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ATF4 leads to glaucoma by promoting protein synthesis and ER client protein load
Journal article   Open access   Peer reviewed

ATF4 leads to glaucoma by promoting protein synthesis and ER client protein load

Ramesh B Kasetti, Pinkal D Patel, Prabhavathi Maddineni, Shruti Patil, Charles Kiehlbauch, J Cameron Millar, Charles C Searby, VijayKrishna Raghunathan, Val C Sheffield and Gulab S Zode
Nature communications, Vol.11(1), pp.5594-5594
11/05/2020
DOI: 10.1038/s41467-020-19352-1
PMCID: PMC7644693
PMID: 33154371
url
https://doi.org/10.1038/s41467-020-19352-1View
Published (Version of record) Open Access

Abstract

The underlying pathological mechanisms of glaucomatous trabecular meshwork (TM) damage and elevation of intraocular pressure (IOP) are poorly understood. Here, we report that the chronic endoplasmic reticulum (ER) stress-induced ATF4-CHOP-GADD34 pathway is activated in TM of human and mouse glaucoma. Expression of ATF4 in TM promotes aberrant protein synthesis and ER client protein load, leading to TM dysfunction and cell death. These events lead to IOP elevation and glaucomatous neurodegeneration. ATF4 interacts with CHOP and this interaction is essential for IOP elevation. Notably, genetic depletion or pharmacological inhibition of ATF4-CHOP-GADD34 pathway prevents TM cell death and rescues mouse models of glaucoma by reducing protein synthesis and ER client protein load in TM cells. Importantly, glaucomatous TM cells exhibit significantly increased protein synthesis along with induction of ATF4-CHOP-GADD34 pathway. These studies indicate a pathological role of ATF4-CHOP-GADD34 pathway in glaucoma and provide a possible treatment for glaucoma by targeting this pathway.
Optic Nerve - pathology Transcription Factor CHOP - genetics Humans Trabecular Meshwork - drug effects Glaucoma, Open-Angle - pathology Ocular Hypertension - metabolism Endoplasmic Reticulum Stress - genetics Retinal Ganglion Cells - metabolism Ocular Hypertension - drug therapy Retinal Ganglion Cells - pathology Aqueous Humor - metabolism Cell Death Protein Phosphatase 1 - genetics Glaucoma, Open-Angle - metabolism Trabecular Meshwork - pathology Activating Transcription Factor 4 - antagonists & inhibitors Endoplasmic Reticulum Stress - drug effects Signal Transduction Ocular Hypertension - pathology Cells, Cultured Activating Transcription Factor 4 - genetics Glaucoma, Open-Angle - drug therapy Protein Phosphatase 1 - metabolism Animals Activating Transcription Factor 4 - metabolism Trabecular Meshwork - metabolism Protein Biosynthesis - drug effects Mice Transcription Factor CHOP - metabolism Optic Nerve - metabolism

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