XBP1 mitigates aminoglycoside-induced endoplasmic reticulum stress and neuronal cell death

N Oishi1, S Duscha2, H Boukari2

  • 1Department of Otolaryngology, Kresge Hearing Research Institute, University of Michigan, Ann Arbor, MI, USA.

Insights

Aminoglycoside antibiotics cause cellular stress, leading to potential nerve damage. Protecting the unfolded protein response pathway, particularly X-box binding protein-1, can prevent hearing loss and neurotoxicity.

Area of Science:

  • Molecular Biology
  • Neuroscience
  • Genetics

Background:

  • Aminoglycosides are known to cause mistranslation and protein misfolding.
  • Endoplasmic reticulum (ER) stress and the unfolded protein response (UPR) are critical cellular pathways involved in protein homeostasis.
  • Neuropathy and ototoxicity are potential side effects of aminoglycoside treatment.

Purpose of the Study:

  • To investigate the link between aminoglycoside-induced mistranslation, protein misfolding, and neuropathy.
  • To assess the role of ER stress and UPR pathways in aminoglycoside toxicity.
  • To determine the protective effect of the X-box binding protein-1 (XBP1) pathway against aminoglycoside-induced ototoxicity.

Main Methods:

  • Mammalian cell cultures were used to study aminoglycoside-induced misreading.
  • Genome-wide transcriptome and proteome analyses were performed to identify affected genes.
  • Quantitative PCR was used to confirm the induction of UPR markers.
  • Haploinsufficient XBP1 (XBP1(+/-)) mice were treated with aminoglycosides to assess ototoxicity.
  • Tauroursodeoxycholic acid was used as a chemical chaperone to evaluate its protective effects.

Main Results:

  • Aminoglycosides were shown to induce misreading in mammalian cells.
  • UPR markers, including XBP1 mRNA splicing, were upregulated, indicating ER stress.
  • XBP1(+/-) mice exhibited significant high-frequency hearing loss and decreased spiral ganglion neuron density after aminoglycoside treatment, unlike wild-type littermates.
  • Sensory cells remained preserved in treated XBP1(+/-) mice.
  • Tauroursodeoxycholic acid attenuated the aminoglycoside-induced hearing loss.

Conclusions:

  • Aminoglycoside-induced ER stress and cell death in spiral ganglion neurons contribute to neuropathy and ototoxicity.
  • The XBP1 pathway plays a crucial protective role in mitigating aminoglycoside neurotoxicity.
  • XBP1-mediated UPR activation can mask aminoglycoside-induced toxicity at the organismal level, highlighting its therapeutic potential.

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