C9orf72 DPR Protein Path: /proteins/c9orf72-dpr-protein
Title: C9orf72 DPR Protein
Tags: section:proteins, kind:protein
<div class="infobox infobox-protein"> <table> <tr><th colspan="2" style="background:#e8f4f8;">C9orf72 DPR Protein</th></tr> <tr><td><b>Gene</b></td><td>[C9orf72](/entities/c9orf72)</td></tr> <tr><td><b>UniProt ID</b></td><td>[Q9NS67](https://www.uniprot.org/uniprot/Q9NS67)</td></tr> <tr><td><b>PDB Structures</b></td><td>None available</td></tr> <tr><td><b>Molecular Weight</b></td><td>Dipeptide repeats: 5-20 kDa</td></tr> <tr><td><b>Subcellular Localization</b></td><td>Cytoplasm, Nucleus</td></tr> <tr> <td class="label">Associated Diseases</td> <td><a href="/wiki/als" style="color:#ef9a9a">ALS</a>, <a href="/wiki/als/ftd" style="color:#ef9a9a">ALS/FTD</a>, <a href="/wiki/alzheimer" style="color:#ef9a9a">ALZHEIMER</a>, <a href="/wiki/amyotrophic-lateral-sclerosis" style="color:#ef9a9a">AMYOTROPHIC LATERAL SCLEROSIS</a>, <a href="/wiki/aging" style="color:#ef9a9a">Aging</a></td> </tr> <tr> <td class="label">KG Connections</td> <td><a href="/atlas" style="color:#4fc3f7">872 edges</a></td> </tr> </table> </div>
Overview The C9orf72 dipeptide repeat (DPR) proteins are toxic polyl glycine-proline (poly-GP) and poly-proline-alanine (poly-PA) species generated by unconventional translation of the hexanucleotide repeat expansion in the C9orf72 gene. This repeat expansion is the most common genetic cause of both frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS). [@corf]
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C9orf72 DPR Protein Path: /proteins/c9orf72-dpr-protein
Title: C9orf72 DPR Protein
Tags: section:proteins, kind:protein
<div class="infobox infobox-protein"> <table> <tr><th colspan="2" style="background:#e8f4f8;">C9orf72 DPR Protein</th></tr> <tr><td><b>Gene</b></td><td>[C9orf72](/entities/c9orf72)</td></tr> <tr><td><b>UniProt ID</b></td><td>[Q9NS67](https://www.uniprot.org/uniprot/Q9NS67)</td></tr> <tr><td><b>PDB Structures</b></td><td>None available</td></tr> <tr><td><b>Molecular Weight</b></td><td>Dipeptide repeats: 5-20 kDa</td></tr> <tr><td><b>Subcellular Localization</b></td><td>Cytoplasm, Nucleus</td></tr> <tr> <td class="label">Associated Diseases</td> <td><a href="/wiki/als" style="color:#ef9a9a">ALS</a>, <a href="/wiki/als/ftd" style="color:#ef9a9a">ALS/FTD</a>, <a href="/wiki/alzheimer" style="color:#ef9a9a">ALZHEIMER</a>, <a href="/wiki/amyotrophic-lateral-sclerosis" style="color:#ef9a9a">AMYOTROPHIC LATERAL SCLEROSIS</a>, <a href="/wiki/aging" style="color:#ef9a9a">Aging</a></td> </tr> <tr> <td class="label">KG Connections</td> <td><a href="/atlas" style="color:#4fc3f7">872 edges</a></td> </tr> </table> </div>
Overview The C9orf72 dipeptide repeat (DPR) proteins are toxic polyl glycine-proline (poly-GP) and poly-proline-alanine (poly-PA) species generated by unconventional translation of the hexanucleotide repeat expansion in the C9orf72 gene. This repeat expansion is the most common genetic cause of both frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS). [@corf]
Pathogenic Mechanism
Repeat Expansion
The GGGGCC hexanucleotide repeat expansion in the first intron of C9orf72
Normal: < 30 repeats
Pathogenic: hundreds to thousands of repeats
Leads to three pathogenic mechanisms: [@hexanucleotide]
Dipeptide Repeat (DPR) Synthesis The repeat expansion undergoes: [@ran]
