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van Rijn JM, Werner L, Aydemir Y, Spronck JM, Pode-Shakked B, van Hoesel M, Shimshoni E, Polak-Charcon S, Talmi L, Eren M, Weiss B, H.J. Houwen R, Barshack I, Somech R, Nieuwenhuis EE, Sagi I, Raas-Rothschild A, Middendorp S, Shouval DS. Enhanced Collagen Deposition in the Duodenum of Patients with Hyaline Fibromatosis Syndrome and Protein Losing Enteropathy. Int J Mol Sci 2020; 21:E8200. [PMID: 33147779 PMCID: PMC7662532 DOI: 10.3390/ijms21218200] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 10/28/2020] [Accepted: 10/29/2020] [Indexed: 12/25/2022] Open
Abstract
Hyaline fibromatosis syndrome (HFS), resulting from ANTXR2 mutations, is an ultra-rare disease that causes intestinal lymphangiectasia and protein-losing enteropathy (PLE). The mechanisms leading to the gastrointestinal phenotype in these patients are not well defined. We present two patients with congenital diarrhea, severe PLE and unique clinical features resulting from deleterious ANTXR2 mutations. Intestinal organoids were generated from one of the patients, along with CRISPR-Cas9 ANTXR2 knockout, and compared with organoids from two healthy controls. The ANTXR2-deficient organoids displayed normal growth and polarity, compared to controls. Using an anthrax-toxin assay we showed that the c.155C>T mutation causes loss-of-function of ANTXR2 protein. An intrinsic defect of monolayer formation in patient-derived or ANTXR2KO organoids was not apparent, suggesting normal epithelial function. However, electron microscopy and second harmonic generation imaging showed abnormal collagen deposition in duodenal samples of these patients. Specifically, collagen VI, which is known to bind ANTXR2, was highly expressed in the duodenum of these patients. In conclusion, despite resistance to anthrax-toxin, epithelial cell function, and specifically monolayer formation, is intact in patients with HFS. Nevertheless, loss of ANTXR2-mediated signaling leads to collagen VI accumulation in the duodenum and abnormal extracellular matrix composition, which likely plays a role in development of PLE.
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Affiliation(s)
- Jorik M. van Rijn
- Division of Pediatrics, Department of Pediatric Gastroenterology, Wilhelmina Children’s Hospital, University Medical Center Utrecht (UMCU), Utrecht University (UU), 3584 CT Utrecht, The Netherlands; (J.M.v.R.); (J.M.A.S.); (M.v.H.); (R.H.J.H.); (E.E.S.N.)
- Regenerative Medicine Center, UMCU, UU, 3584 CT Utrecht, The Netherlands
| | - Lael Werner
- Pediatric Gastroenterology Unit, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel; (L.W.); (B.W.)
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
| | - Yusuf Aydemir
- Department of Pediatrics, Division of Pediatric Gastroenterology and Hepatology, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir 26040, Turkey; (Y.A.); (M.E.)
| | - Joey M.A. Spronck
- Division of Pediatrics, Department of Pediatric Gastroenterology, Wilhelmina Children’s Hospital, University Medical Center Utrecht (UMCU), Utrecht University (UU), 3584 CT Utrecht, The Netherlands; (J.M.v.R.); (J.M.A.S.); (M.v.H.); (R.H.J.H.); (E.E.S.N.)
- Regenerative Medicine Center, UMCU, UU, 3584 CT Utrecht, The Netherlands
| | - Ben Pode-Shakked
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
- The Institute for Rare Diseases, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel
- Talpiot Medical Leadership Program, Sheba Medical Center, Ramat Gan 5262100, Israel
| | - Marliek van Hoesel
- Division of Pediatrics, Department of Pediatric Gastroenterology, Wilhelmina Children’s Hospital, University Medical Center Utrecht (UMCU), Utrecht University (UU), 3584 CT Utrecht, The Netherlands; (J.M.v.R.); (J.M.A.S.); (M.v.H.); (R.H.J.H.); (E.E.S.N.)
