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<article article-type="review-article" dtd-version="2.3" xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">840256</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2022.840256</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Emerging Roles for Phase Separation of RNA-Binding Proteins in Cellular Pathology of ALS</article-title>
<alt-title alt-title-type="left-running-head">Milicevic et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">LLPS of RNPs in ALS</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Milicevic</surname>
<given-names>Katarina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/477850/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rankovic</surname>
<given-names>Branislava</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1480721/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Andjus</surname>
<given-names>Pavle R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/12937/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bataveljic</surname>
<given-names>Danijela</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1372474/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Milovanovic</surname>
<given-names>Dragomir</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/168799/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Center for Laser Microscopy</institution>, <institution>Faculty of Biology</institution>, <institution>Institute of Physiology and Biochemistry &#x201c;Ivan Djaja&#x201d;</institution>, <institution>University of Belgrade</institution>, <addr-line>Belgrade</addr-line>, <country>Serbia</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Laboratory of Molecular Neuroscience</institution>, <institution>German Center for Neurodegenerative Diseases (DZNE)</institution>, <addr-line>Berlin</addr-line>, <country>Germany</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/172357/overview">May Khanna</ext-link>, University of Arizona, United&#x20;States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/863410/overview">Tetsuya Akiyama</ext-link>, Stanford University, United&#x20;States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1028697/overview">Liberty Francois-Moutal</ext-link>, University of Arizona, United&#x20;States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Danijela Bataveljic, <email>bataveljic.danijela@bio.bg.ac.rs</email>; Dragomir Milovanovic, <email>dragomir.milovanovic@dzne.de</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this&#x20;work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Cellular Biochemistry, a section of the journal Frontiers in Cell and Developmental Biology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>10</volume>
<elocation-id>840256</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>12</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>01</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Milicevic, Rankovic, Andjus, Bataveljic and Milovanovic.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Milicevic, Rankovic, Andjus, Bataveljic and Milovanovic</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Liquid-liquid phase separation (LLPS) is emerging as a major principle for the mesoscale organization of proteins, RNAs, and membrane-bound organelles into biomolecular condensates. These condensates allow for rapid cellular responses to changes in metabolic activities and signaling. Nowhere is this regulation more important than in neurons and glia, where cellular physiology occurs simultaneously on a range of time- and length-scales. In a number of neurodegenerative diseases, such as Amyotrophic Lateral Sclerosis (ALS), misregulation of biomolecular condensates leads to the formation of insoluble aggregates&#x2014;a pathological hallmark of both sporadic and familial ALS. Here, we summarize how the emerging knowledge about the LLPS of ALS-related proteins corroborates with their aggregation. Understanding the mechanisms that lead to protein aggregation in ALS and how cells respond to these aggregates promises to open new directions for drug development.</p>
</abstract>
<kwd-group>
<kwd>liquid-liquid phase separation</kwd>
<kwd>FUS</kwd>
<kwd>TDP-43</kwd>
<kwd>RNP aggregates</kwd>
<kwd>stress granule</kwd>
<kwd>neurons</kwd>
<kwd>amyotrophic lateral sclerosis</kwd>
</kwd-group>
<contract-num rid="cn001">DAAD PPE 2021</contract-num>
<contract-sponsor id="cn001">Deutscher Akademischer Austauschdienst<named-content content-type="fundref-id">10.13039/501100001655</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease caused by the selective death of motor neurons in the spinal cord and brain. The onset of symptoms in ALS patients is observed at the age between 51 and 66&#xa0;years, usually displayed as muscle weakness and impaired ability to control swallowing and speaking (<xref ref-type="bibr" rid="B26">Brown and Al-Chalabi, 2017</xref>; <xref ref-type="bibr" rid="B101">Longinetti and Fang, 2019</xref>). Most of the ALS cases are sporadic (sALS), whereas approximately 10% of cases represent a familial form (fALS) (<xref ref-type="bibr" rid="B82">Kim et&#x20;al., 2020</xref>). The first identified mutation linked to ALS was in the gene encoding cytoplasmic enzyme superoxide dismutase 1 (SOD1) (<xref ref-type="bibr" rid="B140">Rosen et&#x20;al., 1993</xref>). Currently, over 40 additional genes related to ALS have been discovered with the most common genetic mutation in the chromosome nine open reading frame 72 (<italic>C9orf72</italic>) gene observed in &#x223c;40% of fALS patients (<xref ref-type="bibr" rid="B157">Taylor et&#x20;al., 2016</xref>). A number of ALS-related genes encode RNA-binding proteins (RBPs) including TAR DNA-binding protein 43 (TDP-43), fused in sarcoma (FUS), heterogeneous nuclear ribonucleoprotein A1 (hnRNPA1) and T-cell restricted intracellular antigen-1 (TIA-1) (<xref ref-type="bibr" rid="B180">Zhao et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B84">Kim et&#x20;al., 2021</xref>). RBPs play an important role in the regulation of RNA metabolism (<xref ref-type="bibr" rid="B128">Nussbacher et&#x20;al., 2015</xref>, <xref ref-type="bibr" rid="B129">2019</xref>; <xref ref-type="bibr" rid="B174">Xue et&#x20;al., 2020</xref>) and many of them are prone to undergo liquid-liquid phase separation (LLPS) and form fluid condensates (<xref ref-type="bibr" rid="B95">Lin et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B114">Mittag and Parker, 2018</xref>). Notably, RBPs display tendency to aggregate and their presence is detected in the intracellular cytoplasmic aggregates, the key element in degenerating motor neurons of patients with ALS (<xref ref-type="bibr" rid="B19">Blokhuis et&#x20;al., 2013</xref>). However, exact mechanisms driving the protein aggregation are still unknown.</p>
