PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue

Summary: PIEZO1 variants have been associated with generalized lymphatic dysplasia (GLD) through mechanisms involving reduced PIEZO1 expression. Here, we report variants where the mechanism involves reduced channel mechanical sensitivity. Two of the variants encode amino acid changes in the channel’...

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Main Authors: Melanie J. Ludlow, Oleksandr V. Povstyan, Deborah M. Linley, Silvia Martin-Almedina, Charlotte Revill, Kevin Cuthbertson, Katie A. Smith, Emily Fay, Elisavet Fotiou, Andrew Bush, Claire Hogg, Tobias Linden, Natalie B. Tan, Susan M. White, Juan C. Del Rey Jimenez, Ege Sackey, Esther Dempsey, Sahar Mansour, Gregory Parsonage, Antreas C. Kalli, Richard Foster, Pia Ostergaard, David J. Beech
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Language:English
Published: Elsevier 2025-08-01
Series:iScience
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589004225013719
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author Melanie J. Ludlow
Oleksandr V. Povstyan
Deborah M. Linley
Silvia Martin-Almedina
Charlotte Revill
Kevin Cuthbertson
Katie A. Smith
Emily Fay
Elisavet Fotiou
Andrew Bush
Claire Hogg
Tobias Linden
Natalie B. Tan
Susan M. White
Juan C. Del Rey Jimenez
Ege Sackey
Esther Dempsey
Sahar Mansour
Gregory Parsonage
Antreas C. Kalli
Richard Foster
Pia Ostergaard
David J. Beech
author_facet Melanie J. Ludlow
Oleksandr V. Povstyan
Deborah M. Linley
Silvia Martin-Almedina
Charlotte Revill
Kevin Cuthbertson
Katie A. Smith
Emily Fay
Elisavet Fotiou
Andrew Bush
Claire Hogg
Tobias Linden
Natalie B. Tan
Susan M. White
Juan C. Del Rey Jimenez
Ege Sackey
Esther Dempsey
Sahar Mansour
Gregory Parsonage
Antreas C. Kalli
Richard Foster
Pia Ostergaard
David J. Beech
author_sort Melanie J. Ludlow
collection DOAJ
description Summary: PIEZO1 variants have been associated with generalized lymphatic dysplasia (GLD) through mechanisms involving reduced PIEZO1 expression. Here, we report variants where the mechanism involves reduced channel mechanical sensitivity. Two of the variants encode amino acid changes in the channel’s cap structure (Ile2270Thr and Arg2335Gln), one in the ninth transmembrane helical unit (THU) below the cap (Gly1978Asp) and one in the fifth THU distant from the cap (Glu829Val). Patch-clamp studies of the cap and sub-cap variant channels revealed abolished or reduced channel mechanical sensitivity with the possibility to activate the channels and partly rescue mechanical sensitivity by the small molecule Yoda1. The potency of Yoda1 at the variant channels was less than at the wild-type channel, but chemical synthesis of Yoda1 analogs revealed a molecule with improved potency. The data suggest cases of GLD in which there is decreased channel mechanical sensitivity and the potential to reduce dysfunction pharmacologically.
