Mutations in the X-linked ATP6AP2 cause a glycosylation disorder with autophagic defects

Maria A Rujano1,2, Magda Cannata Serio1,2, Ganna Panasyuk3,4

  • 1Laboratory of Epithelial Biology and Disease, Imagine Institute, Paris, France.

Insights

Two mutations in the ATP6AP2 gene cause a rare disorder affecting protein glycosylation and autophagy. These ATP6AP2 mutations disrupt vacuolar-type H+-ATPase assembly, leading to liver disease and developmental issues.

Area of Science:

  • Cell Biology
  • Biochemistry
  • Genetics

Background:

  • Vacuolar-type H+-ATPase (V-ATPase) biogenesis begins in the endoplasmic reticulum, involving the V0 proton pore and assembly factors.
  • ATP6AP2, also known as the [pro]renin receptor, is an accessory subunit of the V-ATPase.

Purpose of the Study:

  • To investigate the role of ATP6AP2 mutations in a human disorder characterized by glycosylation defects, liver disease, immunodeficiency, cutis laxa, and psychomotor impairment.
  • To elucidate the molecular mechanisms underlying the identified ATP6AP2 mutations in V-ATPase assembly, glycosylation, and autophagy.

Main Methods:

  • Identification of hemizygous missense mutations in the extracellular domain of ATP6AP2.
  • Analysis of ATP6AP2 deficiency and mutations in mouse liver and Drosophila models.
  • Assessment of serum protein glycosylation, autophagy, lysosomal acidification, and mTOR signaling.

Main Results:

  • ATP6AP2 deficiency in mouse liver resulted in hypoglycosylation of serum proteins and impaired autophagy.
  • A missense mutation in Drosophila led to reduced survival and altered lipid metabolism.
  • Autophagic dysregulation in Drosophila fat bodies was linked to defective lysosomal acidification and mTOR signaling.
  • Both ATP6AP2 mutations decreased protein stability and impaired interaction with ATP6AP1, a V0 complex component.

Conclusions:

  • Missense mutations in ATP6AP2 disrupt V-ATPase assembly, leading to impaired protein glycosylation and autophagy.
  • These findings link ATP6AP2 function to critical cellular processes and human disease pathogenesis.

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