservation of cyclin F orthologues was examined by aligning sequences from a variety of species (Entrez protein database; http://ncbi.nlm.nih.gov

Web End =http://ncbi.nlm.nih.gov ) using Clustal Omega (http://www.ebi.ac.uk/Tools/msa/clustalo/

Web End =http://www.ebi.ac.uk/Tools/msa/clustalo/).

Plasmids and cloning. Expression constructs comprising wild type and mutant CCNF cDNA fused with an N-terminal mCherry were developed using pmCherry-C1-CCNF (Addgene, https://www.addgene.org/32975/

Web End =https://www.addgene.org/32975/ ) and Q5 Site-Directed Mutagenesis kit (NEB) according to the manufacturers protocol. All constructs were veried by DNA sequencing.

Antibodies. The following primary antibodies were used in this study: rabbit polyclonal anti-cyclin F (cat # sc-952, Santa Cruz Biotechnology), mouse monoclonal anti-TDP-43 antibody (cat # H00023435-M01, Abnova), rabbit polyclonal anti-ubiquitin (Dako), mouse monoclonal anti-RRM2 (cat # ab57653, Abcam), anti-b actin (cat # A5441 [AC-15], Sigma-Aldrich). All antibodies were commercially sourced and validated according to the antibody data sheets.

Cell lines. Mouse NSC-34 (neuroblastoma/motor neuron-enriched primary spinal cord hybrid) cells were provided by Prof Neil Cashman, University of Toronto. Mouse neuroblastoma Neuro-2a cells, and human neuroblastoma SH-SY5Y cells were from the ATCC repository (ATCC Product Nos. CCL-131 and CRL-2266).

Confocal microscopy. Confocal uorescence imaging was performed using a Leica DM6000 upright laser-scanning confocal microscope with Leica application suite advanced uorescence software. Images were acquired with a 63 (1.4 numerical

aperture) oil-immersion objective. Images were acquired using sequential mode to avoid crosstalk between two dyes. Immunohistochemistry imaging was performed with a Zeiss Axio Imager 2 with ZEN pro program, using a 40 objective.

Cell culture and transfection for UPS assays. NSC-34 cells were maintained in DMEM (Sigma Aldrich) containing 100 U ml 1 penicillin, 100 mg ml 1 streptomycin and 10% (v/v) heat-inactivated fetal bovine serum (Sigma Aldrich).

Cells were maintained in a humidied 37 C incubator with 5% CO2. For the UPS assay and Enzo proteasome assay, NSC-34 cells were plated at a density of 50,000 cells per well in six-well plate. For the Abcam proteasome assay, NSC-34 cells were plated at a density of 2,000 cells per well in 96-plate well plate. Transfections were carried out using Lipofectamine LTX (Life Technologies) according to manufacturers protocol. Transfections included 2.5 mg DNA for the UPS assay,5 mg DNA for the Enzo proteasome assay or 0.1 mg DNA for the Abcam proteasome assay.

Ubiquitinated protein immunoprecipitation. Co-transfected Neuro-2a cells were lysed and total protein was extracted with sonication (10 s, Setting 3, Branson Sonier 450) in extraction buffer (1% (v/v) Nonidet P-40 in TBS (50 mM Tris-HCl, pH 7.5, 150 mM NaCl) with protease inhibitor cocktail). Cellular debris was pelleted at 18,000g (30 min at 4 C). Protein concentration was estimated using the BCA Protein Assay Reagent (Pierce Biotechnology). Typically, 3 mg of anti-ubiquitin (Dako) per 500 mg of protein extract was used for immunoprecipitations. Protein A/G magnetic beads (Pierce Biotechnology) were used to capture the antibody:protein complex. Immunoprecipitates were washed with TBS 1% (v/v)

NP-40 (3 ) to remove non-specically bound proteins, and then resuspended in

1 LDS buffer with 50 mM DTT, and heated at 95 C for 10 min.

UPS reporter assay and 20S proteasome activity assay. For the UPS reporter assay, NSC-34 cells were cultured in six-well plates for 24 h, followedby co-transfection with a UPS-specic degron GFPu and cyclin F constructs.

The GFPu reporter contains a CL1 sequence which signals ubiquitination and degradation by the proteasome18,37. The resulting GFP signal is a reporter for rate of protein degradation in the cell. Cells were collected 48 h post transfection by

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trypsin and resuspended in PBS (Sigma-Aldrich). In order to show the sensitivity of GFPu construct, cells were either transfected with GFPu for 24 h followedby MG132 (Calbiochem) treatment at various doses for a further 24 h or co-transfected with GFPu and mCherry with or without MG132, or lastly co-transfected with GFPu and either Httex125Q or Httex146Q and incubated for 48 h. The uorescent intensity GFP in collected cells was analysed using ow cytometry Becton Dickinson LSR II. At least 50,000 cells per treatment were collected. Data were gated on mCherry-positive cells with an excitation at 541 nm and an emission at 575 nm. The geometric mean of the GFP signal from this population was collected with an excitation at 488 nm and an emission at 520 nm. Data were from three independent experiments.

