Mutant mice with severe tremor, abnormal gait and diluted pigmentation were identified in our mouse colony on a mixed inbred strain background. One breeding pair generated 8/30 affected progeny, consistent with inheritance of an autosomal recessive mutation designated ‘pale tremor’. At postnatal day three (P3), affected homozygotes have diluted pigmentation and reduced size (). Intentional tremor develops during the second week after birth, and abnormal limb postures are evident by the third week (). The impaired motor coordination, muscle weakness and ‘swimming’ gait of pale tremor mice are demonstrated in the Supplementary Movie
. There is progressive loss of mobility, reduction in body weight and juvenile lethality ().
Phenotypes of homozygous pale tremor mice
To genetically map the pale tremor gene, a cross was carried out with strain CAST/Ei. The recovery of affected F2
offspring was 9% (50/532), indicative of prenatal loss on this genetic background. We genotyped 532 F2
animals with microsatellite and single nucleotide polymorphism markers to map the pale tremor gene to a 2-megabase interval of mouse chromosome 10 between D10Umi13
(Supplementary Fig. 1a
). There are 21 annotated genes in the non-recombinant interval (http://www.ensembl.org
; mouse build 35); these were tested as candidates by sequencing reverse transcription polymerase chain reaction (RT–PCR) products from brain RNA. The A530089I17Rik
transcript amplified from pale tremor RNA lacks exons 19 to 23 from the 3′end of the gene (). Hybridization of a polyA+
northern blot with a complementary DNA probe containing exons 8 to 15 identified a wild-type transcript of 3.3 kilobases (kb) that is not present in messenger RNA from pale tremor mice (). No abnormal transcripts were detected in the mutant, even when the exposure time was increased from 3 to 63 h (not shown). We were able to amplify exons 19 to 23 from genomic DNA, eliminating the possibility of a genomic deletion (Supplementary Fig. 2a
To identify the genomic mutation, we examined the structure of intron 18 using PCR. A wild-type product of 0.65 kb and a mutant product of 6.2 kb were amplified from the 3′ end of intron 18 (). The sequence of the mutant product (GenBank DQ813648) contains a 5,547 base pair (bp) insert with 99% sequence identity to mouse retro-transposon ETn2β
(GenBank Y17106). The transposon is inserted 384 bp upstream of exon 19, in the same orientation as the gene (), and is flanked by a duplication of the hexanucleotide CCCCTG, characteristic of ETn2β
. The mutant allele can be detected by PCR with a primer in the long terminalrepeat (). The background strains do not contain the ETn2β
element (data not shown), indicating that mutation of the pale tremor gene is a result of transposon insertion. The data are consistent with abnormal splicing from exon 18 of Fig4
to one of the cryptic splice acceptor sites in the ETn2β
, generating a transcript of very low abundance that is detected by RT–PCR but is below the sensitivity of the polyA+
RT–PCR of tissues from wild-type mice demonstrated widespread expression of Fig4
(Supplementary Fig. 2b
), consistent with public expressed-sequence-tag and microarray databases. In situ
hybridization data demonstrate distribution of the transcript throughout the brain (http://www.brainatlas.org/aba/
and unpublished observations, C.Y.C. and M.H.M.). The human orthologue, KIAA0274, is located on human chromosome 6q21. The mutated protein is most closely related to the yeast Saccharomyces cerevisiae
SAC-domain phosphatase Fig4, with overall amino acid sequence identity of 35% and similarity of 66%. The SAC domain with the active site motif CX5
R(S/T) is characteristic of phosphatases with specificity for phosphoprotein or phospholipid substrates4
, and exhibits 44% sequence identity (191/435 amino acids; Supplementary Fig. 1b
). The four other mammalian genes with SAC domains (SYNJ1
) differ from Fig4 at other domains4
, indicating that mouse A530089I17Rik
and human KIAA0274 are homologues of yeast Fig4.
