Activation of the ubiquitin-proteasome system contributes to oculopharyngeal muscular dystrophy through muscle atrophy

PLoS Genet. 2022 Jan 13;18(1):e1010015. doi: 10.1371/journal.pgen.1010015. eCollection 2022 Jan.

Abstract

Oculopharyngeal muscular dystrophy (OPMD) is a late-onset disorder characterized by progressive weakness and degeneration of specific muscles. OPMD is due to extension of a polyalanine tract in poly(A) binding protein nuclear 1 (PABPN1). Aggregation of the mutant protein in muscle nuclei is a hallmark of the disease. Previous transcriptomic analyses revealed the consistent deregulation of the ubiquitin-proteasome system (UPS) in OPMD animal models and patients, suggesting a role of this deregulation in OPMD pathogenesis. Subsequent studies proposed that UPS contribution to OPMD involved PABPN1 aggregation. Here, we use a Drosophila model of OPMD to address the functional importance of UPS deregulation in OPMD. Through genome-wide and targeted genetic screens we identify a large number of UPS components that are involved in OPMD. Half dosage of UPS genes reduces OPMD muscle defects suggesting a pathological increase of UPS activity in the disease. Quantification of proteasome activity confirms stronger activity in OPMD muscles, associated with degradation of myofibrillar proteins. Importantly, improvement of muscle structure and function in the presence of UPS mutants does not correlate with the levels of PABPN1 aggregation, but is linked to decreased degradation of muscle proteins. Oral treatment with the proteasome inhibitor MG132 is beneficial to the OPMD Drosophila model, improving muscle function although PABPN1 aggregation is enhanced. This functional study reveals the importance of increased UPS activity that underlies muscle atrophy in OPMD. It also provides a proof-of-concept that inhibitors of proteasome activity might be an attractive pharmacological approach for OPMD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Disease Models, Animal
  • Drosophila melanogaster
  • Gene Expression Regulation
  • Genetic Testing
  • Humans
  • Leupeptins / pharmacology
  • Leupeptins / therapeutic use
  • Muscular Atrophy / drug therapy
  • Muscular Atrophy / metabolism
  • Muscular Atrophy / pathology*
  • Muscular Dystrophy, Oculopharyngeal / drug therapy
  • Muscular Dystrophy, Oculopharyngeal / genetics
  • Muscular Dystrophy, Oculopharyngeal / metabolism
  • Muscular Dystrophy, Oculopharyngeal / pathology*
  • Mutation
  • Poly(A)-Binding Protein I / chemistry
  • Poly(A)-Binding Protein I / genetics*
  • Proof of Concept Study
  • Proteasome Endopeptidase Complex / metabolism*
  • Protein Aggregates / drug effects
  • Ubiquitin / metabolism*

Substances

  • Leupeptins
  • PABPN1 protein, human
  • Poly(A)-Binding Protein I
  • Protein Aggregates
  • Ubiquitin
  • Proteasome Endopeptidase Complex
  • benzyloxycarbonylleucyl-leucyl-leucine aldehyde

Grants and funding

This work was supported by the CNRS-University of Montpellier UMR9002, AFM-Téléthon eOPMD project 17110, Fondation pour la Recherche Médicale ("Equipe FRM 2013 DEQ20130326534"), Agence Nationale pour la Recherche (ANR-09-GENO-025-01 from GIS-Maladies Rares and AFM-Téléthon, and ANR-17-CE12-0011-01) to MS. CR, CS and NB were supported by the ANR-GIS-Maladies Rares (ANR-09-GENO-025-01); SAH was supported by ISITE CAP2025 Challenge 3; RNS was supported by AFM-Téléthon (17110). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.