| Literature DB >> 29741626 |
Ivo J H M de Vos1,2,3, Evelyn Yaqiong Tao1, Sheena Li Ming Ong1, Julian L Goggi4,5, Thomas Scerri6,7, Gabrielle R Wilson8,9, Chernis Guai Mun Low1, Arnette Shi Wei Wong1, Dominic Grussu10, Alexander P A Stegmann3,11, Michel van Geel2,3,11, Renske Janssen2,3, David J Amor8,9, Melanie Bahlo6,7, Norris R Dunn1,12, Thomas J Carney12,13, Paul J Lockhart8,9, Barry J Coull10, Maurice A M van Steensel1,10,12.
Abstract
Winchester syndrome (WS, MIM #277950) is an extremely rare autosomal recessive skeletal dysplasia characterized by progressive joint destruction and osteolysis. To date, only one missense mutation in MMP14, encoding the membrane-bound matrix metalloprotease 14, has been reported in WS patients. Here, we report a novel hypomorphic MMP14 p.Arg111His (R111H) allele, associated with a mitigated form of WS. Functional analysis demonstrated that this mutation, in contrast to previously reported human and murine MMP14 mutations, does not affect MMP14's transport to the cell membrane. Instead, it partially impairs MMP14's proteolytic activity. This residual activity likely accounts for the mitigated phenotype observed in our patients. Based on our observations as well as previously published data, we hypothesize that MMP14's catalytic activity is the prime determinant of disease severity. Given the limitations of our in vitro assays in addressing the consequences of MMP14 dysfunction, we generated a novel mmp14a/b knockout zebrafish model. The fish accurately reflected key aspects of the WS phenotype including craniofacial malformations, kyphosis, short-stature and reduced bone density owing to defective collagen remodeling. Notably, the zebrafish model will be a valuable tool for developing novel therapeutic approaches to a devastating bone disorder.Entities:
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Year: 2018 PMID: 29741626 PMCID: PMC6077784 DOI: 10.1093/hmg/ddy168
Source DB: PubMed Journal: Hum Mol Genet ISSN: 0964-6906 Impact factor: 6.150
Figure 1.The R111H mutation does not impair MMP14 cell surface localization, in contrast to mutations T17R, R92C and S466P. (A) Schematic representation of the MMP14 fusion protein with N-terminal triple (3)-HA tag and C-terminal EGFP. Both tags are attached to MMP14 by flexible linkers (horizontal black lines). Indicated are the mutations relative to the protein domains. (B) Schematic representation of the 3HA–EGFP fusion protein which served as control. (C) Subcellular localization of WT and mutant 3HA–MMP14–EGFP fusion proteins exogenously expressed in MRC5 cells. MMP14-WT-EGFP (i) and MMP14-R111H-EGFP (iv) are present in the perinuclear region and at the cell surface, whereas the HA tag is absent at the cell surface. For other mutant fusion proteins, cell surface localization is impaired and the two tags partially colocalize in the perinuclear region. Scale bar equals 20 µm.
Figure 2.The R111H mutation does not affect MMP14 posttranslational processing, in contrast to mutations T17R, R92C and S466P, yet partially impairs enzymatic and cell migration stimulatory activity. (A) Immunoblot with anti-HA (top panel) or anti-GFP (middle panel) antibodies assessing the post-translational processing of WT and mutant 3HA–MMP14–EGFP fusion proteins exogenously expressed in MRC5 cells. For all fusion proteins, the full-length pro-protein (pM) can be detected. For all except the T17R mutant, an additional form (cM) can be detected in which the HA tag has been removed. Additional degradation products (dM) can only be detected in MMP14-WT and MMP14-R111H expressing cells. In cells expressing 3HA–EGFP, a strong band corresponding to the fused tags can be detected (HE). (B) Gelatin zymography of media conditioned by MRC5 cells exogenously expressing the WT or mutant 3HA–MMP14–EGFP fusion proteins. Cells expressing 3HA–EGFP control do not activate pro-MMP2 (p2), whereas MMP14-WT expressing cells activate pro-MMP2 to its intermediate (i2) and active (a2) form. The T17R and R92C mutations completely abolish pro-MMP2 activation, whereas the R111H and S466P mutants retain residual activity. Expression of MMP14 fusion proteins does not affect activation of pro-MMP9 (p9 and a9). (C) Average degraded Cy3-gelatin surface area per MMP14 fusion protein expressing MRC5 cell at 4 h (grey bars) and 20 h (black bars) post-seeding. The R92C mutation completely abolishes gelatin degradation, whereas the R111H mutant retains some residual activity. In contrast, the T17R and S466P mutations do not impair gelatin degradation. Error bars indicate SEM of biological triplicates. (D) Average migration rate of MMP14 fusion protein expressing MRC5 cells on fibronectin. Expression of MMP14-WT significantly stimulates migration compared with 3HA–EGFP expression, whereas the T17R, R92C and R111H mutations impair this stimulatory effect. In contrast, the S466P mutation does not affect MMP14-dependent migration. Significance levels: dot, P < 0.05; double dot, P < 0.01, triple dot, P < 0.001.