<p>In this review, we outline current knowledge on the ALS-related protein condensations in neurons and glia. In particular, we emphasize how disrupted LLPS of RNA-binding proteins lead to their aggregation. For the roles of two well-studied RBPs, TDP-43 and FUS in frontotemporal dementia, we refer to the review by Carey and Guo within this Special Issue. The aberrant RBP condensates can even trap folded proteins which do not undergo LLPS such as SOD1 (<xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B130">Pakravan et&#x20;al., 2021</xref>) and alter the intracellular organelle trafficking (<xref ref-type="bibr" rid="B97">Ling et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B162">Trnka et&#x20;al., 2021</xref>). Understanding the mechanisms how LLPS of several ALS-associated RBPs corroborates with the intracellular organelle trafficking (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>) opens novel directions for disease treatment.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Aberrant phase separation of RNA-binding proteins (RBPs) plays a central role in the cellular pathology of ALS. Macromolecules such as RNAs and proteins assemble in dynamic and reversible condensates in healthy neurons and glia (left), that mature into stress granules (top, center) and insoluble aggregates destined for degradation (right). The cellular pathways that affect the LLPS of RNPs include (i) nucleocytoplasmic transport, (ii) assembly of stress granules, (iii) aggregation driven by the accumulation of misfolded proteins, (iv) organellar dysfunction that leads to ROS and persistent stress, and (v) failed autophagy-lysosome pathway. Similar pathways might play a role in glial cells.</p>
</caption>
<graphic xlink:href="fcell-10-840256-g001.tif"/>
</fig>
</sec>
<sec id="s2">
<title>Protein Aggregates are Clinical Hallmark in ALS</title>
<p>A common feature of both sALS and fALS is the presence of protein aggregates in the cytosol of neurons and glia. Early studies reported aggregates that are ubiquitin-positive dense, irregular or filamentous (skein-like) inclusions in the spinal cord motoneurons in fALS and sALS patients (<xref ref-type="bibr" rid="B91">Leigh et&#x20;al., 1991</xref>). DNA/RNA-binding proteins, TDP-43 and FUS are normally localized in the nucleus where they act as RNA metabolism regulators (<xref ref-type="bibr" rid="B3">Andersson et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B29">Buratti and Baralle, 2008</xref>). In ALS, TDP-43 and FUS mislocalize from the nucleus to the cytoplasm where they aggregate and appear in ALS-related inclusions (<xref ref-type="bibr" rid="B19">Blokhuis et&#x20;al., 2013</xref>). Within aggregates, TDP-43 is frequently post-translationally modified by ubiquitination and/or phosphorylation (<xref ref-type="bibr" rid="B122">Neumann et&#x20;al., 2006</xref>, <xref ref-type="bibr" rid="B121">2009</xref>; <xref ref-type="bibr" rid="B103">Mackenzie et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B63">Hasegawa et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B21">Bodansky et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B25">Brettschneider et&#x20;al., 2013</xref>), aberrant cleavage (<xref ref-type="bibr" rid="B122">Neumann et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B1">Altman et&#x20;al., 2021</xref>) and protein misfolding (<xref ref-type="bibr" rid="B134">Prasad et&#x20;al., 2019</xref>). On the other hand, both mutated and wild-type SOD1 are found in the cytosolic aggregates in the spinal cord and cortical motoneurons of fALS patients bearing SOD1 mutation (<xref ref-type="bibr" rid="B73">Jonsson et&#x20;al., 2004</xref>, <xref ref-type="bibr" rid="B72">2008</xref>). Protein aggregates are also identified in glial cells surrounding degenerating motor neurons. SOD1 aggregates are present in astrocytes and microglia (<xref ref-type="bibr" rid="B73">Jonsson et&#x20;al., 2004</xref>; <xref ref-type="bibr" rid="B153">Stamenkovi&#x107; et&#x20;al., 2017</xref>) and are related to a change in cell morphology (<xref ref-type="bibr" rid="B153">Stamenkovi&#x107; et&#x20;al., 2017</xref>). Similarly, TDP-43 inclusions are found in the glial cells of both gray and white matter spinal cord, in sALS and some fALS patients (<xref ref-type="bibr" rid="B4">Arai et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B103">Mackenzie et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B25">Brettschneider et&#x20;al., 2013</xref>) suggesting the important role of glial cells in ALS pathology (<xref ref-type="bibr" rid="B164">Vahsen et&#x20;al., 2021</xref>).</p>
