Pharmacologic inhibition of Hsp90 to prevent GLT-1 degradation as an effective therapy for epilepsy

J Exp Med. 2017 Feb;214(2):547-563. doi: 10.1084/jem.20160667. Epub 2016 Dec 27.

Abstract

The glutamate transporter GLT-1 is critical for the maintenance of low interstitial glutamate concentrations. Loss of GLT-1 is commonly observed in neurological disorders, including temporal lobe epilepsy (TLE). Despite the hypothesis that targeting the mechanisms of GLT-1 deficiency may be a novel strategy for treating drug-resistant epilepsy, the underlying molecular cascade remains largely unknown. Here, we show that Hsp90β is up-regulated in reactive astrocytes of the epileptic hippocampus in patients with TLE and mouse models of epilepsy. Inhibition of Hsp90, but not Hsp70, increased GLT-1 levels. Mechanistically, Hsp90β recruits GLT-1 to the 20S proteasome, thereby promoting GLT-1 degradation. Hsp90 inhibitor prevents GLT-1 degradation by disrupting the association between Hsp90β and GLT-1. Using a model of TLE, we demonstrated that long-term systemic administration of 17AAG dramatically suppressed spontaneous recurrent seizures and ameliorated astrogliosis. Overall, these results suggest that up-regulation of GLT-1 by inhibiting Hsp90β in reactive astrocytes may be a potential therapeutic target for the treatment of epilepsy and excitotoxicity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Astrocytes / metabolism
  • Benzoquinones / pharmacology
  • Cells, Cultured
  • Epilepsy / drug therapy*
  • Epilepsy / metabolism
  • Epilepsy, Temporal Lobe / drug therapy
  • Epilepsy, Temporal Lobe / metabolism
  • Excitatory Amino Acid Transporter 2 / analysis
  • Excitatory Amino Acid Transporter 2 / metabolism*
  • Glutamic Acid / metabolism
  • HSP90 Heat-Shock Proteins / antagonists & inhibitors*
  • HSP90 Heat-Shock Proteins / physiology
  • Humans
  • Lactams, Macrocyclic / pharmacology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neuroprotective Agents / pharmacology
  • Proteasome Endopeptidase Complex / physiology
  • Seizures, Febrile / drug therapy
  • Seizures, Febrile / metabolism

Substances

  • Benzoquinones
  • Excitatory Amino Acid Transporter 2
  • HSP90 Heat-Shock Proteins
  • Lactams, Macrocyclic
  • Neuroprotective Agents
  • Slc1a2 protein, mouse
  • Glutamic Acid
  • tanespimycin
  • Proteasome Endopeptidase Complex