Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by the progressive and selective degeneration of upper and lower motor neurons in the spinal cord1,2,3. Approximately 90% of ALS cases are sporadic ALS, with less than 10% being inherited (familial ALS). Familial ALS is strongly associated with family history and genetic causes of the disease4. ALS pathogenic mutations identified in RNA-binding proteins (RBPs) include TAR DNA binding protein 43 (TDP-43), fused-in-sarcoma (FUS), Ewing sarcoma (EWS), TATA-binding protein-associated factor 15 (TAF15), and heterogeneous nuclear ribonucleoproteins (hnRNPs)5,6. These RBPs form aggregates in the cytoplasm of motor neurons and sometimes in other cell types, such as glial cells, eventually leading to neuronal cell death and toxicity7,8,9,10.

For decades, researchers have investigated the unifying mechanisms responsible for the complex pathogenesis of ALS. Liquid‒liquid phase separation (LLPS) has recently been implicated in major pathways involved in the pathogenesis of ALS. LLPS is a reversible phenomenon that decomposes a homogenous solution into two contemporaneous liquid phases with a dense phase (resembling liquid droplets) and a dilute phase through intermolecular interactions11,12,13,14,15. Protein aggregation may originate from LLPS (Fig. 1a).

Fig. 1: Protein phase transition and driving force.
figure 1

a The liquid-like protein condensates formed through liquid‒liquid phase separation (LLPS) are highly dynamic and constantly exchange with the surrounding environment. With time and changes in the surrounding environment, the solidification of liquid-like condensates to hydrogels and amyloid fibrils occurs via liquid‒solid phase transition (LSPT). b Various types of multivalent interactions that promote the initiation and maintenance of LLPS include RNA-binding domains, oligomerization domains, motif-binding domains, helix-helix interactions, β-zippers, π–π interactions, cation‒anion interactions, dipole‒dipole interactions, and cation–π interactions.

LLPS generates cellular condensates and membrane-less organelles (MLOs) with biological functions. LLPS also feature less well-characterized compartments from the external environment due to a deficiency of lipid membranes. MLOs are composed of macromolecules, such as proteins and nucleic acids14,15, and are localized within the cytoplasm and nucleus11,12,16,17. Sites include the nucleolus, paraspeckles, nuclear speckles, Cajal bodies, and promyelocytic leukemia bodies in the nucleus and P-bodies, stress granules, germ granules, and mRNA granules in the cytoplasm12,13,16,18. Furthermore, the physicochemical properties of LLPS enable MLOs to exhibit liquid-like properties, such as fluidity, dynamics of formation and dissolution, partitioning ability, and diffusional properties. These properties support distinct cellular functions of MLOs, including cell stability, division19, proteolysis20, gene expression regulation, RNA metabolism, homeostasis21, mitochondrial ribosome biogenesis, and mRNA processing22. The formation of the condensed phase via LLPS is a dynamic, reversible, and nontoxic process. Further phase transition, called liquid‒solid phase transition (LSPT), results in the formation of solid aggregates from liquids via hydrophobic interactions between molecules. These solidified aggregates are irreversible, and usually toxic. Eventually, aggregated proteins enter the amyloid state by polymerizing into linear structures with ordered cross-sheet connections (Fig. 1a). LLPS has been implicated in cancer and many neurodegenerative diseases, such as Alzheimer’s disease (AD), ALS, and frontotemporal dementia (FTD)11,23,24,25,26,27. However, the molecular mechanisms by which LLPS induces gel and aggregate transitions remain largely unknown.

Posttranslational modifications (PTMs) are widely found in eukaryotic cells. These modifications enhance the structural and functional diversity of the proteome via the covalent attachment of functional groups, proteolytic cleavage, or the degradation of entire proteins. More than 200 different types of PTMs have been reported28. Other recent studies have suggested that PTMs are correlated with LLPS29,30,31,32. PTMs can stimulate or counteract phase separation and protein aggregation depending on their charge, modified amino acid residues, and position in the target proteins32. In addition, PTMs regulate interactions with other cellular molecules, including proteins, nucleic acids, lipids, and cofactors. Thus, LLPS can likely be modulated by the regulation of PTM (Fig. 1a).

