ACBD6 (acyl-CoA-binding domain-containing protein 6) is a multifunctional protein critical for lipid and protein acylation processes. It facilitates N-myristoylation—a post-translational modification essential for membrane association, stability, and function of cytosolic proteins. ACBD6 interacts with N-myristoyltransferase (NMT) enzymes to enhance substrate specificity and protect against acyl-CoA competitors, ensuring efficient myristoylation even under limiting conditions . Mutations in ACBD6 have been linked to severe neurodevelopmental disorders, highlighting its importance in neurological health .
Phosphorylation at Ser106 and Ser108 (αH4) enhances ligand binding and NMT stimulation, though these residues are not conserved in Plasmodium homologs .
ACBD6 acts as a molecular chaperone for NMT enzymes, ensuring efficient N-myristoylation:
Substrate Channeling: Directly delivers myristoyl-CoA to NMT active sites, bypassing competition from abundant acyl-CoAs .
Protection Against Inhibitors: Shields NMT from C16:0-CoA and other non-substrate acyl-CoAs .
Allosteric Activation: Ligand binding to ACBD6 activates NMT via conformational changes, even in low myristoyl-CoA environments .
In Vitro Assays: ACBD6 knockouts (ACBD6.KO) show reduced N-myristoylation of proteins (e.g., Fus, Marcks) and increased sensitivity to NMT inhibitors (e.g., IMP-1088) .
In Vivo Models: ACBD6-deficient zebrafish and Xenopus exhibit neurological deficits (ataxia, seizures) mirroring human phenotypes .
Bi-allelic pathogenic variants in ACBD6 cause a distinct neurodevelopmental syndrome characterized by:
| Clinical Feature | Prevalence | Associated Findings |
|---|---|---|
| Developmental Delay | 100% | Global intellectual disability |
| Movement Disorders | 97% | Dystonia, parkinsonism, cerebellar ataxia |
| Craniofacial Dysmorphism | 95% | Epicanthal folds, microcephaly |
| Metabolic Complications | 59% | Obesity, diabetes, renal failure |
| Neuroimaging Abnormalities | 70% | Corpus callosum hypoplasia, midbrain defects |
Key Mutations:
| Variant | Effect | Source |
|---|---|---|
| c.360dup (p.Leu121Thrfs*27) | Frameshift, premature stop codon | |
| Loss-of-function alleles | Defective NMT interaction, reduced myristoylation |
ACBD6 differs from family members (e.g., ACBD1, ACBD5) in its regulatory mechanisms and tissue specificity:
| Protein | Domain Structure | Primary Function | Tissue Localization |
|---|---|---|---|
| ACBD6 | ACB + ANK | NMT stimulation, myristoylation | Ubiquitous (brain, liver, etc.) |
| ACBD5 | ACB + C-terminal domain | Peroxisomal function (peroxins) | Liver, kidney |
| ACBD1 | ACB only | General acyl-CoA carrier | Ubiquitous |
ACBD6’s ANK domain is unique among ACBD proteins, enabling NMT interaction and substrate protection .
Current studies focus on:
NMT Inhibitors: Targeting NMT activity in diseases involving dysregulated myristoylation (e.g., cancer, neurodegeneration) .
Gene Therapy: Restoring ACBD6 function in deficient cells to reverse neurological deficits .
Metabolomic Profiling: Identifying biomarkers for early diagnosis of ACBD6-related disorders .
ACBD6 is a ubiquitously expressed protein that plays a critical role in acylation of lipids and proteins and specifically regulates the N-myristoylation of proteins via N-myristoyltransferase enzymes (NMTs) . The protein contains an acyl-CoA binding domain (ACB) that interacts with acyl-CoA molecules and ankyrin-repeat motifs (ANK) that interact with N-myristoyltransferase .
ACBD6's primary function appears to be protecting the N-myristoylation reaction from palmitoyl-CoA and other unwanted acyl-CoA species, thereby ensuring proper N-myristoylation of target proteins . This protein modification is essential for various cellular processes, particularly in the nervous system where ACBD6 helps maintain normal neurological function .
ACBD6 regulates protein N-myristoylation through a sophisticated mechanism involving both its structural domains. The ANK module of ACBD6 directly interacts with human NMT2 (N-myristoyltransferase 2) and this interaction is both necessary and sufficient to provide protection to the enzyme . Importantly, the acyl-CoA binding domain (ACB) is not required for this protection, indicating that sequestration of competing acyl-CoAs is not the basis for NMT2 protection .
Instead, acyl-CoAs bound to the ACB domain appear to modulate the function of the ANK module, acting as positive effectors for the allosteric activation of the enzyme . Experimental evidence demonstrates that fusion of the ANK module to another acyl-CoA binding protein (ACBD1) was sufficient to confer the NMT-stimulatory property of ACBD6 to the chimera, further supporting this mechanism .
