Signal integration at the PI3K-p85-XBP1 hub endows coagulation protease activated protein C with insulin-like function

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Thati Madhusudhan - , Otto von Guericke University Magdeburg, Johannes Gutenberg University Mainz (Author)
  • Hongjie Wang - , Otto von Guericke University Magdeburg, Huazhong University of Science and Technology (Author)
  • Sanchita Ghosh - , Otto von Guericke University Magdeburg (Author)
  • Wei Dong - , Otto von Guericke University Magdeburg, Huazhong University of Science and Technology (Author)
  • Varun Kumar - , Heidelberg University  (Author)
  • Moh’d Mohanad Al-Dabet - , Otto von Guericke University Magdeburg (Author)
  • Jayakumar Manoharan - , Otto von Guericke University Magdeburg (Author)
  • Sumra Nazir - , Otto von Guericke University Magdeburg (Author)
  • Ahmed Elwakiel - , Otto von Guericke University Magdeburg (Author)
  • Fabian Bock - , Otto von Guericke University Magdeburg, Vanderbilt University (Author)
  • Shrey Kohli - , Otto von Guericke University Magdeburg (Author)
  • Andi Marquardt - , Otto von Guericke University Magdeburg (Author)
  • Ibrahim Sögüt - , Otto von Guericke University Magdeburg, Istanbul Bilim University (Author)
  • Khurrum Shahzad - , Otto von Guericke University Magdeburg, University of Sargodha (Author)
  • Andreas J. Müller - , Otto von Guericke University Magdeburg, Helmholtz Centre for Infection Research (Author)
  • Charles T. Esmon - , University of Oklahoma (Author)
  • Peter P. Nawroth - , Heidelberg University  (Author)
  • Jochen Reiser - , Rush University (Author)
  • Triantafyllos Chavakis - , Institute of Clinical Chemistry and Laboratory Medicine (Author)
  • Wolfram Ruf - , Johannes Gutenberg University Mainz, University of Florida (Author)
  • Berend Isermann - , Otto von Guericke University Magdeburg (Author)

Abstract

Coagulation proteases have increasingly recognized functions beyond hemostasis and thrombosis. Disruption of activated protein C (aPC) or insulin signaling impair function of podocytes and ultimately cause dysfunction of the glomerular filtration barrier and diabetic kidney disease (DKD). We here show that insulin and aPC converge on a common spliced-X-box binding protein-1 (sXBP1) signaling pathway to maintain endoplasmic reticulum (ER) homeostasis. Analogous to insulin, physiological levels of aPC maintain ER proteostasis in DKD. Accordingly, genetically impaired protein C activation exacerbates maladaptive ER response, whereas genetic or pharmacological restoration of aPC maintains ER proteostasis in DKD models. Importantly, in mice with podocyte-specific deficiency of insulin receptor (INSR), aPC selectively restores the activity of the cytoprotective ER-transcription factor sXBP1 by temporally targeting INSR downstream signaling intermediates, the regulatory subunits of PI3Kinase, p85a and p85b. Genome-wide mapping of condition-specific XBP1-transcriptional regulatory patterns confirmed that concordant unfolded protein response target genes are involved in maintenance of ER proteostasis by both insulin and aPC. Thus, aPC efficiently employs disengaged insulin signaling components to reconfigure ER signaling and restore proteostasis. These results identify ER reprogramming as a novel hormonelike function of coagulation proteases and demonstrate that targeting insulin signaling intermediates may be a feasible therapeutic approach ameliorating defective insulin signaling.

Details

Original languageEnglish
Pages (from-to)1445-1455
Number of pages11
JournalBlood
Volume130
Issue number12
Publication statusPublished - 21 Sept 2017
Peer-reviewedYes

External IDs

Scopus 85027712509
PubMed 28687614

Keywords

Sustainable Development Goals