Hsp90 inhibition protects against inherited retinal degeneration

Mònica Aguilà1, Dalila Bevilacqua, Caroline McCulley

  • 1Department of Ocular Biology and Therapeutics.

Human Molecular Genetics
|December 5, 2013
PubMed

Insights

Hsp90 inhibition shows promise for treating autosomal dominant retinitis pigmentosa (adRP) by improving visual function and delaying photoreceptor degeneration. However, sustained inhibition may negatively impact vision.

Area of Science:

  • Molecular biology
  • Neuroscience
  • Ophthalmology

Background:

  • The molecular chaperone Hsp90 is crucial for client protein maturation, with inhibitors in cancer trials.
  • Hsp90 inhibition activates the heat shock response and shows potential for autosomal dominant retinitis pigmentosa (adRP) caused by rhodopsin mutations.
  • Rhodopsin mutations, like P23H and R135L, lead to photoreceptor degeneration and vision loss.

Purpose of the Study:

  • To investigate the therapeutic potential of Hsp90 inhibition in preclinical models of adRP.
  • To elucidate the distinct mechanisms by which Hsp90 inhibition affects different rhodopsin mutations (P23H and R135L).
  • To identify Hsp90 client proteins in the retina and assess the long-term effects of Hsp90 inhibition.

Main Methods:

  • Utilized a P23H transgenic rat model and cell-based assays.
  • Administered Hsp90 inhibitors (HSP990 and 17-AAG) in vivo and in vitro.
  • Assessed visual function, photoreceptor degeneration, protein aggregation, protein localization, and expression of heat shock proteins, GRK1, and PDE6.

Main Results:

  • A low dose of HSP990 enhanced visual function and delayed degeneration in P23H rats, reducing rhodopsin aggregation.
  • Hsp90 inhibition with 17-AAG reduced R135L accumulation and arrestin binding in cells.
  • Hsp90 inhibition's effect on P23H was HSF-1 dependent, while on R135L it was HSF-1 independent, mediated by GRK1 maturation.
  • In vivo, Hsp90 inhibition restored R135L localization and identified GRK1 and PDE6 as Hsp90 clients.

Conclusions:

  • Hsp90 inhibition offers a potential therapeutic strategy for distinct forms of rhodopsin-mediated adRP.
  • The mechanisms involve HSF-1 dependent and independent pathways, impacting protein aggregation and maturation.
  • Sustained Hsp90 inhibition may have adverse effects on visual function due to reduced GRK1 and PDE6 levels.