Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiP

Abstract Dysfunction of the endoplasmic reticulum (ER) in insulin‐producing beta cells results in cell loss and diabetes mellitus. Here we report on five individuals from three different consanguineous families with infancy‐onset diabetes mellitus and severe neurodevelopmental delay caused by a homo...

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Main Authors: Luke A Perera, Andrew T Hattersley, Heather P Harding, Matthew N Wakeling, Sarah E Flanagan, Ibrahim Mohsina, Jamal Raza, Alice Gardham, David Ron, Elisa De Franco
Format: Article
Language:English
Published: Springer Nature 2023-01-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.202216491
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author Luke A Perera
Andrew T Hattersley
Heather P Harding
Matthew N Wakeling
Sarah E Flanagan
Ibrahim Mohsina
Jamal Raza
Alice Gardham
David Ron
Elisa De Franco
author_facet Luke A Perera
Andrew T Hattersley
Heather P Harding
Matthew N Wakeling
Sarah E Flanagan
Ibrahim Mohsina
Jamal Raza
Alice Gardham
David Ron
Elisa De Franco
author_sort Luke A Perera
collection DOAJ
description Abstract Dysfunction of the endoplasmic reticulum (ER) in insulin‐producing beta cells results in cell loss and diabetes mellitus. Here we report on five individuals from three different consanguineous families with infancy‐onset diabetes mellitus and severe neurodevelopmental delay caused by a homozygous p.(Arg371Ser) mutation in FICD. The FICD gene encodes a bifunctional Fic domain‐containing enzyme that regulates the ER Hsp70 chaperone, BiP, via catalysis of two antagonistic reactions: inhibitory AMPylation and stimulatory deAMPylation of BiP. Arg371 is a conserved residue in the Fic domain active site. The FICDR371S mutation partially compromises BiP AMPylation in vitro but eliminates all detectable deAMPylation activity. Overexpression of FICDR371S or knock‐in of the mutation at the FICD locus of stressed CHO cells results in inappropriately elevated levels of AMPylated BiP and compromised secretion. These findings, guided by human genetics, highlight the destructive consequences of de‐regulated BiP AMPylation and raise the prospect of tuning FICD's antagonistic activities towards therapeutic ends.
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institution Kabale University
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spelling doaj-art-39116a8baac7473c85e71501c8fe0c4e2025-08-24T11:43:18ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842023-01-0115311610.15252/emmm.202216491Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiPLuke A Perera0Andrew T Hattersley1Heather P Harding2Matthew N Wakeling3Sarah E Flanagan4Ibrahim Mohsina5Jamal Raza6Alice Gardham7David Ron8Elisa De Franco9Cambridge Institute for Medical Research, University of CambridgeInstitute of Biomedical and Clinical Science, College of Medicine and Health, University of ExeterCambridge Institute for Medical Research, University of CambridgeInstitute of Biomedical and Clinical Science, College of Medicine and Health, University of ExeterInstitute of Biomedical and Clinical Science, College of Medicine and Health, University of ExeterDepartment of Endocrine and Diabetes, National Institute of Child HealthDepartment of Endocrine and Diabetes, National Institute of Child HealthNorth West Thames Regional Genetics ServiceCambridge Institute for Medical Research, University of CambridgeInstitute of Biomedical and Clinical Science, College of Medicine and Health, University of ExeterAbstract Dysfunction of the endoplasmic reticulum (ER) in insulin‐producing beta cells results in cell loss and diabetes mellitus. Here we report on five individuals from three different consanguineous families with infancy‐onset diabetes mellitus and severe neurodevelopmental delay caused by a homozygous p.(Arg371Ser) mutation in FICD. The FICD gene encodes a bifunctional Fic domain‐containing enzyme that regulates the ER Hsp70 chaperone, BiP, via catalysis of two antagonistic reactions: inhibitory AMPylation and stimulatory deAMPylation of BiP. Arg371 is a conserved residue in the Fic domain active site. The FICDR371S mutation partially compromises BiP AMPylation in vitro but eliminates all detectable deAMPylation activity. Overexpression of FICDR371S or knock‐in of the mutation at the FICD locus of stressed CHO cells results in inappropriately elevated levels of AMPylated BiP and compromised secretion. These findings, guided by human genetics, highlight the destructive consequences of de‐regulated BiP AMPylation and raise the prospect of tuning FICD's antagonistic activities towards therapeutic ends.https://doi.org/10.15252/emmm.202216491diabetes mellitusendoplasmic reticulum chaperonemutationnucleotidyltransferasespost‐translational
spellingShingle Luke A Perera
Andrew T Hattersley
Heather P Harding
Matthew N Wakeling
Sarah E Flanagan
Ibrahim Mohsina
Jamal Raza
Alice Gardham
David Ron
Elisa De Franco
Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiP
EMBO Molecular Medicine
diabetes mellitus
endoplasmic reticulum chaperone
mutation
nucleotidyltransferases
post‐translational
title Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiP
title_full Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiP
title_fullStr Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiP
title_full_unstemmed Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiP
title_short Infancy‐onset diabetes caused by de‐regulated AMPylation of the human endoplasmic reticulum chaperone BiP
title_sort infancy onset diabetes caused by de regulated ampylation of the human endoplasmic reticulum chaperone bip
topic diabetes mellitus
endoplasmic reticulum chaperone
mutation
nucleotidyltransferases
post‐translational
url https://doi.org/10.15252/emmm.202216491
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