ALS-linked KIF5A ΔExon27 mutant causes neuronal toxicity through gain of function

Mutations in the human kinesin family member 5A (KIF5A) gene were recently identified as a genetic cause of amyotrophic lateral sclerosis (ALS). Several KIF5A ALS variants cause exon 27 skipping and produce motor proteins with an altered C-terminal tail (referred to as {Delta}Exon27). However, the underlying pathogenic mechanism is still unknown. In this study, we performed a comprehensive analysis of {Delta}Exon27 at the single-molecule, cellular, and organism levels. Our results show that {Delta}Exon27 is prone to form cytoplasmic aggregates and is neurotoxic. The mutation relieves motor autoinhibition and increases motor self-association, leading to drastically enhanced processivity on microtubules. Finally, ectopic expression of {Delta}Exon27 in Drosophila melanogaster causes wing defects, motor impairment, paralysis and premature death. Our results suggest gain of function as an underlying disease mechanism in KIF5A-associated ALS.