Cited by 41Genetics and Neurodevelopmental DisordersAutism Spectrum Disorder ResearchReading and Literacy Development

Two Autism/Dyslexia Linked Variations of DOCK4 Disrupt the Gene Function on Rac1/Rap1 Activation, Neurite Outgrowth, and Synapse Development

Open access
Huang, Miaoqi, Liang, Chunmei, Li, Shengnan, Zhang, Jifeng, Guo, Daji, Zhao, Bo, Liu, Yuyang, Peng, Yinghui +4 more·2020·Frontiers in Cellular Neuroscience

Abstract

Autism spectrum disorder (ASD) and dyslexia are both neurodevelopmental disorders with high prevalence in children. Both disorders have strong genetic basis, and share similar social communication deficits co-occurring with impairments of reading or language. However, whether these two disorders share common genetic risks remain elusive. DOCK4 (dedicator for cytokinesis 4), a guanine nucleotide exchange factor (GEF) for the small GTPase Rac1, is one of few genes that are associated with both ASD and dyslexia. Dock4 is important for neuronal development and social behaviors. Two DOCK4 variations, Exon27-52 deletion (protein product: Dock4-945VS) and a missense mutation at rs2074130 (protein product: Dock4-R853H), are associated with dyslexia and/or ASD with reading difficulties. The present study explores the molecular and cellular functions of these two DOCK4 variants on neuronal development, by comparing them with the wild-type Dock4 protein. Notably, it is revealed that both mutants of Dock4 showed decreased ability to activate not only Rac1, but also another small GTPase Rap1. Consistently, both mutants were dysfunctional for regulation of cell morphology and cytoskeleton. Using Neuro-2a cells and hippocampus neurons as models, we found that both mutants had compromised function in promoting neurite outgrowth and dendritic spine formation. Electrophysiological recordings further showed that R853H partially lost the ability to promote excitatory synaptic transmission, whereas 945VS totally lost the ability. Together, we identified R853 as a previously uncharacterized site for the regulation of the integrity of Dock4 function, and provides insights in understanding the common molecular pathophysiology of ASD and dyslexia.

AI snapshot

Written from the paper’s full text.

TL;DR

Both autism/dyslexia-linked DOCK4 variants, Dock4-945VS and Dock4-R853H, impair Rac1 and Rap1 activation and fail to promote cell morphology changes, neurite outgrowth, and dendritic spine formation. R853H retains partial ability to enhance excitatory synaptic transmission, whereas 945VS loses it completely, identifying Arg853 as critical for Dock4 function.

Key findings

  • Both mutants lost Rap1 activation; 945VS totally lost Rac1 activation, while R853H decreased activated Rac1 less robustly than 945VS. Dock4 KO hippocampus showed reduced Rap1-GTP (P < 0.05, unpaired t-test; three independent experiments).
  • Domain mapping showed ΔSH3 could not activate Rap1, ΔC retained Rap1 activation, ELMO2 enhanced Dock4-FL Rap1 activation, SH3-F abolished it, and the RacGEF-dead AAA mutant lost Rac1 activation but retained Rap1 activation.
  • In HEK293T/COS7 cells, WT Dock4 increased cell size and F-actin, whereas R853H and 945VS did not. In Neuro-2a cells and hippocampal neurons, neither mutant promoted neurite outgrowth compared with vector; WT did (at least 40 cells/group).
  • In hippocampal neurons, WT Dock4 increased spine density and mushroom-shaped spines, but neither mutant did (at least 30 cells/group). mEPSC recordings showed WT increased amplitude and frequency; R853H increased them but weaker than WT; 945VS completely lost this ability (at least 10 cells/group). Rac1 or Rap1 rescued neurite outgrowth in Dock4-knockdown neurons; Rac1 restored mature spines, while Rap1 only promoted filopodia/thin spines.