In this review, we discuss how PTMs of RBPs influence the formation of cytoplasmic protein aggregates by phase separation in the pathogenesis of ALS and summarize recent studies describing the effects of PTMs in RBPs during the pathological phase transition of ALS. Furthermore, we focus on the role of protein glutathionylation recently found in fused-in-sarcoma (FUS)-associated ALS and discuss whether this glutathionylation has a pathological role in the development and progression of ALS by modulating LLPS of RBPs, particularly FUS.

The driving force of phase separation

In physics, phase separation occurs when a molecule reaches its upper limit of dissolution or when the entropy of a solution is maximally maintained, pushing the molecules out of solution31,33. Multiple molecules in solution tend to be distributed with energetically advantageous properties. Molecules that induce LLPS spontaneously form droplets and new liquid phases through phase transitions. What leads to these properties?

The protein that drives LLPS is composed of intrinsically disordered regions (IDRs) that do not have a three-dimensional structure. These regions typically contain only a small number of amino acids and repetitive sequence elements. The sequence composition of IDRs can vary, but it is typically disproportionately represented by only a few amino acids and is referred to as a low-complexity domain (LCD)34,35,36,37. In addition, prion-like domains (PrLDs) enable specific proteins to form self-propagating amyloid fibers and are rich in hydrophilic amino acids that include asparagine, glutamine, serine, and tyrosine38,39,40. Furthermore, several IDRs of LLPS-associated proteins contain arginine/glycine-rich (RGG-rich) regions in which charged amino acids, such as arginine/glycine, are disproportionately represented27. This results in IDR-containing proteins that exhibit a simplified primary structure and have highly flexible and dynamic properties41. Thus, they are more exposed to the external environment than other proteins and have more opportunities to interact with other intracellular molecules. The multivalent synergistic effect of weak interactions between amino acid groups and other macromolecules, such as proteins and nucleic acids, contributes to the formation of phase separation13,42,43,44,45,46,47,48. Among these multivalent interactions, electrostatic interactions are the best known and are especially critical in heterotypic LLPS of protein/RNA mixtures. In addition, π-π stacking of aromatic residues, cation-π interactions between arginine or lysine residues and aromatic side chains (e.g., phenylalanine, tyrosine, tryptophan), dipole‒dipole interactions, hydrophobic interactions, and hydrogen bonding interactions are imporant17,24,49,50. Furthermore, diverse adhesive domains/motifs, such as oligomerization domains, coiled coils, and β-zippers, provide multiple intramolecular and intermolecular interactions (Fig. 1b).

LLPS of ALS-associated RBPs

A number of previous studies have suggested that phase separation is involved in the pathological process associated with ALS. Many proteins are associated with ALS pathogenesis, and mutations in the genes encoding them usually deepen and accelerate LLPS and eventually form fibril aggregates51,52,53,54,55,56,57. Well-known proteins include FUS, TAF15, TDP-43, and hnRNPs58,59. These RBPs play pivotal roles in cells, regulating transcription and translation by interacting with RNA.

FUS, EWS, and TAF15

FUS, EWS, and TAF15 belong to the FET (FUS/EWS/TAF15) family with similar functions and structures60. The domain structure includes the N-terminal region that comprises LCD, a C-terminal domain with an RNA-recognition motif (RRM), several RGG-rich regions, a zinc-finger (ZnF) domain, and a nuclear localization signal (NLS) domain61,62. FUS-LCDs are important in mediating both LLPS and the highly reversible formation of fibril aggregates63. Moreover, a nuclear magnetic resonance (NMR) study showed that N-terminal FUS-LCD (FUS-LCD-N) forms a fibril core via hydrophilic interactions64,65. In addition, the C-terminus of the FUS-LCD domain (FUS-LCD-C) forms fibril aggregates66,67. ALS disease-related mutations were reported to significantly accelerate the LLPS of both full-length FUS and FUS-LCD to form cross-β-aggregates, a highly stable fibril39,64,67,68. The above process includes weak interactions that act multivalently, such as hydrogen bonding, π/sp2, and hydrophobic interactions37. The structures of TAF15 and EWS are similar to the structure of FUS, including PrLD. Therefore, they also form condensates via LLPS43,69,70,71.


