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Follicular lymphoma-associated mutations in the V-ATPase chaperone VMA21 activate autophagy creating a targetable dependency




TekijätWang Fangyang, Yang Ying, Boudagh Gabriel, Eskelinen Eeva-Liisa, Klionsky Daniel J, Malek Sami N

Julkaisuvuosi2022

JournalAutophagy

Tietokannassa oleva lehden nimiAutophagy

Lehden akronyymiAutophagy

ISSN1554-8627

eISSN1554-8635

DOIhttps://doi.org/10.1080/15548627.2022.2050663

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/174513934


Tiivistelmä
The discovery of recurrent mutations in subunits and regulators of the vacuolar-type H+-translocating ATPase (V-ATPase) in follicular lymphoma (FL) highlights a role for macroautophagy/autophagy, amino-acid, and nutrient-sensing pathways in the pathogenesis of this disease. Here, we report on novel mutations in the ER-resident chaperone VMA21, which is involved in V-ATPase assembly in 12% of FL. Mutations in a novel VMA21 hotspot (p.93X) result in the removal of a C-terminal non-canonical ER retrieval signal thus causing VMA21 mislocalization to lysosomes. The resulting impairment in V-ATPase function prevents full lysosomal acidification and function, including impaired pH-dependent protein degradation as shown via lysosomal metabolomics and ultimately causes a degree of amino acid depletion in the cytoplasm. These deficiencies result in compensatory autophagy activation, as measured using multiple complementary assays in human and yeast cells. Of translational significance, the compensatory activation of autophagy creates a dependency for survival for VMA21-mutated primary human FL as shown using inhibitors to ULK1, the proximal autophagy-regulating kinase. Using high-throughput microscopy-based screening assays for autophagy-inhibiting compounds, we identify multiple clinical grade cyclin-dependent kinase inhibitors as promising drugs and thus provide new rationale for innovative clinical trials in FL harboring aberrant V-ATPase.

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Last updated on 2024-26-11 at 13:59