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Beaufort, Nathalie ORCID logoORCID: https://orcid.org/0000-0002-7088-4206; Ingendahl, Linda; Merdanovic, Melisa; Schmidt, Andree ORCID logoORCID: https://orcid.org/0000-0002-8254-0777; Podlesainski, David ORCID logoORCID: https://orcid.org/0000-0002-1111-8042; Richter, Tim ORCID logoORCID: https://orcid.org/0009-0003-8310-6803; Neumann, Thorben; Kuszner, Michael; Vetter, Ingrid R.; Stege, Patricia; Burston, Steven G. ORCID logoORCID: https://orcid.org/0000-0003-1848-1853; Filipovic, Anto; Ruiz-Blanco, Yasser B.; Bravo-Rodriguez, Kenny; Mieres-Perez, Joel ORCID logoORCID: https://orcid.org/0000-0002-7875-0886; Beuck, Christine ORCID logoORCID: https://orcid.org/0000-0001-7513-7384; Uebel, Stephan ORCID logoORCID: https://orcid.org/0000-0002-3726-3942; Zobawa, Monika; Schillinger, Jasmin; Malik, Rainer ORCID logoORCID: https://orcid.org/0000-0001-9212-2520; Todorov-Völgyi, Katalin ORCID logoORCID: https://orcid.org/0009-0007-8073-9524; Rey, Juliana; Roberti, Annabell; Hagemeier, Birte; Wefers, Benedikt ORCID logoORCID: https://orcid.org/0000-0002-2492-9389; Müller, Stephan A. ORCID logoORCID: https://orcid.org/0000-0003-3414-307X; Wurst, Wolfgang ORCID logoORCID: https://orcid.org/0000-0003-4422-7410; Sanchez-Garcia, Elsa; Zimmermann, Alexander; Hu, Xiao-Yu ORCID logoORCID: https://orcid.org/0000-0002-9634-315X; Clausen, Tim ORCID logoORCID: https://orcid.org/0000-0003-1582-6924; Huber, Robert; Lichtenthaler, Stefan F. ORCID logoORCID: https://orcid.org/0000-0003-2211-2575; Schmuck, Carsten ORCID logoORCID: https://orcid.org/0000-0001-6062-0357; Giese, Michael; Kaiser, Markus ORCID logoORCID: https://orcid.org/0000-0002-6540-8520; Ehrmann, Michael ORCID logoORCID: https://orcid.org/0000-0002-1927-260X und Dichgans, Martin ORCID logoORCID: https://orcid.org/0000-0002-0654-387X (2024): Rational correction of pathogenic conformational defects in HTRA1. In: Nature Communications, Bd. 15, 5944 [PDF, 3MB]

Abstract

Loss-of-function mutations in the homotrimeric serine protease HTRA1 cause cerebral vasculopathy. Here, we establish independent approaches to achieve the functional correction of trimer assembly defects. Focusing on the prototypical R274Q mutation, we identify an HTRA1 variant that promotes trimer formation thus restoring enzymatic activity in vitro. Genetic experiments in Htra1R274Q mice further demonstrate that expression of this protein-based corrector in trans is sufficient to stabilize HtrA1-R274Q and restore the proteomic signature of the brain vasculature. An alternative approach employs supramolecular chemical ligands that shift the monomer-trimer equilibrium towards proteolytically active trimers. Moreover, we identify a peptidic ligand that activates HTRA1 monomers. Our findings open perspectives for tailored protein repair strategies.

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