A hotspot in the glucocorticoid receptor DNA-binding domain susceptible to loss of function mutation

Jesus Banuelos1, Soon Cheon Shin1, Nick Z Lu1

  • 1Division of Allergy-Immunology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.

Steroids
|February 14, 2015
PubMed

Insights

A specific mutation in the glucocorticoid receptor (GR) gene, R493C, causes resistance to glucocorticoids (GCs) by impairing transcriptional activity. This finding identifies a key mutation site for GC resistance in various conditions.

Area of Science:

  • Molecular Biology
  • Endocrinology
  • Genetics

Background:

  • Glucocorticoids (GCs) are vital therapeutics for inflammatory diseases and cancers.
  • GC resistance limits treatment efficacy in a subset of patients.
  • Understanding the molecular basis of GC resistance is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the molecular mechanism underlying glucocorticoid resistance in EL4 cells.
  • To identify specific mutations in the glucocorticoid receptor (GR) gene associated with GC resistance.
  • To assess the functional impact of identified GR mutations on transcriptional activity.

Main Methods:

  • Allelic discrimination analysis to detect GR gene mutations.
  • Transient transfection assays to evaluate GR transactivation and repression activity.
  • Site-directed mutagenesis to confirm the role of specific mutations.
  • Stable expression of wild-type (WT) GR in resistant cells to assess functional restoration.

Main Results:

  • EL4 cells, a GC-resistant line, possess a homozygous R493C point mutation in the GR gene.
  • The R493C mutant GR cannot transactivate reporter genes, while reverting the mutation restores activity.
  • The R493C mutant GR shows impaired repression of AP-1 and NF-κB, and does not inhibit WT GR activity.
  • Stable expression of WT GR in EL4 cells re-sensitizes cells to GCs, restoring gene regulation.

Conclusions:

  • The R493C mutation in the GR DNA-binding domain is responsible for GC resistance in EL4 cells.
  • Arginine 493 is essential for GR transcriptional activity and is a mutation hotspot for GC resistance.
  • This finding has implications for understanding and potentially overcoming GC resistance in clinical settings.

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