Methods

  • Constructs included human Dock4-WT, Dock4-945VS, Dock4-R853H, ΔSH3, ΔC, SH3-F, AAA mutant, and Dock4 shRNA, expressed in HEK293T, COS7, Neuro-2a cells, and primary E18 rat hippocampal neurons; Dock4 KO mice were also used.
  • Rac1/Rap1 activity was measured by GST-PBD or GST-RalGDS pull-down and Western blot; morphology, neurite length, and spine density were assessed by immunocytochemistry and ImageJ; synaptic transmission was measured by whole-cell patch-clamp mEPSC recordings at 15 DIV.
  • Data are means ± SEM; two-group comparisons used unpaired Student’s t-test, and three-or-more-group comparisons used one-way ANOVA, with significance at P < 0.05 (Prism 7.0).

Limitations

  • The paper states that further studies are required to determine whether DHR2 directly activates Rap1 or acts via other Rap1-regulating proteins, and whether R853 maintains structural integrity or recruits critical regulators.
  • Evident from the text: most functional data rely on exogenous expression in cell lines and cultured neurons or knockdown rescue, with no in vivo expression of the mutants and no behavioral readouts for the two variants.
  • Evident from the text: the study does not directly demonstrate that these DOCK4 variants cause ASD or dyslexia phenotypes; it provides molecular and cellular evidence relevant to shared pathophysiology.

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

Integrity signals

Registry

Crossref · 10.3389/fncel.2019.00577

Cites

33 of 33 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

15 of 30 cited sources checked · 9 supported · 1 flagged · accuracy not yet measured

  • Premisecitation

    Disruptions of neuronal migration and neurite outgrowth contribute importantly to the pathogenesis of dyslexia.

    “The molecular pathophysiology of dyslexia is less understood, but lines of evidence suggest that disruptions of neuronal migration and neurite outgrowth contribute importantly to the pathogenesis of the disease (Poelmans et al., 2011; Shao et al., 2016; Guidi et al., 2018).”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Poelmans et al., 2011 source
    • cites Shao et al., 2016 source
    • cites Guidi et al., 2018 source

      The Introduction describes why neuronal migration and axon growth became proposed explanations for dyslexia, but says the evidence for the migration hypothesis is not very robust and the link should be treated with caution. The Conclusion and Future Directions says further studies are needed to establish how far migration abnormalities cause dyslexia. Thus, the review does not support the attributed suggestion that these disruptions contribute importantly to its pathogenesis. (LLM, conf=0.83)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • Premisecitation

    Dock4 is capable of activating Rap1.

    “Interestingly, evidence from other system suggests that Dock4 is also capable of activating Rap1 (Yajnik et al., 2003), another small G protein involved in cell adhesion and growth.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Yajnik et al., 2003 source
  • Premisecitation

    Two specific DOCK4 variations, Exon27-52 deletion (Dock4-945VS) and rs2074130 missense (Dock4-R853H), are associated with dyslexia and/or ASD with reading difficulties.

    “Two DOCK4 variations, Exon27-52 deletion (protein product: Dock4-945VS) and a missense mutation at rs2074130 (protein product: Dock4-R853H), are associated with dyslexia and/or ASD with reading difficulties.”
    • Also stated in: § Introduction · plain
      “Two DOCK4 variations have been identified in individuals with dyslexia and/or in autism subjects with poor reading abilities (Pagnamenta et al., 2010; Shao et al., 2016) (Table 1 and Figure 1A).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Pagnamenta et al., 2010 source

      The Results (page unavailable) describe a DOCK4 deletion in an ASD family whose carriers had poor reading ability, and a second deletion that co-segregated with dyslexia. The Discussion cautions that larger studies are needed to confirm DOCK4’s relevance to reading ability. Our copy does not identify the deletion as Exon27–52 or its product as Dock4-945VS, and it does not report the rs2074130/Dock4-R853H missense variant. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites Shao et al., 2016 source
  • Premisecitation

    The Exon27-52 deletion in DOCK4 causes a frameshift after amino acid 945, producing Dock4-945VS (1-945 aa + Val + Ser) with a premature stop.