- Regenerative Medicine Center, UMCU, UU, 3584 CT Utrecht, The Netherlands
| | - Elee Shimshoni
- Department of Biological Regulation, Weizmann Institute of Science, Rehovot 7610001, Israel; (E.S.); (I.S.)
| | - Sylvie Polak-Charcon
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
- Institute of Pathology, Sheba Medical Center, Ramat Gan 5262100, Israel
| | - Liron Talmi
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
- Pediatric Department A, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel
| | - Makbule Eren
- Department of Pediatrics, Division of Pediatric Gastroenterology and Hepatology, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir 26040, Turkey; (Y.A.); (M.E.)
| | - Batia Weiss
- Pediatric Gastroenterology Unit, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel; (L.W.); (B.W.)
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
| | - Roderick H.J. Houwen
- Division of Pediatrics, Department of Pediatric Gastroenterology, Wilhelmina Children’s Hospital, University Medical Center Utrecht (UMCU), Utrecht University (UU), 3584 CT Utrecht, The Netherlands; (J.M.v.R.); (J.M.A.S.); (M.v.H.); (R.H.J.H.); (E.E.S.N.)
| | - Iris Barshack
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
- Institute of Pathology, Sheba Medical Center, Ramat Gan 5262100, Israel
| | - Raz Somech
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
- Pediatric Department A, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel
- Immunology Service, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel
- Jeffrey Modell Foundation Center, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel
| | - Edward E.S. Nieuwenhuis
- Division of Pediatrics, Department of Pediatric Gastroenterology, Wilhelmina Children’s Hospital, University Medical Center Utrecht (UMCU), Utrecht University (UU), 3584 CT Utrecht, The Netherlands; (J.M.v.R.); (J.M.A.S.); (M.v.H.); (R.H.J.H.); (E.E.S.N.)
| | - Irit Sagi
- Department of Biological Regulation, Weizmann Institute of Science, Rehovot 7610001, Israel; (E.S.); (I.S.)
| | - Annick Raas-Rothschild
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
- The Institute for Rare Diseases, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel
| | - Sabine Middendorp
- Division of Pediatrics, Department of Pediatric Gastroenterology, Wilhelmina Children’s Hospital, University Medical Center Utrecht (UMCU), Utrecht University (UU), 3584 CT Utrecht, The Netherlands; (J.M.v.R.); (J.M.A.S.); (M.v.H.); (R.H.J.H.); (E.E.S.N.)
- Regenerative Medicine Center, UMCU, UU, 3584 CT Utrecht, The Netherlands
| | - Dror S. Shouval
- Pediatric Gastroenterology Unit, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat Gan 5262100, Israel; (L.W.); (B.W.)
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel; (B.P.-S.); (S.P.-C.); (L.T.); (I.B.); (R.S.); (A.R.-R.)
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Bürgi J, Abrami L, Castanon I, Abriata LA, Kunz B, Yan SE, Lera M, Unger S, Superti-Furga A, Peraro MD, Gaitan MG, van der Goot FG. Ligand Binding to the Collagen VI Receptor Triggers a Talin-to-RhoA Switch that Regulates Receptor Endocytosis. Dev Cell 2020; 53:418-430.e4. [PMID: 32428455 DOI: 10.1016/j.devcel.2020.04.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 01/23/2020] [Accepted: 04/21/2020] [Indexed: 11/23/2022]
Abstract
Capillary morphogenesis gene 2 (CMG2/ANTXR2) is a cell surface receptor for both collagen VI and anthrax toxin. Biallelic loss-of-function mutations in CMG2 lead to a severe condition, hyaline fibromatosis syndrome (HFS). We have here dissected a network of dynamic interactions between CMG2 and various actin interactors and regulators, describing a different behavior from other extracellular matrix receptors. CMG2 binds talin, and thereby the actin cytoskeleton, only in its ligand-free state. Extracellular ligand binding leads to src-dependent talin release and recruitment of the actin cytoskeleton regulator RhoA and its effectors. These sequential interactions of CMG2 are necessary for the control of oriented cell division during fish development. Finally, we demonstrate that effective switching between talin and RhoA binding is required for the intracellular degradation of collagen VI in human fibroblasts, which explains why HFS mutations in the cytoskeleton-binding domain lead to dysregulation of extracellular matrix homeostasis.
