PMID- 25406061 OWN - NLM STAT- MEDLINE DCOM- 20151221 LR - 20201217 IS - 1545-7885 (Electronic) IS - 1544-9173 (Print) IS - 1544-9173 (Linking) VI - 12 IP - 11 DP - 2014 Nov TI - Modulation of the maladaptive stress response to manage diseases of protein folding. PG - e1001998 LID - 10.1371/journal.pbio.1001998 [doi] LID - e1001998 AB - Diseases of protein folding arise because of the inability of an altered peptide sequence to properly engage protein homeostasis components that direct protein folding and function. To identify global principles of misfolding disease pathology we examined the impact of the local folding environment in alpha-1-antitrypsin deficiency (AATD), Niemann-Pick type C1 disease (NPC1), Alzheimer's disease (AD), and cystic fibrosis (CF). Using distinct models, including patient-derived cell lines and primary epithelium, mouse brain tissue, and Caenorhabditis elegans, we found that chronic expression of misfolded proteins not only triggers the sustained activation of the heat shock response (HSR) pathway, but that this sustained activation is maladaptive. In diseased cells, maladaptation alters protein structure-function relationships, impacts protein folding in the cytosol, and further exacerbates the disease state. We show that down-regulation of this maladaptive stress response (MSR), through silencing of HSF1, the master regulator of the HSR, restores cellular protein folding and improves the disease phenotype. We propose that restoration of a more physiological proteostatic environment will strongly impact the management and progression of loss-of-function and gain-of-toxic-function phenotypes common in human disease. FAU - Roth, Daniela Martino AU - Roth DM AD - Department of Cell Biology, The Scripps Research Institute, La Jolla, California, United States of America. FAU - Hutt, Darren M AU - Hutt DM AD - Department of Cell Biology, The Scripps Research Institute, La Jolla, California, United States of America. FAU - Tong, Jiansong AU - Tong J AD - Department of Cell Biology, The Scripps Research Institute, La Jolla, California, United States of America. FAU - Bouchecareilh, Marion AU - Bouchecareilh M AD - Department of Cell Biology, The Scripps Research Institute, La Jolla, California, United States of America. FAU - Wang, Ning AU - Wang N AD - Department of Molecular Biosciences, Rice Institute for Biomedical Research, Northwestern University, Evanston, Illinois, United States of America. FAU - Seeley, Theo AU - Seeley T AD - Department of Cell Biology, The Scripps Research Institute, La Jolla, California, United States of America. FAU - Dekkers, Johanna F AU - Dekkers JF AD - Department of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Centre, Utrecht, The Netherlands; Laboratory of Translational Immunology, Wilhelmina Children's Hospital, University Medical Centre, Utrecht, The Netherlands. FAU - Beekman, Jeffrey M AU - Beekman JM AD - Department of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Centre, Utrecht, The Netherlands; Laboratory of Translational Immunology, Wilhelmina Children's Hospital, University Medical Centre, Utrecht, The Netherlands. FAU - Garza, Dan AU - Garza D AD - Proteostasis Therapeutics Inc., Cambridge, Massachusetts, United States of America. FAU - Drew, Lawrence AU - Drew L AD - Proteostasis Therapeutics Inc., Cambridge, Massachusetts, United States of America. FAU - Masliah, Eliezer AU - Masliah E AD - Department of Neurosciences, University of California, San Diego, La Jolla, California, United States of America. FAU - Morimoto, Richard I AU - Morimoto RI AD - Department of Molecular Biosciences, Rice Institute for Biomedical Research, Northwestern