Yeast Fig4 is localized to the vacuolar membrane and is required for both generation and turnover of PtdIns(3,5)P2
). Yeast Fig4 exhibits lipid phosphatase activity towards the 5-phosphate residue of PtdIns(3,5)P2
), and also appears to activate the Fab1 kinase that synthesizes PtdIns(3,5)P2
from phosphatidylinositol-3-phosphate, possibly by dephosphorylating the kinase or one of its regulators5
. As a result, deletion of yeast Fig4 reduces rather than increases the intracellular concentration of PtdIns(3,5)P2
), leading to defects in vacuole fission, formation of enlarged vacuoles and impaired retrograde traffic to the late endosome2,8,9
. Knockdown of mammalian Fab1/PIKfyve kinase causes a similar defect in retrograde endosome traffic and enlarged vacuoles10
Analysis of phosphoinositides from cultured fibroblasts of pale tremor mice demonstrated a three-fold reduction in PtdIns(3,5)P2
= 0.04), with no change in three other phosphoinositides (). Enlarged cytoplasmic vacuoles accumulate in 40% of cultured fibroblasts from pale tremor mice (174/435) compared with 5% of wild-type cells (22/403) (Supplementary Fig. 3a–d
). These vacuoles stain positively for LAMP-2 (Supplementary Fig. 3e–g
), indicating that they represent late-stage endosomes. The altered levels of PtdIns(3,5)P2
demonstrate conserved enzymatic function of FIG4 from yeast to mouse, whereas the enlarged vacuoles demonstrate a conserved cellular role in regulation of the size of late endosomes.
loss of FIG4 results in a striking pattern of selective neurodegeneration. Extensive loss of neurons from sensory and autonomic ganglia is evident during the neonatal period ( and Supplementary Fig. 4a
). The presence of neurons with enlarged cytoplasmic vacuoles suggests that vacuole accumulation precedes cell loss (, insets). Spinal motor neurons exhibit normal morphology at three weeks () but contain vacuoles at six weeks of age (Supplementary Fig. 5
Neuropathology in pale tremor mice
Peripheral nerves are also affected. Cross-sections of the sciatic nerve reveal substantial reduction in the number of large-diameter myelinated axons in the mutant (). Nerve conduction velocity and amplitude of compound muscle action potentials are reduced (), consistent with the axonal loss visible in the sections of the sciatic nerve and the pathological abnormalities in the motor neurons. There was no response when recording from tail sensory fibres, consistent with the severe loss of sensory neurons from the dorsal root ganglia shown in .
Pathological abnormalities in peripheral nerves
In the brain, neuronal loss in the thalamus, pons, medulla and deep cerebellar nuclei is visible at one week of age (Supplementary Fig. 6
). By three weeks of age there is additional loss of neurons from layers four and five of the cortex, the deep layers of the superior and inferior colliculus and the olfactory bulb (). Some neuronal cell bodies contain enlarged vacuoles (); these vacuoles are not stained by Oil Red O (for lipid) or periodic acid Schiff (for carbohydrate) (not shown). Hippocampus, cerebellar cortex and cerebral cortex layers one, two, three and six remain relatively unaffected throughout the course of the disease, although under culture conditions hippocampal neurons become vacuolated (Supplementary Fig. 4b, c
). The abnormal gait and motor coordination in the pale tremor mutant may be accounted for by abnormal proprioception owing to degeneration of dorsal root ganglia neurons, in combination with degeneration of neurons from brain regions directly involved in motor control (layer five of the cortex, thalamus and deep cerebellar nuclei).
Abnormalities are visible in skin and spleen. Pigment-containing hair follicles are greatly reduced in number and the few pigmented hairs contain clumped melanosomes (Supplementary Fig. 7
), similar to mouse mutants with defects in lysosome–melanosome biogenesis11
. There is extensive cell loss in the spleen (Supplementary Fig. 8
). White blood cell profiles are normal, and liver, kidney and testis appear normal when observed by light microscopy.
The clinical and pathological features of peripheral neuropathy in pale tremor mice resemble some types of Charcot–Marie–Tooth (CMT) disorder12,13
. We tested FIG4
as a candidate gene by screening 95 individuals diagnosed with CMT disorder but lacking mutations in known genes13
. The 23 coding exons of FIG4
were amplified from genomic DNA, screened by heteroduplex analysis and sequenced. Patient BAB1079 has a severe, early onset disorder. We identified the protein truncation mutation F98fsX102 in exon 4 and the missense mutation I41T in exon 2 of FIG4
(). F98fsX102 truncates the protein within the SAC domain and is likely to be a loss-of-function allele. Pedigree analysis demonstrated autosomal recessive inheritance. Each mutation was inherited from a heterozygous parent (). Two heterozygous carriers of F98fsX102 are unaffected, indicating that FIG4
is not haploinsufficient. Heterozygous pale tremor mice at 18 months of age are also unaffected.
