RIG-I Mediated Neuron-Specific IFN Type 1 Signaling in FUS-ALS Induces Neurodegeneration and Offers New Biomarker-Driven Individualized Treatment Options for (FUS-)ALS

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Marcel Naumann - , Rostock University Medical Centre (Author)
  • Theresa M. Wierschin - , Rostock University Medical Centre (Author)
  • Stefanie Kretschmer - , Department of Paediatrics (Author)
  • Banaja P. Dash - , Rostock University Medical Centre (Author)
  • Aaron Held - , Massachusetts General Hospital (Author)
  • Andrea Salzinger - , Massachusetts General Hospital (Author)
  • Kevin Peikert - , Rostock University Medical Centre (Author)
  • Anže Karlek - , Rostock University Medical Centre (Author)
  • Hannes Glaß - , Rostock University Medical Centre (Author)
  • Dajana Großmann - , Rostock University Medical Centre (Author)
  • René Günther - , Department of Neurology, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Dresden (Author)
  • Susanne Petri - , Hannover Medical School (MHH) (Author)
  • Annekathrin Rödiger - , Jena University Hospital (Author)
  • David Brenner - , Ulm University Medical Center (Author)
  • Francisco Pan-Montojo - , Hospital of the Ludwig-Maximilians-University (LMU) Munich, Neurologische Klinik Sorpesee, Biogipuzkoa Health Research Institute, Instituto de Salud Carlos III (Author)
  • Eleonora Aronica - , Amsterdam University Medical Centers (UMC) (Author)
  • Markus Kipp - , Rostock University Medical Centre (Author)
  • Vitaly Zimyanin - , University of Virginia (Author)
  • Jared Sterneckert - , Chair of iPS Cells and Neurodegenerative Diseases, University Medicine (Faculty of Medicine and University Hospital) (Author)
  • Torsten Grehl - , Alfried Krupp Krankenhaus (Author)
  • Noah D. Seebacher - , Ulm University (Author)
  • Tobias M. Böckers - , Ulm University, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Ulm (Author)
  • Alberto Catanese - , Ulm University, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Ulm, University Hospital Aachen (Author)
  • Brian J. Wainger - , Massachusetts General Hospital, Broad Institute of Harvard University and MIT (Author)
  • Patrick Oeckl - , Ulm University Medical Center, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Ulm (Author)
  • Min Ae Lee-Kirsch - , Department of Paediatrics, University Center for Rare Diseases, German Center for Child and Adolescent Health (DZKJ) - Partner Site Leipzig/Dresden (Author)
  • Andreas Hermann - , Rostock University Medical Centre, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Rostock/Greifswald (Author)

Abstract

Recent research demonstrated activation of the innate immune system in ALS models. This pathway can be activated by cGAS-STING sensing of cytosolic DNA that accumulates as a result of chronic DNA damage and defective mitochondria, both of which was identified as pathology in FUS-ALS. Therefore, we analyzed innate immune pathways in FUS-ALS, which revealed upregulation of interferon-stimulated genes (ISGs) and activation of the TBK1-IRF3 pathway in FUSmut iPSC-derived spinal motor neurons (sMNs). Accumulation of cytosolic dsRNA and its sensor RIG-I, but not MDA5, was found to be significantly upregulated in FUSmut sMNs, which was abolished upon siRNA-mediated knockdown of RIG-I. RIG-I was highly expressed in FUS-ALS post-mortem α-MNs. IFN treatment of FUSwt sMNs phenocopied the axonal degeneration of FUSmut sMNs. Mitochondrial transcription, a known source of dsRNA, was found to be upregulated in compartmental axonal RNAseq analysis and its inhibition reduced ISGs in FUS-ALS sMNs. The JAK-STAT inhibitor ruxolitinib alleviated the upregulated ISG expression and reversed the axonal degeneration of sMNs. Finally, we analyzed ISG expression in peripheral blood from 18 FUS-ALS patients, eight of whom had a significantly elevated interferon signature. RIG-I-mediated innate immune activation in sMNs may be an interesting novel individualized biomarker-driven therapeutic target in (FUS-) ALS. A one-sentence summary of your paper: RIG-I-mediated innate immune activation is found in FUS-ALS spinal motor neurons caused by cytosolic dsRNA accumulation due to mitochondrial transcriptional activation and is amenable to JAK-STAT inhibition and might thus be an interesting novel individualized biomarker-driven therapeutic approach in (FUS-) ALS.

Details

Original languageEnglish
Article numbere17135
JournalAdvanced science
Volume13
Issue number18
Publication statusPublished - 27 Mar 2026
Peer-reviewedYes

External IDs

PubMed 41603250
ORCID /0000-0002-7688-3124/work/220700562

Keywords

Keywords

  • cGAS-STING pathway, double-stranded RNA, pathogen-associated molecular patterns, RIG-I, RIG-I like receptors, RNA-sequencing, type 1 interferon