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Affiliation(s)
- Jérôme Bürgi
- Faculty of Life Sciences, Global Health Institute, École Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland; EMBL Hamburg DESY, 22607 Hamburg, Germany
| | - Laurence Abrami
- Faculty of Life Sciences, Global Health Institute, École Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland
| | - Irinka Castanon
- Departments of Biochemistry and of Molecular Biology, Sciences II, 30 Quai Ernest-Ansermet, 1211 Geneva, Switzerland
| | - Luciano Andres Abriata
- Faculty of Life Sciences, Institute of Bioengineering, École Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland
| | - Beatrice Kunz
- Faculty of Life Sciences, Global Health Institute, École Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland
| | - Shixu Emili Yan
- Faculty of Life Sciences, Global Health Institute, École Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland
| | - Manuel Lera
- Departments of Biochemistry and of Molecular Biology, Sciences II, 30 Quai Ernest-Ansermet, 1211 Geneva, Switzerland
| | - Sheila Unger
- Division of Genetic Medicine, Centre Hospitalier Universitaire Vaudois, University of Lausanne, 1011 Lausanne, Switzerland
| | - Andrea Superti-Furga
- Division of Genetic Medicine, Centre Hospitalier Universitaire Vaudois, University of Lausanne, 1011 Lausanne, Switzerland
| | - Matteo Dal Peraro
- Faculty of Life Sciences, Institute of Bioengineering, École Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland
| | - Marcos Gonzalez Gaitan
- Departments of Biochemistry and of Molecular Biology, Sciences II, 30 Quai Ernest-Ansermet, 1211 Geneva, Switzerland
| | - Francoise Gisou van der Goot
- Faculty of Life Sciences, Global Health Institute, École Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland.
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Bürgi J, Kunz B, Abrami L, Deuquet J, Piersigilli A, Scholl-Bürgi S, Lausch E, Unger S, Superti-Furga A, Bonaldo P, van der Goot FG. CMG2/ANTXR2 regulates extracellular collagen VI which accumulates in hyaline fibromatosis syndrome. Nat Commun 2017; 8:15861. [PMID: 28604699 PMCID: PMC5472780 DOI: 10.1038/ncomms15861] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Accepted: 05/09/2017] [Indexed: 01/03/2023] Open
Abstract
Loss-of-function mutations in capillary morphogenesis gene 2 (CMG2/ANTXR2), a transmembrane surface protein, cause hyaline fibromatosis syndrome (HFS), a severe genetic disorder that is characterized by large subcutaneous nodules, gingival hypertrophy and severe painful joint contracture. Here we show that CMG2 is an important regulator of collagen VI homoeostasis. CMG2 loss of function promotes accumulation of collagen VI in patients, leading in particular to nodule formation. Similarly, collagen VI accumulates massively in uteri of Antxr2-/- mice, which do not display changes in collagen gene expression, and leads to progressive fibrosis and sterility. Crossing Antxr2-/- with Col6a1-/- mice leads to restoration of uterine structure and reversion of female infertility. We also demonstrate that CMG2 may act as a signalling receptor for collagen VI and mediates its intracellular degradation.
