Exploring HTRA1-Autosomal Dominant Disease: Literature Review of Clinical Features and Molecular Mechanisms
Abstract
Heterozygous HTRA1-autosomal dominant disease is a gradually recognized hereditary cerebral small vessel disease (cSVD) characterized by debilitating conditions and extensive white matter hyperintensities (WMHs), but doubts remain on the underlying mechanisms of this disease. This review summarizes the clinical, MRI, and molecular genetics features of heterozygous HTRA1-autosomal dominant disease in combination with two better-studied hereditary cSVDs. A total of 31 mutations in HTRA1-autosomal dominant cases documented between 2020 and 2023 were also reviewed, characterizing the mutation features and clinical manifestations. This review aims to gain better insight into the unique characteristics of the disease and its correlations with other hereditary cSVDs.
References
- Beaufort, N., Scharrer, E., Kremmer, E., Lux, V., Ehrmann, M., Huber, R., Houlden, H., Werring, D., Haffner, C., & Dichgans, M. (2014). Cerebral small vessel disease-related protease HtrA1 processes latent TGF-β binding protein 1 and facilitates TGF-β signaling. Proc Natl Acad Sci U S A, 111(46), 16496-16501. https://doi.org/10.1073/pnas.1418087111
- Bekircan-Kurt, C. E., Çetinkaya, A., Gocmen, R., Koşukcu, C., Soylemezoglu, F., Arsava, E. M., Tuncer, A., Erdem-Ozdamar, S., Akarsu, N. A., & Topcuoglu, M. A. (2021). One Disease with two Faces: Semidominant Inheritance of a Novel HTRA1 Mutation in a Consanguineous Family. J Stroke Cerebrovasc Dis, 30(9), 105997. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105997
- Chen, M. J., Zhang, Y., Luo, W. J., Dong, H. L., Wei, Q., Zhang, J., Ruan, Q. Q., Ni, W., & Li, H. F. (2022). Identified novel heterozygous HTRA1 pathogenic variants in Chinese patients with HTRA1-associated dominant cerebral small vessel disease. Front Genet, 13, 909131. https://doi.org/10.3389/fgene.2022.909131
- Coste, T., Hervé, D., Neau, J. P., Jouvent, E., Ba, F., Bergametti, F., Lamy, M., Cogez, J., Derache, N., Schneckenburger, R., Grelet, M., Gollion, C., Lanotte, L., Lauer, V., Layet, V., Urbanczyk, C., Didic, M., Raynouard, I., Delaval, L., . . . Tournier-Lasserve, E. (2021). Heterozygous HTRA1 nonsense or frameshift mutations are pathogenic. Brain, 144(9), 2616-2624. https://doi.org/10.1093/brain/awab271
- Derynck, R., Zhang, Y., & Feng, X. H. (1998). Smads: transcriptional activators of TGF-beta responses. Cell, 95(6), 737-740. https://doi.org/10.1016/s0092-8674(00)81696-7
- Di Donato, I., Bianchi, S., Gallus, G. N., Cerase, A., Taglia, I., Pescini, F., Nannucci, S., Battisti, C., Inzitari, D., Pantoni, L., Zini, A., Federico, A., & Dotti, M. T. (2017). Heterozygous mutations of HTRA1 gene in patients with familial cerebral small vessel disease. CNS Neurosci Ther, 23(9), 759-765. https://doi.org/10.1111/cns.12722
- Fasano, A., Formichi, P., Taglia, I., Bianchi, S., Di Donato, I., Battisti, C., Federico, A., & Dotti, M. T. (2020). HTRA1 expression profile and activity on TGF-β signaling in HTRA1 mutation carriers. J Cell Physiol, 235(10), 7120-7127. https://doi.org/10.1002/jcp.29609
- Grigaitė, J., Šiaurytė, K., Audronytė, E., Preikšaitienė, E., Burnytė, B., Pranckevičienė, E., Ekkert, A., Utkus, A., & Jatužis, D. (2021). Novel In-Frame Deletion in HTRA1 Gene, Responsible for Stroke at a Young Age and Dementia-A Case Study. Genes (Basel), 12(12). https://doi.org/10.3390/genes12121955