    “This variant leads to the deletion of the DHR2-containing C-terminal coding sequence of DOCK4 (Exons 27-52), which causes a frameshift of Dock4 protein coding after 945 aa; two missense amino acids, namely Valine (Val) and Serine (Ser), is translated after 945 aa, followed by a premature stop codon (Pagnamenta et al., 2010).”
    • Also stated in: § Introduction · plain
      “Frame shift after 945a.a., stop at 947a.a.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Pagnamenta et al., 2010 source

      The Results (page unavailable) report an out-of-frame DOCK4–IMMP2L fusion transcript predicted to translate Valine–Serine followed by a premature stop codon. Our copy does not specify a frameshift after amino acid 945 or identify exons 27–52 as the deleted sequence, so those details are not verified by this source. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Premisecitation

    Dock4 deficiency in vivo leads to autism-like behaviors, including defects in social novelty preference and communication.

    “Our previous study using Dock4 knockout mice have revealed that Dock4 deficiency in vivo leads to autism-like behaviors, including defects in social novelty preference and communication (Guo et al., 2019).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Guo et al., 2019 source
  • Classified as probably not a substantial claim. 6
  • May combine two claims. 14
  • Classified as probably not a substantial claim.

    Premisecitation

    Both ASD and dyslexia have strong genetic components in their etiologies that involve multigene interaction.

    “Emerging evidence has suggested that both ASD and dyslexia have strong genetic components in their etiologies that involve multigene interaction (Raskind et al., 2012; Bourgeron, 2015).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Raskind et al., 2012 source
    • cites Bourgeron, 2015 source
  • May combine two claims.

    Premisecitation

    Dock4 promotes dendritic spine formation and excitatory synaptic transmission in hippocampus.

    “Previous studies in both Dock4 KO mice and in Dock4-shRNA knockdown neurons have shown that Dock4 promotes dendritic spine formation and excitatory synaptic transmission in hippocampus (Ueda et al., 2013; Guo et al., 2019).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites Ueda et al., 2013 source

      The Results section, “Knockdown of Dock4 reduces dendritic spine density” (page unavailable), reports that Dock4 shRNA reduced spine density in cultured rat hippocampal neurons, supporting the spine-formation claim. The passages from our copy do not establish that this study tested Dock4 knockout mice or measured excitatory synaptic transmission. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites Guo et al., 2019 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Rac1 and Rap1 are important for spine enlargement and dynamics, respectively.

    “These observations are consistent with the current knowledge on Rac1 and Rap1, which are important for spine enlargement and dynamics, respectively (Woolfrey and Srivastava, 2016).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Woolfrey and Srivastava, 2016 source
  • May combine two claims.

    Findingown data

    Dock4-R853H decreased activated-Rac1 levels compared to wild-type Dock4, though the reduction was less robust than that caused by Dock4-945VS.

    “R853H also decreased activated-Rac1 levels when compared to WT, although the reduction was not as robust as that caused by 945VS (Figures 2A,B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Dock4-WT remarkably increased activated-Rap1 levels, whereas both Dock4-945VS and Dock4-R853H lacked this ability.

    “Notably, while Dock4-WT remarkably increased activated-Rap1 levels, both mutants lacked this ability (Figures 2E,F).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The RacGEF-dead Dock4-AAA mutant lost the ability to activate Rac1, but its Rap1-activating ability was unaltered.

    “Interestingly, the AAA mutant did lose the ability to activate Rac1, but its Rap1-activating ability was unaltered (Figures 3F,G).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Dock4-R853H also increased mEPSC amplitude and frequency, but the effect was significantly weaker than that of Dock4-WT.

    “Interestingly, Dock4-R853H also increased mEPSC amplitude and frequency, but the effect was significantly weaker than that of Dock4-WT (Figures 6C–E).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    R853H partially lost the ability to promote excitatory synaptic transmission, whereas 945VS totally lost the ability.

    “Electrophysiological recordings further showed that R853H partially lost the ability to promote excitatory synaptic transmission, whereas 945VS totally lost the ability.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The Rap1-activating function seems unique for Dock4 among Dock family members.

