Thus, despite some experimental discrepancies, the only confirmed mechanism of [PSI+] curing by overproduced Hsp104 is the inefficient partitioning of propagons in cell divisions, due to either reduced prion fragmentation, or Hsp104-mediated prion anchoring. Prion curing through its dissolution currently lacks sufficient evidence. Curing by normal Hsp104 levels of the prions generated in the presence of mutant Hsp104 is of great interest in this respect, but its mechanism has not been studied in detail.
4.3. The Therapeutic Potential of Protein Disaggregases
While the human Hsc70 system can efficiently disaggregate toxic oligomers and short amyloid fibrils, its activity against large, less toxic amyloid aggregates is severely impaired [119]. Yeast Hsp104 is a much more powerful disaggregase than the Hsp70 (Ssa)-Hsp40 (Sis1) system alone [93], but animals have no Hsp104 homolog [90]. This raised hope that Hsp104 can disaggregate pathological amyloids if reintroduced to animal cells [120,121]. Luckily, Hsp104 can efficiently collaborate with the animal disaggregation machinery and strongly improves the reactivation of heat-denatured luciferase [93,122]. In vitro, Hsp104 can dissolve fibrils associated with human diseases: amyloid β, α-syn, prion protein, tau, amylin, and polyglutamine [89,122,123]. In animal disease models, Hsp104 reduces polyglutamine toxicity in Caenorhabditis elegans, fly, and rodent models [124–127]. In a rat model of Parkinson’s disease, Hsp104 reduced the formation of phosphorylated α-syn inclusions and prevented nigrostriatal dopaminergic neurodegeneration [122].
However, the activity of yeast Hsp104 against pathological aggregates can be insufficient even at high levels of Hsp104 [89]. This prompted attempts to enhance Hsp104 disaggregation activities, and this was, surprisingly, achieved through minor changes and even single missense mutations [128]. Potentiated Hsp104 variants have been developed that are capable of suppressing toxicity associated with α-syn, TDP-43, and FUS in yeast [129–133]. Many such potentiating mutations were found in the regulatory coiled-coil middle (M) domain of Hsp104 (residues 411–538), which mediates interactions of Hsp104 with Hsp70. Hsp104 potentiation often correlates with the destabilization of the M domain. However, some of these mutations show off-target toxicity. To overcome this problem, scanning mutagenesis of the M domain was performed [134], as well as mutagenesis of Hsp104 NBD1 and NBD2 [129,133], which allowed the isolation of non-toxic potentiated Hsp104 mutants. The screening of a cross-kingdom collection of Hsp104 homologs in yeast proteotoxicity models revealed that prokaryotic ClpG reduces TDP-43, FUS, and α-syn toxicity, whereas prokaryotic ClpB is ineffective. The latter is not surprising, since Reidy et al. showed that bacterial ClpB did not properly interact with yeast chaperones and required its bacterial partner chaperones to function [135]. Distinct eukaryotic Hsp104 homologs were uncovered that selectively antagonized α-syn condensation and toxicity in yeast and dopaminergic neurodegeneration in C. elegans. Surprisingly, this therapeutic variation does not manifest as enhanced disaggregase activity, but rather as an increased passive inhibition of the aggregation of specific substrates [136]. An Hsp104 variant that is efficient against TDP-43, α-syn, and polyglutamine, that lacked toxicity, was obtained from the thermophilic fungus Calcarisporiella thermophila [137].
While animals lack the mitochondrial Hsp104 homolog, Hsp78, disaggregation in mitochondria can be performed by Skd3, another chaperone of the AAA+ family. Skd3 shows a homology with bacterial ClpB, but has only one NBD. Mutations in Skd3 that reduce its disaggregating activities are associated with 3-methylglutaconic aciduria, a severe mitochondrial disorder. Thus, Skd3 is a potent mitochondrial protein disaggregase which can be used for treating mitochondrial protein aggregation [138].
AAA+ proteins that do not belong to the Hsp104 family can also be used to counteract toxic protein misfolding in animals. One such protein is archaeal PAN, an unfoldase homologous to the eukaryotic proteosomal 19S particle. PAN associates with the 20S catalytic particle and unfolds substrates before their degradation [139]. A PAN variant was recently constructed with a C-terminal FLAG epitope tag (PANet), which impedes PAN interactions with the 20S proteasome, but does not affect unfolding. The expression of PANet in rod photoreceptors in a mouse model of retinopathy mitigates photoreceptor degeneration caused by protein misfolding without causing significant side effects [140]. Thus, protein disaggregases of the AAA+ family have significant therapeutic potential.
