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Editor's evaluationĪdenylosuccinate lyase (ADSL) is a conserved homotetrameric enzyme that catalyzes the eighth reaction in the de novo purine synthesis (DNPS) pathway and also participates in the purine nucleotide cycle ( Figure 1-figure supplement 1 Daignan-Fornier and Pinson, 2019). Our results suggest that both reduced purine levels and impaired DNPS contribute to neurodevelopmental pathology in ADSLD and that defective ciliogenesis may influence the ADSLD phenotypic spectrum. Zebrafish also displayed phenotypes commonly linked to ciliopathies. Neuroprogenitor attrition in zebrafish embryos was rescued by pharmacological inhibition of DNPS, but not increased nucleotide concentration. ADSL-deficient chicken and zebrafish embryos displayed impaired neurogenesis and microcephaly. Using specific interventions to compensate for reduced purine levels or modulate SAICAr accumulation, we found that diminished AMP levels resulted in increased DNA damage signaling and cell cycle delays, while primary ciliogenesis was impaired specifically by loss of ADSL or administration of SAICAr. We examined the phenotypic effects of ADSL depletion in human cells and their relation to phenotypic outcomes. ADSLD patients have normal serum purine nucleotide levels but exhibit accumulation of dephosphorylated ADSL substrates, S-Ado, and SAICAr, the latter being implicated in neurotoxic effects through unknown mechanisms. ADSL deficiency (ADSLD) causes numerous neurodevelopmental pathologies, including microcephaly and autism spectrum disorder.

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