Loss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II

Mucopolysaccharidosis type II (MPS II) results from the dysfunction of a lysosomal enzyme, iduronate-2-sulfatase (IDS). Dysfunction of IDS triggers the lysosomal accumulation of its substrates, glycosaminoglycans, leading to mental retardation and systemic symptoms including skeletal deformities and...

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Autores principales: Koji Matsuhisa, Kazunori Imaizumi
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:29447f80ce6c4340a48594f76e92490b2021-11-25T17:54:33ZLoss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II10.3390/ijms2222122271422-00671661-6596https://doaj.org/article/29447f80ce6c4340a48594f76e92490b2021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12227https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Mucopolysaccharidosis type II (MPS II) results from the dysfunction of a lysosomal enzyme, iduronate-2-sulfatase (IDS). Dysfunction of IDS triggers the lysosomal accumulation of its substrates, glycosaminoglycans, leading to mental retardation and systemic symptoms including skeletal deformities and valvular heart disease. Most patients with severe types of MPS II die before the age of 20. The administration of recombinant IDS and transplantation of hematopoietic stem cells are performed as therapies for MPS II. However, these therapies either cannot improve functions of the central nervous system or cause severe side effects, respectively. To date, 729 pathogenetic variants in the <i>IDS</i> gene have been reported. Most of these potentially cause misfolding of the encoded IDS protein. The misfolded IDS mutants accumulate in the endoplasmic reticulum (ER), followed by degradation via ER-associated degradation (ERAD). Inhibition of the ERAD pathway or refolding of IDS mutants by a molecular chaperone enables recovery of the lysosomal localization and enzyme activity of IDS mutants. In this review, we explain the IDS structure and mechanism of activation, and current findings about the mechanism of degradation-dependent loss of function caused by pathogenetic IDS mutation. We also provide a potential therapeutic approach for MPS II based on this loss-of-function mechanism.Koji MatsuhisaKazunori ImaizumiMDPI AGarticleendoplasmic reticulum-associated degradationiduronate-2-sulfatasemucopolysaccharidosis type IIlysosomal storage disorderBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12227, p 12227 (2021)
institution DOAJ
collection DOAJ
language EN
topic endoplasmic reticulum-associated degradation
iduronate-2-sulfatase
mucopolysaccharidosis type II
lysosomal storage disorder
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle endoplasmic reticulum-associated degradation
iduronate-2-sulfatase
mucopolysaccharidosis type II
lysosomal storage disorder
Biology (General)
QH301-705.5
Chemistry
QD1-999
Koji Matsuhisa
Kazunori Imaizumi
Loss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II
description Mucopolysaccharidosis type II (MPS II) results from the dysfunction of a lysosomal enzyme, iduronate-2-sulfatase (IDS). Dysfunction of IDS triggers the lysosomal accumulation of its substrates, glycosaminoglycans, leading to mental retardation and systemic symptoms including skeletal deformities and valvular heart disease. Most patients with severe types of MPS II die before the age of 20. The administration of recombinant IDS and transplantation of hematopoietic stem cells are performed as therapies for MPS II. However, these therapies either cannot improve functions of the central nervous system or cause severe side effects, respectively. To date, 729 pathogenetic variants in the <i>IDS</i> gene have been reported. Most of these potentially cause misfolding of the encoded IDS protein. The misfolded IDS mutants accumulate in the endoplasmic reticulum (ER), followed by degradation via ER-associated degradation (ERAD). Inhibition of the ERAD pathway or refolding of IDS mutants by a molecular chaperone enables recovery of the lysosomal localization and enzyme activity of IDS mutants. In this review, we explain the IDS structure and mechanism of activation, and current findings about the mechanism of degradation-dependent loss of function caused by pathogenetic IDS mutation. We also provide a potential therapeutic approach for MPS II based on this loss-of-function mechanism.
format article
author Koji Matsuhisa
Kazunori Imaizumi
author_facet Koji Matsuhisa
Kazunori Imaizumi
author_sort Koji Matsuhisa
title Loss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II
title_short Loss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II
title_full Loss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II
title_fullStr Loss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II
title_full_unstemmed Loss of Function of Mutant IDS Due to Endoplasmic Reticulum-Associated Degradation: New Therapeutic Opportunities for Mucopolysaccharidosis Type II
title_sort loss of function of mutant ids due to endoplasmic reticulum-associated degradation: new therapeutic opportunities for mucopolysaccharidosis type ii
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/29447f80ce6c4340a48594f76e92490b
work_keys_str_mv AT kojimatsuhisa lossoffunctionofmutantidsduetoendoplasmicreticulumassociateddegradationnewtherapeuticopportunitiesformucopolysaccharidosistypeii
AT kazunoriimaizumi lossoffunctionofmutantidsduetoendoplasmicreticulumassociateddegradationnewtherapeuticopportunitiesformucopolysaccharidosistypeii
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