Study2019

Rescue by 4-phenylbutyrate of several misfolded creatine transporter-1 variants linked to the creatine transporter deficiency syndrome

El-Kasaby A, Kasture A, Koban F, Hotka M, Asjad HMM, Kubista H, Freissmuth M, Sucic S

Neuropharmacology · 46 citations

Review labels

Mechanisms only

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
In vitro/mechanistic study (classified by our AI screen)
Studied in
Cells or lab samples
Main outcome
Mechanisms only

Who paid for it

Funding
Independent funding
Government
Vienna Science and Technology Fund
Government
Austrian Science Fund
Government
Austrian Science Fund FWF
Grants
Vienna Science and Technology Fund (LS17-026); Vienna Science and Technology Fund (P31255-B27); Austrian Science Fund (P 31255); Austrian Science Fund (P28179); Austrian Science Fund (LS17-026)

Based on 3 listed funder(s).

Publication

Published
2019-03-15 · Neuropharmacology · vol. 161 · p. 107572
Publisher
Elsevier BV
Cited
51 citations · more than 85% of similar papers · 2.1× the field average
References
66 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Muscle metabolism and nutrition · Genetic Neurodegenerative Diseases · Ion channel regulation and function
Keywords
Calnexin, Chemical chaperone, Phenylbutyrate, Mutant, Endoplasmic reticulum, Neurotransmitter transporter, Dopamine transporter, Chaperone (clinical), Cell biology, Biology, Transporter, Chemistry, Biochemistry, Unfolded protein response, Endocrinology, Medicine, Gene
MeSH
neurons, neurites, cell membrane, endoplasmic reticulum, animals, humans, rats, brain diseases, metabolic, inborn, creatine, phenylbutyrates, calnexin, nerve tissue proteins, mutation, plasma membrane neurotransmitter transport proteins, proteostasis deficiencies, hek293 cells, primary cell culture, x-linked intellectual disability

8 authors

From AT, PK

  • Ali El‐KasabyMedical University of Vienna
  • Ameya Sanjay KastureUniversity of Vienna; Medical University of Vienna
  • Florian KobanMedical University of Vienna
  • Matej HoťkaMedical University of Vienna
  • Hafiz Muhammad Mazhar AsjadForman Christian College; Medical University of Vienna
  • Helmut KubistaMedical University of Vienna

Abstract

Diseases arising from misfolding of SLC6 transporters have been reported over recent years, e.g. folding-deficient mutants of the dopamine transporter and of the glycine transporter-2 cause infantile/juvenile Parkinsonism dystonia and hyperekplexia, respectively. Mutations in the coding sequence of the human creatine transporter-1 (hCRT-1/SLC6A8) gene result in a creatine transporter deficiency syndrome, which varies in its clinical manifestation from epilepsy, mental retardation, autism, development delay and motor dysfunction to gastrointestinal symptoms. Some of the mutations in hCRT-1 occur at residues, which are highly conserved across the SLC6 family. Here, we examined 16 clinically relevant hCRT-1 variants to verify the conjecture that they were misfolded and that this folding defect was amenable to correction. Confocal microscopy imaging revealed that the heterologously expressed YFP-tagged mutant CRTs were trapped in the endoplasmic reticulum (ER), co-localised with the ER-resident chaperone calnexin. In contrast, the wild type hCRT-1 reached the plasma membrane. Preincubation of transiently transfected HEK293 cells with the chemical chaperone 4-phenylbutyrate (4-PBA) restored ER export and surface expression of as well as substrate uptake by several folding-deficient CRT-1 mutants. A representative mutant (hCRT-1-P544L) was expressed in rat primary hippocampal neurons to verify pharmacochaperoning in a target cell: 4-PBA promoted the delivery of hCRT-1-P544L to the neurite extensions. These observations show that several folding-deficient hCRT-1 mutants can be rescued. This proof-of-principle justifies the search for additional pharmacochaperones to restore folding of 4PBA-unresponsive hCRT-1 mutants. Finally, 4-PBA is an approved drug in paediatric use: this provides a rationale for translating the current insights into clinical trials. This article is part of the issue entitled 'Special Issue on Neurotransmitter Transporters'.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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