RNA foci formation - toxic RNA species sequester RNA-binding proteins
RAN translation - translation in all reading frames produces DPRs
Loss of function - reduced C9orf72 protein expression
DPR Protein Types Five different dipeptide repeats are produced: [@dipeptide]
| Dipeptide | Reading Frame | Toxicity | |-----------|---------------|-----------| | Poly-GA | +1 frame | High | | Poly-GP | +2 frame | Moderate | | Poly-GR | +1 frame (antisense) | High | | Poly-PR | +2 frame (antisense) | High | | Poly-PA | +3 frame | Low |
Neurotoxicity Mechanisms
RNA Toxicity
RNA foci sequester essential RNA-binding proteins
Disrupts RNA splicing and trafficking
Affects nucleocytoplasmic transport
DPR Toxicity [@mechanisms]
Poly-GA : Forms inclusions, disrupts proteostasis
Poly-GR/PR : Interferes with nucleocytoplasmic transport
Nucleolar stress : DPRs accumulate in nucleolus
Stress granule formation : Alters stress response
Loss of C9orf72 Function
[Autophagy](/entities/autophagy)-lysosome pathway dysfunction
Impaired trafficking of cellular proteins
Altered immune response
Role in Neurodegeneration
Amyotrophic Lateral Sclerosis
C9orf72 is the most common genetic cause of ALS
Motor neuron degeneration through toxic DPRs
RNA foci found in motor [neurons](/entities/neurons) of patients [@rna]
Frontotemporal Dementia
[TDP-43](/mechanisms/tdp-43-proteinopathy) pathology co-occurs with DPR inclusions
Frontotemporal lobar degeneration with motor neuron disease
Behavioral variant FTD is common presentation
Co-pathology
Both ALS and FTD can occur in the same patient
Mixed pathology common in C9orf72 carriers
DPRs found alongside TDP-43 and [tau](/proteins/tau) pathology
Therapeutic Strategies
Targeting RNA
Antisense oligonucleotides (ASOs) to reduce repeat-containing RNA
Small molecules to bind repeat RNA
RNA foci dispersants
DPR-targeted Approaches [@therapeutic]
Autophagy enhancers to clear DPR inclusions
Small molecules to inhibit RAN translation
Antibodies against specific DPR species
Gene Therapy
CRISPR-based approaches to reduce repeat expansion
Allele-specific silencing
Increasing endogenous C9orf72 expression
Biomarkers
Fluid Biomarkers
Poly-GP in cerebrospinal fluid (CSF)
[Neurofilament light](/biomarkers/neurofilament-light-chain-nfl) chain (NfL) in blood
Tau and amyloid markers
Imaging
Frontal and temporal lobe atrophy on MRI
Hypometabolism on FDG-PET
White matter abnormalities on DTI
See Also
[Alzheimer's Disease](/diseases/alzheimers-disease)
[Parkinson's Disease](/diseases/parkinsons-disease)
External Links
[PubMed](https://pubmed.ncbi.nlm.nih.gov/)
[KEGG Pathways](https://www.genome.jp/kegg/pathway.html)
References
[Unknown, C9orf72 repeat expansion in ALS and FTD (n.d.)](https://pubmed.ncbi.nlm.nih.gov/21944778/)
[Unknown, Hexanucleotide repeat expansion in C9orf72 (n.d.)](https://pubmed.ncbi.nlm.nih.gov/21841778/)
[Unknown, RAN translation of C9orf72 repeats (n.d.)](https://pubmed.ncbi.nlm.nih.gov/24085109/)
[Unknown, Dipeptide repeat proteins in C9orf72 ALS/FTD (n.d.)](https://pubmed.ncbi.nlm.nih.gov/24369358/)
[Unknown, Mechanisms of DPR neurotoxicity (n.d.)](https://pubmed.ncbi.nlm.nih.gov/25837716/)
[Unknown, RNA foci in C9orf72 ALS (n.d.)](https://pubmed.ncbi.nlm.nih.gov/22056985/)
[Unknown, Therapeutic approaches for C9orf72 ALS/FTD (n.d.)](https://pubmed.ncbi.nlm.nih.gov/29039404/)
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