The Bone Morphogenetic Pathway Controls the Uptake of Infectious Prions

De Cecco, E.; Mariutti, G.; Oueslati Morales, C. O.; Caredio, D.; Erana, H.; Appleton, C.; Sellitto, S.; Hornemann, S.; Scialo, C.; Yin, J.-A.; Vidal, E.; Polymenidou, M.; Castilla, J.; Aguzzi, A.

doi:10.1101/2025.11.08.687161

bioRxiv · 10.1101/2025.11.08.687161

The Bone Morphogenetic Pathway Controls the Uptake of Infectious Prions

De Cecco, E.·Mariutti, G.·Oueslati Morales, C. O.·Caredio, D.·Erana, H.·Appleton, C.·Sellitto, S.·Hornemann, S.·Scialo, C.·Yin, J.-A.·Vidal, E.·Polymenidou, M.·Castilla, J.·Aguzzi, A.

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Abstract

Prions propagate through cycles of intracellular replication, release, and uptake by host cells. Each of these steps is required for disease progression. Here, we used dCAS9-VP64 mediated transactivation to screen for determinants of prion uptake. We transduced PRNP-/- SH-SY5Y cells with a post-pooled human quadruple-guide-RNA library targeting all transcription start sites of the protein-coding genome, exposed them to synthetic infectious prions, and identified modifiers of prion internalization. Specificity was tested by counterscreens with other neurodegeneration-related aggregates and endocytic probes. Surprisingly, the Bone Morphogenetic Protein (BMP) signaling pathway emerged as a strong modulator. Prion uptake was increased by transcriptional activation of the BMPR1B, BMPR2 and ACVRL1 receptors, by the BMP effector SMAD1 and by exposure to BMP ligands. Conversely, prion uptake was reduced by activation of the BMP inhibitor SMAD6. Pharmacological inhibition of BMP signaling by the antagonistic ligand noggin and by the BMP kinase inhibitor dorsomorphin decreased prion internalization, reduced the number of prion-carrying cells, and suppressed the accumulation of proteinase-resistant prion protein in a panel of chronically infected human cell lines. Hence, cell-autonomous and non-autonomous BMP signaling components regulate prion uptake, and their manipulation provides a framework for interfering with the early steps of prion propagation.

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De Cecco, E., Mariutti, G., Oueslati Morales, C. O., Caredio, D., Erana, H., Appleton, C., Sellitto, S., Hornemann, S., Scialo, C., Yin, J.-A., Vidal, E., Polymenidou, M., Castilla, J., Aguzzi, A.. 2025-11-08. The Bone Morphogenetic Pathway Controls the Uptake of Infectious Prions. https://doi.org/10.1101/2025.11.08.687161

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