PMID- 31401765 OWN - NLM STAT- MEDLINE DCOM- 20201105 LR - 20201105 IS - 1559-1182 (Electronic) IS - 0893-7648 (Linking) VI - 57 IP - 2 DP - 2020 Feb TI - Calpain Activation Is the Major Cause of Cell Death in Photoreceptors Expressing a Rhodopsin Misfolding Mutation. PG - 589-599 LID - 10.1007/s12035-019-01723-5 [doi] AB - The majority of mutations in rhodopsin (RHO) cause misfolding of the protein and has been linked to degeneration of photoreceptor cells in the retina. A lot of attention has been set on targeting ER stress for the development of new therapies for inherited retinal degeneration caused by mutations in the RHO gene. Nevertheless, the cell death pathway activated by RHO misfolded protein is still debated. In this study, we analyzed the retina of the knock-in mouse expressing the P23H misfolded mutant RHO. We found persistent unfolded protein response (UPR) during degeneration. Interestingly, long-term stimulation of the PERK branch of ER stress had a protective effect by phosphorylating nuclear factor erythroid 2-related factor 2 (NRF2) transcription factor, associated with antioxidant responses. Otherwise, we provide evidence that increased intracellular calcium and activation of calpains strongly correlated with rod photoreceptor cell death. By blocking calpain activity, we significantly decreased the activation of caspase-7 and apoptosis-inducing factor (AIF), two cell death effectors, and cell demise, and effectively protected the retina from degeneration caused by the P23H dominant mutation in RHO. FAU - Comitato, Antonella AU - Comitato A AD - Department of Life Sciences, University of Modena and Reggio Emilia, via Campi, 287, 41125, Modena, Italy. FAU - Schiroli, Davide AU - Schiroli D AD - Department of Life Sciences, University of Modena and Reggio Emilia, via Campi, 287, 41125, Modena, Italy. FAU - Montanari, Monica AU - Montanari M AD - Department of Life Sciences, University of Modena and Reggio Emilia, via Campi, 287, 41125, Modena, Italy. FAU - Marigo, Valeria AU - Marigo V AUID- ORCID: 0000-0002-4428-2084 AD - Department of Life Sciences, University of Modena and Reggio Emilia, via Campi, 287, 41125, Modena, Italy. valeria.marigo@unimore.it. LA - eng GR - call for proposals 2013 on Retinitis Pigmentosa/Fondazione Roma/ GR - transMed, MSCA-ITN-2017-765441/H2020/ GR - GGP11210, GGP14180/Fondazione Telethon/ PT - Journal Article DEP - 20190810 PL - United States TA - Mol Neurobiol JT - Molecular neurobiology JID - 8900963 RN - 0 (Protein Kinase Inhibitors) RN - 9009-81-8 (Rhodopsin) RN - EC 2.7.11.1 (PERK kinase) RN - EC 2.7.11.1 (eIF-2 Kinase) RN - EC 3.4.22.- (Calpain) RN - SY7Q814VUP (Calcium) SB - IM MH - Animals MH - *Apoptosis/drug effects MH - Calcium/metabolism MH - Calpain/*metabolism MH - Endoplasmic Reticulum Stress/drug effects MH - Enzyme Activation/drug effects MH - Intracellular Space/metabolism MH - Mice, Inbred C57BL MH - Mutation/*genetics MH - Photoreceptor Cells, Vertebrate/*metabolism MH - *Protein Folding/drug effects MH - Protein Kinase Inhibitors/pharmacology MH - Retinal Degeneration/pathology MH - Rhodopsin/chemistry/*genetics/metabolism MH - Unfolded Protein Response/drug effects MH - eIF-2 Kinase/metabolism OTO - NOTNLM OT - GSK2606414A OT - PD150606 OT - Rod OT - Spectrin OT - Z-VAD-FMK OT - adRP OT - eIF2alpha EDAT- 2019/08/12 06:00 MHDA- 2020/11/06 06:00 CRDT- 2019/08/12 06:00 PHST- 2019/04/26 00:00 [received] PHST- 2019/07/26 00:00 [accepted] PHST- 2019/08/12 06:00 [pubmed] PHST- 2020/11/06 06:00 [medline] PHST- 2019/08/12 06:00 [entrez] AID - 10.1007/s12035-019-01723-5 [pii] AID - 10.1007/s12035-019-01723-5 [doi] PST - ppublish SO - Mol Neurobiol. 2020 Feb;57(2):589-599. doi: 10.1007/s12035-019-01723-5. Epub 2019 Aug 10.