Sarcoidosis is a genetic inflammatory disorder that can manifest in tissues of the lymph node, eye and skin, but most commonly manifests in lung. This chronic granulomatous disorder is still a disease of unknown etiology, but exhibits characteristics of overactive T cells, increased IL-17 production, and increased lung neutrophil to macrophage ratios. Two reoccurring genetic components in sarcoidosis are NOD2, an intracellular pattern recognition receptor, and ITCH, a HECT E3 ubiquitin ligase. NOD2 detects muramyl dipeptide (MDP), a breakdown product from peptidoglycan in gram-positive bacterial cell walls. Upon MDP sensing and activation, NOD2 forms a complex with RIP2 to signal into the IKK complex, and ultimately lead to NF-?B signaling. GWAS studies have shown gain of function mutations in NOD2 contribute to overactivation of the pathway. While this pathway is most suspect in predisposition to sarcoidosis, human loss of ITCH has been linked to early onset sarcoidosis. ITCH has a role in down regulation of NOD2-mediated NF-?B signaling through K63 ubiquitination of Rip2. Overactivation of IKKs has furthermore been suspect in contributing to other disease states. We have discovered a novel phosphorylation site on ITCH, and on a similar HECT E3 ubiquitin ligase, Nedd4. Phosphorylation at these sites impairs ubiquitin ligase activity. Taken together, these findings suggest that gain of function NOD2 polymorphisms may result in ITCH impairment through posttranslational modification by IKKs. We hypothesize that IKK-mediated disruption of ITCH leads to hyper-activation of inflammatory status. We are proposing biochemical evaluation of phosphorylation at this site. We also propose a genetic experiment to determine the role of aberrant TNF signaling in the pathogenesis of ITCH-driven sarcoidosis in a murine model. These studies will provide mechanistic insights in ITCH and NEDD4 that may facilitate a better understanding of sarcoidosis and treatment efficacies.

Public Health Relevance

The prevalence of autoimmune disease is high in the United States and can affect individuals in all stages of life. In particular, inflammatory disorders are difficult to treat and can take a toll on quality of life and productivity. This grant application focuses on investigating the cellular mechanisms behind such conditions. By studying these mechanisms, we may be able to find ways to treat inflammatory disease.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31GM108403-03
Application #
9278235
Study Section
Special Emphasis Panel (ZRG1-F07-K (20)L)
Program Officer
Brown, Patrick
Project Start
2015-06-01
Project End
2018-05-31
Budget Start
2017-06-01
Budget End
2018-05-31
Support Year
3
Fiscal Year
2017
Total Cost
$33,634
Indirect Cost
Name
Case Western Reserve University
Department
Pathology
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
Perez, Jessica M; Chen, Yinghua; Xiao, Tsan S et al. (2018) Phosphorylation of the E3 ubiquitin protein ligase ITCH diminishes binding to its cognate E2 ubiquitin ligase. J Biol Chem 293:1100-1105
Perez, Jessica M; Chirieleison, Steven M; Abbott, Derek W (2015) An I?B Kinase-Regulated Feedforward Circuit Prolongs Inflammation. Cell Rep 12:537-44