Figure 3.The mmp14a/b KO zebrafish recapitulate key aspects of the WS phenotype. (A) Gross anatomy photographs of 3-month-old WT and mmp14a/b KO fish of respective average size; lateral view, anterior to the left. The phenotype of mmp14a/b KO fish includes a relatively small, up-tilted head with relatively large, protruding eyes and a short operculum. Limited field of view necessitated stitching of multiple photographs together, causing the vertical line in the images shown in (A). Scale bar equals 2 mm. (B) At 90 dpf, mmp14a/b KO fish have a significantly shorter total body length compared with WT fish (P < 0.0001). A minimum of 21 individuals per genotype was measured. (C) 3D reconstruction of µCT scans of 3-month-old WT and mmp14a/b KO fish; lateral view, anterior to the left. Compared with WT fish, the mmp14a/b KO fish have Weberian-prehemal hyperkyphosis. (D) The mmp14a/b KO fish have a reduced skull bone mineral density (BMD, P < 0.05), giving the appearance of missing skeletal elements in the shown 3D reconstruction (C). BMD was assessed for five individuals per genotype. The individuals imaged in (C) are different from the ones shown in (A).
Figure 4.The mmp14a/b KO zebrafish have abnormal enchondral and membranous ossifying skull bones and Weberian vertebrae. (A) Fluorescence microscopy images of 30 dpf WT and mmp14a/b KO juveniles, whole mount stained for calcified bone with alizarin red; lateral view, anterior to the left. At 30 dpf, the frontal bones (arrowhead) and the supraoccipital bone (SOC, arrow) of mmp14a/b KO fish are shaped differently compared with age and size-matched (10.2 mm standard length) WT fish. (B–E) H&E stained mid-sagittal sections of 90 dpf fish; anterior to the left except for the mmp14a/b KO section shown in (E), which is rotated (anterior at the bottom) for clearer comparison with the corresponding WT section. At 90 dpf, the frontal bones (B) of mmp14a/b KO fish are irregularly thickened and contain cell clusters (arrowheads). The dentary bone (C) and SOC (E) of mmp14a/b KO fish contain a relative large amount of disorganized cartilage and small amounts of bone matrix (arrowheads). The SOC additionally shows cell-free areas that have lost basophilia, indicating lack of proteoglycans (E, asterisks). The SOC and second supraneural (SN2) form a sharp angle and are ventrally extended in mmp14a/b KO fish, impinging the spinal cord (SC) at the foramen magnum (FM, compare diameter indicated by black line in D). (F) Sagittal picrosirius red stained sections of the same fish as shown in (E) (same orientation as in (E) reveal the SOC of mmp14a/b KO fish lacks a collagen-rich peripheral bone matrix, but instead contains large cell-rich areas (arrowheads) as compared with WT fish. In contrast, cell-free regions in the cartilage core of mmp14a/b KO fish are relatively intensely stained. (G) H&E stained mid-sagittal sections (anterior to the left) demonstrating Weberian vertebral bodies of 90 dpf mmp14a/b KO fish are irregularly shaped and contain cell clusters (arrows), while the intervertebral cartilage is absent (arrowhead) compared with WT fish. Scale bar in (A) equals 1 mm, scale bars in (B), (C), (E) and (F) equal 20 µm, scale bar in (D) equals 200 µm, scale bar in (G) equals 100 µm.
Overview of the effects of studied MMP14 mutations on MMP14 processing and subcellular localization, pro-MMP2 cleavage, gelatin degradation and cell migration
| MMP14 | MMP14 processing | MMP14 localization | Pro-MMP2 cleavage | Gelatin degradation | Cell migration |
|---|---|---|---|---|---|
| WT | ✓ | ✓ | ✓ | ✓ | ✓ |
| T17R | ✗ | ✗ | ✗ | ✓ | ↓ |
| R92C | ✗ | ✗ | ✗ | ✗ | ↓ |
| R111H | ✓ | ✓ | ↓ | ↓ | ↓ |
| S466P | ✗ | ↓ | ↓ | ✓ | ✓ |
Tick mark, unaltered; arrow, impaired; cross, severely impaired to absent.