Reference. Anti-Parkinsonian Drugs Rescue Locomotor Deficits in JIP3 Knockout Zebrafish: Implications for Treating Patients with MAPK8IP3 -related Neurodevelopmental Disorders
MAPK8IP3- related neurodevelopmental disorders are a spectrum of rare conditions caused by de novo mutations in the MAPK8IP3 gene that encodes the JIP3 protein. These disorders are associated with a spectrum of neurodevelopmental symptoms that manifest in children and cause brain abnormalities, profound intellectual disabilities, movement disorders, and developmental delays. JIP3 is required for axonal transport of proteins and organelles between the soma and the synaptic terminal of neurons, a process critical for normal brain development and function. Homozygous loss-of-function mutations in JIP3 lead to impaired axonal transport and aggregation of cargo, which result in axonal swelling and stunted elongation. Despite these severe outcomes, disease mechanisms are poorly understood, and no current treatments are available. Here we conduct thorough morphological, behavioral, and motility phenotyping in the JIP3 knockout zebrafish and identify locomotor deficits and morphological abnormalities. To identify treatment options, we used insights from expert clinicians and the artificial intelligence tool, mediKanren, to identify drug candidates hypothesized to improve patient symptoms or compensate for the loss of JIP3 at the molecular level. We then prioritized drugs that are FDA-approved, safe for children, and readily available. These collective efforts identified amantadine and levodopa as candidate therapies and rescued motor phenotypes associated with JIP3 loss-of-function in zebrafish.
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The precision medicine process for treating rare disease using the artificial intelligence tool mediKanren foksinska-2022-the
There are over 6,000 different rare diseases estimated to impact 300 million people worldwide. As genetic testing becomes more common practice in the clinical setting, the number of rare disease diagnoses will continue to increase, resulting in the need for novel treatment options. Identifying treatments for these disorders is challenging due to a limited understanding of disease mechanisms, small cohort sizes, interindividual symptom variability, and little commercial incentive to develop new treatments. A promising avenue for treatment is drug repurposing, where FDA-approved drugs are repositioned as novel treatments. However, linking disease mechanisms to drug action can be extraordinarily difficult and requires a depth of knowledge across multiple fields, which is complicated by the rapid pace of biomedical knowledge discovery. To address these challenges, The Hugh Kaul Precision Medicine Institute developed an artificial intelligence tool, mediKanren, that leverages the mechanistic insight of genetic disorders to identify therapeutic options. Using knowledge graphs, mediKanren enables an efficient way to link all relevant literature and databases. This tool has allowed for a scalable process that has been used to help over 500 rare disease families. Here, we provide a description of our process, the advantages of mediKanren, and its impact on rare disease patients.
External (36)
- Molecular mechanism of dynein-dynactin complex assembly by LIS1 (2024)
- Axonal transport of autophagosomes is regulated by dynein activators JIP3/JIP4 and ARF/RAB GTPases (2023)
- JIP3 interacts with dynein and kinesin-1 to regulate bidirectional organelle transport (2022)
- Doublecortin and JIP3 are neural-specific counteracting regulators of dynein-mediated retrograde trafficking (2022)
- bdnf loss affects activity, sociability, and anxiety-like behaviour in zebrafish (2022)
- Loss of MAPK8IP3 Affects Endocytosis in Neurons (2022)
- Overlapping roles of JIP3 and JIP4 in promoting axonal transport of lysosomes in human iPSC-derived neurons (2021)
- JNK signaling provides a novel therapeutic target for Rett syndrome (2021)
- Recurrent de novo MAPK8IP3 variants cause neurological phenotypes (2019)
- Autophagic and endo-lysosomal dysfunction in neurodegenerative disease (2019)
- De Novo Variants in MAPK8IP3 Cause Intellectual Disability with Variable Brain Anomalies (2019)
- Structural characterization of the RH1-LZI tandem of JIP3/4 highlights RH1 domains as a cytoskeletal motor-binding motif (2019)
- Neuronal lysosomes (2018)
- Impaired JIP3-dependent axonal lysosome transport promotes amyloid plaque pathology (2017)
- JIP3 regulates neuronal radial migration by mediating TrkB axonal anterograde transport in the developing cerebral cortex (2017)
- JIP1 and JIP3 cooperate to mediate TrkB anterograde axonal transport by activating kinesin-1 (2017)
- Keeping Neuronal Cargoes on the Right Track: New Insights into Regulators of Axonal Transport (2016)
- Up‐regulation of c‐Jun NH 2‐terminal kinase‐interacting protein 3 ( JIP 3) contributes to BDNF ‐enhanced neurotransmitter release (2015)
- In vivo analysis of axonal transport in zebrafish (2015)
- UNC-16 (JIP3) Acts Through Synapse-Assembly Proteins to Inhibit the Active Transport of Cell Soma Organelles to Caenorhabditis elegans Motor Neuron Axons (2015)
- JSAP1/JIP3 and JLP regulate kinesin-1-dependent axonal transport to prevent neuronal degeneration (2015)
- Syd/JIP3 and JNK Signaling Are Required for Myonuclear Positioning and Muscle Function (2014)
- Set‐up of an infrared fast behavioral assay using zebrafish (Danio rerio) larvae, and its application in compound biotoxicity screening (2013)
- JNK-Interacting Protein 3 Mediates the Retrograde Transport of Activated c-Jun N-Terminal Kinase and Lysosomes (2013)
- c-Jun NH2-terminal Kinase (JNK)-interacting Protein-3 (JIP3) Regulates Neuronal Axon Elongation in a Kinesin- and JNK-dependent Manner (2013)
- JIP3 Mediates TrkB Axonal Anterograde Transport and Enhances BDNF Signaling by Directly Bridging TrkB with Kinesin-1 (2011)
- Retrograde axonal transport: pathways to cell death? (2010)
- The scaffold protein JIP3 functions as a downstream effector of the small GTPase ARF6 to regulate neurite morphogenesis of cortical neurons (2010)
- Sunday Driver Interacts with Two Distinct Classes of Axonal Organelles (2009)
- The JIP3 scaffold protein UNC‐16 regulates RAB‐5 dependent membrane trafficking at C. elegans synapses (2008)
- Expression and distribution of JNK/SAPK‐associated scaffold protein JSAP1 in developing and adult mouse brain (2006)
- Targeting the JNK Signaling Pathway for Stroke and Parkinsons Diseases Therapy (2005)
- Precursor form of brain‐derived neurotrophic factor and mature brain‐derived neurotrophic factor are decreased in the pre‐clinical stages of Alzheimer's disease (2005)
- UNC-16, a JNK-Signaling Scaffold Protein, Regulates Vesicle Transport in C. elegans (2001)
- Critical swimming speed: its ecological relevance (2001)
- BDNF and Full-length and Truncated TrkB Expression in Alzheimer Disease. Implications in Therapeutic Strategies (1999)