TDP-43 has a multiple-domain structure consisting of an NTD that mediates weak self-interactions72,73, two RRMs, an intrinsically disordered CTD that mediates heterotypic interactions with binding partners using glycine-rich LCD, and helix-helix contacts for self-assembly by LLPS74,75. In the droplet state, TDP-43 LCD forms monomeric states with the potential for self-aggregation. In contrast, increasing the concentration of TDP-43 LCD leads to more gel-like formations52. In addition, protein expression with ALS-associated mutations reduces LLPS and enhances aggregation52. These results suggest that ALS mutation interferes with the LLPS of TDP-43 and induces the formation of aggregates.

hnRNP A1/A2

hnRNPs A1 and A2 are prototypical hnRNPs. They are RBPs that contribute to multiple functions, including splicing regulation, mRNA stabilization, and transcriptional and translational regulation76. In addition, previous studies have shown that mutations in the LCD of hnRNP A1 and A2 cause ALS and multisystem proteinopathy77. hnRNP A1 and A2 consist of two RRMs in the NTD domain and an intrinsically disordered RGG-rich C-terminal domain. Moreover, hnRNP A1 and A2 exhibit an intrinsic tendency to assemble into amyloid-like fibrils containing cross-β structures, suggesting the mediation of stress granule (SG) assembly77,78. hnRNP A1 and A2 mediate LLPS via weak interactions between aromatic residues in LCD. Furthermore, LCD-mediated LLPS contributes to the assembly of SGs and drives pathological fibrillization34,77.

Effect of PTMS on phase separation

IRD-containing ALS-associated proteins can be highly modified through PTMs because they are easily exposed to the external environment owing to a lack of secondary structure41. In addition, numerous studies have shown that PTMs of these IRDs can affect variations in covalent, noncovalent, electrostatic, and hydrophobic interactions. This suggests that PTMs on the IDR of LLPS-associated proteins may affect the phase separation tendency (Table 1). In this section, we discuss how PTMs affect the phase separation properties of ALS-associated proteins.

Table 1 Summary of ALS-associated RBP PTMs and effects on LLPS.


Phosphorylation is the most well-known PTM and is a typical mechanism that controls protein function and transmits cellular signaling throughout the cell. Phosphorylation adds a negatively charged phosphoryl group to the amino acid hydroxide group via a covalent bond. This can change the charge distribution and electrostatic interactions of the target protein. Serine, threonine, and tyrosine residues can be phosphorylated. However, serine and threonine residues are highly distributed in PrLD. Thus, the formation of LLPS and aggregates can be regulated by phosphorylation79,80,81.

Most previous ALS studies have concluded that phosphorylation prevents phase separation in LLPS-associated proteins. For example, Monahan et al. demonstrated that DNA-dependent protein kinase (DNA-PK) phosphorylates 12 sites in FUS NTD-PrLD (T7, T11, T19, S26, S30, S42, S61, T68, S84, S87, S117, and S131), both in vitro and in human cells82. Furthermore, phosphomimetic substitution (S/T → E) of the 12 DNA-PK consensus sites inhibits FUS-PrLD-induced phase separation and forms fibrillated aggregates in vitro82. Significantly, FUS phosphomimetic substitution reduces aggregation in human cells and yeast models and controls FUS-associated cytotoxicity82. Therefore, prior studies have generally suggested that increased FUS-PrLD phosphorylation diminishes aggregation and toxicity64,82,83.

