Targeting Aquaporin-4 Subcellular Localization to Treat Central Nervous System Edema
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Targeting Aquaporin-4 Subcellular Localization to Treat Central Nervous System Edema. / Kitchen, Philip; Salman, Mootaz M.; Halsey, Andrea M.; Clarke-Bland, Charlotte; MacDonald, Justin A.; Ishida, Hiroaki; Vogel, Hans J.; Almutiri, Sharif; Logan, Ann; Kreida, Stefan; Al-Jubair, Tamim; Winkel Missel, Julie; Gourdon, Pontus; Törnroth-Horsefield, Susanna; Conner, Matthew T.; Ahmed, Zubair; Conner, Alex C.; Bill, Roslyn M.
In: Cell, Vol. 181, No. 4, 2020, p. 784-799.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Targeting Aquaporin-4 Subcellular Localization to Treat Central Nervous System Edema
AU - Kitchen, Philip
AU - Salman, Mootaz M.
AU - Halsey, Andrea M.
AU - Clarke-Bland, Charlotte
AU - MacDonald, Justin A.
AU - Ishida, Hiroaki
AU - Vogel, Hans J.
AU - Almutiri, Sharif
AU - Logan, Ann
AU - Kreida, Stefan
AU - Al-Jubair, Tamim
AU - Winkel Missel, Julie
AU - Gourdon, Pontus
AU - Törnroth-Horsefield, Susanna
AU - Conner, Matthew T.
AU - Ahmed, Zubair
AU - Conner, Alex C.
AU - Bill, Roslyn M.
PY - 2020
Y1 - 2020
N2 - Swelling of the brain or spinal cord (CNS edema) affects millions of people every year. All potential pharmacological interventions have failed in clinical trials, meaning that symptom management is the only treatment option. The water channel protein aquaporin-4 (AQP4) is expressed in astrocytes and mediates water flux across the blood-brain and blood-spinal cord barriers. Here we show that AQP4 cell-surface abundance increases in response to hypoxia-induced cell swelling in a calmodulin-dependent manner. Calmodulin directly binds the AQP4 carboxyl terminus, causing a specific conformational change and driving AQP4 cell-surface localization. Inhibition of calmodulin in a rat spinal cord injury model with the licensed drug trifluoperazine inhibited AQP4 localization to the blood-spinal cord barrier, ablated CNS edema, and led to accelerated functional recovery compared with untreated animals. We propose that targeting the mechanism of calmodulin-mediated cell-surface localization of AQP4 is a viable strategy for development of CNS edema therapies.
AB - Swelling of the brain or spinal cord (CNS edema) affects millions of people every year. All potential pharmacological interventions have failed in clinical trials, meaning that symptom management is the only treatment option. The water channel protein aquaporin-4 (AQP4) is expressed in astrocytes and mediates water flux across the blood-brain and blood-spinal cord barriers. Here we show that AQP4 cell-surface abundance increases in response to hypoxia-induced cell swelling in a calmodulin-dependent manner. Calmodulin directly binds the AQP4 carboxyl terminus, causing a specific conformational change and driving AQP4 cell-surface localization. Inhibition of calmodulin in a rat spinal cord injury model with the licensed drug trifluoperazine inhibited AQP4 localization to the blood-spinal cord barrier, ablated CNS edema, and led to accelerated functional recovery compared with untreated animals. We propose that targeting the mechanism of calmodulin-mediated cell-surface localization of AQP4 is a viable strategy for development of CNS edema therapies.
KW - AQP4
KW - Aquaporin
KW - astrocyte
KW - calmodulin
KW - edema
KW - oedema
KW - protein kinase A
KW - spinal cord injury
KW - traumatic brain injury
KW - trifluoperazine
KW - TRPV4
UR - http://www.scopus.com/inward/record.url?scp=85084376702&partnerID=8YFLogxK
U2 - 10.1016/j.cell.2020.03.037
DO - 10.1016/j.cell.2020.03.037
M3 - Journal article
C2 - 32413299
AN - SCOPUS:85084376702
VL - 181
SP - 784
EP - 799
JO - Cell
JF - Cell
SN - 0092-8674
IS - 4
ER -
ID: 244572531