Cited by 45Chromosomal and Genetic VariationsAmyotrophic Lateral Sclerosis ResearchAlzheimer's disease research and treatments

The DOI matches its Crossref record; 135 of the 135 references it cites were found in a registry or an index; 134 of the 173 sources its claims cite were checked for support.

The Role of Retrotransposons and Endogenous Retroviruses in Age-Dependent Neurodegenerative Disorders

Open access
Frost, Bess, Dubnau, Josh·2024·Annual Review of Neuroscience

Abstract

Over 40% of the human genome is composed of retrotransposons, DNA species that hold the potential to replicate via an RNA intermediate and are evolutionarily related to retroviruses. Retrotransposons are most studied for their ability to jump within a genome, which can cause DNA damage and novel insertional mutations. Retrotransposon-encoded products, including viral-like proteins, double-stranded RNAs, and extrachromosomal circular DNAs, can also be potent activators of the innate immune system. A growing body of evidence suggests that retrotransposons are activated in age-related neurodegenerative disorders and that such activation causally contributes to neurotoxicity. Here we provide an overview of retrotransposon biology and outline evidence of retrotransposon activation in age-related neurodegenerative disorders, with an emphasis on those involving TAR-DNA binding protein-43 (TDP-43) and tau. Studies to date provide the basis for ongoing clinical trials and hold promise for innovative strategies to ameliorate the adverse effects of retrotransposon dysregulation in neurodegenerative disorders.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that retrotransposons and endogenous retroviruses are activated in age-dependent neurodegenerative disorders and that this activation causally contributes to neurotoxicity, with the strongest evidence in TDP-43 and tau proteinopathies. The authors propose that TDP-43 and tau are distinct upstream triggers converging on retrotransposon dysregulation, a shared node that could be targeted therapeutically (e.g., with reverse transcriptase inhibitors now in clinical trials).

Key findings

  • Retrotransposons occupy over 40% of the human genome; the genome contains over half a million LINE elements, of which over 100 human-specific LINE1Hs are replication competent, and millions of SINE and SVA elements, some retaining mobilization potential when LINE-1 reverse transcriptase is present.
  • In the largest ALS study cited, RNA-seq of 148 postmortem motor cortex samples was stratified by machine learning into three subtypes: one defined by retrotransposon expression (~20% of samples, with the highest TDP-43 target misexpression and highest TDP-43 pathology), one by glial activation (~20%), and one by oxidative/proteotoxic stress (~60%).
  • Retrotransposon activation is reported in AD and PSP brains (particularly HERV class), correlates with tau but not amyloid-beta pathology burden, and is conserved across tau transgenic Drosophila and mouse models; HERV-K ENV expression alone causes neurite retraction in cultured human neurons and progressive motor dysfunction, motor cortex neuronal volume loss, muscle atrophy, and spinal anterior horn degeneration in transgenic mice.
  • In Drosophila, glial RNAi knockdown of the mdg4-ERV ameliorates TDP-43-induced reductions in life span, glial and neuronal death, and DNA damage; the NRTI 3TC reduces tau-induced retrotransposition and neurodegeneration, and NRTIs reduce TDP-43 toxicity.

Methods

  • Narrative review (Annual Review of Neuroscience) synthesizing human postmortem tissue, blood/CSF biomarker, cell culture, Drosophila, mouse, and organoid studies, organized by protein pathology (TDP-43 vs. tau) rather than clinical diagnosis.
  • Includes a summary table (Table 1) of adult age-associated neurodegenerative disorders linked to transposable element dysregulation (ALS/FTD, AD, sporadic CJD, Huntington's disease, Parkinson's disease, PSP), listing human data references and ClinicalTrials.gov IDs with trial phases.
  • No primary data collection or new statistical analysis; the paper reviews and interprets existing literature.

Limitations

  • Stated by the authors: it remains to be seen whether retrotransposon activity affects relevant clinical outcomes; piRNA biogenesis pathways have not been established in the brain and piRNA-like sequences have not been shown to load onto Piwi protein; the role of piRNAs in the brain remains controversial; it is unclear whether ALS retrotransposon subtypes represent distinct disease forms, stages, or a combination; early repetitive-read analyses had small sample sizes; it is unknown whether tau-induced retrotransposons form eccDNA, whether astrocytic dsRNA is endogenous or taken up, and whether pathological TDP-43 is transferred with viral particles or whether particle movement alone reinitiates pathology.
  • Evident from the text: the review is a synthesis of others' work with no new data; the authors disclose serving on the scientific advisory board of Transposon Therapeutics, Inc., and B.F. had a sponsored research agreement with that company, a potential conflict of interest relevant to the therapeutic framing; one cited follow-up study (Mayer et al. 2018) failed to confirm elevated HERV-K expression in ALS cortical samples, and Prudencio et al. (2017) did not detect a positive correlation between TDP-43 pathology burden and retrotransposon expression, so the human evidence is not fully consistent.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1146/annurev-neuro-082823-020615