TDP-43 is an RBP that is mainly aggregated in patients with ALS and AD. TDP-43 has a globular NTD that forms a linear polymer through low-affinity head-to-tail intermolecular contacts and contributes to TDP-43 phase separation in vitro and in cells84. The TDP-43 NTD contains pS48 S/T phosphorylation, which has been detected in multiple phosphoproteomic analyses of various cell lines85,86. Wang et al. showed that phosphomimetic substitution (S48E) of NTD can effectively disrupt the LLPS of TDP-43 in vitro and in cells84. In addition, TDP-43 has a PrLD on the C-terminal domain that is multiphosphorylated and aggregated in ALS motor neurons. The phosphorylation of S409/410 on the TDP-43 CTD was identified in patients with TDP-43-induced frontotemporal lobar degeneration (FTLD), as well as highly consistent features in pathologic inclusions87. However, phosphomimetic substitution (S → D) of serine 409 and 410 on the TDP-43 CTD was reported to significantly reduce TDP-43 aggregation88. Hyperphosphorylation of several TDP-43 CTD serine residues via casein kinase 1δ was previously reported occur at disease-associated sites, likely promoting TDP-43 aggregation89. Gruijs et al. established that casein kinase 1δ mediates the hyperphosphorylation of the TDP-43 CTD90. In the ALS spinal cord, 12 serine phosphorylation sites (S373, S375, S379, S387, S389, S393, S395, S403, S404, S407, S409, and S410) were identified on TDP-43 CTD by mass spectrometry91. Phosphomimetic substitution (S/T → D/E) of these sites reduced TDP-43 phase separation and aggregation in vitro and in cells, endowing the TDP-43 condensate with more dynamic and liquid-like properties90. Moreover, the data from multiscale molecular dynamics simulations suggest that suppression of phase separation is associated with the loss of protein‒protein interactions in the TDP-43 CTD and enhanced solvation of negatively charged groups90.

hnRNP A2 is similar to other RBPs, including hnRNP A1, FUS, and TDP-43, and is a well-known cause of ALS. In another example, Ryan et al. established that tyrosine can phosphorylate (pY) hnRNP A2, involving approximately four to eight phosphorylated tyrosine residues of LCD. The authors reported that hnRNP A2 LCD tyrosine phosphorylation can alter phase separation and inhibit the formation of hnRNP A2 aggregation in vitro and in vivo, as well as disease ALS/FTD-associated mutants (hnRNP A2-D290V)92. Furthermore, the Fyn tyrosine kinase that phosphorylates hnRNP A2 LCD reduces neurodegeneration by inhibiting phase separation and aggregation of hnRNP A2 in a Caenorhabditis elegans model92. Some studies have demonstrated that phosphorylation induces electrostatic repulsion by adding negatively charged molecules as a common mechanism of LLPS negative regulation by phosphorylation. It notably diminishes the weak intermolecular interactions and improves protein–water interactions, which deter the aggregation of RBPs and promote the dissolution of the preformed fibril aggregation82,93,94.


Arginine is an amino acid with a positive charge that mediates hydrogen bonding and amino-aromatic interactions. Arginine methylation is an abundant PTM in which a methyl group is added to the arginine residues of a protein to modify recognition by binding partners or to modulate their biological activity95,96. This process is mediated by protein arginine methyltransferases (PRMTs), which catalyze methylation to modify the guanidino nitrogens of the arginine residue by adding one or two methyl groups95. Methylation does not change the net positive charge of the arginine residue. However, it is hydrophobic and reduces the hydrogen bond potential, thereby altering interactions between other molecules, including proteins and nucleic acids97,98,99. Importantly, arginine methylation can occur within the RGG/RG motif, in which the arginine-rich domain modifies RNA binding and LLPS99. Similar to phosphorylation, arginine methylation is known to inhibit the LLPS of ALS-associated proteins. In FUS, numerous arginine residues are located in the arginine-rich CTD, which are crucial for the phase separation of FUS and are highly methylated in mono- or dimethylated forms100. However, in FUS-induced ALS/FTD, FUS is hypomethylated and accumulates in neurons as both nuclear and cytoplasmic aggregates. This occurs in the same manner as EWS and TAF15101,102. These observations suggest that arginine methylation may physiologically control FUS-induced phase separation via variance in physiological interactions.

Qamar et al. described the induction of arginine hypomethylation of FUS using adenosine-2,3-dialdehyde, an extensively used inhibitor of arginine methyltransferase activity. The aim was to evaluate the effects of reduced methylation on FUS phase behavior. Importantly, FUS hypomethylation strongly promoted phase separation and gelation in vitro and in cells103. The suggested mechanism is intermolecular β-sheet hydrogen bonding and cation-π interactions between C-terminal arginine residues and N-terminal tyrosine residues, which drive the phase separation of FUS. However, arginine methylation increases hydrophobic features while reducing hydrogen bond potential, resulting in weakened cation-π strength and impaired interactions between other molecules, ultimately inhibiting the phase separation of FUS103.