<p>Protein aggregates in ALS are heterogenous. For example, SOD1 is occasionally found in the aggregates in motoneurons of ALS patients with C9orf72 and FUS mutations (<xref ref-type="bibr" rid="B51">Forsberg et&#x20;al., 2019</xref>). TDP-43-positive inclusions were identified in fALS patients with C9orf72 expansion (<xref ref-type="bibr" rid="B34">Collins et&#x20;al., 2012</xref>), but not in patients bearing FUS or SOD1 mutations (<xref ref-type="bibr" rid="B103">Mackenzie et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B156">Tan et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B167">Vance et&#x20;al., 2009</xref>) indicating distinct pathways of aggregate formation. However, studies in SOD1<sup>A4T</sup> patients point to the interaction of SOD1 and TDP-43 as confirmed by their co-immunoprecipitation (<xref ref-type="bibr" rid="B168">Volkening et&#x20;al., 2009</xref>). The data on ALS patients only provide the histopathological picture at the terminal stage of the disease. Nonetheless, induced pluripotent stem cells (iPSCs) derived from patient fibroblasts recapitulate protein pathology successfully (<xref ref-type="bibr" rid="B109">Mattis and Svendsen, 2011</xref>; <xref ref-type="bibr" rid="B30">Burkhardt et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B52">Fujimori et&#x20;al., 2018</xref>). iPSC-derived motoneurons from patients carrying FUS or TDP-43 mutations show mislocalization of mutated proteins into the cytoplasm, their phosphorylation (<xref ref-type="bibr" rid="B52">Fujimori et&#x20;al., 2018</xref>), and aggregate formation (<xref ref-type="bibr" rid="B18">Bilican et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B47">Egawa et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B52">Fujimori et&#x20;al., 2018</xref>). iPSC-derived neurons from patients with sALS display a presence of cytosolic and intranuclear hyperphosphorylated TDP-43 aggregates similar to those in sALS <italic>post mortem</italic> tissues (<xref ref-type="bibr" rid="B30">Burkhardt et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B52">Fujimori et&#x20;al., 2018</xref>). Astrocytes generated from iPSCs harboring TDP-43 mutation show elevated levels of cytoplasmic TDP-43 and increased astrocytic cell death (<xref ref-type="bibr" rid="B147">Serio et&#x20;al., 2013</xref>).</p>
<p>Several mechanisms have been proposed to underlie ALS pathology, including oxidative stress, mitochondrial dysfunction, stress at the endoplasmic reticulum (ER), disruption of RNA metabolism, neuroinflammation, glutamate excitotoxicity (rev. in <xref ref-type="bibr" rid="B157">Taylor et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B111">Mejzini et&#x20;al., 2019</xref>). They are all linked to the presence of intracellular protein aggregates, which are often composed of RNA-binding proteins, able to undergo liquid-liquid phase separation (LLPS) (<xref ref-type="bibr" rid="B115">Molliex et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B132">Patel et&#x20;al., 2015</xref>) (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>).</p>
</sec>
<sec id="s3">
<title>Liquid-Liquid Phase Separation: Mechanism for Assembly of RNP Granules</title>
<p>LLPS is a thermodynamic process in which two (or more) components demix from a homogenous solution to form two or more distinct phases. In the context of cell biology, LLPS is a mechanism where biomolecules demix from a crowded cytosol or nucleoplasm to form distinct compartments referred to as biomolecular condensates. The critical features of biomolecular condensation include multivalent, low-affinity interactions of biomolecules present at high local concentrations. Thus far, RNA-RNA, RNA-protein and protein-protein interactions (<xref ref-type="bibr" rid="B9">Banani et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B114">Mittag and Parker, 2018</xref>; <xref ref-type="bibr" rid="B166">Van Treeck et&#x20;al., 2018</xref>) are all shown to phase separate. Moreover, the entire pools of membrane-bound organelles can actively assemble in mesoscale compartments through LLPS such as clusters of synaptic vesicles (<xref ref-type="bibr" rid="B113">Milovanovic et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B64">Hoffmann et&#x20;al., 2021</xref>) and stacks of Golgi apparatus (<xref ref-type="bibr" rid="B138">Rebane et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B181">Ziltener et&#x20;al., 2020</xref>).</p>
<p>LLPS emerged as a mechanism for dynamic and reversible assembly of ribonucleoprotein (RNP) complexes (<xref ref-type="bibr" rid="B62">Han et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B24">Brangwynne, 2013</xref>; <xref ref-type="bibr" rid="B95">Lin et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B115">Molliex et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B9">Banani et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B114">Mittag and Parker, 2018</xref>). Number of functionally distinct RNP granules is suggested to undergo LLPS, including cytoplasmic RNP granules, processing (P)-bodies and stress granules (SGs)&#x2014;sites of translationally silenced mRNAs and/or RNA degradation (<xref ref-type="bibr" rid="B41">Decker and Parker, 2012</xref>), neuronal granules&#x2014;crucial for mRNA packing, translational control, and axonal transport (<xref ref-type="bibr" rid="B50">Fernandopulle et&#x20;al., 2021</xref>).</p>
<p>The intrinsically disordered regions (IDRs)&#x2014;amino acid sequences that do not fold in any specific secondary or tertiary structure&#x2014;play a central role in RNP granule assembly and dynamics. For example, the missense mutation in TIA-1 IDR inhibits RNP granule disassembly (<xref ref-type="bibr" rid="B104">Mackenzie et&#x20;al., 2017</xref>) and promotes the accumulation of non-dynamic RNP granules enriched in insoluble TDP-43 (<xref ref-type="bibr" rid="B104">Mackenzie et&#x20;al., 2017</xref>). RNP granule formation can be facilitated by IDR interactions via local structures such as the &#x3b1;-helix of C-terminal domain of TDP-43 essential for its LLPS (<xref ref-type="bibr" rid="B36">Conicella et&#x20;al., 2016</xref>, <xref ref-type="bibr" rid="B35">2020</xref>) which has the propensity to self-associate. Also, IDR of FUS forms heterotypic interactions with GFP-fused IDR either of FUS or other proteins such as hnRNPA1 (<xref ref-type="bibr" rid="B76">Kato et&#x20;al., 2012</xref>). Moreover, ALS linked mutations are very often located in the IDRs of LLPS related proteins (for details, see <xref ref-type="table" rid="T1">Table&#x20;1</xref>) altering their LLPS propensity and/or RNP granule dynamics.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>An overview of ALS-linked mutations in LLPS-related proteins.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Protein</th>
<th align="center">Mutations implicated in ASL</th>
<th align="center">Mutation region</th>