While the search results don't provide comprehensive information about all ACBD family relationships, they do offer some insights into functional differences. Unlike ACBD5, which shows peroxisomal localization, ACBD6 does not localize to peroxisomes, and ACBD6-deficiency was not associated with altered peroxisomal parameters in patient fibroblasts . This indicates distinct roles for different ACBD family proteins despite their shared acyl-CoA binding capabilities.
Other ACBD family members mentioned in the literature include ACBD1, ACBD3, ACBD4, and ACBD5, with different subcellular localizations and functions . For instance, ACBD3 is emerging as a signaling molecule, while ACBD4 and ACBD5 interact with VAP proteins to promote ER-peroxisome associations .
Bi-allelic pathogenic variants in ACBD6 lead to a distinct neurodevelopmental syndrome with complex and progressive features. Based on studies of 45 affected individuals from 28 unrelated families, the clinical manifestations include:
| Clinical Feature | Prevalence (%) |
|---|---|
| Global developmental delay/intellectual disability | 100% |
| Expressive language impairment | 98% |
| Movement disorders | 97% |
| Facial dysmorphism | 95% |
| Gait impairment | 94% |
| Dystonia | 94% |
| Mild cerebellar ataxia | 85% |
| Limb spasticity/hypertonia | 76% |
| Oculomotor abnormalities | 71% |
| Behavioral abnormalities | 65% |
| Overweight | 59% |
| Microcephaly | 39% |
| Epilepsy | 33% |
The most distinctive movement disorder is dystonia (94%), which frequently leads to early-onset progressive postural deformities (97%), limb dystonia (55%), and cervical dystonia (31%) . Other movement disorders include jerky tremor in the upper limbs (63%), mild head tremor (59%), and parkinsonism/hypokinesia developing with advancing age (32%) .
Neuroimaging studies of individuals with bi-allelic ACBD6 variants reveal characteristic brain abnormalities:
| Neuroimaging Finding | Prevalence (%) |
|---|---|
| Corpus callosum abnormalities | 70% |
| Hypoplasia/agenesis of anterior commissure | 66% |
| Short midbrain | 38% |
| Small inferior cerebellar vermis | 38% |
| Hypertrophy of the clava | 24% |
These midline brain malformations provide important diagnostic clues and insight into the neuroanatomical basis of the clinical manifestations .
Studies using myristic acid alkyne (YnMyr) chemical proteomics have demonstrated significant differences in N-myristoylation patterns in patient-derived fibroblasts with ACBD6 deficiency. Specifically, altered N-myristoylation was observed for 68 co-translationally and 18 post-translationally N-myristoylated proteins in these cells .
Among the affected proteins are Fus, Marcks, and Chchd-related proteins, which are implicated in various neurological diseases . This altered N-myristoylation profile provides a molecular mechanism linking ACBD6 deficiency to neurological dysfunction. Fibroblasts from individuals with neurodevelopmental disorders carrying loss-of-function mutations in the ACBD6 gene showed deficiency in protein N-myristoylation and increased sensitivity to substrate analogs competing for myristoyl-CoA binding to NMT .
Researchers have generated several animal models to study ACBD6 function:
Zebrafish acbd6 knockout: Created using CRISPR/Cas9 genome editing technology .
Xenopus tropicalis acbd6 knockout: Also generated using CRISPR/Cas9 .
These models effectively recapitulate many clinical phenotypes observed in patients, including:
Movement disorders
Progressive neuromotor impairment
Seizures
Microcephaly
Craniofacial dysmorphism
Midbrain defects
Developmental delay
N-myristoylation was similarly affected in these animal models as in patient fibroblasts, confirming the conserved function of ACBD6 across species and validating these models for studying the disorder .
Several sophisticated techniques are employed to study N-myristoylation defects:
YnMyr chemical proteomics: This technique uses myristic acid alkyne (YnMyr) to label N-myristoylated proteins, allowing for their identification and quantification. This approach has been used in both human cells and animal models to characterize the impact of ACBD6 deficiency on the N-myristoylome .
Protein interaction studies: Methods to assess the interaction between ACBD6 (particularly its ANK domain) and NMT enzymes have been crucial for understanding the mechanism of ACBD6 function .
Fibroblast analysis: Skin-derived fibroblasts from individuals with ACBD6 mutations provide a valuable cellular model to study the consequences of ACBD6 deficiency on N-myristoylation .
Enzyme protection assays: Assays measuring the ability of ACBD6 to protect NMT enzymes from unwanted acyl-CoA species have been instrumental in elucidating its function .
Identification and classification of ACBD6 genetic variants involve:
Exome sequencing: This has been the primary method for identifying bi-allelic pathogenic variants in ACBD6 in affected individuals .
International data sharing: Extensive global collaboration and data sharing among 89 clinicians and scientists from 72 institutes has been crucial for identifying affected families and establishing genotype-phenotype correlations .
Variant classification: Variants are classified based on their predicted impact on protein function, with loss-of-function variants (18/20) predominating in the identified cases .
Family studies: Investigation of consanguineous families (consanguinity rate of 93% in reported cases) has facilitated the identification of homozygous pathogenic variants .
