Pak2 as a Novel Therapeutic Target for Cardioprotective Endoplasmic Reticulum Stress Response

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Pablo Binder - , University of Manchester (Author)
  • Shunyao Wang - , University of Manchester (Author)
  • Maria Radu - , Fox Chase Cancer Center (Author)
  • Min Zin - , University of Manchester (Author)
  • Lucy Collins - , University of Manchester (Author)
  • Saba Khan - , University of Manchester (Author)
  • Yatong Li - , University of Manchester (Author)
  • Karolina Sekeres - , TUD Dresden University of Technology (Author)
  • Neil Humphreys - , University of Manchester (Author)
  • Eileithyia Swanton - , University of Manchester (Author)
  • Adam Reid - , University of Manchester (Author)
  • Fay Pu - , University of Edinburgh (Author)
  • Delvac Oceandy - , University of Manchester (Author)
  • Kaomei Guan - , Institute of Pharmacology and Toxicology, University Medicine (Faculty of Medicine and University Hospital) (Author)
  • Susanne S. Hille - , Kiel University (Author)
  • Norbert Frey - , Kiel University (Author)
  • Oliver J. Müller - , Kiel University, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Author)
  • Elizabeth J. Cartwright - , University of Manchester (Author)
  • Jonathan Chernoff - , Fox Chase Cancer Center (Author)
  • Xin Wang - , University of Manchester (Author)
  • Wei Liu - , University of Manchester (Author)

Abstract

Rationale: Secreted and membrane-bound proteins, which account for 1/3 of all proteins, play critical roles in heart health and disease. The endoplasmic reticulum (ER) is the site for synthesis, folding, and quality control of these proteins. Loss of ER homeostasis and function underlies the pathogenesis of many forms of heart disease. Objective: To investigate mechanisms responsible for regulating cardiac ER function, and to explore therapeutic potentials of strengthening ER function to treat heart disease. Methods and Results: Screening a range of signaling molecules led to the discovery that Pak (p21-activated kinase)2 is a stress-responsive kinase localized in close proximity to the ER membrane in cardiomyocytes. We found that Pak2 cardiac deleted mice (Pak2-CKO) under tunicamycin stress or pressure overload manifested a defective ER response, cardiac dysfunction, and profound cell death. Small chemical chaperone tauroursodeoxycholic acid treatment of Pak2-CKO mice substantiated that Pak2 loss-induced cardiac damage is an ER-dependent pathology. Gene array analysis prompted a detailed mechanistic study, which revealed that Pak2 regulation of protective ER function was via the IRE (inositol-requiring enzyme)-1/XBP (X-box-binding protein)-1-dependent pathway. We further discovered that this regulation was conferred by Pak2 inhibition of PP2A (protein phosphatase 2A) activity. Moreover, IRE-1 activator, Quercetin, and adeno-associated virus serotype-9-delivered XBP-1s were able to relieve ER dysfunction in Pak2-CKO hearts. This provides functional evidence, which supports the mechanism underlying Pak2 regulation of IRE-1/XBP-1s signaling. Therapeutically, inducing Pak2 activation by genetic overexpression or adeno-associated virus serotype-9-based gene delivery was capable of strengthening ER function, improving cardiac performance, and diminishing apoptosis, thus protecting the heart from failure. Conclusions: Our findings uncover a new cardioprotective mechanism, which promotes a protective ER stress response via the modulation of Pak2. This novel therapeutic strategy may present as a promising option for treating cardiac disease and heart failure.

Details

Original languageEnglish
Pages (from-to)696-711
Number of pages16
JournalCirculation research
Volume124
Issue number5
Publication statusPublished - 1 Mar 2019
Peer-reviewedYes

External IDs

PubMed 30620686

Keywords

Keywords

  • acid, apoptosis, control, endoplasmic, heart failure, quality, reticulum, tauroursodeoxycholic