Rescue of a pathogenic mutant human glucagon receptor by pharmacological chaperones

J Mol Endocrinol. 2012 Jul 25;49(2):69-78. doi: 10.1530/JME-12-0051. Print 2012 Oct.

Abstract

We have previously demonstrated that a homozygous inactivating P86S mutation of the glucagon receptor (GCGR) causes a novel human disease of hyperglucagonemia, pancreatic α-cell hyperplasia, and pancreatic neuroendocrine tumors (Mahvash disease). The mechanisms for the decreased activity of the P86S mutant (P86S) are abnormal receptor localization to the endoplasmic reticulum (ER) and defective interaction with glucagon. To search for targeted therapies for Mahvash disease, we examined whether P86S can be trafficked to the plasma membrane by pharmacological chaperones and whether novel glucagon analogs restore effective receptor interaction. We used enhanced green fluorescent protein-tagged P86S stably expressed in HEK 293 cells to allow fluorescence imaging and western blotting and molecular modeling to design novel glucagon analogs in which alanine 19 was replaced with serine or asparagine. Incubation at 27 °C largely restored normal plasma membrane localization and normal processing of P86S but osmotic chaperones had no effects. The ER stressors thapsigargin and curcumin partially rescued P86S. The lipophilic GCGR antagonist L-168,049 also partially rescued P86S, so did Cpd 13 and 15 to a smaller degree. The rescued P86S led to more glucagon-stimulated cAMP production and was internalized by glucagon. Compared with the native glucagon, the novel glucagon analogs failed to stimulate more cAMP production by P86S. We conclude that the mutant GCGR is partially rescued by several pharmacological chaperones and our data provide proof-of-principle evidence that Mahvash disease can be potentially treated with pharmacological chaperones. The novel glucagon analogs, however, failed to interact with P86S more effectively.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alanine / chemistry
  • Asparagine / chemistry
  • Cell Membrane / metabolism
  • Curcumin / pharmacology
  • Cyclic AMP / metabolism
  • Drug Design
  • Glucagon / analogs & derivatives*
  • Green Fluorescent Proteins / genetics
  • Green Fluorescent Proteins / metabolism
  • HEK293 Cells
  • Humans
  • Molecular Chaperones / metabolism
  • Molecular Chaperones / pharmacology
  • Mutation*
  • Pancreatic Neoplasms / genetics
  • Protein Transport / drug effects*
  • Pyridines
  • Pyrroles
  • Receptors, Glucagon / antagonists & inhibitors
  • Receptors, Glucagon / genetics*
  • Receptors, Glucagon / metabolism*
  • Serine / chemistry
  • Thapsigargin / pharmacology

Substances

  • L 168049
  • Molecular Chaperones
  • Pyridines
  • Pyrroles
  • Receptors, Glucagon
  • enhanced green fluorescent protein
  • Green Fluorescent Proteins
  • Serine
  • Thapsigargin
  • Asparagine
  • Glucagon
  • Cyclic AMP
  • Curcumin
  • Alanine