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Protease-dependent defects in N-cadherin processing drive PMM2-CDG pathogenesis
Elsenoor J. Klaver, … , Richard Steet, Heather Flanagan-Steet
Elsenoor J. Klaver, … , Richard Steet, Heather Flanagan-Steet
Published November 16, 2021
Citation Information: JCI Insight. 2021;6(24):e153474. https://doi.org/10.1172/jci.insight.153474.
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Research Article Development

Protease-dependent defects in N-cadherin processing drive PMM2-CDG pathogenesis

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Abstract

The genetic bases for the congenital disorders of glycosylation (CDG) continue to expand, but how glycosylation defects cause patient phenotypes remains largely unknown. Here, we combined developmental phenotyping and biochemical studies in a potentially new zebrafish model (pmm2sa10150) of PMM2-CDG to uncover a protease-mediated pathogenic mechanism relevant to craniofacial and motility phenotypes in mutant embryos. Mutant embryos had reduced phosphomannomutase activity and modest decreases in N-glycan occupancy as detected by matrix-assisted laser desorption ionization mass spectrometry imaging. Cellular analyses of cartilage defects in pmm2sa10150 embryos revealed a block in chondrogenesis that was associated with defective proteolytic processing, but seemingly normal N-glycosylation, of the cell adhesion molecule N-cadherin. The activities of the proconvertases and matrix metalloproteinases responsible for N-cadherin maturation were significantly altered in pmm2sa10150 mutant embryos. Importantly, pharmacologic and genetic manipulation of proconvertase activity restored matrix metalloproteinase activity, N-cadherin processing, and cartilage pathology in pmm2sa10150 embryos. Collectively, these studies demonstrate in CDG that targeted alterations in protease activity create a pathogenic cascade that affects the maturation of cell adhesion proteins critical for tissue development.

Authors

Elsenoor J. Klaver, Lynn Dukes-Rimsky, Brijesh Kumar, Zhi-Jie Xia, Tammie Dang, Mark A. Lehrman, Peggi Angel, Richard R. Drake, Hudson H. Freeze, Richard Steet, Heather Flanagan-Steet

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Figure 7

MALDI MS imaging reveals specific defects in N-glycosylation.

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MALDI MS imaging reveals specific defects in N-glycosylation.
(A) Repres...
(A) Representative image of embryo sections analyzed by MALDI MS imaging. Individual areas imaged are outlined in red (pmm2m/m; n = 5) or blue (pmm2+/+; n = 7). Scale bar: 2 mm. (B) Overall average spectral comparison of pmm2+/+ and pmm2m/m demonstrates changes in N-glycosylation. Select contrasting high-mannose [Hex(n)] peaks are highlighted with arrows. (C and D) Representative images of complex-type N-glycans. Numbers on image panels correspond to bars on graph. Graph quantifying differences in complex glycans between pmm2+/+ and pmm2m/m embryos. Each dot represents quantification of peak intensity from a single embryo. Data represent mass to charge ratio (m/z) indicative of glycan identity. Error bar shows standard deviation, Mann-Whitney U test, P < 0.01 considered significant, *P < 0.01, **P < 0.001. (E and F) Representative images of high-mannose N-linked oligosaccharides. Numbers on image panels correspond to bars on graph. Graph quantifying differences in high-mannose N-linked oligosaccharides between pmm2+/+ and pmm2m/m embryos. Each dot represents quantification of peak intensity from a single embryo. Data represent m/z indicative of glycan identity. Error bar shows standard deviation, Mann-Whitney U test, *P < 0.01, **P < 0.001. (G and H) Representative images of truncated N-glycans. Graph quantifying differences in truncated sugars between pmm2+/+ and pmm2m/m embryos. Each dot represents quantification of peak intensity from a single embryo. Error bar shows standard deviation, Mann-Whitney U test, P < 0.01 considered significant, **P < 0.001.

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