The administration of exogenous HSP47 as a collagen-specific therapeutic approach

Roberta Besio1, Nadia Garibaldi1, Alessandra Sala1

  • 1Department of Molecular Medicine, Biochemistry Unit, University of Pavia, Pavia, Italy.

JCI Insight
|February 6, 2025
PubMed

Insights

Heat shock protein 47 (HSP47) shows therapeutic potential for osteogenesis imperfecta (OI) by improving collagen I processing. Treatment with recombinant HSP47 (rHSP47) enhanced collagen secretion and bone mineralization in OI models.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Genetics

Background:

  • Osteogenesis imperfecta (OI) is a collagen disorder caused by mutations affecting collagen I synthesis and processing.
  • OI mutations often lead to delayed collagen folding, aberrant posttranslational modifications, and impaired extracellular matrix assembly.
  • Primary fibroblasts from OI individuals with defects in the collagen prolyl 3-hydroxylation complex exhibit homogeneous collagen overmodification.

Purpose of the Study:

  • To demonstrate the therapeutic potential of heat shock protein 47 (HSP47) for osteogenesis imperfecta (OI).
  • To investigate the effects of exogenous recombinant HSP47 (rHSP47) on collagen I processing and cellular homeostasis in OI models.
  • To evaluate the in vivo efficacy of rHSP47 in a zebrafish OI model.

Main Methods:

  • Utilized primary fibroblasts from OI individuals with specific collagen prolyl 3-hydroxylation complex defects.
  • Administered exogenous recombinant HSP47 (rHSP47) to OI fibroblasts and analyzed its cellular localization.
  • Assessed collagen secretion, posttranslational modifications, intracellular collagen retention, and ER proteostasis.
  • Investigated mutation-dependent effects of rHSP47 in fibroblasts from different OI probands.
  • Evaluated bone mineralization in vivo using the zebrafish p3h1-/- OI model.

Main Results:

  • Exogenous rHSP47 was effectively taken up by OI cells and localized to ER exit sites and the ER-Golgi intermediate compartment.
  • rHSP47 treatment significantly increased collagen secretion and reduced collagen posttranslational modifications and intracellular retention.
  • General ER proteostasis, cellular homeostasis, and vitality were ameliorated by rHSP47.
  • Increased collagen content was observed in the extracellular matrix of treated OI cells.
  • rHSP47 demonstrated mutation-dependent efficacy, being effective only in cells with the most N-terminal defects.
  • A beneficial effect on bone mineralization was observed in the zebrafish p3h1-/- OI model.

Conclusions:

  • Recombinant HSP47 (rHSP47) effectively improves collagen I processing and cellular homeostasis in osteogenesis imperfecta (OI) models.
  • rHSP47 shows promise as a therapeutic agent for OI by enhancing collagen secretion and matrix quality.
  • The study highlights the potential of targeting protein folding and quality control mechanisms for treating collagenopathies.
  • rHSP47's efficacy is dependent on the specific collagen mutation, suggesting personalized therapeutic approaches may be necessary.
  • In vivo studies in zebrafish confirm the potential of rHSP47 to improve bone mineralization in OI.

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