PMID- 38050983 OWN - NLM STAT- MEDLINE DCOM- 20231207 LR - 20231221 IS - 1949-1042 (Electronic) IS - 1949-1034 (Print) IS - 1949-1034 (Linking) VI - 14 IP - 1 DP - 2023 Dec TI - The farnesyl transferase inhibitor (FTI) lonafarnib improves nuclear morphology in ZMPSTE24-deficient fibroblasts from patients with the progeroid disorder MAD-B. PG - 2288476 LID - 10.1080/19491034.2023.2288476 [doi] LID - 2288476 AB - Several related progeroid disorders are caused by defective post-translational processing of prelamin A, the precursor of the nuclear scaffold protein lamin A, encoded by LMNA. Prelamin A undergoes farnesylation and additional modifications at its C-terminus. Subsequently, the farnesylated C-terminal segment is cleaved off by the zinc metalloprotease ZMPSTE24. The premature aging disorder Hutchinson Gilford progeria syndrome (HGPS) and a related progeroid disease, mandibuloacral dysplasia (MAD-B), are caused by mutations in LMNA and ZMPSTE24, respectively, that result in failure to process the lamin A precursor and accumulate permanently farnesylated forms of prelamin A. The farnesyl transferase inhibitor (FTI) lonafarnib is known to correct the aberrant nuclear morphology of HGPS patient cells and improves lifespan in children with HGPS. Importantly, and in contrast to a previous report, we show here that FTI treatment also improves the aberrant nuclear phenotypes in MAD-B patient cells with mutations in ZMPSTE24 (P248L or L425P). As expected, lonafarnib does not correct nuclear defects for cells with lamin A processing-proficient mutations. We also examine prelamin A processing in fibroblasts from two individuals with a prevalent laminopathy mutation LMNA-R644C. Despite the proximity of residue R644 to the prelamin A cleavage site, neither R644C patient cell line shows a prelamin A processing defect, and both have normal nuclear morphology. This work clarifies the prelamin A processing status and role of FTIs in a variety of laminopathy patient cells and supports the FDA-approved indication for the FTI Zokinvy for patients with processing-deficient progeroid laminopathies, but not for patients with processing-proficient laminopathies. FAU - Odinammadu, Kamsi O AU - Odinammadu KO AUID- ORCID: 0000-0003-0243-2395 AD - Department of Cell Biology, The Johns Hopkins School of Medicine, Baltimore, MD, USA. FAU - Shilagardi, Khurts AU - Shilagardi K AD - Department of Cell Biology, The Johns Hopkins School of Medicine, Baltimore, MD, USA. FAU - Tuminelli, Kelsey AU - Tuminelli K AD - The Progeria Research Foundation, Peabody, MA, USA. FAU - Judge, Daniel P AU - Judge DP AD - Department of Medicine, Medical University of South Carolina, Charleston, SC, USA. FAU - Gordon, Leslie B AU - Gordon LB AD - The Progeria Research Foundation, Peabody, MA, USA. AD - Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Pediatrics, Division of Genetics, Hasbro Children's Hospital and Warren Alpert Medical School of Brown University, Providence, RI, USA. FAU - Michaelis, Susan AU - Michaelis S AD - Department of Cell Biology, The Johns Hopkins School of Medicine, Baltimore, MD, USA. LA - eng GR - R01 AG075047/AG/NIA NIH HHS/United States GR - R35 GM127073/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20231205 PL - United States TA - Nucleus JT - Nucleus (Austin, Tex.) JID - 101518322 RN - IOW153004F (lonafarnib) RN - 0 (Lamin Type A) RN - 0 (Enzyme Inhibitors) RN - EC 2.- (Transferases) RN - EC 3.4.24.- (Metalloendopeptidases) RN - EC 3.4.24.84 (ZMPSTE24 protein, human) RN - 0 (Membrane Proteins) SB - IM MH - Child MH - Humans MH - Lamin Type A/genetics/metabolism MH - *Progeria/drug therapy/genetics/metabolism MH - Enzyme Inhibitors/pharmacology MH - Mutation MH - *Lipodystrophy/metabolism MH - Fibroblasts/metabolism MH - Transferases/genetics/metabolism MH - Metalloendopeptidases/genetics/metabolism MH - Membrane Proteins/metabolism PMC - PMC10730222 OTO - NOTNLM OT - Atypical progeroid syndrome OT - LMNA-C588R OT - LMNA-D325N OT - LMNA-E138K OT - LMNA-M540T OT - LMNA-R644C OT - ZMPSTE24-L425P OT - ZMPSTE24-P248L OT - mandibuloacral dysplasia-type B OT - prelamin A COIS- No potential conflict of interest was reported by the authors. EDAT- 2023/12/05 17:45 MHDA- 2023/12/07 12:42 PMCR- 2023/12/05 CRDT- 2023/12/05 08:13 PHST- 2023/12/07 12:42 [medline] PHST- 2023/12/05 17:45 [pubmed] PHST- 2023/12/05 08:13 [entrez] PHST- 2023/12/05 00:00 [pmc-release] AID - 2288476 [pii] AID - 10.1080/19491034.2023.2288476 [doi] PST - ppublish SO - Nucleus. 2023 Dec;14(1):2288476. doi: 10.1080/19491034.2023.2288476. Epub 2023 Dec 5.