In addition, Hofweber et al. showed that arginine methylation-mediated interactions between FUS and the molecular chaperone TNPO1 reduce the LLPS and SG association of FUS. Loss of FUS arginine methylation, as in ALS/FTD patients, elevates LLPS and SG formation of FUS and consequently may contribute to FUS aggregation in ALS/FTD patients104.

hnRNP A2-LCD also induces LLPS and is converted to aggregates. hnRNP A2-LCD contains RGG repeats, which are IDRs. Furthermore, some studies have shown that hnRNP A2-LCD is methylated by PRMT1105. Ryan et al. also established that hnRNP A2-LCD undergoes LLPS, and disease-associated mutations (P298L and D290V) induce aggregation in vitro. However, the PMRT1-induced methylation of arginine residues located at the RGG site in hnRNP A2-LCD was reported to markedly diminish LLPS106. Data from molecular dynamics simulations suggest that the leading cause of this phenomenon is the dimethylation of hnRNP A2 LCD, which inhibits arginine-aromatic interactions, thereby reducing LLPS106.


Citrullination also occurs in arginine residues. Instead of the addition of a functional group, the arginine side chain undergoes oxidation or deimination. In this reaction, peptidyl arginine deiminases (PADs) catalyze the cation-π interaction oxidation of an imine group (=NH), forming a ketone group (=O)107,108,109. In this reaction, the positively charged side chain of arginine is hydrolyzed by water to form neutral urea, leaving a neutrally charged amino acid110. This shift in charge can affect protein‒protein interactions and hydrogen bond formation111,112.

Interestingly, several consensus sites for PAD have been identified in RG/RGG motifs. These sites are associated with the phase separation of RBPs, including the FET family113. The citrullination of FUS via PAD4, a PAD identified in humans, reduces FUS recruitment to SGs113. Importantly, PAD4-mediated citrullination significantly inhibits the aggregation of FET proteins113. The authors also reported that mouse embryonic fibroblasts of PAD4 knockout mice showed increased FUS aggregation and sequestration into SGs compared with PAD4 overexpression cells, indicating that citrullination inhibits FUS phase separation113. Intermolecular β-sheet hydrogen bonding and cation–π interactions between C-terminal arginines and N-terminal tyrosines modulate FUS phase separation103. However, when citrullination occurs, the positive charge of the arginine side chain is removed, and intermolecular interactions can be disrupted by altering hydrogen bonds and cation-π interactions, ultimately inhibiting FUS phase separation.


Acetylation is a major PTM in which an acetyl group is transferred from acetyl-coenzyme A (acetyl-CoA) to the ε-amino side chain of a lysine residue within a protein, regulating phase separation. These reactions are catalyzed by lysine acetyltransferase (KAT), and the reverse process is regulated by lysine deacetylase (KDAC), while the acetyl group can add to the amino acid at the N-terminus via N-terminal acetyltransferases (NATs)114,115. This leads to the neutralization of their positive electrostatic charge, which may influence protein interactions with substrates, cofactors, and other macromolecules116,117,118.

The effect of acetylation on phase separation in ALS has not been well studied. However, Bock et al. found that NatA, an N-terminal acetyltransferase, can acetylate FUS-LCD. Importantly, N-terminal acetylation promoted phase separation and reduced the aggregation of FUS-LCD in vitro. Despite N-terminal acetylation, the authors did not observe a significant shift in the structure of FUS-LCD119. The authors suggested that the neutralization of FUS-LCD by N-terminal acetylation may disturb other interactions between the molecules as well as phase separation by changing the peptide net charge from −2 to −3119.


