Progranulin As a Biomarker and Potential Therapeutic Agent

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Progranulin As a Biomarker and Potential Therapeutic Agent Drug Discovery Today Volume 22, Number 10 October 2017 REVIEWS POST SCREEN Progranulin as a biomarker and potential therapeutic agent Reviews 1 2 1 1 Vanessa Abella , Jesús Pino , Morena Scotece , Javier Conde , 3 4 5 Francisca Lago , Miguel Angel Gonzalez-Gay , Antonio Mera , 6 7,8 1 Rodolfo Gómez , Ali Mobasheri and Oreste Gualillo 1 SERGAS (Servizo Galego de Saude) and IDIS (Instituto de Investigación Sanitaria de Santiago), The NEIRID Lab (Neuroendocrine Interactions in Rheumatology and Inflammatory Diseases), Research Laboratory 9, Santiago University Clinical Hospital, Santiago de Compostela, Spain 2 SERGAS (Servizo Galego de Saude), Division of Orthopaedic Surgery and Traumatology, Santiago University Clinical Hospital, Santiago de Compostela, Spain 3 SERGAS (Servizo Galego de Saude) and IDIS (Instituto de Investigación Sanitaria de Santiago), CIBERCV (Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares), Molecular and Cellular Cardiology, Research Laboratory 7, Santiago University Clinical Hospital, Building C, Travesía da Choupana S/N, Santiago de Compostela 15706, Spain 4 Epidemiology, Genetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Universidad de Cantabria and IDIVAL, Santander, Spain 5 SERGAS (Servizo Galego de Saude), Division of Rheumatology, Santiago University Clinical Hospital, Santiago de Compostela, Spain 6 SERGAS (Servizo Galego de Saude) and IDIS (Instituto de Investigación Sanitaria de Santiago), The NEIRID Group, Musculoskeletal Pathology Unit, Santiago University Clinical Hospital, Santiago de Compostela, Spain 7 Department of Veterinary Pre-Clinical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, and Faculty of Health and Medical Sciences, Duke of Kent Building, University of Surrey, Guildford, Surrey GU2 7XH, UK 8 Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, Queen’s Medical Centre, Nottingham NG7 2UH, UK Progranulin is a cysteine-rich secreted protein with diverse pleiotropic actions and participates in several processes, such as inflammation or tumorigenesis. Progranulin was first identified as a growth factor and, recently, it was characterised as an adipokine implicated in obesity, insulin resistance and rheumatic disease. At a central level, progranulin acts as a neurotropic and neuroprotective factor and protects from neural degeneration. In this review, we summarise the most recent research advances concerning the potential role of progranulin as a therapeutic target and biomarker in cancer, neurodegenerative and inflammatory diseases. Introduction Since the discovery of this glycoprotein, the multifunctional Progranulin (PGRN) was first identified as an acrosomal glycopro- properties of PGRN have been unravelled. It is implicated in tein in 1990, namely acrogranin, synthesised during spermatogen- multiple biological and pathological processes, such as cell esis [1]. PGRN is also known as granulin-epithelin precursor (GEP) growth, tumorigenesis [12], embryogenesis [13], wound healing [2], proepithelin [3], GP88 [4] and PC-cell-derived growth factor [14], inflammation, immunity, infection [15], insulin resistance (PCDGF) [5]. Owing to its pleiotropic nature, PGRN is secreted by a [10] or diabetes [16]; and lack of it is related to neurodegeneration broad range of tissues and it is expressed by a wide variety of cell [17]. PGRN overexpression was associated to the onset of different types, including epithelial cells, neurons, haematopoietic cells, types of cancer [18–20] and PGRN downregulation was related to skeletal muscle cells [6], macrophages [7], chondrocytes [8,9], inflammatory diseases, like osteoarthritis (OA) [21] or rheumatoid adipocytes [10] and endothelial cells [11]. arthritis (RA) [22]. Otherwise, null mutations within the gene that encodes PGRN cause frontotemporal lobar degeneration (FTLD) [23,24]. In the past few years, different studies have shed light on Corresponding author: Gualillo, O. ([email protected]) how PGRN performs its actions. In fact, the role of PGRN in 1359-6446/ã 2017 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.drudis.2017.06.006 www.drugdiscoverytoday.com 