    “This Rap1-activating function seems to be unique for Dock4, which has been the only Dock reported to possess this ability.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisenone given

    Dock4 possesses an N-terminal SH3 domain, a DHR1 domain, and a DHR2 domain, with DHR2 well-studied as a Rac1-specific GEF domain.

    “Dock4 possesses an N-terminal SH3 (Src-homology 3) domain, a DHR1 (Dock homology region 1) domain, and a DHR2 domain which is well-studied as a Rac1-specific GEF domain.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisenone given

    ASD and dyslexia share similar communication deficits originating from impairments of reading or language.

    “It has been found that ASD and dyslexia share similar communication deficits originated from impairments of reading or language.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Dock4 does not activate Rap1 the same way as it activates Rac1, and alternate mechanisms besides RacGEF activity may underlie the requirement of DHR2 domain for Rap1 activation.

    “Therefore, Dock4 does not activate Rap1 the same way as it activates Rac1, and alternate mechanisms besides RacGEF activity may underlie the requirement of DHR2 domain for Rap1 activation.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Dock4 is important for neuronal development and social behaviors.

    “Dock4 is important for neuronal development and social behaviors.”
    • Also stated in: § Introduction · hedged
      “Dock4 is suggested to play important roles in neuronal development such as axon guidance, dendrite development and dendritic spine morphogenesis (Ueda et al., 2008, 2013; Xiao et al., 2013; Makihara et al., 2018).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Ueda et al., 2008 source
    • cites Xiao et al., 2013 source
    • cites Makihara et al., 2018 source
  • May combine two claims.

    Interpretationreasoning

    The difference between Dock4-R853H and Dock4-945VS in synaptic transmission could be due to Dock4-R853 retaining some level of Rac1-activating ability, whereas 945VS lost both Rac1- and Rap1-activating abilities.

    “This difference could be due to the fact that Dock4-R853 still retains some level of Rac1-activating ability, whereas 945VS lost both Rac1- and Rap1-activating abilities.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    ASD is a disease with impaired neuronal connectivity.

    “Despite heterogeneous origins, emerging genetic and pathological findings point to a conclusion that ASD is a disease with impaired neuronal connectivity (Bourgeron, 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bourgeron, 2015 source
  • May combine two claims.

    Interpretationown data

    Dock4-R853H retains partial function, whereas Dock4-945VS loses the whole function on regulating excitatory synaptic transmission.

    “Together, these findings suggest that Dock4-R853H retains partial function, whereas 945VS loses the whole function on regulating excitatory synaptic transmission.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Findings in this study are consistent with the neurodevelopment impairment hypothesis of ASD and dyslexia, in which DOCK4 contributes to a shared genetic factor for both disorders.

    “Findings in this study are consistent with the neurodevelopment impairment hypothesis of ASD and dyslexia, in which DOCK4 contributes to a shared genetic factor for both disorders.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    DHR2 domain as well as binding to ELMO2 via SH3 domain are necessary for Rap1 activation.

    “Domain mapping analysis suggests that similar to Rac1 activation (Xiao et al., 2013), DHR2 domain as well as binding to ELMO2 via SH3 domain are necessary for Rap1 activation.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Xiao et al., 2013 source
18 of 18
  • The paper relies on this without support.

    Whether Dock4 regulates Rap1 in the nervous system had not been studied before this study.

    “However, whether Dock4 regulates Rap1 in the nervous system has not been studied.”
  • The paper relies on this without support.

    Whether the rs20741307 variation affects Dock4's Rac1 activation and neurite outgrowth abilities had not been explored before this study.

    “However, whether rs20741307 variation affects these Dock4 abilities has not been explored.”
  • The paper relies on this without support.

    Whether the two DOCK4 variations influence the synaptic regulation function of Dock4 was unclear before this study.

    “Moreover, whether these two variations influence the synaptic regulation function of Dock4 is unclear.”
  • The paper relies on this without support.