- Hara, K., Shiga, A., Fukutake, T., Nozaki, H., Miyashita, A., Yokoseki, A., Kawata, H., Koyama, A., Arima, K., Takahashi, T., Ikeda, M., Shiota, H., Tamura, M., Shimoe, Y., Hirayama, M., Arisato, T., Yanagawa, S., Tanaka, A., Nakano, I., . . . Onodera, O. (2009). Association of HTRA1 mutations and familial ischemic cerebral small-vessel disease. N Engl J Med, 360(17), 1729-1739. https://doi.org/10.1056/NEJMoa0801560
- He, Z., Wang, L., Zhang, Y., Yin, C., & Niu, Y. (2023). Clinical features and pathogenicity assessment in patients with HTRA1-autosomal dominant disease. Neurol Sci, 44(2), 639-647. https://doi.org/10.1007/s10072-022-06454-5
- Kast, J., Hanecker, P., Beaufort, N., Giese, A., Joutel, A., Dichgans, M., Opherk, C., & Haffner, C. (2014). Sequestration of latent TGF-β binding protein 1 into CADASIL-related Notch3-ECD deposits. Acta Neuropathol Commun, 2, 96. https://doi.org/10.1186/s40478-014-0096-8
- Kato, T., Manabe, R. I., Igarashi, H., Kametani, F., Hirokawa, S., Sekine, Y., Fujita, N., Saito, S., Kawashima, Y., Hatano, Y., Ando, S., Nozaki, H., Sugai, A., Uemura, M., Fukunaga, M., Sato, T., Koyama, A., Saito, R., Sugie, A., . . . Onodera, O. (2021). Candesartan prevents arteriopathy progression in cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy model. J Clin Invest, 131(22). https://doi.org/10.1172/jci140555
- Kitahara, S., Tsuboguchi, S., Uemura, M., Nozaki, H., Kanazawa, M., & Onodera, O. (2022). Patients with heterozygous HTRA1-related cerebral small vessel disease misdiagnosed with other diseases: Two case reports. Clin Neurol Neurosurg, 223, 107502. https://doi.org/10.1016/j.clineuro.2022.107502
- Kondo, Y., Yoshinaga, T., Nakamura, K., Yamaguchi, T., Ishikawa, M., Kosho, T., & Sekijima, Y. (2023). Severe Cerebral Small Vessel Disease Caused by the Uniallelic p.A252T Variant of HTRA1. Neurol Genet, 9(1), e200047. https://doi.org/10.1212/nxg.0000000000200047
- Lee, Y. C., Chung, C. P., Chao, N. C., Fuh, J. L., Chang, F. C., Soong, B. W., & Liao, Y. C. (2018). Characterization of Heterozygous HTRA1 Mutations in Taiwanese Patients With Cerebral Small Vessel Disease. Stroke, 49(7), 1593-1601. https://doi.org/10.1161/strokeaha.118.021283
- Li, Y., Yuan, J., Rothzerg, E., Wu, X., Xu, H., Zhu, S., & Xu, J. (2020). Molecular structure and the role of high-temperature requirement protein 1 in skeletal disorders and cancers. Cell Prolif, 53(2), e12746. https://doi.org/10.1111/cpr.12746
- Liu, J. Y., Zhu, Y. C., Zhou, L. X., Wei, Y. P., Mao, C. H., Cui, L. Y., Peng, B., & Yao, M. (2020). HTRA1-related autosomal dominant cerebral small vessel disease. Chin Med J (Engl), 134(2), 178-184. https://doi.org/10.1097/cm9.0000000000001176
- Mancuso, M., Arnold, M., Bersano, A., Burlina, A., Chabriat, H., Debette, S., Enzinger, C., Federico, A., Filla, A., Finsterer, J., Hunt, D., Lesnik Oberstein, S., Tournier-Lasserve, E., & Markus, H. S. (2020). Monogenic cerebral small-vessel diseases: diagnosis and therapy. Consensus recommendations of the European Academy of Neurology. Eur J Neurol, 27(6), 909-927. https://doi.org/10.1111/ene.14183
- Muiño, E., Fernández-Cadenas, I., & Arboix, A. (2021). Contribution of "Omic" Studies to the Understanding of Cadasil. A Systematic Review. Int J Mol Sci, 22(14). https://doi.org/10.3390/ijms22147357
- Müller, K., Courtois, G., Ursini, M. V., & Schwaninger, M. (2017). New Insight Into the Pathogenesis of Cerebral Small-Vessel Diseases. Stroke, 48(2), 520-527. https://doi.org/10.1161/strokeaha.116.012888