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Affiliation(s)
- Jérôme Bürgi
- Global Health Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne 1015, Switzerland
| | - Béatrice Kunz
- Global Health Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne 1015, Switzerland
| | - Laurence Abrami
- Global Health Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne 1015, Switzerland
| | - Julie Deuquet
- Global Health Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne 1015, Switzerland
| | - Alessandra Piersigilli
- Comparative Mouse Physiology Platform, Faculty of Life Sciences, EPFL, Lausanne 1015, Switzerland
- Institute of Animal Pathology, Vetsuisse Faculty, University of Bern, Länggassstrasse 122, Bern 3012, Switzerland
| | - Sabine Scholl-Bürgi
- Medical University of Innsbruck, Clinic for Pediatrics I, Inherited Metabolic Disorders, Anichstrasse 35, 6020 Innsbruck, Austria
| | - Ekkehart Lausch
- Department of Pediatrics, University of Freiburg, Freiburg 79106, Germany
| | - Sheila Unger
- Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne 1011, Switzerland
| | - Andrea Superti-Furga
- Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne 1011, Switzerland
| | - Paolo Bonaldo
- Department of Molecular Medicine, University of Padova, Padova 35122, Italy
| | - F. Gisou van der Goot
- Global Health Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne 1015, Switzerland
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5
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Deuquet J, Lausch E, Guex N, Abrami L, Salvi S, Lakkaraju A, Ramirez MCM, Martignetti JA, Rokicki D, Bonafe L, Superti-Furga A, van der Goot FG. Hyaline fibromatosis syndrome inducing mutations in the ectodomain of anthrax toxin receptor 2 can be rescued by proteasome inhibitors. EMBO Mol Med 2011; 3:208-21. [PMID: 21328543 PMCID: PMC3377065 DOI: 10.1002/emmm.201100124] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2010] [Revised: 01/14/2011] [Accepted: 01/18/2011] [Indexed: 11/25/2022] Open
Abstract
Hyaline Fibromatosis Syndrome (HFS) is a human genetic disease caused by mutations in the anthrax toxin receptor 2 (or cmg2) gene, which encodes a membrane protein thought to be involved in the homeostasis of the extracellular matrix. Little is known about the structure and function of the protein or the genotype–phenotype relationship of the disease. Through the analysis of four patients, we identify three novel mutants and determine their effects at the cellular level. Altogether, we show that missense mutations that map to the extracellular von Willebrand domain or the here characterized Ig-like domain of CMG2 lead to folding defects and thereby to retention of the mutated protein in the endoplasmic reticulum (ER). Mutations in the Ig-like domain prevent proper disulphide bond formation and are more efficiently targeted to ER-associated degradation. Finally, we show that mutant CMG2 can be rescued in fibroblasts of some patients by treatment with proteasome inhibitors and that CMG2 is then properly transported to the plasma membrane and signalling competent, identifying the ER folding and degradation pathway components as promising drug targets for HFS.
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Affiliation(s)
- Julie Deuquet
- Ecole Polytechnique Fédérale de Lausanne, Global Health InstituteLausanne, Switzerland
| | - Ekkehart Lausch
- Department of Pediatrics, University of FreiburgFreiburg, Germany
| | - Nicolas Guex
- Vital-IT Group, Swiss Institute of BioinformaticsLausanne Switzerland
| | - Laurence Abrami
- Ecole Polytechnique Fédérale de Lausanne, Global Health InstituteLausanne, Switzerland
| | - Suzanne Salvi
- Ecole Polytechnique Fédérale de Lausanne, Global Health InstituteLausanne, Switzerland
| | - Asvin Lakkaraju
- Ecole Polytechnique Fédérale de Lausanne, Global Health InstituteLausanne, Switzerland
| | - Maria Celeste M Ramirez
- Department of Genetics and Genomic Sciences, Mount Sinai School of MedicineNew York, NY, USA
| | - John A Martignetti
- Department of Genetics and Genomic Sciences, Mount Sinai School of MedicineNew York, NY, USA
- Department of Pediatrics, Mount Sinai School of MedicineNew York, NY, USA
- Department of Oncological Sciences, Mount Sinai School of MedicineNew York, NY, USA
| | - Dariusz Rokicki
- Division of Inborn Errors of Metabolism, Children's Memorial Health InstituteWarsaw, Poland
| | - Luisa Bonafe
- Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, University of LausanneSwitzerland
| | - Andrea Superti-Furga
- Department of Pediatrics, University of FreiburgFreiburg, Germany
- Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, University of LausanneSwitzerland
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