<th align="center">Source in addition to Uniprot</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td colspan="4" align="left">ANXA11</td>
</tr>
<tr>
<td align="left">(<italic>Annexin A11</italic>)</td>
<td align="center">P31R, P36R, G38R<sup>&#x23;&#x2022;</sup>, D40G<sup>&#x23;&#x2022;</sup>, A58_Q187del, G89S, Q97X, V128M, G137R, G175R<sup>&#x2022;</sup>, G189E</td>
<td align="center">LCD; NTD</td>
<td align="center">
<xref ref-type="bibr" rid="B149">Smith et&#x20;al. (2017)</xref>; <xref ref-type="bibr" rid="B163">Tsai et&#x20;al. (2018)</xref>; <xref ref-type="bibr" rid="B179">Zhang et&#x20;al. (2018)</xref>; <xref ref-type="bibr" rid="B119">Nahm et&#x20;al., 2020</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">V208L, G228Lfs29, S229R, R235Q<sup>&#x23;</sup>, A293V,R302C, I307M, T321N, R346C, Q362L, A367V, L383_V392del, H390P, R456H<sup>&#x2022;</sup>, I457V, G491R</td>
<td align="center">ANX homology domains (1-4)</td>
<td align="center">
<xref ref-type="bibr" rid="B149">Smith et&#x20;al. (2017)</xref>; <xref ref-type="bibr" rid="B163">Tsai et&#x20;al. (2018)</xref>; <xref ref-type="bibr" rid="B179">Zhang et&#x20;al. (2018)</xref>; <xref ref-type="bibr" rid="B100">Liu et&#x20;al. (2019)</xref>; <xref ref-type="bibr" rid="B119">Nahm et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td colspan="4" align="left">ATXN2</td>
</tr>
<tr>
<td align="left">(<italic>Ataxin-2</italic>)</td>
<td align="center">polyQ repeats of different length</td>
<td align="center">PolyQ region within NTD 166-187</td>
<td align="center">
<xref ref-type="bibr" rid="B32">Chi&#xf2; et&#x20;al. (2015)</xref>; <xref ref-type="bibr" rid="B20">Blokhuis et&#x20;al. (2016)</xref>; <xref ref-type="bibr" rid="B151">Sproviero et&#x20;al. (2017)</xref>
</td>
</tr>
<tr>
<td colspan="4" align="left">hnRNPA1</td>
</tr>
<tr>
<td align="left">(<italic>Heterogeneous nuclear ribonucleoprotein A1</italic>)</td>
<td align="center">D262V<sup>&#x23;&#x2022;</sup>
</td>
<td align="center">Prion-like domain; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B115">Molliex et&#x20;al. (2015)</xref>; <xref ref-type="bibr" rid="B99">Liu et&#x20;al. (2016)</xref>; <xref ref-type="bibr" rid="B14">Beijer et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">D262N<sup>&#x23;</sup>, Q277K, G283R</td>
<td align="center">LCD; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B83">Kim et&#x20;al. (2013)</xref>; <xref ref-type="bibr" rid="B56">Gilpin et&#x20;al. (2015)</xref>; <xref ref-type="bibr" rid="B99">Liu et&#x20;al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">P288S, P288A</td>
<td align="center">LCD; NLS; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B99">Liu et&#x20;al. (2016)</xref>; <xref ref-type="bibr" rid="B120">Naruse et&#x20;al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">G304Nfs<sup>&#x23;</sup>
</td>
<td align="center">LCD; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B14">Beijer et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">(321Ext)6<sup>&#x23;</sup>, (321Qext)6<sup>&#x23;</sup>
</td>
<td align="center">Extension on CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B14">Beijer et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td colspan="4" align="left">hnRNPA2/B1</td>
</tr>
<tr>
<td align="left">
<italic>(Heterogeneous nuclear ribonucleoprotein A2/B1)</italic>
</td>
<td align="center">D290V</td>
<td align="center">LCD; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B83">Kim et&#x20;al. (2013)</xref>
</td>
</tr>
<tr>
<td colspan="4" align="left">FUS</td>
</tr>
<tr>
<td align="left">(<italic>Fused in sarcoma</italic>)</td>
<td align="center">S57del, G144E<sup>&#x23;</sup>, G154E<sup>&#x23;</sup>, G156D<sup>&#x23;</sup>, G156E<sup>&#x23;</sup>, G187S<sup>&#x23;</sup>, G191S, R216C, G225V<sup>&#x23;</sup>, G230C<sup>&#x23;</sup>, R234C, R234L, R244C<sup>&#x23;</sup>, M254V</td>
<td align="center">Prion-like domain; NTD</td>
<td align="center">
<xref ref-type="bibr" rid="B15">Belzil et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B86">Kwiatkowski et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B160">Ticozzi et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B37">Corrado et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B135">Rademakers et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B112">Merner et&#x20;al. (2012)</xref>; <xref ref-type="bibr" rid="B125">Nomura et&#x20;al. (2014)</xref>; <xref ref-type="bibr" rid="B132">Patel et&#x20;al. (2015)</xref>; <xref ref-type="bibr" rid="B123">Niaki et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">S402_P411delinsGGGG</td>
<td align="center">RGG1 motif</td>
<td align="center">
<xref ref-type="bibr" rid="B42">DeJesus-Hernandez et&#x20;al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">S462F, G466VfsX14</td>
<td align="center">RGG2 motif</td>
<td align="center">
<xref ref-type="bibr" rid="B42">DeJesus-Hernandez et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B59">Groen et&#x20;al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">R495X, G507D, K510E, S513P, R514G, R514S, G515C, H517Q, H517P, R518G, R518K, R521G, R521H, R521C, R552G, R524S, R524W, R524T, P525L</td>
<td align="center">NLS; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B86">Kwiatkowski et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B37">Corrado et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B46">Dormann et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B175">Yan et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B54">Gal et&#x20;al. (2011)</xref>; <xref ref-type="bibr" rid="B124">Niu et&#x20;al. (2012)</xref>; <xref ref-type="bibr" rid="B125">Nomura et&#x20;al. (2014)</xref>
</td>
</tr>
<tr>
<td colspan="4" align="left">TAF15</td>
</tr>
<tr>
<td align="left">(<italic>TATA-box binding protein associated factor 15</italic>)</td>
<td align="center">A31T</td>
<td align="center">Prion-like domain; NTD</td>
<td align="center">
<xref ref-type="bibr" rid="B161">Ticozzi et&#x20;al. (2011b)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">M368T, D386N, R388H, G391E<sup>&#x23;</sup>, R395Q, R408C<sup>&#x23;</sup>, G452E, G464_G471del, G473E, R474_D481del</td>