Research has identified several N-myristoylated proteins affected by ACBD6 deficiency that may contribute to the neurological manifestations:
Fus (Fused in Sarcoma): An RNA-binding protein implicated in amyotrophic lateral sclerosis (ALS) and frontotemporal dementia. Altered N-myristoylation of Fus in ACBD6-deficient cells may contribute to neurodegeneration .
Marcks (Myristoylated Alanine-Rich C-Kinase Substrate): A protein involved in cell signaling and cytoskeletal regulation with important roles in neuronal development and plasticity .
Chchd-related proteins: Mitochondrial proteins implicated in various neurological diseases, suggesting that mitochondrial dysfunction may contribute to the pathogenesis of ACBD6-related disorders .
The precise mechanisms by which altered N-myristoylation of these proteins leads to specific neurological manifestations require further investigation, but these findings provide important clues to the molecular pathogenesis.
While detailed information about ACBD6 phosphorylation is limited in the search results, there is mention that phosphorylation of two serine residues of the acyl-CoA binding domain of human ACBD6 improves ligand binding capacity and prevents competition by unbound acyl-CoA . This suggests that post-translational modifications of ACBD6 itself can regulate its function and potentially modulate N-myristoylation efficiency in response to cellular signals.
The relationship between phosphorylation status and ACBD6's interaction with NMT enzymes represents an important area for future research, as it may provide insights into the regulation of N-myristoylation under different physiological conditions.
The identification of 45 affected individuals from 28 unrelated families provides a substantial cohort for such analysis, but more research is needed to determine whether specific variants correlate with particular clinical manifestations or disease severity. The high rate of consanguinity (93%) in the reported families suggests that many affected individuals carry homozygous variants, which may influence the phenotypic presentation .
While the search results don't directly address therapeutic approaches, understanding the molecular mechanisms of ACBD6 function suggests several potential strategies:
N-myristoylation enhancement: Developing compounds that can enhance or restore N-myristoylation of specific target proteins affected in ACBD6 deficiency.
Gene therapy: Given that most patients have loss-of-function mutations, gene replacement strategies could potentially restore ACBD6 function.
Targeted symptom management: Based on the predominant movement disorders (dystonia, tremor, parkinsonism), therapies targeted at these specific symptoms might improve quality of life.
Animal model drug screening: The established zebrafish and Xenopus models provide platforms for screening potential therapeutic compounds.
Further research into the specific downstream effects of ACBD6 deficiency will be crucial for developing targeted therapies.
The study of ACBD6-related disorders provides valuable insights into the role of N-myristoylation in neurological function. Several connections to more common disorders can be identified:
Parkinson's disease: The development of parkinsonism in older patients with ACBD6 deficiency suggests shared pathophysiological mechanisms with idiopathic Parkinson's disease .
Dystonia: The high prevalence of dystonia in ACBD6-related disorders may provide insights into the molecular basis of primary dystonia syndromes.
Neurodevelopmental disorders: Understanding how ACBD6 deficiency affects brain development could illuminate mechanisms relevant to more common neurodevelopmental conditions.
The altered N-myristoylation of proteins like Fus, which is implicated in ALS and frontotemporal dementia, suggests that disrupted N-myristoylation may contribute to neurodegenerative processes more broadly .
ACBD6 is a protein coding gene that encodes a protein with a molecular mass of approximately 32.2 kDa . The protein contains an acyl-CoA-binding domain near its N-terminus and two ankyrin repeat motifs near its C-terminus . These structural features are essential for its function in binding long-chain acyl-coenzyme A (acyl-CoA) molecules.
The primary function of ACBD6 is to bind long-chain acyl-CoA molecules with a strong preference for unsaturated C18:1-CoA, lower affinity for unsaturated C20:4-CoA, and very weak affinity for saturated C16:0-CoA . Notably, ACBD6 does not bind free fatty acids . This binding activity is crucial for the sequestration, transport, and distribution of long-chain acyl-CoAs within the cell .
ACBD6 is expressed in various human tissues, with notable expression in the placenta and spleen . It is also detected in CD34-positive progenitor cells, cord blood, bone marrow, and undifferentiated placenta-derived stromal embryo-like cells . Immunohistochemical analysis has revealed its presence in hematopoietic CD34-positive progenitors and hemangioblasts .
The binding of long-chain acyl-CoAs by ACBD6 is significant for several cellular processes, including lipid metabolism and gene regulation . Long-chain acyl-CoAs are intermediates in lipid metabolism and can function as signaling molecules. By binding these molecules, ACBD6 plays a role in their cellular sequestration and transport, which is essential for maintaining cellular lipid homeostasis .
Recombinant ACBD6 protein is used in research to study its binding properties and role in lipid metabolism. Studies using recombinant protein expressed in E. coli have shown that ACBD6 binds acyl-CoA substrates with varying affinities, suggesting its potential as a target for therapeutic interventions in disorders related to lipid metabolism .