The ancestral and ubiquitous KEAP1-NRF2 cellular defense system is controlled by chemical inducers and intracellular proteins. Here, we show that an extracellular protein, BDNF, can directly control this cytoprotective system via a receptor-independent pathway. Thanks to a highly conserved C-terminal CPP sequence, BDNF freely crosses the cell membrane, binds to KEAP1, and thereby promotes the nuclear translocation of NRF2 to exert an effective cytoprotective effect. The high conservation of the CPP sequence over 450 million years demonstrates the essential role of this signaling pathway. The receptor-independent cytoprotective effect, in addition to the canonical receptor-dependent neurotrophic effect, shows that a protein can exert distinct effects via receptor-dependent and receptor-independent mechanisms, as described for small molecules. As extracellular BDNF is present throughout the body, it can control the cellular defenses of cells, including those without receptors. Consequently, any change in BDNF extracellular levels is likely to modify the cytoprotective response and thus contribute to numerous pathologies.
Keywords: BDNF; CP: Cell biology; CP: Molecular biology; NRF2-KEAP1; TrkB receptors; amphiregulin; cell-penetrating peptides; cytoprotection; growth factors; oxidative stress; p75(NTR) receptors; signaling pathway.
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