PT - JOURNAL ARTICLE AU - Kunimichi Suzuki AU - Jonathan Elegheert AU - Inseon Song AU - Hiroyuki Sasakura AU - Oleg Senkov AU - Wataru Kakegawa AU - Amber J. Clayton AU - Veronica T. Chang AU - Maura Ferrer-Ferrer AU - Eriko Miura AU - Rahul Kaushik AU - Masashi Ikeno AU - Yuki Morioka AU - Yuka Takeuchi AU - Tatsuya Shimada AU - Shintaro Otsuka AU - Stoyan Stoyanov AU - Masahiko Watanabe AU - Kosei Takeuchi AU - Alexander Dityatev AU - A. Radu Aricescu AU - Michisuke Yuzaki TI - A synthetic synaptic organizer protein restores glutamatergic neuronal circuits AID - 10.1101/2020.02.27.967836 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.02.27.967836 4099 - http://biorxiv.org/content/early/2020/02/27/2020.02.27.967836.short 4100 - http://biorxiv.org/content/early/2020/02/27/2020.02.27.967836.full AB - Neuronal synapses undergo structural and functional changes throughout life, essential for nervous system physiology. However, these changes may also perturb the excitatory/inhibitory neurotransmission balance and trigger neuropsychiatric and neurological disorders. Molecular tools to restore this balance are highly desirable. Here, we report the design and characterization of CPTX, a synthetic synaptic organizer combining structural elements from cerebellin-1 and neuronal pentraxin-1 to interact with presynaptic neurexins and postsynaptic AMPA-type ionotropic glutamate receptors. CPTX induced the formation of excitatory synapses in vitro and in vivo and restored synaptic functions, motor coordination, spatial and contextual memories, and locomotion in mouse models for cerebellar ataxia, Alzheimer’s disease and spinal cord injury, respectively. Thus, CPTX represents a prototype for novel structure-guided biologics that can efficiently repair or remodel neuronal circuits.One Sentence Summary Structural biology information was used to design CPTX, a synthetic protein that induces functional excitatory synapses and restores normal behaviors in mouse models of neurological diseases.