- Muthusamy, K., Ferrer, A., Klee, E. W., Wierenga, K. J., & Gavrilova, R. H. (2021). Clinicoradiographic and genetic features of cerebral small vessel disease indicate variability in mode of inheritance for monoallelic HTRA1 variants. Mol Genet Genomic Med, 9(10), e1799. https://doi.org/10.1002/mgg3.1799
- Nozaki, H., Kato, T., Nihonmatsu, M., Saito, Y., Mizuta, I., Noda, T., Koike, R., Miyazaki, K., Kaito, M., Ito, S., Makino, M., Koyama, A., Shiga, A., Uemura, M., Sekine, Y., Murakami, A., Moritani, S., Hara, K., Yokoseki, A., . . . Onodera, O. (2016). Distinct molecular mechanisms of HTRA1 mutants in manifesting heterozygotes with CARASIL. Neurology, 86(21), 1964-1974. https://doi.org/10.1212/wnl.0000000000002694
- Nozaki, H., Sekine, Y., Fukutake, T., Nishimoto, Y., Shimoe, Y., Shirata, A., Yanagawa, S., Hirayama, M., Tamura, M., Nishizawa, M., & Onodera, O. (2015). Characteristic features and progression of abnormalities on MRI for CARASIL. Neurology, 85(5), 459-463. https://doi.org/10.1212/wnl.0000000000001803
- Panahi, M., Yousefi Mesri, N., Samuelsson, E. B., Coupland, K. G., Forsell, C., Graff, C., Tikka, S., Winblad, B., Viitanen, M., Karlström, H., Sundström, E., & Behbahani, H. (2018). Differences in proliferation rate between CADASIL and control vascular smooth muscle cells are related to increased TGFβ expression. J Cell Mol Med, 22(6), 3016-3024. https://doi.org/10.1111/jcmm.13534
- Qian, E., Uemura, M., Kobayashi, H., Nakamura, S., Ozawa, F., Yoshimatsu, S., Ishikawa, M., Onodera, O., Morimoto, S., & Okano, H. (2023). A human induced pluripotent stem cell model from a patient with hereditary cerebral small vessel disease carrying a heterozygous R302Q mutation in HTRA1. Inflamm Regen, 43(1), 23. https://doi.org/10.1186/s41232-023-00273-7
- Risør, M. W., Poulsen, E. T., Thomsen, L. R., Dyrlund, T. F., Nielsen, T. A., Nielsen, N. C., Sanggaard, K. W., & Enghild, J. J. (2014). The autolysis of human HtrA1 is governed by the redox state of its N-terminal domain. Biochemistry, 53(23), 3851-3857. https://doi.org/10.1021/bi401633w
- Shang, T., Pinho, M., Ray, D., & Khera, A. (2021). Two Unique Mutations in HTRA1-Related Cerebral Small Vessel Disease in North America and Africa and Literature Review. J Stroke Cerebrovasc Dis, 30(11), 106029. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106029
- Shiga, A., Nozaki, H., Yokoseki, A., Nihonmatsu, M., Kawata, H., Kato, T., Koyama, A., Arima, K., Ikeda, M., Katada, S., Toyoshima, Y., Takahashi, H., Tanaka, A., Nakano, I., Ikeuchi, T., Nishizawa, M., & Onodera, O. (2011). Cerebral small-vessel disease protein HTRA1 controls the amount of TGF-β1 via cleavage of proTGF-β1. Hum Mol Genet, 20(9), 1800-1810. https://doi.org/10.1093/hmg/ddr063
- Tikka, S., Baumann, M., Siitonen, M., Pasanen, P., Pöyhönen, M., Myllykangas, L., Viitanen, M., Fukutake, T., Cognat, E., Joutel, A., & Kalimo, H. (2014). CADASIL and CARASIL. Brain Pathol, 24(5), 525-544. https://doi.org/10.1111/bpa.12181
- Truebestein, L., Tennstaedt, A., Mönig, T., Krojer, T., Canellas, F., Kaiser, M., Clausen, T., & Ehrmann, M. (2011). Substrate-induced remodeling of the active site regulates human HTRA1 activity. Nat Struct Mol Biol, 18(3), 386-388. https://doi.org/10.1038/nsmb.2013
