Calpain-mediated degradation of MDMx/MDM4 contributes to HIV-induced neuronal damage

Daniel J Colacurcio1, Alyssa Yeager, Dennis L Kolson

  • 1Department of Pathology, School of Dental Medicine, University of Pennsylvania, 312 Levy Building, 240 South 40th Street, Philadelphia, PA 19104, United States.

Insights

MDMx protein loss contributes to neuronal death in HIV-associated Neurocognitive Disorders (HAND). Restoring MDMx levels may protect neurons from HAND and other neurodegenerative diseases involving calpain activation.

Area of Science:

  • Neuroscience
  • Neuroimmunology
  • Cell Biology

Background:

  • HIV-associated Neurocognitive Disorders (HAND) involve neuronal damage linked to inflammation from activated brain macrophages/microglia.
  • Aberrant neuronal cell cycle activation is implicated in determining cell fate under toxic conditions.
  • Previous studies showed increased cell cycle proteins and decreased MDMx in HAND models.

Purpose of the Study:

  • To investigate the role of MDMx in neuronal protection within the context of HAND.
  • To determine if MDMx levels are altered in HAND patients.
  • To elucidate the mechanism of MDMx regulation and its impact on neuronal survival.

Main Methods:

  • Analysis of MDMx protein levels in the mid-frontal cortex of HAND patients.
  • In vitro studies using primary rat neuroglial cultures treated with HIV-infected macrophage/microglia (HIV M/M) supernatants.
  • Investigation of MDMx degradation pathways involving NMDA receptors and calpains.
  • Overexpression and blocking of MDMx to assess its effect on neuronal survival.
  • Assessment of calpain activity and its interaction with MDMx.

Main Results:

  • MDMx protein levels were significantly reduced in the mid-frontal cortex of HAND patients.
  • HIV M/M treatment induced NMDA receptor- and calpain-dependent degradation of MDMx, decreasing neuronal survival.
  • Overexpression of MDMx provided partial protection against HIV M/M toxicity.
  • MDMx was identified as a direct calpain substrate.
  • Blocking MDMx activity caused neuronal death, which was reversible by calpain inhibition.

Conclusions:

  • MDMx plays a crucial pro-survival role in neurons.
  • Reduced MDMx levels contribute to neurodegeneration in HAND.
  • Strategies aimed at stabilizing or increasing MDMx may offer neuroprotection in HAND.
  • Targeting MDMx could be beneficial for other neurodegenerative diseases involving calpain activation.

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