Ubiquitination is an essential PTM mediated by the ubiquitin (Ub)-conjugating system, which is composed of the E1 Ub-activating enzyme, E2 Ub-conjugating enzyme, and E3 Ub ligase. Ubiquitination leads to covalent attachment of Ub, typically to lysine residues on target proteins, which eventually leads to monoubiquitination or polyubiquitination120. Ubiquitination is strongly involved in the Ub-proteasome system (UPS), a crucial protein degradation system in eukaryotes. In these processes, Ub or polyUb attached to target proteins marks them as substrates of proteasomes for degradation121. Moreover, abnormal UPS function has been observed in several human diseases, including cancer and neurological diseases122,123. However, the correlation between ubiquitination and the phase separation mechanism has not been clearly explained.

Recent studies have suggested that ubiquitinated proteins can regulate phase separation, and a link between Ub and phase separation is emerging124. Ub-like protein ubiquilin 2 (UBQLN2) is a proteasomal shuttle factor that is essential for cellular protein quality control. UBQLN2 is expressed in many human tissues, with the highest expression levels in the nervous system125. Mutations in UBQLN2 have recently been shown to cause dominant X-linked inheritance of ALS/dementia126. Dau et al. found that UBQLN2 colocalizes with SGs under cellular stress conditions in vivo and undergoes LLPS in vitro127. Interestingly, noncovalent Ub or polyUb binding attenuated UBQLN2 phase separation127. NMR analysis suggested that LLPS is driven by multivalent interactions of polar or hydrophobic residues on UBQLN2. However, when Ub binds to the UBA domain, it inhibits LLPS by disrupting only UBQLN2 multivalent interactions127.


Poly(ADP-ribose) (PAR) is a polyvalent, highly negatively charged, nucleic acid-like polymer. Poly ADP-ribosylation, also known as PARylation, is a type of PTM in which polymers of ADP-ribose are covalently attached to target proteins by PAR polymerase (PARP) enzymes, resulting in a dramatic electrostatic change of the acceptor protein surface128. ADP-ribose can be attached to serine, lysine, arginine, aspartate, or glutamate residues by PARPs and is reversible by PAR glycohydrolase (PARG)128. In addition, PARylation has been strongly implicated in SG formation, suggesting that it might be a critical modifier for the dynamic assembly/disassembly of disease-related RNP granules, including disease-related RBPs, such as the FET family and TDP-43129. IDR-containing proteins, such as FUS, EWS, and TAF15, accumulate through LLPS at sites of DNA damage in a PAR-dependent manner130. Moreover, PARP inhibition reportedly prevented the recruitment of FET proteins, while PARG inhibition prolonged the presence of FET proteins in DNA damage sites in vitro, which was also observed in hnRNP A1 and TDP-43131.

McGurk et al. found that the downregulation of the tankyrase PARP reduced cytoplasmic TDP-43 accumulation and potently attenuated neurodegeneration in a Drosophila model132. The authors also described the noncovalent binding of TDP-43 to PAR through PAR binding motifs (PBMs) in the NLS. The elevation of the LLPS of TDP-43 following PAR binding in vitro was essential for TDP-43 aggregation in SGs in mammalian cells and neurons132. The findings indicate that when PARylation occurs at the TDP-43 NTD, highly negatively charged PAR biopolymers can induce LLPS, suggesting that LLPS occurs via multivalent interactions with the PBM in the N-terminal domain132.

A novel PTM enhancing phase separation of ALS-associated RBPs

Relationship between glutathionylation and phase separation in ALS-associated RBPs

Glutathione (GSH) is the most abundant thiol in all cells133. GSH can be converted to the oxidized form glutathione disulfide (GSSG), which is then converted back to GSH via nicotinamide adenine dinucleotide phosphate (NADPH)-dependent glutathione disulfide reductase (GSR)134. Glutathionylation is the most recently identified PTM that regulates the phase separation of ALS-associated RBPs. Protein glutathionylation is a major redox-sensitive PTM that can control the activity and stability of target proteins in response to cellular stress, including oxidative stress135. It is a reversible PTM on the cysteine thiol groups (-SH) of the substrate protein, formed via a disulfide bond with GSH136. Glutathionylation can occur via nonenzymatic or enzymatic reactions. Nonenzymatic glutathionylation occurs depending on the availability of GSH/GSSG; the process is nonspecific and typically proceeds under oxidative stress137,138. However, several enzymes, such as glutathione S-transferases (GSTs), have been proposed to catalyze glutathionylation139. GST pi (GSTP) is a class of GST that protects cells from reactive oxygen species by regulating GSH levels. GSTP has been implicated in glutathionylation140,141. However, glutathionylation is reversible through the release of GSH from cysteine residues in target proteins by thioredoxins and glutaredoxins, which are thiol oxidoreductases138,142. Interestingly, the GST omega (GSTO) class reportedly has the opposite effect from GSTP, inhibiting S-glutathionylation143.

