Synapse development in health and disease

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Recent insights into the genetic basis of neurological disease have led to the hypothesis that molecular pathways involved in synaptic growth, development, and stability are perturbed in a variety of mental disorders. Formation of a functional synapse is a complex process requiring stabilization of initial synaptic contacts by adhesive protein interactions, organization of presynaptic and postsynaptic specializations by scaffolding proteins, regulation of growth by intercellular signaling pathways, reorganization of the actin cytoskeleton, and proper endosomal trafficking of synaptic growth signaling complexes. Many neuropsychiatric disorders, including autism, schizophrenia, and intellectual disability, have been linked to inherited mutations which perturb these processes. Our understanding of the basic biology of synaptogenesis is therefore critical to unraveling the pathogenesis of neuropsychiatric disorders.

Introduction

The formation of a functional, mature neuronal synapse requires a host of molecular players to mediate coordinated presynaptic and postsynaptic growth. In recent years, clinically diverse disorders such as autism spectrum disorders (ASDs), schizophrenia, epilepsy, and intellectual disability (ID) have been linked to dysfunction of a number of proteins implicated in synaptic development [1, 2]. For example, deletions of neurexin-1α, a synaptic cell adhesion protein, were initially identified by large-scale genetic screens in patients with autism and schizophrenia, and subsequently found in patients with severe ID and epilepsy [3]. Mutations in genes encoding the SHANK postsynaptic scaffolding protein family were first identified in a patient with ID, and later associated with autism and schizophrenia [4, 5]. As the number of genes contributing to neuropsychiatric disorders has grown, it has become increasingly clear that pathways contributing to synaptic development and activity-dependent growth are important in their etiology.

Here, we examine the genes implicated in synaptogenesis which have been associated with neurological disease. In particular, we highlight the role of these genes in synaptic cell adhesion, organization of presynaptic and postsynaptic specializations, growth signaling pathways, and endosomal function. Insights into the function of these genes at the Drosophila neuromuscular junction (NMJ) are emphasized, as this model glutamatergic synapse is well studied within the context of activity-dependent synaptic development.

Section snippets

Specification and stabilization of the synapse is mediated by cell adhesion proteins

One of the earliest steps in synaptogenesis is the induction and adhesion of precisely opposed presynaptic and postsynaptic domains. Multiple transsynaptic cell adhesion complexes operate in parallel to ensure proper synaptic alignment (Figure 1). Mutation of synaptic adhesion proteins has been linked to various neuropsychiatric disorders, indicating that abnormal formation or maintenance of synaptic contacts may be impaired in several neurological diseases [6]. Members of the cadherin and

Organization of presynaptic and postsynaptic domains by scaffolding proteins

Formation of a functional synapse requires assembly of synaptic proteins into domains specialized for neurotransmitter release and reception. Scaffolding proteins are critical mediators of this process on both sides of the synapse. Scaffolds are composed of multiple protein–protein interaction domains, and form a physical link between adhesion proteins, ion channels, neurotransmitter receptors, intercellular signaling cascades, and the actin cytoskeleton.

One of the strongest links between

Activity-dependent synaptic development depends on intercellular signaling pathways

Once a synapse is formed, neuronal activity plays an essential role in shaping and maintaining synaptic connections [32]. Anterograde and retrograde secreted signaling molecules, including the Wnts and BMPs, regulate synaptic growth (Figure 1) and may also contribute to the development of neurological disease. The Wnt family of signaling molecules participates in a broad range of processes, from neurogenesis to synaptic plasticity. Several Wnt pathway components have been implicated in the

Synaptic growth signaling requires proper endosomal trafficking

Regulation of endosomal traffic is a critical component of synaptic growth and development. Growth signals released during activity, such as the Wnts and BMPs described above, bind to synaptic transmembrane receptors and are internalized as receptor–ligand signaling complexes. These signaling complexes are transported within the endosomal system, in which receptors signal from an early endosome population before signal inactivation in the recycling endosome or lysosome (Figure 2). Many of the

Conclusion

Abnormal synaptic development is thought to underlie multiple neurodevelopmental disorders which present with clinically distinct phenotypes. Altered synaptic structure or function may also lead to changes in neuronal connectivity which predispose an individual to neurodegenerative disease. We have highlighted several genes implicated in neuropsychiatric disease which have defined roles in synaptic development. Mutations in different genes or gene combinations may lead to a similar disease

References and recommended reading

Papers of particular interest, published within the period of review, have been highlighted as:

  • • of special interest

  • •• of outstanding interest

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