<td align="center">LCD; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B39">Couthouis et&#x20;al. (2011)</xref>; <xref ref-type="bibr" rid="B161">Ticozzi et&#x20;al. (2011b)</xref>
</td>
</tr>
<tr>
<td colspan="4" align="left">TDP-43</td>
</tr>
<tr>
<td align="left">(<italic>TAR DNA binding protein 43</italic>)</td>
<td align="center">A90V</td>
<td align="center">NLS; NTD</td>
<td align="center">
<xref ref-type="bibr" rid="B172">Winton et&#x20;al. (2008)</xref>; <xref ref-type="bibr" rid="B31">Chiang et&#x20;al. (2012)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">D169G<sup>&#x23;</sup>
</td>
<td align="center">RRM1</td>
<td align="center">
<xref ref-type="bibr" rid="B74">Kabashi et&#x20;al. (2008)</xref>; <xref ref-type="bibr" rid="B126">Nonaka et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B8">Austin et&#x20;al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">K263E<sup>&#x23;</sup>, N267S</td>
<td align="center">RRM2</td>
<td align="center">
<xref ref-type="bibr" rid="B74">Kabashi et&#x20;al. (2008)</xref>; <xref ref-type="bibr" rid="B38">Corrado et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B8">Austin et&#x20;al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="center">G287S, G290A, S292N, G294A, G294V, G295R, G295S, G298S, M311V, A315T, A321V, A321G, Q331K<sup>&#x23;</sup>, S332N, G335D, M337V<sup>&#x23;</sup>, Q343R<sup>&#x23;</sup>, N345K<sup>&#x23;</sup>, G348C, G348V,N352T, N352S, R361S<sup>&#x23;</sup>, P363A, Y374X, N378D, S379P, S379C, A382T, A382P, I383V, G384R, N390D<sup>&#x23;</sup>, N390S, S393L</td>
<td align="center">Prion-like domain; CTD</td>
<td align="center">
<xref ref-type="bibr" rid="B152">Sreedharan et&#x20;al. (2008)</xref>; <xref ref-type="bibr" rid="B165">Van Deerlin et&#x20;al. (2008)</xref>; <xref ref-type="bibr" rid="B57">Gitcho et&#x20;al. (2008)</xref>; <xref ref-type="bibr" rid="B74">Kabashi et&#x20;al. (2008)</xref>; <xref ref-type="bibr" rid="B13">B&#xe4;umer et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B92">Lemmens et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B38">Corrado et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B40">Daoud et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B71">Johnson et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B75">Kamada et&#x20;al. (2009)</xref>; <xref ref-type="bibr" rid="B96">Ling et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B12">Barmada and Finkbeiner, (2010)</xref>; <xref ref-type="bibr" rid="B173">Xiong et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B49">Elden et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B85">Kirby et&#x20;al. (2010)</xref>; <xref ref-type="bibr" rid="B159">Ticozzi et&#x20;al. (2011a)</xref>; <xref ref-type="bibr" rid="B31">Chiang et&#x20;al. (2012)</xref>; <xref ref-type="bibr" rid="B88">Lattante et&#x20;al. (2012)</xref>; <xref ref-type="bibr" rid="B182">Zou et&#x20;al. (2012)</xref>
</td>
</tr>
<tr>
<td colspan="4" align="left">TIA-1</td>
</tr>
<tr>
<td align="left">(<italic>T-cell-restricted intracellular antigen-1</italic>)</td>
<td align="center">P362L<sup>&#x23;&#x2022;</sup>, A381T<sup>&#x23;&#x2022;</sup>, E384K<sup>&#x23;&#x2022;</sup>
</td>
<td align="center">LCD</td>
<td align="center">
<xref ref-type="bibr" rid="B61">Hackman et&#x20;al. (2013)</xref>; <xref ref-type="bibr" rid="B104">Mackenzie et&#x20;al. (2017)</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>CTD, C-terminal domain; NTD, N-terminal domain; LCD, low-complexity domain; RRM, RNA recognition motif; NLS, nuclear localization signal; RGG, arginine-glycine-glycine; PolyQ, polyglutamine.</p>
</fn>
<fn>
<p>&#x23;LLPS propensity and/or aggregation affected; SG dynamics affected.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>Reversibility is a key feature of biomolecular condensates such as RNPs, with post-translational modifications playing a key role in regulating this process (<xref ref-type="bibr" rid="B76">Kato et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B116">Monahan et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B169">Wang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B66">Hofweber and Dormann, 2019</xref>; <xref ref-type="bibr" rid="B145">Schisa and Elaswad, 2021</xref>). Phosphorylation of GFP-tagged IDR of FUS impairs its retention by preformed FUS hydrogels (<xref ref-type="bibr" rid="B62">Han et&#x20;al., 2012</xref>). Mutations in IDR that increase number of FUS phosphorylation sites impair polymerization propensity and SG recruitment (<xref ref-type="bibr" rid="B76">Kato et&#x20;al., 2012</xref>). On the other hand, phospho-double mutants within the FUS IDR core disrupt droplet disassembly (<xref ref-type="bibr" rid="B118">Murray et&#x20;al., 2017</xref>). Therefore, a tight balance of (de)phosphorylation determines RNP granule clearance and maintenance of their fluid state. Beyond phosphorylation, post-translational modifications play a central role in the regulation of RNA-binding proteins implicated in ALS (<xref ref-type="bibr" rid="B66">Hofweber and Dormann, 2019</xref>; <xref ref-type="bibr" rid="B154">Sternburg et&#x20;al., 2021</xref>).</p>
</sec>
<sec id="s4">
<title>ALS-Related Mutations Disrupt Phase Separation of RNA Granules Resulting in the Formation of Insoluble Aggregates</title>
<sec id="s4-1">
<title>Nucleic Acid-Binding Proteins, FUS and TDP-43, Play a Critical Role in the Pathology of ALS</title>
<p>Several fALS are associated with the missense mutations in TDP-43 (<xref ref-type="bibr" rid="B87">Kwon et&#x20;al., 2012</xref>) and FUS (<xref ref-type="bibr" rid="B43">Deng et&#x20;al., 2014</xref>). Interestingly, ALS-related mutations in the &#x3b1;-helix of C-terminal disordered domain within TDP-43 disrupt LLPS of TDP-43 resulting in the formation of aggregates (<xref ref-type="bibr" rid="B36">Conicella et&#x20;al., 2016</xref>). Moreover, TDP-43 mutant RNP granules in axons of rat primary cortical neurons display increased viscosity and impaired transport dynamics compared to the wild-type RNP granules (<xref ref-type="bibr" rid="B58">Gopal et&#x20;al., 2017</xref>). Similarly, optogenetic enhancement of TDP-43 oligomerization accelerates ALS-related pathologies in the spinal motor neurons (<xref ref-type="bibr" rid="B5">Asakawa et&#x20;al., 2020</xref>).</p>