Several studies have suggested that the glutathionylation of specific proteins is significantly involved in the onset and progression of neurodegenerative diseases, including AD and ALS144,145,146. Another study that focused on identifying ALS biomarkers found that the deglutathionylating enzyme human GSTO1 was significantly reduced in peripheral blood mononuclear cells and spinal cord cells of sALS patients147. In our recent study, in addition to elucidating the pathogenic mechanism of FUS-associated ALS in both Drosophila and animal systems, we found that overexpression of GstO2, a Drosophila homolog of human GSTO1, reduces cytoplasmic FUS aggregates and attenuates neurodegenerative phenotypes, including mitochondrial dysfunction and neuronal toxicity148. The glutathionylation of the Cys447 residue on the ZnF domain of FUS when exposed to oxidative stress in vitro eventually leads to a decrease in FUS solubility by promoting phase separation and aggregate formation148. Interestingly, GstO2 inhibited FUS phase separation and aggregate formation by reducing glutathionylation in vitro and in Drosophila neurons (Fig. 2). Moreover, FUS-induced neuronal toxicity and cytoplasmic FUS accumulation are decreased by GSTO1 overexpression in mouse neuronal cells148. Accordingly, these findings suggest that the glutathionylation of FUS promotes phase separation and induces the formation of cytoplasmic aggregates. The suppression of glutathionylation is important in FUS-induced neurodegenerative diseases.

Fig. 2: Glutathionylation of the cysteine residue of FUS in the zinc-finger (ZnF) domain promotes aberrant liquid‒liquid phase separation (LLPS).
figure 2

In the FUS-associated ALS disease model, glutathionylation of the FUS ZnF domain led to decreased FUS solubility by promoting phase separation and the formation of pathological aggregates. Glutathione S-transferase omega inhibits the phase separation of FUS via deglutathionylation to prevent the formation of pathological aggregates.

Hypothesis concerning the molecular mechanism of glutathionylation-mediated phase separation

This section discusses the molecular mechanism by which cysteine glutathionylation regulates the phase separation of FUS and the physiological implications. Glutathionylation directly regulates the conformation and function of various proteins149. Many prior studies have addressed the functional changes of certain proteins via glutathionylation. However, little is known about glutathionylation-mediated conformational changes in proteins. Heat shock protein 70 (Hsp70) is a molecular chaperone that regulates protein homeostasis (proteostasis) by facilitating protein folding, handling misfolded proteins in cellular degradation pathways, and deterring protein aggregation150. Hsp70 has two cysteine residues (Cys574 and Cys603) in the C-terminal α-helical lid of the substrate-binding domain and undergoes glutathionylation151. Glutathionylation of these two residues leads to the unfolding of the α-helical lid structure. In contrast, deglutathionylation by dithiothreitol induces a reversible conformational change151. Similarly, another study revealed that binding immunoglobulin protein (BiP) also undergoes glutathionylation with an altered conformation. BiP is an Hsp70 chaperone located in the lumen of the endoplasmic reticulum. This chaperone is pivotal in protein folding and acts as the primary sensor in the activation of the unfolded protein response152. Glutathionylation of the Cys41 and Cys420 residues of BiP regulates the balance between foldase and ATPase activities by altering the protein structure. Interestingly, this modification led to decreased α-helix and increased β-sheet structure in BiP153. Stromal interaction molecule 1 (STIM1) is an ER-calcium (Ca2+)-sensing protein that regulates store-operated Ca2+ entry (SOCE) and other ion channels154. STIM1 was found to be glutathionylated at Cys49 or Cys56 residues, which are located near the EF-hand motif and sterile-α motif domain155. This modification induces thermodynamic destabilization and conformational changes, eventually resulting in increased solvent-exposed hydrophobicity155. Similarly, the glutathionylation of Cys56 leads to structural perturbations of the α-helix structure, such as the canonical EF-hand (i.e., α1 helix), α3, and α4 helices of the noncanonical EF-hand and the α6 and α8 helices of the sterile-α motif domain155. Taken together, these findings suggest that glutathionylation tends to induce a conformational change that unfolds the α-helical structure. FUS has a ZnF domain with two β-sheets and one α-helix. Moreover, FUS is glutathionylated at the Cys447 residue on the ZnF domain148. This suggests that glutathionylation of FUS may lead to a conformational change that unfolds the α-helix structure. This unfolding would allow FUS to maintain only its primary structure, providing an opportunity to interact with macromolecules, including RNA. Furthermore, glutathionylation adds a negative charge to the cysteine residue, which should affect multivalent interactions between molecules. It is assumed that this ultimately leads to the phase separation of FUS. However, the exact molecular mechanisms of the involvement glutathionylation in protein aggregate formation remain unclear. Further studies are needed to determine how the glutathionylation of RBP proteins occurs during the progression of ALS and how it is linked to the pathogenesis of ALS.

