Proteostasis, an optimal state of the cellular proteome, is constantly challenged by intrinsic stress, such as inherited misfolding-prone proteins, environment, and aging. Proteostasis deficiency in ion channels leads to a variety of ion channel diseases called channelopathies, which are often caused by excessive endoplasmic reticulum-associated degradation (ERAD) and inefficient membrane trafficking of corresponding ion channel proteins harboring misfolding-prone mutations. We use gamma- aminobutyric acid type A (GABAA) receptors, the primary inhibitory neurotransmitter-gated ion channels in the mammalian central nervous systems, as a representative ion channel, to elucidate their folding and ERAD pathway in the endoplasmic reticulum (ER). The interaction between GABAA receptors and a network of proteins in cells is critical to maintain the folding, degradation, trafficking, and thus function of GABAA receptors. However, the molecular mechanism of maintaining GABAA receptor proteostasis is not well understood. Idiopathic epilepsy has a strong genetic linkage to loss of function of GABAA receptors. We focus on studying missense mutations that lead to misfolding, extensive degradation, and thus loss of function of mutant GABAA receptors. Our long term goal is to perform a detailed molecular mechanism study to elucidate how the folding, assembly, degradation of GABAA receptors are regulated in cells and use the principles acquired to correct epilepsy-associated misfolded GABAA receptors. Here, in Specific Aim 1, we aim to elucidate a coordinated engagement of chaperones and folding enzymes in directing the folding of GABAA receptors in the ER.
In Specific Aim 2, we aim to determine the ERAD pathway of misfolding-prone mutant GABAA receptors.
In Specific Aim 3, we propose to remodel the ER proteostasis network to correct the misfolding and function of pathogenic GABAA receptors. This proposed research will provide proof-of-principle cases about restoring proteostasis to ameliorate genetic epilepsy resulting from GABAA receptor misfolding.

Public Health Relevance

Idiopathic epilepsy has a strong genetic linkage to loss of function of GABAA receptors, the primary inhibitory ion channels in the human brain. Numerous mutations in the receptors cause their protein misfolding and excessive degradation, resulting in reduced receptor function and thus epilepsy. Here, we propose to elucidate the molecular mechanism of their folding and degradation and use the principles acquired to correct the mutant receptor misfolding and thus function, representing a novel strategy to ameliorate epilepsy.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
5R01NS105789-02
Application #
9748007
Study Section
Biophysics of Neural Systems Study Section (BPNS)
Program Officer
Churn, Severn Borden
Project Start
2018-08-01
Project End
2023-04-30
Budget Start
2019-05-01
Budget End
2020-04-30
Support Year
2
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Case Western Reserve University
Department
Physiology
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
Fu, Yan-Lin; Han, Dong-Yun; Wang, Ya-Juan et al. (2018) Remodeling the endoplasmic reticulum proteostasis network restores proteostasis of pathogenic GABAA receptors. PLoS One 13:e0207948