<p>Another ALS-linked protein, FUS, has been reported to shuttle between nucleus and cytoplasm in a highly dynamic manner (<xref ref-type="bibr" rid="B132">Patel et&#x20;al., 2015</xref>). In the nucleus, FUS enriches at the transcriptional sites or sites of DNA damage, while upon heat shock, it relocates to SGs in the cytoplasm (<xref ref-type="bibr" rid="B23">Bosco et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B141">Rulten et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B132">Patel et&#x20;al., 2015</xref>). This relocation of FUS is affected in ALS patients where FUS aggregates in cytoplasmic inclusions (<xref ref-type="bibr" rid="B46">Dormann et&#x20;al., 2010</xref>). FUS undergoes LLPS (<xref ref-type="bibr" rid="B76">Kato et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B132">Patel et&#x20;al., 2015</xref>) and this process is abolished in FUS mutant lacking N-terminal IDR (<xref ref-type="bibr" rid="B132">Patel et&#x20;al., 2015</xref>). ALS-linked mutations in the IDR of FUS (e.g., G156E) promote aggregate formation (<xref ref-type="bibr" rid="B125">Nomura et&#x20;al., 2014</xref>) through molecular aging of FUS condensates that accelerate the conversion of FUS liquid droplets to fibrillar aggregates (<xref ref-type="bibr" rid="B132">Patel et&#x20;al., 2015</xref>). Similarly, ALS-related mutations in hnRNPA1 promote fibrilization and seeding of hnRNPA1 fibrils within the fluid droplet (<xref ref-type="bibr" rid="B115">Molliex et&#x20;al., 2015</xref>). Altogether, these studies strongly suggest that the aberrant phase transition of RNP granules is involved in the onset of&#x20;ALS.</p>
</sec>
<sec id="s4-2">
<title>RNA Buffers Phase Separation Behavior of ALS Linked RBPs</title>
<p>In recent years, RNA molecules are emerging as central regulators of RNP granule formation and dynamics (rev. in <xref ref-type="bibr" rid="B166">Van Treeck et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B158">Tian et&#x20;al., 2020</xref>) and can undergo phase separation (<xref ref-type="bibr" rid="B69">Jain and Vale, 2017</xref>). RNA molecules are critical for regulating the phase behavior of ALS-linked proteins, including FUS, TDP-43 and hnRNPA1 (<xref ref-type="bibr" rid="B10">Banerjee et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B105">Maharana et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B123">Niaki et&#x20;al., 2020</xref>). Specifically, the ratio of RNA to protein has an important role in promoting RNA droplet formation: at a low RNA/protein ratio, RNP droplets are prompted to form, while high RNA/protein ratios lead to droplet dissolution (<xref ref-type="bibr" rid="B48">Elbaum-Garfinkle et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B105">Maharana et&#x20;al., 2018</xref>). Moreover, long RNAs can act as scaffolds that further promote FUS droplet formation (<xref ref-type="bibr" rid="B105">Maharana et&#x20;al., 2018</xref>). This implicates the importance of both RNA concentration and intrinsic features in the regulation of ALS-linked RNP granules assembly (<xref ref-type="bibr" rid="B178">Zhang et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B142">Sanchez de Groot et&#x20;al., 2019</xref>). The formation of ALS-linked FUS mutant aggregates can be prevented by addition of RNA molecules <italic>in&#x20;vitro</italic> (<xref ref-type="bibr" rid="B105">Maharana et&#x20;al., 2018</xref>)<italic>.</italic> In addition, ALS-linked mutations in the C-terminal domain of FUS alter RNA binding and promote formation of aggregated FUS-containing RNP complexes (<xref ref-type="bibr" rid="B123">Niaki et&#x20;al., 2020</xref>). Altogether, these findings indicate that specific RNA sequences could prevent the aberrant aggregation of ALS-linked RBPs (<xref ref-type="bibr" rid="B10">Banerjee et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B105">Maharana et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B123">Niaki et&#x20;al., 2020</xref>).</p>
</sec>
<sec id="s4-3">
<title>ALS Mutations Disrupt Nuclear-Cytoplasmic Shuttle</title>
<p>Disbalance between nuclear and cytoplasmic transport of ALS-linked proteins could contribute to their toxic accumulation in cytoplasmic inclusions of ALS/FTD patients. Indeed, ALS-associated mutations in nuclear localization sequences (NLS) of FUS are responsible for the disruption of FUS localization in the nucleus (<xref ref-type="bibr" rid="B46">Dormann et&#x20;al., 2010</xref>). The FUS NLS interacts with nuclear transport receptor (NTR) Karyopherin-&#x3b2;2 (Kap&#x3b2;2) (<xref ref-type="bibr" rid="B89">Lee et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B45">Dormann et&#x20;al., 2012</xref>). This interaction drives FUS nuclear import (<xref ref-type="bibr" rid="B46">Dormann et&#x20;al., 2010</xref>) and is critical for phase separation of FUS (<xref ref-type="bibr" rid="B67">Hofweber et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B176">Yoshizawa et&#x20;al., 2018</xref>). In fact, Kap&#x3b2;2 also dissolve phase-separated hnRNPA1 and FUS (<xref ref-type="bibr" rid="B60">Guo et&#x20;al., 2018</xref>). Kap&#x3b2;2 specifically blocks FUS phase separation <italic>in&#x20;vitro</italic> (<xref ref-type="bibr" rid="B67">Hofweber et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B176">Yoshizawa et&#x20;al., 2018</xref>).</p>
