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Preventing and reversing the cellular consequences of Z alpha-1 antitrypsin accumulation by targeting s4A
Sam Alam1, Jicun Wang, Sabina Janciauskiene
1Department of Medicine, University of Cambridge, Level 5, Box 157, Addenbrookes Hospital, Hills Road, Cambridge CB2 0QQ, UK.
Insights
Targeting strand 4a (s4A) with the 4M peptide prevents Z-alpha(1)-antitrypsin polymerization and accumulation in liver cells. This strategy restores plasma secretion and offers a potential treatment for Z-AT disease, including neonatal hepatitis and emphysema.
Area of Science:
- Biochemistry
- Molecular Biology
- Hepatology
Background:
- Alpha-1-antitrypsin (AT) Z variant polymerization causes liver disease and lung emphysema due to endoplasmic reticulum (ER) accumulation and secretory defects.
- The Z variant's aggregation in hepatocytes leads to neonatal hepatitis and cirrhosis, while reduced plasma AT increases lung elastolysis risk.
Purpose of the Study:
- To investigate targeting the s4A region of Z-AT as a therapeutic strategy to inhibit polymerization.
- To evaluate the efficacy of novel peptides in preventing and reversing Z-AT aggregation.
- To assess the impact of this strategy on Z-AT secretion and ER stress markers.
Main Methods:
- HEK293 and HepG2 cells were transfected with Z-AT or M-AT.
- Peptides (4M, 6M, 12M) were tested for their ability to prevent/reverse Z-AT polymerization and restore secretion using pulse-chase/immunoprecipitation, ELISA, and immunoblotting.
- ER overload response was measured via RT-PCR (PERK, calnexin, RGS16) and ELISA (NF-κB, IL-6, IL-8).
Main Results:
- Peptides, particularly 4M, effectively prevented Z-AT intracellular accumulation and reversed aggregation.
- The 4M peptide significantly increased Z-AT secretion and elastase inhibitory activity.
- 4M abrogated ER stress markers (PERK, NF-κB, IL-6, IL-8, RGS16, calnexin) without affecting cell viability or apoptosis.
Conclusions:
- Targeting s4A with the 4M peptide is a novel strategy to inhibit Z-AT polymerization and its associated cellular damage.
- This approach successfully restores Z-AT plasma concentrations and reduces ER stress.
- These findings represent a significant advancement toward therapeutic interventions for Z-AT-related disorders.
Background & Aims:
The Z variant (Glu342Lys) of α(1)-antitrypsin (AT) polymerizes and accumulates in the hepatocyte endoplasmic reticulum (ER) predisposing to neonatal hepatitis and liver cirrhosis. The resultant secretory defect leaves the lungs vulnerable to elastolysis and early-onset emphysema. Our aim in this study was to evaluate the effect of targeting strand 4a (s4A) as a strategy to inhibit polymerization and restore plasma secretion.
Methods:
HEK293 cells and HepG2 cells were transfected with Z-AT (Z-AT cells) or control M-AT (M-AT cells). The effect of Ac-TTAI-NH(2) (4M), Ac-FLEAIG-NH(2) (6M), and Ac-SEAAASTAVVIA-NH(2) (12M) on preventing and reversing intracellular Z-AT polymers and secretion of AT was evaluated by pulse-chase/immunoprecipitation, ELISA, and immunoblot with a polymer-specific antibody (ATZII). The ER overload response was assessed by RT-PCR for PERK, calnexin, and RGS16, and ELISA for NF-κB, IL-6, and IL-8.
Results:
All peptides prevented the intracellular accumulation of Z-AT (4M>6M>12M) in comparison with control peptides, with detection of the AT-Inhibitor complex in inclusion bodies. In so doing, 4M also significantly increased the concentration of secreted Z-AT and the elastase inhibitory activity. Furthermore, the 4M peptide was able to reverse the intracellular aggregation of Z-AT. The ER accumulation of Z-AT was shown to induce PERK-dependent NF-κB, IL-6, IL-8, and RGS16 and calnexin; all of which could be abrogated effectively by 4M. 4M had no effect on apoptosis or cell viability.
Conclusions:
These findings are the first evidence that targeting s4A can prevent the cellular accumulation and deleterious effects of Z-AT and restore its plasma concentrations. As such, this is a major step towards treatment of patients with Z-AT-related disease.
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