It is important to keep in mind that the disaggregation of amyloids can have both positive and negative effects. Negative consequences might occur when large amyloids are broken into smaller pieces, but the latter are not efficiently destroyed. This resembles the situation with yeast prions, which are propagated by Hsp104. In animals, amyloids of smaller size are (1) often more toxic and (2) have a much higher potential for a prion-like spread between cells and tissues. Such problems were highlighted recently by Tittelmeier et al. who observed that reducing disaggregation in C. elegans by knocking down Hsp110 caused a beneficial decrease of the amounts of toxic α-syn species and a reduction in the intercellular propagation of α-syn aggregates. A similar treatment decreased the amount of polyQ aggregates and their toxic effects in another C. elegans model [141]. This suggests that the optimal disaggregation activity would be one that destroys small aggregates, but cannot cope with large ones. Humans have three NEFs for Hsp70, which stimulate the entropic pulling effect to a different extent [94]. Possibly, optimal activity might be achieved by adjusting levels of these NEFs.
The described data raises certain hopes and reveals some fundamental problems. The most optimistic aim would be the complete dissolution of amyloids, but this has never been shown, even in yeast. Yeast prions can be cured through retention in the mother cell, but such a scenario is not relevant for multicellular organisms, where most cells do not actively divide. Still, some hope comes from observations in yeast where prions that appear in the presence of weakened Hsp104 are less resistant to Hsp104, while human amyloids appear in the absence of Hsp104. However, they possess multiple mechanisms for the intercellular movement of amyloids (reviewed in previous research [142]) and these are likely to be affected by factors, which influence prion retention in dividing yeast cells.
A central technical problem would be to deliver Hsp104 to every cell or extracellular location containing an amyloid, which does not seem currently feasible. Finally, a tool able to disassemble all amyloids could also disassemble functional amyloids, and, in particular, amyloids that are involved in long-term memory.
Nevertheless, disaggregases of the Hsp104 type can alleviate the symptoms of amyloidoses in some animal models. Although there might not be a single ideal disaggregase, different agents tailored for each type of amyloidosis might be possible. In any case, the most promising strategy would be to adjust disaggregases so that they disassembled more toxic, but less resistant, small amyloids, while leaving less toxic and more resistant larger aggregates intact.
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] curing by overproduced Hsp104 is the inefficient partitioning of propagons in cell divisions, due to either reduced prion fragmentation, or Hsp104-mediated prion anchoring. Prion curing through its dissolution currently lacks sufficient evidence. Curing by normal Hsp104 levels of the prions generated in the presence of mutant Hsp104 is of great interest in this respect, but its mechanism has not been studied in detail.
4.3. The Therapeutic Potential of Protein Disaggregases
While the human Hsc70 system can efficiently disaggregate toxic oligomers and short amyloid fibrils, its activity against large, less toxic amyloid aggregates is severely impaired [119]. Yeast Hsp104 is a much more powerful disaggregase than the Hsp70 (Ssa)-Hsp40 (Sis1) system alone [94], but animals have no Hsp104 homolog [91]. This raised hope that Hsp104 can disaggregate pathological amyloids if reintroduced to animal cells [120][121]. Luckily, Hsp104 can efficiently collaborate with the animal disaggregation machinery and strongly improves the reactivation of heat-denatured luciferase [94][122]. In vitro, Hsp104 can dissolve fibrils associated with human diseases: amyloid β, α-syn, prion protein, tau, amylin, and polyglutamine [90][122][123]. In animal disease models, Hsp104 reduces polyglutamine toxicity in Caenorhabditis elegans, fly, and rodent models [124][125][126][127]. In a rat model of Parkinson’s disease, Hsp104 reduced the formation of phosphorylated α-syn inclusions and prevented nigrostriatal dopaminergic neurodegeneration [122].
