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Article ; Online: Impaired autophagy in sporadic inclusion-body myositis and in endoplasmic reticulum stress-provoked cultured human muscle fibers.

Nogalska, Anna / D'Agostino, Carla / Terracciano, Chiara / Engel, W King / Askanas, Valerie

The American journal of pathology

2010  Volume 177, Issue 3, Page(s) 1377–1387

Abstract: ... 30 disease control and normal control muscle biopsy samples and our cultured human muscle fibers ... The hallmark pathologies of sporadic inclusion-body myositis (s-IBM) muscle fibers are autophagic ... phosphorylated tau in a beta-pleated sheet amyloid configuration. Endoplasmic reticulum stress (ERS) and 26S ...

Abstract The hallmark pathologies of sporadic inclusion-body myositis (s-IBM) muscle fibers are autophagic vacuoles and accumulation of ubiquitin-positive multiprotein aggregates that contain amyloid-beta or phosphorylated tau in a beta-pleated sheet amyloid configuration. Endoplasmic reticulum stress (ERS) and 26S proteasome inhibition, also associated with s-IBM, putatively aggrandize the accumulation of misfolded proteins. However, autophagosomal-lysosomal pathway formation and function, indicated by autophagosome maturation, have not been previously analyzed in this system. Here we studied the autophagosomal-lysosomal pathway using 14 s-IBM and 30 disease control and normal control muscle biopsy samples and our cultured human muscle fibers in a microenvironment modified to resemble aspects of s-IBM pathology. We report for the first time that in s-IBM, lysosomal enzyme activities of cathepsin D and B were decreased 60% (P < 0.01) and 40% (P < 0.05), respectively. We also detected two indicators of increased autophagosome maturation, the presence of LC3-II and decreased mammalian target of rapamycin-mediated phosphorylation of p70S6 kinase. Moreover, in cultured human muscle fibers, ERS induction significantly decreased activities of cathepsins D and B, increased levels of LC3-II, decreased phosphorylation of p70S6 kinase, and decreased expression of VMA21, a chaperone for assembly of lysosomal V-ATPase. We conclude that in s-IBM muscle, decreased lysosomal proteolytic activity might enhance accumulation of misfolded proteins, despite increased maturation of autophagosomes, and that ERS is a possible cause of s-IBM-impaired lysosomal function. Thus, unblocking protein degradation in s-IBM muscle fibers may be a desirable therapeutic strategy.
MeSH term(s) Aged ; Autophagy/physiology ; Blotting, Western ; Cathepsin B/metabolism ; Cathepsin D/metabolism ; Cells, Cultured ; Endoplasmic Reticulum/metabolism ; Endoplasmic Reticulum/pathology ; Humans ; Immunohistochemistry ; Lysosomes/metabolism ; Lysosomes/pathology ; Middle Aged ; Muscle Fibers, Skeletal/metabolism ; Myositis, Inclusion Body/metabolism ; Myositis, Inclusion Body/pathology
Chemical Substances Cathepsin B (EC 3.4.22.1) ; Cathepsin D (EC 3.4.23.5)
Language English
Publishing date 2010-07-08
Publishing country United States
Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID 2943-9
ISSN 1525-2191 ; 0002-9440
ISSN (online) 1525-2191
ISSN 0002-9440
DOI 10.2353/ajpath.2010.100050
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