Altered cellular metabolic pathway and epithelial cell maturation induced by MYO5B defects are partially reversible

Insights

Microvillus inclusion disease (MVID) impairs intestinal function due to Myosin Vb (MYO5B) loss. Targeting LPAR5 with Compound-1 shows therapeutic potential by improving intestinal cell function and ameliorating symptoms in MVID models.

Area of Science:

  • Gastroenterology and Hepatology
  • Cell Biology
  • Developmental Biology

Background:

  • Functional loss of Myosin Vb (MYO5B) causes microvillus inclusion disease (MVID), leading to intestinal epithelial dysfunction, villus blunting, and malabsorption.
  • MYO5B is crucial for intestinal epithelial cell function, but its role in lipid metabolism and mitochondrial structure in MVID remains largely unexplored.

Purpose of the Study:

  • To investigate the impact of MYO5B functional loss on intestinal lipid metabolism and mitochondrial structure in MVID.
  • To evaluate the therapeutic potential of LPAR5-preferred agonist, Compound-1, in ameliorating MVID-associated intestinal defects.

Main Methods:

  • Utilized MVID model mice (MYO5BΔIEC and MYO5B(G519R)) and patient-derived enteroids.
  • Performed RNA-sequencing to analyze metabolic gene expression.
  • Administered Compound-1 to MVID model animals to assess its effects on intestinal function and symptoms.

Main Results:

  • MYO5B absence or mutation impairs lipid metabolism, enhancing lipogenesis and decreasing fatty acid oxidation.
  • Downregulation of energy metabolic enzymes, including mitochondrial oxidative phosphorylation genes, was observed in MVID models.
  • Compound-1 treatment improved sodium transporter localization, absorptive function, and tuft cell differentiation, ameliorating weight loss in MVID mice.

Conclusions:

  • MYO5B is essential for intestinal lipid metabolism and mitochondrial integrity.
  • LPAR5 signaling, via Compound-1, offers a potential therapeutic strategy for MVID by improving epithelial cell function and maturation.
  • Targeting LPAR5 may be a promising approach for treating MVID symptoms caused by various MYO5B mutations.