The proteasome enzymatic activity of cyclin F was measured using eithera 20S proteasome assay kit from Enzo Life Sciences or Abcam following the manufacturers instructions. For the Enzo Life Sciences proteasome activity kit, NSC-34 cells were transfected wild-type pmCherry-C1-CCNF or mutant pmCherry-C1-CCNF in six-well plates and protein extract was generated by freezethaw lysis 48 h post-transfection. Protein concentration was measured by BCA protein assay (Thermo Scientic) and equal amount of protein was used in the assay. The proteasome activity was measured by hydrolysis of a uorogenic peptide substrate SucLeuLeuValTyrAMC (AMC: 7-amino-4-methylcoumarin). The substrate is cleaved by the 20S proteasome and the release of free AMC uorophore is used as an indication of proteolytic activity. The uorescent signal was measured by FLUOstar OPTIMA uorescence plate reader (BMG Labtech) with an excitation at 360 nm and an emission at 460 nm. The data were collected at 2-min interval for 50 min. For the Abcam proteasome activity kit, NSC-34 cells were transfected with wild-type pmCherry-C1-CCNF or mutant pmCherry-C1-CCNF in 96-well plates for 48 h. A proteasome substrate LeuLeuValTyrR110 was added directly to the cells and incubated at 37 C for 1 h. The substrate is cleaved by the 20S proteasome and the uorescent signal generated from the cleavage is used as an indication of proteolytic activity. The uorescent signal was measured by FLUOstar OPTIMA uorescence plate reader (BMG Labtech) with an excitation at 490 nm and an emission at 525 nm.

Statistical analysis of in vitro assays. All statistical analyses were performed using GraphPad Prism Software. Two-tail unpaired Students t-tests (Po0.05) were used for grouped GFPu data (wild-type, cyclin F mutation (familial and sporadic)).

One-way analysis of variance with Dunnetts multiple comparison tests were used for comparison of GFPu levels in the presence of cyclin F variants, with wild type. Statistical analyses of other in vitro assays were performed using two-tailed unpaired Students t-tests (Po0.05). All values were means.e.m. The data met the assumptions of each specic statistical test. Variance was similar between groups. Sample size was chosen based on results from pilot studies.

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Acknowledgements

We thank C. Cecere and M. Edwards for their assistance in compiling family information, Paul Leo, Emma Duncan and Matthew Brown for access to exome data from the Diamantina Australian Control Collection, Michael Simpson for the assembling and variant calling of the UK exome data and M. Hallupp for technical assistance. This work was funded by the Motor Neurone Disease Research Institute of Australia (grants toI.P.B. and J.D.A. and a Bill Gole fellowship to K.L.W.), National Health and Medical Research Council of Australia (1004670, 1107644, 1095215, 1092023, 1003032, 1034816, 1006141, 1030513 and 630428), The Snow Foundation, European Communitys Seventh Framework programme (FP7/20072013) under the grant agreement number 259867, Medical Research Council, Motor Neuron Disease Association (UK), Heaton-Ellis Trust, NIH/NINDS (1DP2OD0044171, R01 NS065317, P50 AG016574, R01 NS076471, R01 AG026251, P50 NS72187, P01 AG03949, R01NS073873, 1R01NS050557 and RC2-NS070-342), ALS Therapy Alliance, ALS Association, the Milton Safenowitz Post-Doctoral Fellowship for ALS research from the ALS Association (to M.v B.), the Mangurian Foundation, CurePSP, Project ALS, P2ALS, Angel Fund, Pierre L. de Bourgknecht ALS Research Foundation, Al-Athel ALS Research Foundation, CIHR (208973), MDA (153959), ARC Discovery Early Career Award (DE120102840), Fondo de Investigacin Sanitaria of Spain (EC08/00049; PI10/00092), FUNDELA (Spanish foundation for the development of ALS research), Mireia Barneda project No llores, no te rindas, Midlands Neuroscience Teaching and Research Fund, and AriSLA (co-nanced with support of 5 1,000Healthcare research of the Ministry of Health, grants EXOMEFALS 2009,

NOVALS 2012).

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Author contributions

K.L.W., S.T., S.Y., X.H., V.S., A.G-R., N.J.C., J.J.Y., J.D.A. and I.P.B designed research. K.L.W., S.Y., X.H., V.S., J.A.F., S.T.W., K.Y.Z., N.F., B.S., A.C., C.S.L., C.D-S., C.W., E.D. and M.vB performed the experiments. W.S.B., K.B., J.D.G., N.T., V.S., A.G-R., O.H., K.M., S.T., R.H.B., G.A.R., C.E.S. and G.A.N collected clinical information and samples. All authors contributed to the data analysis. K.L.W. and I.P.B. wrote the manuscript with input from all of the authors.

Additional information

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How to cite this article: Williams, K. L. et al. CCNF mutations in amyotrophic lateral sclerosis and frontotemporal dementia. Nat. Commun. 7:11253doi: 10.1038/ncomms11253 (2016).

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