Pharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptors

Abstract Background Genetic variants in the subunits of the gamma-aminobutyric acid type A (GABAA) receptors are implicated in the onset of multiple pathologic conditions including genetic epilepsy. Previous work showed that pathogenic GABAA subunits promote misfolding and inefficient assembly of th...

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Main Authors: Meng Wang, Edmund Cotter, Ya-Juan Wang, Xu Fu, Angela L. Whittsette, Joseph W. Lynch, R. Luke Wiseman, Jeffery W. Kelly, Angelo Keramidas, Ting-Wei Mu
Format: Article
Language:English
Published: BMC 2022-04-01
Series:Cell & Bioscience
Online Access:https://doi.org/10.1186/s13578-022-00783-w
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author Meng Wang
Edmund Cotter
Ya-Juan Wang
Xu Fu
Angela L. Whittsette
Joseph W. Lynch
R. Luke Wiseman
Jeffery W. Kelly
Angelo Keramidas
Ting-Wei Mu
author_facet Meng Wang
Edmund Cotter
Ya-Juan Wang
Xu Fu
Angela L. Whittsette
Joseph W. Lynch
R. Luke Wiseman
Jeffery W. Kelly
Angelo Keramidas
Ting-Wei Mu
author_sort Meng Wang
collection DOAJ
description Abstract Background Genetic variants in the subunits of the gamma-aminobutyric acid type A (GABAA) receptors are implicated in the onset of multiple pathologic conditions including genetic epilepsy. Previous work showed that pathogenic GABAA subunits promote misfolding and inefficient assembly of the GABAA receptors, limiting receptor expression and activity at the plasma membrane. However, GABAA receptors containing variant subunits can retain activity, indicating that enhancing the folding, assembly, and trafficking of these variant receptors offers a potential opportunity to mitigate pathology associated with genetic epilepsy. Results Here, we demonstrate that pharmacologically enhancing endoplasmic reticulum (ER) proteostasis using small molecule activators of the ATF6 (Activating Transcription Factor 6) signaling arm of the unfolded protein response (UPR) increases the assembly, trafficking, and surface expression of variant GABAA receptors. These improvements are attributed to ATF6-dependent remodeling of the ER proteostasis environment, which increases protein levels of pro-folding ER proteostasis factors including the ER chaperone BiP (Immunoglobulin Binding Protein) and trafficking receptors, such as LMAN1 (Lectin Mannose-Binding 1) and enhances their interactions with GABAA receptors. Importantly, we further show that pharmacologic ATF6 activators increase the activity of GABAA receptors at the cell surface, revealing the potential for this strategy to restore receptor activity to levels that could mitigate disease pathogenesis. Conclusions These results indicate that pharmacologic ATF6 activators offer an opportunity to restore GABAA receptor activity in diseases including genetic epilepsy and point to the potential for similar pharmacologic enhancement of ER proteostasis to improve trafficking of other disease-associated variant ion channels implicated in etiologically-diverse diseases.
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spelling doaj.art-569f39d2a4334662858040e0811c4d492022-12-22T03:03:49ZengBMCCell & Bioscience2045-37012022-04-0112112010.1186/s13578-022-00783-wPharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptorsMeng Wang0Edmund Cotter1Ya-Juan Wang2Xu Fu3Angela L. Whittsette4Joseph W. Lynch5R. Luke Wiseman6Jeffery W. Kelly7Angelo Keramidas8Ting-Wei Mu9Department of Physiology and Biophysics, Case Western Reserve University School of MedicineQueensland Brain Institute, the University of QueenslandDepartment of Physiology and Biophysics, Case Western Reserve University School of MedicineDepartment of Physiology and Biophysics, Case Western Reserve University School of MedicineDepartment of Physiology and Biophysics, Case Western Reserve University School of MedicineQueensland Brain Institute, the University of QueenslandDepartment of Molecular Medicine, The Scripps Research InstituteDepartment of Molecular Medicine, The Scripps Research InstituteQueensland Brain Institute, the University of QueenslandDepartment of Physiology and Biophysics, Case Western Reserve University School of MedicineAbstract Background Genetic variants in the subunits of the gamma-aminobutyric acid type A (GABAA) receptors are implicated in the onset of multiple pathologic conditions including genetic epilepsy. Previous work showed that pathogenic GABAA subunits promote misfolding and inefficient assembly of the GABAA receptors, limiting receptor expression and activity at the plasma membrane. However, GABAA receptors containing variant subunits can retain activity, indicating that enhancing the folding, assembly, and trafficking of these variant receptors offers a potential opportunity to mitigate pathology associated with genetic epilepsy. Results Here, we demonstrate that pharmacologically enhancing endoplasmic reticulum (ER) proteostasis using small molecule activators of the ATF6 (Activating Transcription Factor 6) signaling arm of the unfolded protein response (UPR) increases the assembly, trafficking, and surface expression of variant GABAA receptors. These improvements are attributed to ATF6-dependent remodeling of the ER proteostasis environment, which increases protein levels of pro-folding ER proteostasis factors including the ER chaperone BiP (Immunoglobulin Binding Protein) and trafficking receptors, such as LMAN1 (Lectin Mannose-Binding 1) and enhances their interactions with GABAA receptors. Importantly, we further show that pharmacologic ATF6 activators increase the activity of GABAA receptors at the cell surface, revealing the potential for this strategy to restore receptor activity to levels that could mitigate disease pathogenesis. Conclusions These results indicate that pharmacologic ATF6 activators offer an opportunity to restore GABAA receptor activity in diseases including genetic epilepsy and point to the potential for similar pharmacologic enhancement of ER proteostasis to improve trafficking of other disease-associated variant ion channels implicated in etiologically-diverse diseases.https://doi.org/10.1186/s13578-022-00783-w
spellingShingle Meng Wang
Edmund Cotter
Ya-Juan Wang
Xu Fu
Angela L. Whittsette
Joseph W. Lynch
R. Luke Wiseman
Jeffery W. Kelly
Angelo Keramidas
Ting-Wei Mu
Pharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptors
Cell & Bioscience
title Pharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptors
title_full Pharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptors
title_fullStr Pharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptors
title_full_unstemmed Pharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptors
title_short Pharmacological activation of ATF6 remodels the proteostasis network to rescue pathogenic GABAA receptors
title_sort pharmacological activation of atf6 remodels the proteostasis network to rescue pathogenic gabaa receptors
url https://doi.org/10.1186/s13578-022-00783-w
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