<p>Chaperoning of FUS by Kap&#x3b2;2 is mediated via RGG domain (<xref ref-type="bibr" rid="B45">Dormann et&#x20;al., 2012</xref>), crucial for LLPS of RNA-binding proteins (<xref ref-type="bibr" rid="B67">Hofweber et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B146">Schuster et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B170">Wang et&#x20;al., 2021</xref>). All RGG repeats of FUS undergo post-translational methylation by PRMT1 or PRMT8 (<xref ref-type="bibr" rid="B144">Scaramuzzino et&#x20;al., 2013</xref>). Interestingly, it has been observed that in patients, arginine methylation of FUS is disrupted (<xref ref-type="bibr" rid="B45">Dormann et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B155">Su&#xe1;rez-Calvet et&#x20;al., 2016</xref>) leading to the impairment of FUS LLPS and localization within SGs (<xref ref-type="bibr" rid="B176">Yoshizawa et&#x20;al., 2018</xref>) implicating the interplay between post-translational modifications and nuclear cytoplasmic shuttle in regulating RNP distribution to different cellular compartments. Nuclear transport disruption have also been implicated in TDP-43 pathology (<xref ref-type="bibr" rid="B33">Chou et&#x20;al., 2018</xref>). Interestingly, TDP-43 fibrils are not engaged by Kap&#x3b2;2 but by Imp&#x3b1; and Kap&#x3b2;1 via its NLS. In addition, it has been shown that R-rich dipeptide repeats similar to those found in <italic>C9orf72</italic> hexanucleotide repeats, can bind NTRs such as Imp&#x3b1;, Imp&#x3b2;, Kap&#x3b2;2 (<xref ref-type="bibr" rid="B68">Hutten et&#x20;al., 2020</xref>) competing with NLS-containing cargos such as TDP-43. Beyond being just a signal that promotes nuclear import, NLS as well as the availability of NTRs play an anti-aggregation role, ensuring that the nuclear cargo is chaperoned and non-aggregated in the cytoplasm.</p>
</sec>
</sec>
<sec id="s5">
<title>Stress Granule Assembly and Dynamics are Altered in ALS</title>
<p>Upon exposure to stress, a pool of mRNAs recruit a set of specific RBPs, such as G3BP1 (<xref ref-type="bibr" rid="B78">Kedersha et&#x20;al., 2013</xref>, <xref ref-type="bibr" rid="B79">2016</xref>; <xref ref-type="bibr" rid="B70">Jain et&#x20;al., 2016</xref>) and nucleate a special type of RNP granules, so-called stress granules (SGs). SGs are membraneless organelles (<xref ref-type="bibr" rid="B80">Kedersha et&#x20;al., 2005</xref>; <xref ref-type="bibr" rid="B11">Baradaran-Heravi et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B106">Malik and Wiedau, 2020</xref>) that allow the prompt response of the cell to stress by regulating protein synthesis (<xref ref-type="bibr" rid="B6">Ashe et&#x20;al., 2000</xref>; <xref ref-type="bibr" rid="B17">Besse and Ephrussi, 2008</xref>; <xref ref-type="bibr" rid="B150">Spriggs et&#x20;al., 2010</xref>). Upon stress relief SGs disassemble allowing re-initiation of mRNA translation (<xref ref-type="bibr" rid="B28">Buchan and Parker, 2009</xref>; <xref ref-type="bibr" rid="B41">Decker and Parker, 2012</xref>; <xref ref-type="bibr" rid="B131">Panas et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B11">Baradaran-Heravi et&#x20;al., 2020</xref>). SGs can also act as sites of mRNA triage, where transcripts are routed to either translation, degradation or packing (<xref ref-type="bibr" rid="B65">Hofmann et&#x20;al., 2021</xref>).</p>
<p>In CNS, SG dynamics is cell-type dependent as their distribution in neurons is perinuclear while in astrocytes SGs are localized toward the cell periphery (<xref ref-type="bibr" rid="B81">Khalfallah et&#x20;al., 2018</xref>). Nonetheless, TDP-43 is required for maintaining SG dynamics in both cell types (<xref ref-type="bibr" rid="B7">Aulas et&#x20;al., 2012</xref>). Misregulation of SG dynamics is linked to aggregation in ALS (<xref ref-type="bibr" rid="B93">Li et&#x20;al., 2013</xref>). Many ALS-linked proteins, including FUS, TDP-43, TIA-1, hnRNPA1, Ataxin-2, C9orf72 repeats have all been shown to localize in SGs (<xref ref-type="bibr" rid="B127">Nonhoff et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B16">Bentmann et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B44">Dewey et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B93">Li et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B137">Ramaswami et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B22">Boeynaems et&#x20;al., 2017</xref>). In fact, mutations of these proteins affect the LLPS of SGs. For example dipeptides derived from <italic>C9orf72</italic> hexanucleotide repeats not only undergo LLPS themselves (<xref ref-type="bibr" rid="B22">Boeynaems et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B171">White et&#x20;al., 2019</xref>), but also affect SG dynamics in cells (<xref ref-type="bibr" rid="B22">Boeynaems et&#x20;al., 2017</xref>).</p>
<p>It has been shown that molecular chaperones play an important role in preventing the assembly of aberrant SGs (<xref ref-type="bibr" rid="B55">Ganassi et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B102">Lu et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B177">Yu et&#x20;al., 2021</xref>). HSP27 and HSP70 were shown to localize in SGs containing misfolded proteins (<xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>). Furthermore, chemical inhibition of HSP70 increased the population of SGs containing misfolded proteins, including mutated SOD1 (<xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>). Moreover, HSP70 was shown to be crucial for maintaining the fluidity of anisosome-nuclear inclusions (<xref ref-type="bibr" rid="B55">Ganassi et&#x20;al., 2016</xref>) and disassembly of TDP-43 cytoplasmic droplets (<xref ref-type="bibr" rid="B102">Lu et&#x20;al., 2021</xref>). Reduced levels of HSP27 are reported in motor neurons of patients with TDP-43-associated ALS (<xref ref-type="bibr" rid="B102">Lu et&#x20;al., 2021</xref>). Although SOD1 as a folded protein does not undergo LLPS, it has been shown that mutant SOD1 (mSOD1) has a tendency to accumulate in SGs in ALS (<xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>). Unlike wild-type, mutant SOD1 is identified in G3BP1- and TIA-1-positive SGs in the spinal cord tissue from SOD1<sup>G93A</sup> mice and SOD1 ALS patients (<xref ref-type="bibr" rid="B53">Gal et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B90">Lee et&#x20;al., 2020</xref>) and contributes to the impaired dynamics of SGs (<xref ref-type="bibr" rid="B90">Lee et&#x20;al., 2020</xref>). mSOD1 directly interacts with the RNA-binding domain of G3BP1 and affects SG dynamics as the presence of mSOD1 delayed the formation of G3BP1-positive SGs in response to osmotic stress (<xref ref-type="bibr" rid="B53">Gal et&#x20;al., 2016</xref>). Moreover, mSOD1-containing SGs tend to increase ER stress (<xref ref-type="bibr" rid="B136">Rajpurohit et&#x20;al., 2020</xref>). Similarly, mSOD1 interacts with TIA-1 containing SGs leading to their impaired dynamics (<xref ref-type="bibr" rid="B90">Lee et&#x20;al., 2020</xref>).</p>