However, the activity of yeast Hsp104 against pathological aggregates can be insufficient even at high levels of Hsp104 [90]. This prompted attempts to enhance Hsp104 disaggregation activities, and this was, surprisingly, achieved through minor changes and even single missense mutations [128]. Potentiated Hsp104 variants have been developed and are capable of suppressing toxicity associated with α-syn, TDP-43, and FUS in yeast [129][130][131][132][133]. Many such potentiating mutations were found in the regulatory coiled-coil middle (M) domain of Hsp104 (residues 411–538), which mediates interactions of Hsp104 with Hsp70. Hsp104 potentiation often correlates with the destabilization of the M domain. However, some of these mutations show off-target toxicity. To overcome this problem, scanning mutagenesis of the M domain was performed [134], as well as mutagenesis of Hsp104 NBD1 and NBD2 [129][133], which allowed the isolation of non-toxic potentiated Hsp104 mutants. The screening of a cross-kingdom collection of Hsp104 homologs in yeast proteotoxicity models revealed that prokaryotic ClpG reduces TDP-43, FUS, and α-syn toxicity, whereas prokaryotic ClpB is ineffective. The latter is not surprising, since Reidy et al. showed that bacterial ClpB did not properly interact with yeast chaperones and required its bacterial partner chaperones to function [135]. Distinct eukaryotic Hsp104 homologs were uncovered that selectively antagonized α-syn condensation and toxicity in yeast and dopaminergic neurodegeneration in C. elegans. Surprisingly, this therapeutic variation does not manifest as enhanced disaggregase activity, but rather as an increased passive inhibition of the aggregation of specific substrates [136]. An Hsp104 variant that is efficient against TDP-43, α-syn, and polyglutamine, that lacked toxicity, was obtained from the thermophilic fungus Calcarisporiella thermophila [137].
While animals lack the mitochondrial Hsp104 homolog, Hsp78, disaggregation in mitochondria can be performed by Skd3, another chaperone of the AAA+ family. Skd3 shows a homology with bacterial ClpB, but has only one NBD. Mutations in Skd3 that reduce its disaggregating activities are associated with 3-methylglutaconic aciduria, a severe mitochondrial disorder. Thus, Skd3 is a potent mitochondrial protein disaggregase which can be used for treating mitochondrial protein aggregation [138].
AAA+ proteins that do not belong to the Hsp104 family can also be used to counteract toxic protein misfolding in animals. One such protein is archaeal PAN, an unfoldase homologous to the eukaryotic proteosomal 19S particle. PAN associates with the 20S catalytic particle and unfolds substrates before their degradation [139]. A PAN variant was recently constructed with a C-terminal FLAG epitope tag (PANet), which impedes PAN interactions with the 20S proteasome, but does not affect unfolding. The expression of PANet in rod photoreceptors in a mouse model of retinopathy mitigates photoreceptor degeneration caused by protein misfolding without causing significant side effects [140]. Thus, protein disaggregases of the AAA+ family have significant therapeutic potential.
It is important to keep in mind that the disaggregation of amyloids can have both positive and negative effects. Negative consequences might occur when large amyloids are broken into smaller pieces, but the latter are not efficiently destroyed. This resembles the situation with yeast prions, which are propagated by Hsp104. In animals, amyloids of smaller size are (1) often more toxic and (2) have a much higher potential for a prion-like spread between cells and tissues. Such problems were highlighted recently by Tittelmeier et al. who observed that reducing disaggregation in C. elegans by knocking down Hsp110 caused a beneficial decrease of the amounts of toxic α-syn species and a reduction in the intercellular propagation of α-syn aggregates. A similar treatment decreased the amount of polyQ aggregates and their toxic effects in another C. elegans model [141]. This suggests that the optimal disaggregation activity would be one that destroys small aggregates, but cannot cope with large ones. Humans have three NEFs for Hsp70, which stimulate the entropic pulling effect to a different extent [95]. Possibly, optimal activity might be achieved by adjusting levels of these NEFs.
The described data raises certain hopes and reveals some fundamental problems. The most optimistic aim would be the complete dissolution of amyloids, but this has never been shown, even in yeast. Still, some hope comes from observations in yeast where prions that appear in the presence of weakened Hsp104 are less resistant to Hsp104, while human amyloids that appear in the absence of Hsp104 yeast prions can be cured through retention in the mother cell, but such a scenario is not valuable for multicellular organisms, where most cells do not actively divide. However, they possess multiple mechanisms for the intercellular movement of amyloids (reviewed in previous research [142]) and these are likely to be affected by factors, which influence prion retention in dividing yeast cells.
A central technical problem would be to deliver Hsp104 to every cell or extracellular location containing an amyloid, which does not seem currently feasible. Finally, a tool able to disassemble all amyloids could also disassemble functional amyloids, and, in particular, amyloids that are involved in long-term memory.
Nevertheless, disaggregases of the Hsp104 type can alleviate the symptoms of amyloidoses in some animal models. Although there might not be a single ideal disaggregase, different agents tailored for each type of amyloidosis might be possible. In any case, the most promising strategy would be to adjust disaggregases so that they disassembled more toxic, but less resistant, small amyloids, while leaving less toxic and more resistant larger aggregates intact.