Concluding remarks

Many RBPs, such as FUS, TAF15, TDP-43, and hnRNPs, can undergo spontaneous and continuous LLPS and cytoplasmic aggregation in vitro and in vivo. Their assembly and transition to other phases must be tightly modulated in neurons. This review has discussed the molecular mechanisms of the regulation of protein aggregate formation by the PTMs of RBPs. The review highlights the important role of the recently described process of glutathionylation on protein aggregation in ALS pathogenesis. PTMs, including phosphorylation, methylation, citrullination, acetylation, ubiquitination, and PARylation, influence phase transition by modulating the structure, charge, hydrophobicity, and multivalent interactions that drive their phase separation (Fig. 3). This irreversible aggregation induced by phase separation changes RBPs to insoluble fibrils, which may be an important cause of RBP-linked proteinopathies. However, despite various studies of the mechanisms underlying LLPS regulation by PTMs, the specific regulators of the PTMs of RBPs remain unclear. Increased characterization and identification of novel PTMs that regulate the pathophysiological functions of RBPs will improve our ability to discern the pathological and physiological characteristics of RBPs in the development and progression of ALS.

Fig. 3: Effects of various posttranslational modifications (PTMs) on the phase separation of ALS-associated RNA-binding proteins (RBPs).
figure 3

PTMs can positively or negatively regulate LLPS in ALS-associated RBPs. Phosphorylation, methylation, citrullination, and ubiquitination of ALS-associated RBPs inhibit LLPS, whereas acetylation, poly(ADP-ribosyl)lation, and glutathionylation promote LLPS.

In a recent study, in addition to elucidating the mechanism of phase transition regulation by a newly identified PTM, namely, the glutathionylation of FUS in both Drosophila and mammalian ALS models, we discovered that GSTO1/GstO2 regulates FUS status. FUS glutathionylation adds a negative charge to the cysteine residue of the FUS protein, which affects multivalent interactions between molecules. Weak intermolecular interactions, including electrostatic and hydrophobic interactions, could mediate the formation of FUS liquid droplets. Deglutathionylation of FUS, a protein causally associated with ALS, diminishes its LLPS and reduces abnormal cytoplasmic aggregates under prolonged stress, which may contribute to ALS pathogenesis. Given that cytoplasmic mislocalization and aggregate formation of FUS are common in neurons in FUS-associated proteinopathies, it is likely that regulation of the FUS glutathionylation-mediated stress-mitigating mechanism by GSTOs may also underlie other ALS cases and related diseases, including FTD. Although research on LLPS regulated by glutathionylation is still in its initial stages, the regulation of LLPS by this PTM will be a focus of future research on ALS. The detection of glutathionylated RBPs as disease markers may benefit many patients with ALS or related diseases. This PTM-related research will facilitate future clinical applications of phase transition for RBPs.