<p>Another important mechanism in regulating the aberrant SGs is autophagy (<xref ref-type="bibr" rid="B55">Ganassi et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>). If persistent upon removal of stress, SGs undergo the process of autophagy (<xref ref-type="bibr" rid="B27">Buchan et&#x20;al., 2013</xref>). ALS-associated misfolded proteins are targeted to aggresomes (<xref ref-type="bibr" rid="B77">Kawaguchi et&#x20;al., 2003</xref>) subsequently degraded by autophagy (<xref ref-type="bibr" rid="B108">Mateju et&#x20;al., 2017</xref>). The aberrant phase separation of FUS leads to the formation of cytosolic aggregates in a concentration-dependent fashion and lysosomes are juxtaposed to these aggregates (<xref ref-type="bibr" rid="B162">Trnka et&#x20;al., 2021</xref>). In line with these findings, increased lysosomal activity and enhanced autophagy are also reported in astrocytes derived from ALS patients (<xref ref-type="bibr" rid="B136">Rajpurohit et&#x20;al., 2020</xref>). Recently, increased recruitment of small ubiquitin-like modifier (SUMO) ligases into the SGs is observed upon stress exposure leading to SUMOylation of proteins necessary for SG disassembly (<xref ref-type="bibr" rid="B107">Marmor-Kollet et&#x20;al., 2020</xref>), and its disruption occurs in ALS patients.</p>
</sec>
<sec id="s6">
<title>Open Questions and Future Directions</title>
<p>Intensive research has been focused on cellular mechanisms underlying ALS. Here we summarized the emerging roles of LLPS in cellular pathology of ALS. In particular, we highlighted TDP-43 and FUS, two proteins enriched in RNP granules. Finally, we discuss how the regulation of RNP dynamics is critical for the reversible assembly and clearance of SGs, which if not regulated, lead to aberrant phase separation and aggregation. Together, these studies open several important questions. For example, apart from neurons, emerging evidence suggests that glial cells play an important role in the ALS onset and progression (<xref ref-type="bibr" rid="B164">Vahsen et&#x20;al., 2021</xref>). However, whether the cytosolic-nuclear dynamics of TDP-43 or the SG dynamics differ between neurons and glia remains unclear.</p>
<p>Another important aspect is the use of animal models of ALS (<xref ref-type="bibr" rid="B133">Picher-Martel et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B148">Morrice et&#x20;al., 2018</xref>) that are a valuable tool to improve the selection of novel therapeutic candidates. However, many drugs that showed an efficient effect in rodents failed later in clinical trials (<xref ref-type="bibr" rid="B117">Moujalled and White, 2016</xref>). To date, only a few drugs are officially approved for ALS treatment (<xref ref-type="bibr" rid="B98">Liscic et&#x20;al., 2020</xref>), which all show limited therapeutic benefit for ALS patients (<xref ref-type="bibr" rid="B26">Brown and Al-Chalabi, 2017</xref>), emphasizing the need for defining novel targets.</p>
<p>The nuclear-cytosolic shuttle promotes the development of new targets. For example, a TDP-43 A90V mutation within its NLS leads to accumulation of insoluble TDP-43 (<xref ref-type="bibr" rid="B172">Winton et&#x20;al., 2008</xref>). Interestingly, TDP-43 NLS is a target of TDP-43 PARylation which promotes its liquid demixing (<xref ref-type="bibr" rid="B110">McGurk et&#x20;al., 2018</xref>). These new targets need to take into account both the neurons and glia, and account for LLPS-derived mechanisms that might result in effects visible only when the backup surveillance systems fail, as in aging or upon acute stress.</p>
<p>Recent findings demonstrate the association of SGs with several membrane-linked compartments such as ER, lysosomes and mitochondria (<xref ref-type="bibr" rid="B94">Liao et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B90">Lee et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B2">Amen and Kaganovich, 2021</xref>; <xref ref-type="bibr" rid="B162">Trnka et&#x20;al., 2021</xref>) raising the interest in SG physiological properties and their implication in ER and oxidative stress in ALS. These are precisely the mechanisms targeted by the most recent drug AMX0035 (tauroursodeoxycholic acid and sodium phenylbutyrate), which is at the late stages of approval by FDA for clinical&#x20;use.</p>
<p>Finally, the aberrant phase-separation of RNA-binding proteins is just one side of the coin. To understand the cellular response to aggregates, intense research needs to focus on the organelles, particularly lysosomes and autophagy system. Many fALS cases are associated with genes involved in the function of lysosomes, and impaired lysosome trafficking has been reported in ALS post-mortem tissue, as reviewed in <xref ref-type="bibr" rid="B139">Root et&#x20;al. (2021)</xref>. Hence, a cell-specific view that will focus both on the protein localization and the changes in concentrations, as well as the intracellular trafficking, promises to give necessary insights into the cellular pathophysiology of&#x20;ALS.</p>
</sec>
</body>
<back>
<sec id="s7">
<title>Author Contributions</title>
<p>KM, BR, PA, DB and DM contributed to the conception, literature mining, design, and writing of the manuscript. All authors read and approved the final manuscript for submission.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>The coopearation between KM, BR, PA, DB and DM is supported by the German Academic Exchange Service (DAAD PPE 2021/2022 to DM) and the Ministry of Education, Science and Technological Development of Republic of Serbia bilateral project with Federal Republic of Germany (2021/2022 to DB; Contract No. 451-03-9/2021-14/200178).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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