Improvement of chloride transport defect by gonadotropin-releasing hormone (GnRH) in cystic fibrosis epithelial cells

PLoS One. 2014 Feb 19;9(2):e88964. doi: 10.1371/journal.pone.0088964. eCollection 2014.

Abstract

Cystic fibrosis (CF), the most common autosomal recessive disease in Caucasians, is due to mutations in the CFTR gene. F508del, the most frequent mutation in patients, impairs CFTR protein folding and biosynthesis. The F508del-CFTR protein is retained in the endoplasmic reticulum (ER) and its traffic to the plasma membrane is altered. Nevertheless, if it reaches the cell surface, it exhibits a Cl(-) channel function despite a short half-life. Pharmacological treatments may target the F508del-CFTR defect directly by binding to the mutant protein or indirectly by altering cellular proteostasis, and promote its plasma membrane targeting and stability. We previously showed that annexine A5 (AnxA5) directly binds to F508del-CFTR and, when overexpressed, promotes its membrane stability, leading to the restoration of some Cl(-) channel function in cells. Because Gonadotropin-Releasing Hormone (GnRH) increases AnxA5 expression in some cells, we tested it in CF cells. We showed that human epithelial cells express GnRH-receptors (GnRH-R) and that GnRH induces an AnxA5 overexpression and an increased Cl(-) channel function in F508del-CFTR cells, due to an increased stability of the protein in the membranes. Beside the numerous physiological implications of the GnRH-R expression in epithelial cells, we propose that a topical use of GnRH is a potential treatment in CF.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Annexin A5 / genetics
  • Annexin A5 / metabolism
  • Biological Transport / drug effects
  • Biological Transport / genetics
  • Cells, Cultured
  • Chlorides / metabolism*
  • Cystic Fibrosis / genetics
  • Cystic Fibrosis / metabolism
  • Cystic Fibrosis / pathology*
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics*
  • Cystic Fibrosis Transmembrane Conductance Regulator / metabolism
  • Epithelial Cells / drug effects*
  • Epithelial Cells / metabolism*
  • Epithelial Cells / pathology
  • Gene Expression / drug effects
  • Gonadotropin-Releasing Hormone / pharmacology*
  • Humans
  • Mutation
  • Receptors, LHRH / genetics
  • Receptors, LHRH / metabolism

Substances

  • Annexin A5
  • CFTR protein, human
  • Chlorides
  • GNRHR protein, human
  • Receptors, LHRH
  • Cystic Fibrosis Transmembrane Conductance Regulator
  • Gonadotropin-Releasing Hormone

Grants and funding

The authors thank the association Gaëtan Salaün, the SFR Scinbios (Brest) and the French foundation “Vaincre la Mucoviscidose” for their financial support. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.