A Cluster of Autism-Associated Variants on X-Linked NLGN4X Functionally Resemble NLGN4Y

Neuron. 2020 Jun 3;106(5):759-768.e7. doi: 10.1016/j.neuron.2020.03.008. Epub 2020 Apr 2.

Abstract

Autism spectrum disorder (ASD) is more prevalent in males; however, the etiology for this sex bias is not well understood. Many mutations on X-linked cell adhesion molecule NLGN4X result in ASD or intellectual disability. NLGN4X is part of an X-Y pair, with NLGN4Y sharing ∼97% sequence homology. Using biochemistry, electrophysiology, and imaging, we show that NLGN4Y displays severe deficits in maturation, surface expression, and synaptogenesis regulated by one amino acid difference with NLGN4X. Furthermore, we identify a cluster of ASD-associated mutations surrounding the critical amino acid in NLGN4X, and these mutations phenocopy NLGN4Y. We show that NLGN4Y cannot compensate for the functional deficits observed in ASD-associated NLGN4X mutations. Altogether, our data reveal a potential pathogenic mechanism for male bias in NLGN4X-associated ASD.

Keywords: ASD; ID; X chromosome; Y chromosome; autism; intellectual disability; neuroligin-4X; neuroligin-4Y; sex-bias; synaptic transmission.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural

MeSH terms

  • Autism Spectrum Disorder / genetics
  • Cell Adhesion Molecules, Neuronal / genetics*
  • Cell Adhesion Molecules, Neuronal / metabolism
  • Chromosomes, Human, X / genetics*
  • Chromosomes, Human, Y / genetics*
  • Female
  • Genetic Predisposition to Disease
  • HEK293 Cells
  • Humans
  • Induced Pluripotent Stem Cells
  • Intellectual Disability / genetics
  • Male
  • Mutation
  • Neurons / metabolism*
  • Protein Transport / genetics

Substances

  • Cell Adhesion Molecules, Neuronal
  • NLGN4X protein, human