University, Evanston, Illinois, United States of America. FAU - Balch, William E AU - Balch WE AD - Department of Cell Biology, The Scripps Research Institute, La Jolla, California, United States of America; The Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, California, United States of America; Department of Chemical Physiology, The Scripps Research Institute, La Jolla, California, United States of America; The Institute for Childhood and Neglected Diseases, The Scripps Research Institute, La Jolla, California, United States of America. LA - eng GR - HL079442/HL/NHLBI NIH HHS/United States GR - DK785483/DK/NIDDK NIH HHS/United States GR - GM42336/GM/NIGMS NIH HHS/United States GR - R01 GM038109/GM/NIGMS NIH HHS/United States GR - P01 AG031097/AG/NIA NIH HHS/United States GR - AG026647/AG/NIA NIH HHS/United States GR - R37 AG018440/AG/NIA NIH HHS/United States GR - R01 HL095524/HL/NHLBI NIH HHS/United States GR - R01 AG026647/AG/NIA NIH HHS/United States GR - AG5131/AG/NIA NIH HHS/United States GR - R37 GM038109/GM/NIGMS NIH HHS/United States GR - P50 AG005131/AG/NIA NIH HHS/United States GR - 5P01AG031097/AG/NIA NIH HHS/United States GR - R37 AG026647/AG/NIA NIH HHS/United States GR - GM81192/GM/NIGMS NIH HHS/United States GR - R01 GM042336/GM/NIGMS NIH HHS/United States GR - P30 NS076411/NS/NINDS NIH HHS/United States GR - MRC_/Medical Research Council/United Kingdom GR - GM38109/GM/NIGMS NIH HHS/United States GR - R01 GM033301/GM/NIGMS NIH HHS/United States GR - CAPMC/CIHR/Canada GR - R01 AG018440/AG/NIA NIH HHS/United States GR - AG18440/AG/NIA NIH HHS/United States GR - R01 HL079442/HL/NHLBI NIH HHS/United States GR - GM33301/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20141118 PL - United States TA - PLoS Biol JT - PLoS biology JID - 101183755 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (CFTR protein, human) RN - 0 (DNA-Binding Proteins) RN - 0 (Diterpenes) RN - 0 (Epoxy Compounds) RN - 0 (HSF1 protein, human) RN - 0 (Heat Shock Transcription Factors) RN - 0 (Phenanthrenes) RN - 0 (Transcription Factors) RN - 126880-72-6 (Cystic Fibrosis Transmembrane Conductance Regulator) RN - 19ALD1S53J (triptolide) RN - EC 5.3.- (Intramolecular Oxidoreductases) RN - EC 5.3.99.3 (Prostaglandin-E Synthases) SB - IM CIN - PLoS Biol. 2014 Nov;12(11):e1001999. PMID: 25405339 MH - Animals MH - Antineoplastic Agents, Alkylating/therapeutic use MH - Caenorhabditis elegans MH - Cell Line MH - Cystic Fibrosis/drug therapy/*etiology/metabolism MH - Cystic Fibrosis Transmembrane Conductance Regulator/*metabolism MH - DNA-Binding Proteins/*genetics/metabolism MH - Diterpenes/therapeutic use MH - Drug Evaluation, Preclinical MH - Epoxy Compounds/therapeutic use MH - Gene Silencing MH - Heat Shock Transcription Factors MH - Humans MH - Intramolecular Oxidoreductases/genetics/metabolism MH - Mice, Transgenic MH - Organoids MH - Phenanthrenes/therapeutic use MH - Prostaglandin-E Synthases MH - Protein Folding MH - Proteostasis Deficiencies/*genetics MH - Respiratory Mucosa/metabolism MH - Stress, Physiological MH - Transcription Factors/*genetics/metabolism PMC - PMC4236052 COIS- The authors have declared that no competing interests exist. EDAT- 2014/11/19 06:00 MHDA- 2015/12/22 06:00 PMCR- 2014/11/18 CRDT- 2014/11/19 06:00 PHST- 2014/03/31 00:00 [received] PHST- 2014/10/07 00:00 [accepted] PHST- 2014/11/19 06:00 [entrez] PHST- 2014/11/19 06:00 [pubmed] PHST- 2015/12/22 06:00 [medline] PHST- 2014/11/18 00:00 [pmc-release] AID - PBIOLOGY-D-14-01135 [pii] AID - 10.1371/journal.pbio.1001998 [doi] PST - epublish SO - PLoS Biol. 2014 Nov 18;12(11):e1001998. doi: 10.1371/journal.pbio.1001998. eCollection 2014 Nov.