Biallelic <i>SIDT2</i> loss-of-function in a child with cerebellar ataxia and lysosomal dysfunction mimics impairment of <i>SIDT2</i> in mice
SIDT2 (Systemic Interference Deficient 1 Transmembrane Family Member 2) is a lysosomal membrane protein involved in RNA degradation via RNAutophagy. While animal models have indicated a link between SIDT2 deficiency and lysosomal storage disorders, no human cases have been reported. Here, we report a child with biallelic <i>SIDT2</i> missense variants (p.Arg529Trp, p.Arg678Trp), who developed progressive neurological decline with cerebellar atrophy and Parkinsonian features. Functional studies revealed that the affected individual's variants disrupted the ability of SIDT2 to interact with RNA. Fibroblasts from the affected individual showed impaired autophagy, characterised by abnormal accumulation of autophagy markers. In mouse models, Sidt2 was found to be highly expressed in the brain, particularly in the hippocampus and cerebellum. Sidt2 loss-of-function in mice resulted in not only impaired autophagy in the brain but also neurological dysfunction, including motor incoordination and eventual seizures. These findings suggest that SIDT2 deficiency contributes to both autophagic dysfunction and neurodegenerative processes, providing insight into a potential role in human neurological disease.
Authors
- Jeiwook Chae
- Martine Tétreault (ORCID: https://orcid.org/0000-0001-7124-5919)
- Ken C. Pang (ORCID: https://orcid.org/0000-0002-6881-775X)
- Sean Massey (ORCID: https://orcid.org/0000-0002-0759-9306)
- Craig P. Hunter (ORCID: https://orcid.org/0000-0002-1456-5657)
- Tan A. Nguyen (ORCID: https://orcid.org/0000-0003-2696-9170)
- Blake R. C. Smith (ORCID: https://orcid.org/0000-0002-6992-264X)
- John Christodoulou (ORCID: https://orcid.org/0000-0002-6710-3843)
- Simranpreet Kaur (ORCID: https://orcid.org/0000-0002-0689-2965)
- Grace Yoon (ORCID: https://orcid.org/0000-0002-0415-4416)
Institutions
- The University of Sydney (AU)
- Royal Children's Hospital (AU)
- Harvard University (US)
- The University of Melbourne (AU)
- University of California, San Francisco (US)
- Walter and Eliza Hall Institute of Medical Research (AU)
- Hospital for Sick Children (CA)
- Centre Hospitalier de l’Université de Montréal (CA)
- Murdoch Children's Research Institute (AU)
Publication Details
- Journal
- Journal of Medical Genetics
- Published
- 2025-06-20
- DOI
- https://doi.org/10.1136/jmg-2025-110654
- Citations
- 1
- Primary Topic
- RNA regulation and disease
- Type
- article
- Field-Weighted Citation Impact
- 0.81
Funders
- Genome Canada
- Children's Hospital of Eastern Ontario Foundation
- Ontario Genomics Institute
- Royal Australasian College of Physicians
- State Government of Victoria
- Hospital for Sick Children
- Lung Foundation Australia
- Canadian Institutes of Health Research
- National Health and Medical Research Council
- Cancer Council Victoria