Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • Sex Differences in Medicine (Sep 2024)
    • Vascular Malformations (Apr 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
EMC3 regulates trafficking and pulmonary toxicity of the SFTPCI73T mutation associated with interstitial lung disease
Xiaofang Tang, … , Xinhua Lin, Jeffrey A. Whitsett
Xiaofang Tang, … , Xinhua Lin, Jeffrey A. Whitsett
Published October 15, 2024
Citation Information: J Clin Invest. 2024;134(23):e173861. https://doi.org/10.1172/JCI173861.
View: Text | PDF
Research Article Cell biology Pulmonology Article has an altmetric score of 7

EMC3 regulates trafficking and pulmonary toxicity of the SFTPCI73T mutation associated with interstitial lung disease

  • Text
  • PDF
Abstract

The most common mutation in surfactant protein C gene (SFTPC), SFTPCI73T, causes interstitial lung disease with few therapeutic options. We previously demonstrated that EMC3, an important component of the multiprotein endoplasmic reticulum membrane complex (EMC), is required for surfactant homeostasis in alveolar type 2 epithelial (AT2) cells at birth. In the present study, we investigated the role of EMC3 in the control of SFTPCI73T metabolism and its associated alveolar dysfunction. Using a knock-in mouse model phenocopying the I73T mutation, we demonstrated that conditional deletion of Emc3 in AT2 cells rescued alveolar remodeling/simplification defects in neonatal and adult mice. Proteomic analysis revealed that Emc3 depletion reversed the disruption of vesicle trafficking pathways and rescued the mitochondrial dysfunction associated with I73T mutation. Affinity purification-mass spectrometry analysis identified potential EMC3 interacting proteins in lung AT2 cells, including valosin containing protein (VCP) and its interactors. Treatment of SftpcI73T knock-in mice and SFTPCI73T-expressing iAT2 cells derived from SFTPCI73T patient-specific iPSCs with the VCP inhibitor CB5083 restored alveolar structure and SFTPCI73T trafficking, respectively. Taken together, the present work identifies the EMC complex and VCP in the metabolism of the disease-associated SFTPCI73T mutant, providing therapeutical targets for SFTPCI73T-associated interstitial lung disease.

Authors

Xiaofang Tang, Wei Wei, Yuqing Sun, Timothy E. Weaver, Ernesto S. Nakayasu, Geremy Clair, John M. Snowball, Cheng-Lun Na, Karen S. Apsley, Emily P. Martin, Darrell N. Kotton, Konstantinos-Dionysios Alysandratos, Jiuzhou Huo, Jeffery D. Molkentin, William A. Gower, Xinhua Lin, Jeffrey A. Whitsett

×

Figure 6

EMC3 interacts with VCP to influence SP-C(I73T) trafficking.

Options: View larger image (or click on image) Download as PowerPoint
EMC3 interacts with VCP to influence SP-C(I73T) trafficking.
(A) Mass sp...
(A) Mass spectrometry of proteins isolated from EMC3 coimmunoprecipitates in MLE-15 cells identified 26 proteins as potential EMC3 binding partners. For each experimental pair, MLE-15 cells were transfected with empty vector or vector encoding Myc-tagged EMC3 (Myc-EMC3). Myc antibody coimmunoprecipitates were isolated from cell lysates using μMACS c-myc Isolation Kit (Miltenyi Biotec) and analyzed by mass spectrometry. Five independent pairs of co-IP assays were performed and analyzed. The R package apmsWAPP, sub package TSPM, was used to determine significant EMC3 interacting partners, P < 0.05. Significant EMC3 PPI partners were visualized in a z score–transformed heatmap of the normalized spectral counts. (B) Functional enrichment analyses of potential EMC3 interaction partners were performed using Toppfun. A subset of significant relationships was represented by graphing the corresponding –log10 (P value). (C) Normalized VCP protein levels were measured from the proteomic analysis in Figure 4A. Mean ± SEM; **P < 0.01 using 2-way ANOVA multiple comparisons test, n = 4/group. (D) VCP inhibitor, CB5083, was given every other day (q.o.d.) by oral gavage at 50 mg/kg/dose to 6–8 week-old I73T/I73T mice for 14 days. Representative H&E-stained lung sections are shown. Scale bar: 200 μm. (E) ImageJ was used to quantify the H&E staining results in D. Mean ± SEM; **P < 0.01, ***P < 0.001, ****P < 0.0001 using 1-way ANOVA multiple comparisons test, n = 6. (F) Lung sections from adult mice treated in D were stained for proSP-C and cell-surface marker WGA. Scale bars: 20 μm. (G) Quantification of the ratio of cell-surface proSP-C stained in F by ImageJ. For each group, 20 AT2 cells from 4 mice were quantified. (H) Western blot of lysates from AT2 cells isolated from CB5083 or vehicle treated adult mice as in D. Emc3 deletion did not change levels of proSP-C(I73T).

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts

Posted by 8 X users
On 1 Facebook pages
Referenced by 3 Bluesky users
See more details