    Rac1 and Rap1 regulate cell morphology by influencing cytoskeleton and cell adhesion.

    “We have shown that Dock4-R853H and 945VS exhibit decreased activities toward both Rac1 and Rap1, which regulate cell morphology by influencing cytoskeleton and cell adhesion.”
  • The paper relies on this without support.

    Very few shared risk genes have been identified in both ASD and dyslexia.

    “So far, very few shared risk genes have been identified in both ASD and dyslexia.”
  • The paper relies on this without support.

    The molecular function of Dock4-R853H is uncharacterized before.

    “Among them, the molecular function of Dock4-R853H is uncharacterized before.”
  • The paper relies on this without support.

    R853 and its flanking regions are unique sequence in Dock4 among Dock family members.

    “R853 and its flanking regions are unique sequence in Dock4 among Dock family members, it may represent a special site of regulation only in Dock4 but not in other Docks.”
  • The paper relies on this without support.

    The two DOCK4 variants (Exon27-52 deletion and rs2074130) are associated with dyslexia and/or ASD with reading difficulties.

    “The current study focuses on two DOCK4 variants, Exon27-52 deletion (protein product: Dock4-945VS and rs2074130 variation (protein product: Dock4-R853H), which are associated with dyslexia and/or ASD with reading difficulties.”
8 of 8

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • DOCK4 variants leading to reduced GEF activity and subsequent deficits in neuronal morphology have been linked to neuropsychiatric disorders such as autism, dyslexia, and schizophrenia.

    “DOCK4 variants leading to reduced GEF activity and subsequent deficits in neuronal morphology have been linked to neuropsychiatric disorders such as autism, dyslexia, and schizophrenia (84, 85).”

    From RHO to the DOCK for GDP disembarking: Structural insights into the DOCK GTPase nucleotide exchange factors (2021) · cites this paper as [85]

    The Abstract reports that two variants associated with autism and/or dyslexia have reduced ability to activate Rac1 and Rap1 and impaired neurite outgrowth and spine formation. The Introduction also lists schizophrenia among conditions linked to DOCK4, but the paper does not link the tested variants or their measured neuronal effects specifically to schizophrenia. Page numbers are unavailable in our copy. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • Loss of DOCK4 function is compensated by overexpression of the DOCK4 interacting partner RAC1, as demonstrated in vitro and in vivo.

    “loss of DOCK4 function is compensated by overexpression of the DOCK4 interacting partner RAC1, as demonstrated in vitro (Huang et al. 2019) and in vivo (Guo et al. 2021)”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Figure 2E lists R853H twice instead of the two mutants

    Minor

    The Figure 2E caption says R853H was expressed twice and does not list 945VS, although the results describe that assay as comparing both mutants' Rap1 activation.

1 of 1

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Authors
Huang, M., Liang, C., Li, S., Zhang, J., Guo, D., Zhao, B., Liu, Y., Peng, Y., Xu, J., Liu, W., Guo, G., & Shi, L.
Affiliations
  • Jinan University (CN)
  • Hong Kong University of Science and Technology (HK)
  • Zhejiang University (CN)
Corresponding author
Shi, Lei
Venue
Frontiers in Cellular Neuroscience
Published
2020-01-15
Volume
13
Pages
577-577
ISSN
1662-5102 (ISSN-L)
OpenAlex
W2999488066
Cited by
41
References
33
Citations by year
2026: 3 · 2025: 1 · 2024: 13 · 2023: 8 · 2022: 3 · 2021: 11 · 2020: 2
FWCI
3.13
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Cellular Neuroscience (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
Funders
  • National Natural Science Foundation of China (81761130084)
  • Newton Fund (AOMS-NAF005100)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
Keywords
DOCK4, autism spectrum disorder, dyslexia, Rac1, Rap1, guanine nucleotide exchange factor, exon deletion, neurite outgrowth, dendritic spine formation, excitatory synaptic transmission, cytoskeleton, neuronal development, neurodevelopmental disorders

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