FB2024_04 , released June 25, 2024
Human Disease Model Report: neuropathy, hereditary motor and sensory, type VIB
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General Information
Name
neuropathy, hereditary motor and sensory, type VIB
FlyBase ID
FBhh0001165
Disease Ontology Term
Parent Disease
Overview

This report describes neuropathy, hereditary motor and sensory, type VIB, which shows autosomal recessive inheritance. This type of neuropathy was previously known as Charcot-Marie-Tooth disease, type 6B. The human gene implicated in this disease is SLC25A46, a mitochondrial solute carrier transport protein. There are two high-ranking orthologs of SLC25A46 in Drosophila, Slc25A46a and Slc25A46b. Alleles carrying RNAi targeting constructs have been generated for both genes.

The human gene SLC25A46 has not been introduced into flies.

Knocking down Slc25A46b in neurons (elav-GAL4 driver) results in a reduction in larval and adult locomotion (crawling/climbing assays), as well as an increase in markers of mitochondrial stress. In the eye, Slc25A46b knockdown causes aberrant projections from photoreceptors R7-R8 and shortened optic stalks. At neuromuscular junctions (NMJs), Slc25A46b knockdown flies have reduced branch length, fewer and smaller 1b boutons, and smaller, less dense active zones. Mitochondria in Slc25A46b knockdown NMJs are larger and more dense, although not more numerous. Knockdown of the histone deacetylase HDAC1 can rescue several neuron-specific Slc25A46b RNAi phenotypes, suggesting that HDAC1 is a negative regulator of Slc25A46b.

Subsequently, depletion of the second Drosophila ortholog, Slc25A46a, was assessed; similar phenotypes were observed. Pan-neuronal knockdown of Slc25A46a effected by RNAi leads to mitochondrial defects and an aberrant synaptic morphology, resulting in locomotive defects and learning disability.

FlyBase note: both Suda et al. 2018 (FBrf0238690) and Suda et al. 2019 (FBrf0244100) refer to a single SLC25A46 ortholog in Drosophila, CG5755, which is currently known as Slc25A46b. Human SLC25A46 is orthologous to two Drosophila paralogs, Slc25A46a and Slc25A46b. Both papers use RNAi lines and qPCR primers targeting Slc25A46b, and a custom-generated antibody against Cys-NKSSTTKSPSISSI-OH, which targets a sequence present only in Slc25A46b. Expression data from modENCODE and FlyAtlas (http://flyatlas.org/atlas.cgi?name=CG5755-RA) indicate that Slc25A46b expresses primarily in the testis, whereas its paralog Slc25A46a is expressed in a wider variety of tissues. Given the strong phenotypes seen by knocking Slc25A46b down in neurons in FBrf0238690, it is possible that there is more expression of Slc25A46b in neurons than was observed in the modENCODE RNA-seq and FlyAtlas data, and/or that there is sufficient similarity between the sequences of Slc25A46a and Slc25A46b to allow for cross-reactivity of RNAi constructs.

[updated Nov. 2020 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: neuropathy, hereditary motor and sensory, type VIB
OMIM report

[NEUROPATHY, HEREDITARY MOTOR AND SENSORY, TYPE VIB, WITH OPTIC ATROPHY; HMSN6B](https://omim.org/entry/616505)

Human gene(s) implicated

[SOLUTE CARRIER FAMILY 25, MEMBER 46; SLC25A46](https://omim.org/entry/610826)

Symptoms and phenotype

Recessive SLC25A46 mutations cause a syndromic spectrum, including optic atrophy, cerebellar atrophy, and axonal neuropathy (MIM:616505). Specific presentations range from optic atrophy - plus disorder on the mild end of the spectrum to lethal Leigh syndrome and ponto-cerebellar hypoplasia in extreme cases. (Adapted from Abrams et al. 2018 and references therein, pubmed:30178502.)