Mutations of FIG4 in patients with CMT disorder
Another patient, BAB1372, was found to be a compound heterozygote with a nonsense mutation R183X in exon 6 together with I41T (). R183X was inherited from the patient’s father (). The mother is an obligate carrier of I41T, and the patient has an affected sibling (BAB1373) that also inherited both mutations (). Both siblings have severe disease: BAB1372 is functionally quadriplegic and BAB1373 is wheelchair-bound although retaining normal use of his arms. Both have slow nerve conduction velocities. A sural nerve biopsy for BAB1373 demonstrated profound axonal loss, thinly myelinated nerve fibres and evidence of de- and re-myelination.
Two additional patients, BAB1161 and BAB1369, carry unique truncation mutations together with I41T (). Both patients developed disease by the age of five and demonstrate reduced nerve conduction velocity (2–7 m s−1, compared with normal values of 40–50 m s−1). One patient had motor developmental delay consistent with Dejerine–Sottas neuropathy.
It is remarkable that four unrelated Caucasian patients carry the same missense mutation. No additional coding or splice site variants were detected in these patients when all 23 exons of FIG4
were sequenced. Isoleucine 41 is located upstream of theSAC phosphatase domain and is evolutionarily invariant in FIG4
from yeast, invertebrates and vertebrates (). We sequenced exon 2 from 295 neurologically normal Caucasian controls but did not identify carriers of this variant. The observed allele frequencies were 0/590 in controls and 4/190 in CMT patients (P
= 0.003). The four patients carry I41T on the same 15 kb haplotype, defined by single nucleotide polymorphisms rs3799845 (G), rs2025249 (C) and rs7764711 (G) (haplotype frequency 0.29; disequilibrium coefficient, D
′ = 51), consistent with inheritance of a common ancestral mutant allele (see data in Supplementary Fig. 9
). The evidence suggests that I41T is a rare allele causing partial loss of function that is pathogenic in combination with a null allele of FIG4
To assess the functional effect of the I41T allele, we tested the corresponding mutation (I59T) in yeast. Wild-type and mutant cDNAs were transformed into the yeast strain fig4Δ lacking functional Fig4 (ref.7
). Transformation with the empty vector did not correct the enlarged vacuoles in fig4Δ, which reflects the slightly reduced levels of PtdIns(3,5)P2
that result from the absence of Fig4 (ref. 7
) (). The vacuolar enlargement was corrected to a comparable extent by wild-type and mutant Fig4, indicating that, under basal conditions, cells expressing Fig4I59T
produce normal levels of PtdIns(3,5)P2
(). The ability of the mutant to activate Fab1/PIKfyve kinase was tested by treatment with hyperosmotic shock as previously described5,7
. In cells expressing wild-type Fig4, hyperosmotic shock produces a transient tenfold increase in intracellular PtdIns(3,5)P2
concentration owing to activation of Fab1/PIKfyve kinase (). In cells expressing the mutant, a partial fourfold increase was observed, demonstrating impaired activation of Fab1/PIKfyve kinase. It is not clear whether the phosphatase activity of the mutant is also impaired, owing to the low levels of PtdIns(3,5)P2
Yeast Fig 4Ile > Thr is defective in activation of kinase Fab1/PIKfyve
The data presented here demonstrate that mutation of FIG4
is responsible for peripheral neuronopathy in human patients. We propose the designation CMT4J for this disorder, based on the recessive inheritance pattern. Phosphoinositide signalling has previously been implicated in CMT disorder types 4B1, 4B2 and 4H (ref. 14–19
) (see Supplementary Discussion
). Other genes that function in vesicle trafficking, such as RAB7A
, are associated with inherited neuropathies.
The pale tremor mutant provides the first evidence regarding the functional role of mammalian Fig4
. The results demonstrate a conserved biochemical function in metabolism of PtdIns(3,5)P2
, a conserved cellular role in regulation of endosomal vesicles, and an unexpected role in neuronal survival. The molecular basis for the differential sensitivity of neuronal subtypes to loss of this widely expressed gene is unclear. Neuronal dependence on FIG4 may be related to the role of endosomal vesicles in delivering membrane components to dendritic spines during long-term potentiation23
. The pale tremor mouse will generate insights into PtdIns(3,5)P2
signalling in neurons and provide an animal model for CMT4J and related human neuropathies.