1. CHOP and c-JUN up-regulate the mutant Z α 1 -antitrypsin, exacerbating its aggregation and liver proteotoxicity.
- Author
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Attanasio S, Ferriero R, Gernoux G, De Cegli R, Carissimo A, Nusco E, Campione S, Teckman J, Mueller C, Piccolo P, and Brunetti-Pierri N
- Subjects
- Alleles, Animals, Endoplasmic Reticulum Stress genetics, Humans, Liver pathology, Liver Diseases genetics, Liver Diseases pathology, Mice, Mice, Knockout, Protein Aggregation, Pathological genetics, Protein Aggregation, Pathological pathology, Protein Folding, Proto-Oncogene Proteins c-jun genetics, Transcription Factor CHOP genetics, Transcription, Genetic, Up-Regulation, alpha 1-Antitrypsin genetics, Liver metabolism, Liver Diseases metabolism, Mutation, Protein Aggregation, Pathological metabolism, Proto-Oncogene Proteins c-jun metabolism, Transcription Factor CHOP metabolism, alpha 1-Antitrypsin biosynthesis
- Abstract
α
1 -Antitrypsin (AAT) encoded by the SERPINA1 gene is an acute-phase protein synthesized in the liver and secreted into the circulation. Its primary role is to protect lung tissue by inhibiting neutrophil elastase. The Z allele of SERPINA1 encodes a mutant AAT, named ATZ, that changes the protein structure and leads to its misfolding and polymerization, which cause endoplasmic reticulum (ER) stress and liver disease through a gain-of-function toxic mechanism. Hepatic retention of ATZ results in deficiency of one of the most important circulating proteinase inhibitors and predisposes to early-onset emphysema through a loss-of-function mechanism. The pathogenetic mechanisms underlying the liver disease are not completely understood. C/EBP-homologous protein (CHOP), a transcription factor induced by ER stress, was found among the most up-regulated genes in livers of PiZ mice that express ATZ and in human livers of patients homozygous for the Z allele. Compared with controls, juvenile PiZ/ Chop-/- mice showed reduced hepatic ATZ and a transcriptional response indicative of decreased ER stress by RNA-Seq analysis. Livers of PiZ/ Chop-/- mice also showed reduced SERPINA1 mRNA levels. By chromatin immunoprecipitations and luciferase reporter-based transfection assays, CHOP was found to up-regulate SERPINA1 cooperating with c-JUN, which was previously shown to up-regulate SERPINA1 , thus aggravating hepatic accumulation of ATZ. Increased CHOP levels were detected in diseased livers of children homozygous for the Z allele. In summary, CHOP and c-JUN up-regulate SERPINA1 transcription and play an important role in hepatic disease by increasing the burden of proteotoxic ATZ, particularly in the pediatric population., Competing Interests: Conflict of interest—The authors declare that they have no conflicts of interest with the contents of this article., (© 2020 Attanasio et al.)- Published
- 2020
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