In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR Potentiators

ABCB11 is responsible for biliary bile acid secretion at the canalicular membrane of hepatocytes. Variations in the <i>ABCB11</i> gene cause a spectrum of rare liver diseases. The most severe form is progressive familial intrahepatic cholestasis type 2 (PFIC2). Current medical treatments...

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Main Authors: Elodie Mareux, Martine Lapalus, Amel Ben Saad, Renaud Zelli, Mounia Lakli, Yosra Riahi, Marion Almes, Manon Banet, Isabelle Callebaut, Jean-Luc Decout, Thomas Falguières, Emmanuel Jacquemin, Emmanuel Gonzales
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Language:English
Published: MDPI AG 2022-09-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/23/18/10758
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author Elodie Mareux
Martine Lapalus
Amel Ben Saad
Renaud Zelli
Mounia Lakli
Yosra Riahi
Marion Almes
Manon Banet
Isabelle Callebaut
Jean-Luc Decout
Thomas Falguières
Emmanuel Jacquemin
Emmanuel Gonzales
author_facet Elodie Mareux
Martine Lapalus
Amel Ben Saad
Renaud Zelli
Mounia Lakli
Yosra Riahi
Marion Almes
Manon Banet
Isabelle Callebaut
Jean-Luc Decout
Thomas Falguières
Emmanuel Jacquemin
Emmanuel Gonzales
author_sort Elodie Mareux
collection DOAJ
description ABCB11 is responsible for biliary bile acid secretion at the canalicular membrane of hepatocytes. Variations in the <i>ABCB11</i> gene cause a spectrum of rare liver diseases. The most severe form is progressive familial intrahepatic cholestasis type 2 (PFIC2). Current medical treatments have limited efficacy. Here, we report the in vitro study of Abcb11 missense variants identified in PFIC2 patients and their functional rescue using cystic fibrosis transmembrane conductance regulator potentiators. Three ABCB11 disease-causing variations identified in PFIC2 patients (i.e., A257V, T463I and G562D) were reproduced in a plasmid encoding an Abcb11-green fluorescent protein. After transfection, the expression and localization of the variants were studied in HepG2 cells. Taurocholate transport activity and the effect of potentiators were studied in Madin–Darby canine kidney (MDCK) clones coexpressing Abcb11 and the sodium taurocholate cotransporting polypeptide (Ntcp/<i>Slc10A1</i>). As predicted using three-dimensional structure analysis, the three variants were expressed at the canalicular membrane but showed a defective function. Ivacaftor, GLP1837, SBC040 and SBC219 potentiators increased the bile acid transport of A257V and T463I and to a lesser extent, of G562D Abcb11 missense variants. In addition, a synergic effect was observed when ivacaftor was combined with SBC040 or SBC219. Such potentiators could represent new pharmacological approaches for improving the condition of patients with ABCB11 deficiency due to missense variations affecting the function of the transporter.
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spelling doaj.art-0873ff64b92c4ee2bf9d64c9d6d384912023-11-23T16:47:32ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-09-0123181075810.3390/ijms231810758In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR PotentiatorsElodie Mareux0Martine Lapalus1Amel Ben Saad2Renaud Zelli3Mounia Lakli4Yosra Riahi5Marion Almes6Manon Banet7Isabelle Callebaut8Jean-Luc Decout9Thomas Falguières10Emmanuel Jacquemin11Emmanuel Gonzales12Inserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceUniversité Grenoble Alpes, CNRS, UMR CNRS 5063, DPM, 38000 Grenoble, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceAssistance Publique-Hôpitaux de Paris, Pediatric Hepatology & Pediatric Liver Transplant Department, Reference Center for Rare Pediatric Liver Diseases, FILFOIE, ERN Rare-Liver, Faculté de Médecine Paris-Saclay, CHU Bicêtre, 94270 Le Kremlin-Bicêtre, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceMuséum National d’Histoire Naturelle, UMR CNRS 7590, Institut de Minéralogie, de Physique des Matériaux et de Cosmochimie (IMPMC), Sorbonne Université, 75005 Paris, FranceUniversité Grenoble Alpes, CNRS, UMR CNRS 5063, DPM, 38000 Grenoble, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceInserm UMR_S 1193, Physiopathogénèse et Traitement des Maladies du Foie, Université Paris-Saclay, FHU Hepatinov, 91400 Orsay, FranceABCB11 is responsible for biliary bile acid secretion at the canalicular membrane of hepatocytes. Variations in the <i>ABCB11</i> gene cause a spectrum of rare liver diseases. The most severe form is progressive familial intrahepatic cholestasis type 2 (PFIC2). Current medical treatments have limited efficacy. Here, we report the in vitro study of Abcb11 missense variants identified in PFIC2 patients and their functional rescue using cystic fibrosis transmembrane conductance regulator potentiators. Three ABCB11 disease-causing variations identified in PFIC2 patients (i.e., A257V, T463I and G562D) were reproduced in a plasmid encoding an Abcb11-green fluorescent protein. After transfection, the expression and localization of the variants were studied in HepG2 cells. Taurocholate transport activity and the effect of potentiators were studied in Madin–Darby canine kidney (MDCK) clones coexpressing Abcb11 and the sodium taurocholate cotransporting polypeptide (Ntcp/<i>Slc10A1</i>). As predicted using three-dimensional structure analysis, the three variants were expressed at the canalicular membrane but showed a defective function. Ivacaftor, GLP1837, SBC040 and SBC219 potentiators increased the bile acid transport of A257V and T463I and to a lesser extent, of G562D Abcb11 missense variants. In addition, a synergic effect was observed when ivacaftor was combined with SBC040 or SBC219. Such potentiators could represent new pharmacological approaches for improving the condition of patients with ABCB11 deficiency due to missense variations affecting the function of the transporter.https://www.mdpi.com/1422-0067/23/18/10758BSEPcholestasisVX-770potentiatorABC transporterpediatrics
spellingShingle Elodie Mareux
Martine Lapalus
Amel Ben Saad
Renaud Zelli
Mounia Lakli
Yosra Riahi
Marion Almes
Manon Banet
Isabelle Callebaut
Jean-Luc Decout
Thomas Falguières
Emmanuel Jacquemin
Emmanuel Gonzales
In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR Potentiators
International Journal of Molecular Sciences
BSEP
cholestasis
VX-770
potentiator
ABC transporter
pediatrics
title In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR Potentiators
title_full In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR Potentiators
title_fullStr In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR Potentiators
title_full_unstemmed In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR Potentiators
title_short In Vitro Rescue of the Bile Acid Transport Function of ABCB11 Variants by CFTR Potentiators
title_sort in vitro rescue of the bile acid transport function of abcb11 variants by cftr potentiators
topic BSEP
cholestasis
VX-770
potentiator
ABC transporter
pediatrics
url https://www.mdpi.com/1422-0067/23/18/10758
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