Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB Complex

Fabry disease (FD) is an X-linked lysosomal storage disease, caused by mutations in the <i>GLA</i> gene on the X chromosome, resulting in a deficiency of the lysosomal enzyme α-GAL. This leads to the progressive accumulation of Gb3 in cells, causing multi-systemic effects. FD has been cl...

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Main Authors: Giuseppa Biddeci, Gaetano Spinelli, Paolo Colomba, Giovanni Duro, Monia Anania, Daniele Francofonte, Francesco Di Blasi
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/14/3/230
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author Giuseppa Biddeci
Gaetano Spinelli
Paolo Colomba
Giovanni Duro
Monia Anania
Daniele Francofonte
Francesco Di Blasi
author_facet Giuseppa Biddeci
Gaetano Spinelli
Paolo Colomba
Giovanni Duro
Monia Anania
Daniele Francofonte
Francesco Di Blasi
author_sort Giuseppa Biddeci
collection DOAJ
description Fabry disease (FD) is an X-linked lysosomal storage disease, caused by mutations in the <i>GLA</i> gene on the X chromosome, resulting in a deficiency of the lysosomal enzyme α-GAL. This leads to the progressive accumulation of Gb3 in cells, causing multi-systemic effects. FD has been classified as a subgroup of autoinflammatory diseases. NF-κB is a family of ubiquitous and inducible transcription factors that play critical roles in inflammation, in which the p65/p50 heterodimer is the most abundant. The glucocorticoid receptor (GR) represents the physiological antagonists in the inflammation process. A novel spliced variant of p65, named p65 iso5, which can bind the dexamethasone, enhancing GR activity, has been found. This study investigates the potential role of p65 iso5 in the inflammation of subjects with FD. We evaluated in peripheral blood mononuclear cells (PBMCs), from over 100 FD patients, the p65 iso5 mRNA level, and the protein expression. The results showed significantly lower p65 iso5 mRNA and protein expression levels compared to controls. These findings, along with the ability of p65 iso5 to bind dexamethasone and the regulation of the glucocorticoid response in the opposite way of p65, strongly suggest the involvement of p65 iso5 in the inflammatory response in FD.
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spelling doaj-art-0b9a517eaa2f49d7824cc5d752a8e41d2025-08-20T02:12:41ZengMDPI AGCells2073-44092025-02-0114323010.3390/cells14030230Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB ComplexGiuseppa Biddeci0Gaetano Spinelli1Paolo Colomba2Giovanni Duro3Monia Anania4Daniele Francofonte5Francesco Di Blasi6Institute for Biomedical Research and Innovation, National Research Council of Italy (IRIB-CNR), Via Ugo La Malfa 153, 90146 Palermo, ItalyInstitute for Biomedical Research and Innovation, National Research Council of Italy (IRIB-CNR), Via Ugo La Malfa 153, 90146 Palermo, ItalyInstitute for Biomedical Research and Innovation, National Research Council of Italy (IRIB-CNR), Via Ugo La Malfa 153, 90146 Palermo, ItalyInstitute for Biomedical Research and Innovation, National Research Council of Italy (IRIB-CNR), Via Ugo La Malfa 153, 90146 Palermo, ItalyInstitute for Biomedical Research and Innovation, National Research Council of Italy (IRIB-CNR), Via Ugo La Malfa 153, 90146 Palermo, ItalyInstitute for Biomedical Research and Innovation, National Research Council of Italy (IRIB-CNR), Via Ugo La Malfa 153, 90146 Palermo, ItalyInstitute for Biomedical Research and Innovation, National Research Council of Italy (IRIB-CNR), Via Ugo La Malfa 153, 90146 Palermo, ItalyFabry disease (FD) is an X-linked lysosomal storage disease, caused by mutations in the <i>GLA</i> gene on the X chromosome, resulting in a deficiency of the lysosomal enzyme α-GAL. This leads to the progressive accumulation of Gb3 in cells, causing multi-systemic effects. FD has been classified as a subgroup of autoinflammatory diseases. NF-κB is a family of ubiquitous and inducible transcription factors that play critical roles in inflammation, in which the p65/p50 heterodimer is the most abundant. The glucocorticoid receptor (GR) represents the physiological antagonists in the inflammation process. A novel spliced variant of p65, named p65 iso5, which can bind the dexamethasone, enhancing GR activity, has been found. This study investigates the potential role of p65 iso5 in the inflammation of subjects with FD. We evaluated in peripheral blood mononuclear cells (PBMCs), from over 100 FD patients, the p65 iso5 mRNA level, and the protein expression. The results showed significantly lower p65 iso5 mRNA and protein expression levels compared to controls. These findings, along with the ability of p65 iso5 to bind dexamethasone and the regulation of the glucocorticoid response in the opposite way of p65, strongly suggest the involvement of p65 iso5 in the inflammatory response in FD.https://www.mdpi.com/2073-4409/14/3/230Fabry diseaseinflammationNF-κBp65p65 iso5
spellingShingle Giuseppa Biddeci
Gaetano Spinelli
Paolo Colomba
Giovanni Duro
Monia Anania
Daniele Francofonte
Francesco Di Blasi
Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB Complex
Cells
Fabry disease
inflammation
NF-κB
p65
p65 iso5
title Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB Complex
title_full Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB Complex
title_fullStr Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB Complex
title_full_unstemmed Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB Complex
title_short Fabry Disease and Inflammation: Potential Role of p65 iso5, an Isoform of the NF-κB Complex
title_sort fabry disease and inflammation potential role of p65 iso5 an isoform of the nf κb complex
topic Fabry disease
inflammation
NF-κB
p65
p65 iso5
url https://www.mdpi.com/2073-4409/14/3/230
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