A structural step toward understanding a fatal childhood disease
Nature Structural Biology pp 27 - 31
Spinal muscular atrophy (SMA) is an inherited disease that is one of the
most common causes of death in infancy. It occurs in ~1 in 6,000 live
births, second only to cystic fibrosis. Milder forms of SMA are also found
in older children and adults.
In SMA, the certain cells in the spinal cord die, resulting in progressive
muscle weakness and ultimately, in some cases, in the inability to breathe
and swallow.
The gene that is mutated in SMA has been identified, but we still have
little understanding of how the encoded protein functions to allow survival
of the motor neurons. This protein is called the 'survival of motor neuron'
(SMN) protein, and it has been implicated in the basic cellular process of
RNA metabolism.
Now, Michael Sattler, of the European Molecular Biology Laboratory in
Heidelberg, Germany, and colleagues present the three-dimensional structure
of one part of the SMN protein, determined using the technique of NMR
spectroscopy. They also present the results of experiments with an SMN
protein that harbors a mutation found in SMA patients. This mutation
prevents SMN from interacting with key partner proteins, called Sm proteins.
Sattler and colleagues show that this mutation has a very specific, local
effect at the site of the mutation (instead of a global, deleterious
structural effect on the protein).
The Sm proteins are fundamental components of the machinery in cells that
performs the task of RNA splicing, one of the final steps in gene
expression. The results of Sattler and colleagues are a step toward
understanding how the loss of the interaction between SMN and the Sm
proteins could lead to death of motor neurons in SMA patients.
The News and Views by Alex MacKenzie and Nathalie Gendron places this work
into the context of the cellular machinery, and the Editorial discusses SMA
more broadly.