Cites

135 of 135 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

52 Partly supported · 38 Supported · 27 Own interpretation · 15 Sources not found · 10 No basis given · 2 Not supported · 2 Couldn’t confirm · 2 No full text of the sources · 2 Own method · 1 Supported so far · 1 Not checked yet · accuracy not yet measured

  • It may state two separate claims as one. 53
  • Probably not a substantial claim. 30
  • The quote only partly states this claim. 1
72 of 72
  • The paper relies on this without support.

    Over 40% of the human genome is composed of retrotransposons.

    “Over 40% of the human genome is composed of retrotransposons”
    “Based on the fact that they occupy 40% of the human genome”
  • The authors state this as an assumption.

    Mechanisms underlying the onset and progression of neurodegeneration are shared primarily based on the type of protein pathologies observed rather than clinical presentation.

    “Based on the overlapping protein pathology across disorders and heterogeneity within disorders, we conjecture that mechanisms underlying the onset and progression of neurodegeneration are shared primarily based on the type of protein pathologies observed rather than clinical presentation.”
  • The paper relies on this without support.

    Findings from Drosophila and mouse models of TDP-43 pathology can be generalized to human TDP-43 proteinopathies.

    “Work in animal models also provides some mechanistic insight and evidence for a causal impact of retrotransposons on neurodegeneration.”
    “These features are in many ways similar to what has been described for cellular senescence in other neurodegenerative contexts”
  • The authors state this as an assumption.

    Retrotransposon cDNA synthesis is a critical step along the pathway to neurodegeneration.

    “This approach makes the assumption that retrotransposon cDNA synthesis is a critical step along the pathway to neurodegeneration.”
  • The paper relies on this without support.

    Pathological TDP-43 seeds conformational changes through a prion-like mechanism.

    “Pathological TDP-43 seeds conformational changes through a prion-like mechanism, and intercellular movement of pathological TDP-43 is proposed to explain the propagation of degenerative effects between cells.”
  • The paper relies on this without support.

    Compared to the Drosophila and mouse genomes, the human genome possesses significantly fewer retrotransposons that are transpositionally competent.

    “Compared to the Drosophila and mouse genomes, the human genome possesses significantly fewer retrotransposons that are transpositionally competent.”
  • The paper relies on this without support.

    Reverse transcription of retrotransposon RNA produces new DNA copies.

    “Reverse transcription of retrotransposon RNA produces new DNA copies.”
7 of 7

Citations

Cites

Show all 135 references

Research works printed but not linked: 1

  1. 2018, The Caenorhabditis elegans ortholog of TDP-43 regulates the chromatin localization of the heterochromatin protein 1 homolog HPL-2, Mol. Cell. Biol., 38, e00668

Cited by

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Metadata

Authors
Frost, B., & Dubnau, J.
Affiliations
  • The University of Texas at San Antonio Health Science Center (US)
  • Stony Brook School (US)
Venue
Annual Review of Neuroscience
Published
2024-08-08
Volume
47
Issue
1
Pages
123-143
ISSN
  • 0147-006X (ISSN-L)
  • 1545-4126
OpenAlex
W4395448296
Cited by
45
References
135
Citations by year
2026: 22 · 2025: 20 · 2024: 3
FWCI
2.48
Type
journal article
Language
en
Open access
Locations
  • Annual Review of Neuroscience (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • National Institute on Aging (R01AG078788, RF1AG076493)
  • National Institute of Neurological Disorders and Stroke (RF1 NS112391)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Chromosomal and Genetic Variations
  • Health Sciences › Medicine › Clinical Neurology › Amyotrophic Lateral Sclerosis Research
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
Keywords
retrotransposons, endogenous retroviruses, age-related neurodegenerative disorders, TDP-43, tau protein, retrotransposon activation, innate immune activation, neurotoxicity, extrachromosomal circular DNA, double-stranded RNA, insertional mutagenesis, clinical trials
MeSH terms
Aging, Animals, DNA-Binding Proteins, Humans, tau Proteins, Retroelements, Neurodegenerative Diseases, Endogenous Retroviruses

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