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spelling doaj-art-95ee7927cd034e8f9d2b267877a1c6012025-08-20T02:52:42ZengElsevieriScience2589-00422025-08-0128811311010.1016/j.isci.2025.113110PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescueMelanie J. Ludlow0Oleksandr V. Povstyan1Deborah M. Linley2Silvia Martin-Almedina3Charlotte Revill4Kevin Cuthbertson5Katie A. Smith6Emily Fay7Elisavet Fotiou8Andrew Bush9Claire Hogg10Tobias Linden11Natalie B. Tan12Susan M. White13Juan C. Del Rey Jimenez14Ege Sackey15Esther Dempsey16Sahar Mansour17Gregory Parsonage18Antreas C. Kalli19Richard Foster20Pia Ostergaard21David J. Beech22Leeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds LS2 9JT, UKLeeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds LS2 9JT, UKLeeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds LS2 9JT, UKSchool of Health & Medical Sciences, City St George’s, University of London, London SW17 0RE, UKSchool of Chemistry, University of Leeds, Leeds LS2 9JT, UKSchool of Chemistry, University of Leeds, Leeds LS2 9JT, UKLeeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds LS2 9JT, UKSchool of Health & Medical Sciences, City St George’s, University of London, London SW17 0RE, UKSchool of Health & Medical Sciences, City St George’s, University of London, London SW17 0RE, UKPaediatric Respiratory Medicine, NHLI, Imperial College London, London, UK; Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London SW3 6NP, UKPaediatric Respiratory Medicine, NHLI, Imperial College London, London, UK; Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London SW3 6NP, UKDepartment of Neuropediatrics, University Children’s Hospital, Klinikum Oldenburg, Oldenburg, GermanyVictorian Clinical Genetics Services, Murdoch Children’s Research Institute, Parkville, VIC, AustraliaVictorian Clinical Genetics Services, Murdoch Children’s Research Institute, Parkville, VIC, AustraliaSouth West Thames Regional Centre for Genomics, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UKSouth West Thames Regional Centre for Genomics, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UKSchool of Health & Medical Sciences, City St George’s, University of London, London SW17 0RE, UK; South West Thames Regional Centre for Genomics, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UKSchool of Health & Medical Sciences, City St George’s, University of London, London SW17 0RE, UK; South West Thames Regional Centre for Genomics, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UKLeeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds LS2 9JT, UKLeeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds LS2 9JT, UKSchool of Chemistry, University of Leeds, Leeds LS2 9JT, UK; Corresponding authorSchool of Health & Medical Sciences, City St George’s, University of London, London SW17 0RE, UK; Corresponding authorLeeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, Leeds LS2 9JT, UK; Corresponding authorSummary: PIEZO1 variants have been associated with generalized lymphatic dysplasia (GLD) through mechanisms involving reduced PIEZO1 expression. Here, we report variants where the mechanism involves reduced channel mechanical sensitivity. Two of the variants encode amino acid changes in the channel’s cap structure (Ile2270Thr and Arg2335Gln), one in the ninth transmembrane helical unit (THU) below the cap (Gly1978Asp) and one in the fifth THU distant from the cap (Glu829Val). Patch-clamp studies of the cap and sub-cap variant channels revealed abolished or reduced channel mechanical sensitivity with the possibility to activate the channels and partly rescue mechanical sensitivity by the small molecule Yoda1. The potency of Yoda1 at the variant channels was less than at the wild-type channel, but chemical synthesis of Yoda1 analogs revealed a molecule with improved potency. The data suggest cases of GLD in which there is decreased channel mechanical sensitivity and the potential to reduce dysfunction pharmacologically.http://www.sciencedirect.com/science/article/pii/S2589004225013719PharmacologyCell biology
spellingShingle Melanie J. Ludlow
Oleksandr V. Povstyan
Deborah M. Linley
Silvia Martin-Almedina
Charlotte Revill
Kevin Cuthbertson
Katie A. Smith
Emily Fay
Elisavet Fotiou
Andrew Bush
Claire Hogg
Tobias Linden
Natalie B. Tan
Susan M. White
Juan C. Del Rey Jimenez
Ege Sackey
Esther Dempsey
Sahar Mansour
Gregory Parsonage
Antreas C. Kalli
Richard Foster
Pia Ostergaard
David J. Beech
PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue
iScience
Pharmacology
Cell biology
title PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue
title_full PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue
title_fullStr PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue
title_full_unstemmed PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue
title_short PIEZO1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue
title_sort piezo1 mechanical insensitivity in generalized lymphatic dysplasia with the potential for pharmacological rescue
topic Pharmacology
Cell biology
url http://www.sciencedirect.com/science/article/pii/S2589004225013719
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