Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency

Mevalonate kinase deficiency (MKD) is characterized by recurrent fevers and flares of systemic inflammation, caused by biallelic loss-of-function mutations in MVK. The underlying disease mechanisms and triggers of inflammatory flares are poorly understood because of the lack of in vivo models. We de...

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Main Authors: Marcia A. Munoz, Oliver P. Skinner, Etienne Masle-Farquhar, Julie Jurczyluk, Ya Xiao, Emma K. Fletcher, Esther Kristianto, Mark P. Hodson, Seán I. O’Donoghue, Sandeep Kaur, Robert Brink, David G. Zahra, Elissa K. Deenick, Kristen A. Perry, Avril A.B. Robertson, Sam Mehr, Pravin Hissaria, Catharina M. Mulders-Manders, Anna Simon, Michael J. Rogers
Format: Article
Language:English
Published: American Society for Clinical Investigation 2022-10-01
Series:The Journal of Clinical Investigation
Subjects:
Online Access:https://doi.org/10.1172/JCI160929
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author Marcia A. Munoz
Oliver P. Skinner
Etienne Masle-Farquhar
Julie Jurczyluk
Ya Xiao
Emma K. Fletcher
Esther Kristianto
Mark P. Hodson
Seán I. O’Donoghue
Sandeep Kaur
Robert Brink
David G. Zahra
Elissa K. Deenick
Kristen A. Perry
Avril A.B. Robertson
Sam Mehr
Pravin Hissaria
Catharina M. Mulders-Manders
Anna Simon
Michael J. Rogers
author_facet Marcia A. Munoz
Oliver P. Skinner
Etienne Masle-Farquhar
Julie Jurczyluk
Ya Xiao
Emma K. Fletcher
Esther Kristianto
Mark P. Hodson
Seán I. O’Donoghue
Sandeep Kaur
Robert Brink
David G. Zahra
Elissa K. Deenick
Kristen A. Perry
Avril A.B. Robertson
Sam Mehr
Pravin Hissaria
Catharina M. Mulders-Manders
Anna Simon
Michael J. Rogers
author_sort Marcia A. Munoz
collection DOAJ
description Mevalonate kinase deficiency (MKD) is characterized by recurrent fevers and flares of systemic inflammation, caused by biallelic loss-of-function mutations in MVK. The underlying disease mechanisms and triggers of inflammatory flares are poorly understood because of the lack of in vivo models. We describe genetically modified mice bearing the hypomorphic mutation p.Val377Ile (the commonest variant in patients with MKD) and amorphic, frameshift mutations in Mvk. Compound heterozygous mice recapitulated the characteristic biochemical phenotype of MKD, with increased plasma mevalonic acid and clear buildup of unprenylated GTPases in PBMCs, splenocytes, and bone marrow. The inflammatory response to LPS was enhanced in compound heterozygous mice and treatment with the NLRP3 inflammasome inhibitor MCC950 prevented the elevation of circulating IL-1β, thus identifying a potential inflammasome target for future therapeutic approaches. Furthermore, lines of mice with a range of deficiencies in mevalonate kinase and abnormal prenylation mirrored the genotype-phenotype relationship in human MKD. Importantly, these mice allowed the determination of a threshold level of residual enzyme activity, below which protein prenylation is impaired. Elevated temperature dramatically but reversibly exacerbated the deficit in the mevalonate pathway and the defective prenylation in vitro and in vivo, highlighting increased body temperature as a likely trigger of inflammatory flares.
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spelling doaj.art-21b5b88799f3482d9c5c720c2d6c2ea82023-11-07T16:19:23ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382022-10-0113219Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiencyMarcia A. MunozOliver P. SkinnerEtienne Masle-FarquharJulie JurczylukYa XiaoEmma K. FletcherEsther KristiantoMark P. HodsonSeán I. O’DonoghueSandeep KaurRobert BrinkDavid G. ZahraElissa K. DeenickKristen A. PerryAvril A.B. RobertsonSam MehrPravin HissariaCatharina M. Mulders-MandersAnna SimonMichael J. RogersMevalonate kinase deficiency (MKD) is characterized by recurrent fevers and flares of systemic inflammation, caused by biallelic loss-of-function mutations in MVK. The underlying disease mechanisms and triggers of inflammatory flares are poorly understood because of the lack of in vivo models. We describe genetically modified mice bearing the hypomorphic mutation p.Val377Ile (the commonest variant in patients with MKD) and amorphic, frameshift mutations in Mvk. Compound heterozygous mice recapitulated the characteristic biochemical phenotype of MKD, with increased plasma mevalonic acid and clear buildup of unprenylated GTPases in PBMCs, splenocytes, and bone marrow. The inflammatory response to LPS was enhanced in compound heterozygous mice and treatment with the NLRP3 inflammasome inhibitor MCC950 prevented the elevation of circulating IL-1β, thus identifying a potential inflammasome target for future therapeutic approaches. Furthermore, lines of mice with a range of deficiencies in mevalonate kinase and abnormal prenylation mirrored the genotype-phenotype relationship in human MKD. Importantly, these mice allowed the determination of a threshold level of residual enzyme activity, below which protein prenylation is impaired. Elevated temperature dramatically but reversibly exacerbated the deficit in the mevalonate pathway and the defective prenylation in vitro and in vivo, highlighting increased body temperature as a likely trigger of inflammatory flares.https://doi.org/10.1172/JCI160929InflammationMetabolism
spellingShingle Marcia A. Munoz
Oliver P. Skinner
Etienne Masle-Farquhar
Julie Jurczyluk
Ya Xiao
Emma K. Fletcher
Esther Kristianto
Mark P. Hodson
Seán I. O’Donoghue
Sandeep Kaur
Robert Brink
David G. Zahra
Elissa K. Deenick
Kristen A. Perry
Avril A.B. Robertson
Sam Mehr
Pravin Hissaria
Catharina M. Mulders-Manders
Anna Simon
Michael J. Rogers
Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency
The Journal of Clinical Investigation
Inflammation
Metabolism
title Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency
title_full Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency
title_fullStr Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency
title_full_unstemmed Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency
title_short Increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency
title_sort increased core body temperature exacerbates defective protein prenylation in mouse models of mevalonate kinase deficiency
topic Inflammation
Metabolism
url https://doi.org/10.1172/JCI160929
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