RT Journal Article SR Electronic T1 A synthetic synaptic organizer protein restores glutamatergic neuronal circuits JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.02.27.967836 DO 10.1101/2020.02.27.967836 A1 Kunimichi Suzuki A1 Jonathan Elegheert A1 Inseon Song A1 Hiroyuki Sasakura A1 Oleg Senkov A1 Wataru Kakegawa A1 Amber J. Clayton A1 Veronica T. Chang A1 Maura Ferrer-Ferrer A1 Eriko Miura A1 Rahul Kaushik A1 Masashi Ikeno A1 Yuki Morioka A1 Yuka Takeuchi A1 Tatsuya Shimada A1 Shintaro Otsuka A1 Stoyan Stoyanov A1 Masahiko Watanabe A1 Kosei Takeuchi A1 Alexander Dityatev A1 A. Radu Aricescu A1 Michisuke Yuzaki YR 2020 UL http://biorxiv.org/content/early/2020/02/27/2020.02.27.967836.abstract 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.