- Uemura, M., Nozaki, H., Kato, T., Koyama, A., Sakai, N., Ando, S., Kanazawa, M., Hishikawa, N., Nishimoto, Y., Polavarapu, K., Nalini, A., Hanazono, A., Kuzume, D., Shindo, A., El-Ghanem, M., Abe, A., Sato, A., Yoshida, M., Ikeuchi, T., . . . Onodera, O. (2020). HTRA1-Related Cerebral Small Vessel Disease: A Review of the Literature. Front Neurol, 11, 545. https://doi.org/10.3389/fneur.2020.00545
- Uemura, M., Nozaki, H., Koyama, A., Sakai, N., Ando, S., Kanazawa, M., Kato, T., & Onodera, O. (2019). HTRA1 Mutations Identified in Symptomatic Carriers Have the Property of Interfering the Trimer-Dependent Activation Cascade. Front Neurol, 10, 693. https://doi.org/10.3389/fneur.2019.00693
- Verdura, E., Hervé, D., Scharrer, E., Amador Mdel, M., Guyant-Maréchal, L., Philippi, A., Corlobé, A., Bergametti, F., Gazal, S., Prieto-Morin, C., Beaufort, N., Le Bail, B., Viakhireva, I., Dichgans, M., Chabriat, H., Haffner, C., & Tournier-Lasserve, E. (2015). Heterozygous HTRA1 mutations are associated with autosomal dominant cerebral small vessel disease. Brain, 138(Pt 8), 2347-2358. https://doi.org/10.1093/brain/awv155
- Wu, C., Chen, L., & Ke, S. (2020). Novel Heterozygous HTRA1 Pathogenic Variant Found in a Chinese Family with Autosomal Dominant Cerebral Small Vessel Disease. Ann Indian Acad Neurol, 23(6), 832-835. https://doi.org/10.4103/aian.AIAN_74_20
- Xu, S. Y., Li, H. J., Li, S., Ren, Q. Q., Liang, J. L., & Li, C. X. (2023). Heterozygous Pathogenic and Likely Pathogenic Symptomatic HTRA1 Variant Carriers in Cerebral Small Vessel Disease. Int J Gen Med, 16, 1149-1162. https://doi.org/10.2147/ijgm.S404813
- Yamamoto, Y., & Ihara, M. (2017). Disruption of transforming growth factor-β superfamily signaling: A shared mechanism underlying hereditary cerebral small vessel disease. Neurochem Int, 107, 211-218. https://doi.org/10.1016/j.neuint.2016.12.003
- Yao, T., Zhu, J., Wu, X., Li, X., Fu, Y., Wang, Y., Wang, Z., Xu, F., Lai, H., He, A., Teng, L., Wang, C., & Song, H. (2022). Heterozygous HTRA1 Mutations Cause Cerebral Small Vessel Diseases: Genetic, Clinical, and Pathologic Findings From 3 Chinese Pedigrees. Neurol Genet, 8(6), e200044. https://doi.org/10.1212/nxg.0000000000200044
- Zhang, C., Zheng, H., Li, X., Li, S., Li, W., Wang, Z., Niu, S., Wang, X., & Zhang, Z. (2022). Novel mutations in HTRA1-related cerebral small vessel disease and comparison with CADASIL. Ann Clin Transl Neurol, 9(10), 1586-1595. https://doi.org/10.1002/acn3.51654
- Zhang, H., Qin, X., Shi, Y., Gao, X., Wang, F., Wang, H., Shang, J., Zhao, J., Zhang, J., & Shao, F. (2021). Genotype-phenotype correlations of heterozygous HTRA1-related cerebral small vessel disease: case report and systematic review. Neurogenetics, 22(3), 187-194. https://doi.org/10.1007/s10048-021-00646-5
- Zhang, Y. E. (2017). Non-Smad Signaling Pathways of the TGF-β Family. Cold Spring Harb Perspect Biol, 9(2). https://doi.org/10.1101/cshperspect.a022129
- Zhou, H., Jiao, B., Ouyang, Z., Wu, Q., Shen, L., & Fang, L. (2022). Report of two pedigrees with heterozygous HTRA1 variants-related cerebral small vessel disease and literature review. Mol Genet Genomic Med, 10(10), e2032. https://doi.org/10.1002/mgg3.2032
- Zhuo, Z. L., Cong, L., Zhang, J., & Zhao, X. T. (2020). A novel heterozygous HTRA1 mutation is associated with autosomal dominant hereditary cerebral small vessel disease. Mol Genet Genomic Med, 8(6), e1111. https://doi.org/10.1002/mgg3.1111
How to Cite
How to Cite
Downloads
Article Details
Most Read This Month
License
Copyright (c) 2023 Yi-Juan Li, Yicheng Zhu, Ming Yao
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.