PPP2R2B hypermethylation causes acquired apoptosis deficiency in systemic autoimmune diseases
JCI INSIGHT
Authors: Madera-Salcedo, Iris K.; Sanchez-Hernandez, Beatriz E.; Svyryd, Yevgeniva; Esquivel-Velazquez, Marcela; Rodriguez-Rodriguez, Noe; Isabel Trejo-Zambrano, Maria; Benjamin Garcia-Gonzalez, H.; Hernandez-Molina, Gabriela; Mutchinick, Osvaldo M.; Alcocer-Varela, Jorge; Rosetti, Florencia; Crispin, Jose C.
Abstract
Chronic inflammation causes target organ damage in patients with systemic autoimmune diseases. The factors that allow this protracted response are poorly understood. We analyzed the transcriptional regulation of PPP2R2B (B55 beta), a molecule necessary for the termination of the immune response, in patients with autoimmune diseases. Altered expression of B55 beta conditioned resistance to cytokine withdrawal-induced death (CWID) in patients with autoimmune diseases. The impaired upregulation of BSS beta was caused by inflammation-driven hypermethylation of specific cytosines located within a regulatory element of PPP2R2B preventing CCCTC-binding factor binding. This phenotype could be induced in healthy T cells by exposure to TNF-alpha. Our results reveal a gene whose expression is affected by an acquired defect, through an epigenetic mechanism, in the setting of systemic autoimmunity. Because failure to remove activated T cells through CWID could contribute to autoimmune pathology, this mechanism illustrates a vicious cycle through which autoimmune inflammation contributes to its own perpetuation.
Neuropathology and Cellular Pathogenesis of Spinocerebellar Ataxia Type 12
MOVEMENT DISORDERS
Authors: O'Hearn, Elizabeth E.; Hwang, Hyon S.; Holmes, Susan E.; Rudnicki, Dobrila D.; Chung, Daniel W.; Seixas, Ana I.; Cohen, Rachael L.; Ross, Christopher A.; Trojanowski, John Q.; Pletnikova, Olga; Troncoso, Juan C.; Margolis, Russell L.
Abstract
Objective: SCA12 is a progressive autosomal-dominant disorder, caused by a CAG/CTG repeat expansion in PPP2R2B on chromosome 5q32, and characterized by tremor, gait ataxia, hyperreflexia, dysmetria, abnormal eye movements, anxiety, depression, and sometimes cognitive impairment. Neuroimaging has demonstrated cerebellar and cortical atrophy. We now present the neuropathology of the first autopsied SCA12 brain and utilize cell models to characterize potential mechanisms of SCA12 neurodegeneration. Methods: A fixed SCA12 brain was examined using gross, microscopic, and immunohistochemical methods. The effect of the repeat expansion on PPP2R2B B beta 1 expression was examined in multiple cell types by transient transfection of constructs containing the PPP2R2B B beta 1 promoter region attached to a luciferase reporter. The neurotoxic effect of PPP2R2B overexpression was examined in transfected rat primary neurons. Results: Neuropathological investigation revealed enlarged ventricles, marked cerebral cortical atrophy and Purkinje cell loss, less-prominent cerebellar and pontine atrophy, and neuronal intranuclear ubiquitin-positive inclusions, consistent with Marinesco bodies, which did not stain for long polyglutamine tracts, alphasynuclein, tau, or transactive response DNA-binding protein 43. Reporter assays demonstrated that the region of PPP2R2B containing the repeat functions as a promoter, and that promoter activity increases with longer repeat length and is dependent on cell type, repeat sequence, and sequence flanking the repeat. Overexpression of PPP2R2B in primary cortical neurons disrupted normal morphology. Conclusions: SCA12 involves extensive, but selective, neurodegeneration distinct from Alzheimer's disease, synucleinopathies, tauopathies, and glutamine expansion diseases. SCA12 neuropathology may arise from the neurotoxic effect of repeat-expansion-induced overexpression of PPP2R2B. (C) 2015 International Parkinson and Movement Disorder Society