Hereditary motor and sensory neuropathy type VIB is an autosomal recessive complex progressive neurologic disorder characterized mainly by early-onset optic atrophy resulting in progressive visual loss and peripheral axonal sensorimotor neuropathy with highly variable age at onset and severity. Affected individuals also have cerebellar or pontocerebellar atrophy on brain imaging, and they may show abnormal movements, such as ataxia, dysmetria, and myoclonus. The most severely affected patients are hypotonic at birth and die in infancy. Summary by Abrams et al. 2015 (pubmed:26168012) and Wan et al. 2016 (pubmed:27543974). [from MIM:616505, 2020.01.22]

Genetics

Hereditary motor and sensory neuropathy type VIB with optic atrophy (HMSN6B) is caused by homozygous or compound heterozygous mutation in the SLC25A46 gene (MIM:610826) on chromosome 5q22. The transmission pattern of HMSN6B in the families reported by Abrams et al. 2015 (pubmed:26168012) was consistent with autosomal recessive inheritance. [from MIM:616505, 2020.01.22]

Dominant or recessive mutations in the SLC25A46 gene are associated with cerebellar and brainstem atrophy, peripheral neuropathy, global developmental delay, and optic atrophy in patients. This disorder spectrum has been defined as hereditary motor sensory neuropathy Type VIB (HMSN6B) and may be classified as Charcot-Marie-Tooth disease (CMT) type 2 in the Online Mendelian Inheritance in Man (MIM:616505), optic atrophy, and Leigh syndrome. This wide spectrum of disorders may be associated with the dysregulation of some epigenetic regulators. (Suda et al. 2019, FBrf0244100.)

Cellular phenotype and pathology
Molecular information

Although the precise function of SLC25A46 is currently unknown, it is possible that it facilitates transport across the mitochondrial membrane or functions as a molecular adaptor protein similar to Ugo1 in yeast. In support of the adaptor hypothesis, SLC25A46 has been shown to molecularly interact with both OPA1 and MFN2, indicating that it could play a direct role in mitochondrial fusion/fission dynamics through these interactions. Additionally, SLC25A46 forms a complex with the cristae remodeling protein MIC60 also known as IMMT/Mitofilin and abnormal cristae and alterations in fusion/fission dynamics have been observed in several models. (Adapted from Abrams et al. 2018 and references therein, pubmed:30178502.)

External links
Disease synonyms
Charcot-Marie-Tooth disease, type 6B
CMT6B
HMSN6A
HMSN6B
HMSN VIB
Neuropathy, hereditary motor and sensory, type VIB
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to many: 1 human gene to many Drosophila genes.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (2)
      Molecular function (GO)
        Gene Groups / Pathways
        Comments on ortholog(s)

        High-scoring ortholog of human SLC25A46, paralogous to Slc25A46a.

        Orthologs and Alignments from DRSC
        DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
        Molecular function (GO)
          Cellular component (GO)
          Gene Groups / Pathways
          Comments on ortholog(s)

          High-scoring ortholog of human SLC25A46, paralogous to Slc25A46b.

          Orthologs and Alignments from DRSC
          DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
          Other Genes Used: Viral, Bacterial, Synthetic (0)
            Summary of Physical Interactions (0 groups)
            Alleles Reported to Model Human Disease (Disease Ontology) (4 alleles)
            Models Based on Experimental Evidence ( 2 )
            Allele
            Disease
            Evidence
            References
            Modifiers Based on Experimental Evidence ( 0 )
            Allele
            Disease
            Interaction
            References
            Models Based on Experimental Evidence ( 2 )
            Modifiers Based on Experimental Evidence ( 0 )
            Allele
            Disease
            Interaction
            References
            Alleles Representing Disease-Implicated Variants
            Genetic Tools, Stocks and Reagents
            Sources of Stocks
            Contact lab of origin for a reagent not available from a public stock center.
            Bloomington Stock Center Disease Page
            Related mammalian, viral, bacterial, or synthetic transgenes
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            Transgene
            Publicly Available Stocks
            Selected Drosophila transgenes
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            Transgene
            Publicly Available Stocks
            RNAi constructs available
            Allele
            Transgene
            Publicly Available Stocks
            Selected Drosophila classical alleles
            Allele
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            Publicly Available Stocks
            References (10)