Structural Insights into TDP-43 in Nucleic Acid Binding and Pathogenic Domain Aggregation Pan-Hsien Kuo (郭邦賢)1,2, Lyudmila G. Doudeva2, Yi-Ting Wang (王宜婷)1,2,3, Che-Kun James Shen (沈哲鯤)2, and Hanna S. Yuan (袁小琀)2,3,4 1 Institute of Bioinformatics and Structural Biology, National Tsing Hua University, Hsinchu, Taiwan 2 Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan 3 Taiwan International Graduate Program, Chemical Biology and Molecular Biophysics, Academia Sinica, Taipei, Taiwan 4 Graduate Institute of Biochemistry and Molecular Biology, National Taiwan University, Taipei, Taiwan TDP-43 is a pathogenic protein; its normal function in binding to UG-rich RNA is related to cystic fibrosis, and its pathogenic inclusions in brain cells are directly linked to frontotemporal lobar degeneration and amyotrophic lateral sclerosis. We show here that TDP-43 is a dimeric protein with two RRM domains involved in DNA and RNA binding. The crystal structure of TDP-43 RRM2 domain in complex with DNA reveals the basis of its preference for TG/UG-rich sequences, and also shows that RRM2 domain has an additional unique β-strand capable of atypical domain-domain interactions. When the RRM1 domain is cleaved, this unique β-strand can be exposed, allowing aggregation via the RRM2 domain to form a “super β-helix” fibril structure. Thermal melting studies monitored by circular dichroism further show that the pathogenic RRM2 domain is highly stable with a melting point greater than 85 oC at physiological conditions. All these results suggest that the mode of TDP-43 RRM2 self-association has broad implications for understanding the non-amyloid aggregates in the neurodegenerative diseases related to TDP-43 proteinopathy.