1557 REVIEWS Drug Discovery Today Volume 22, Number 10 October 2017 inflammation has been studied in detail, with anti-inflammatory N-terminal signal peptide of 17 amino acids and seven and a half properties through interaction with tumour necrosis factor recep- granulin domains [5]. These granulins are named, from the N tor (TNFR) [25]. Despite its anti-inflammatory role, it is possible terminus to the C terminus, granulins p (paragranulin domain), G, that PGRN has multiple roles in inflammation. In 2012, PGRN was F, B, A, C, D and E. Granulin domains are composed of tandem described as a key adipokine mediating high-fat diet-induced repeats of a 12-cysteine motif [26]. The molecular structure of insulin-resistance by inducing upregulation of interleukin (IL)-6 individual granulin domains consists of six parallel stacked beta- expression in adipose tissue [10]. Thus, the pro- or anti-inflamma- hairpins held together by six disulfide bonds [30]. After secretion, tory function of PGRN might depend on the target tissue. In brief, proteolytic cleavage of full-length protein can take place at linker Reviews PGRN can act either as a growth factor, an anti-inflammatory regions between the granulin domains. Serine and threonine agent or an adipokine. As outlined above, PGRN is involved in proteases, such us matrix metalloproteinase (MMP)-9 [31], POST SCREEN multiple processes with diverse actions. Thus, the aim of the MMP-12 [32], MMP-14 [33], a disintegrin and metalloproteinase present review is to present the potential of PGRN as a therapeutic with thrombospondin type I motif 7 (ADAMTS-7) [34], neutrophil- target in cancer, neurodegenerative and inflammatory diseases. secreted elastase and proteinase 3 [35], can release individual granulin peptides of 6 kDa (Fig. 1). Incubation of full-length PGRN PGRN biology: structure and receptors with these proteases does not always result in the release of Human PGRN is encoded by the GRN gene, located on chromo- individual 6 kDa fragments as would be expected if the precursor some 17q21.32, which contains 12 protein-coding exons that protein was completely processed to granulin domains. At least result in three isoforms [26]. It is a protein consisting of 593 amino five intermediate products larger than 15 kDa seem to be present acids and a molecular weight of 68.5 kDa [27,28]. Owing to its after digestion with all of these proteases [17,36]. Moreover, secre- highly glycosylated character, it commonly migrates around tory leukocyte protease inhibitor (SLPI) binds directly to PGRN, 88 kDa on a western blot. The mouse ortholog Grn is located on blocking the proteolysis by elastase. Similarly, high-density lipo- chromosome 11 and encodes a 589 amino acid protein, with 79% protein (HDL) apolipoprotein AI can form a complex with PGRN homology to the human PGRN protein [28]. suppressing granulin conversion [7]. PGRN has emerged as the prototypic member of a family of Full-length PGRN and granulins are biologically active, al- structurally unique proteins, evolutionarily conserved, related though whether their effects are opposite or overlapping has to growth factors [29]. Full-length PGRN consists of a secretory not yet been clearly elucidated. For instance, PGRN plays an active P G F B A C D E Progranulin MMP-9, MMP-14, ADAMTS-7, NE, PR3 E D C A F P B P G A D F B F B E A B G C D D G P E E G A C C P F Granulins EphA2 Inflammation TNFR1/ Sortilin TNFR2 ? ? Signalling blockade Cancer Anti-inflammation FTLD Drug Discovery Today FIGURE 1 Schematic representation of progranulin (PGRN) and its receptors. Each circle represents granulin domains. PGRN can be subject to proteolytic cleavage by matrix metalloproteinase (MMP)-9, MMP-14, ADAMTS-7 (a disintegrin and metalloproteinase with thrombospondin type I motif 7), neutrophil-secreted elastase (NE) and proteinase (PR)3. Granulin individual peptides involve inflammatory effects. By contrast, full-length PGRN has an anti-inflammatory role by tumour necrosis factor receptor (TNFR) binding. Interactions between PGRN and sortilin have been implicated in frontotemporal lobar degeneration (FTLD) onset. Also, tumorigenic actions of PGRN are explained by TNFR2 or EphA2 binding. 1558 www.drugdiscoverytoday.com Drug Discovery Today Volume 22, Number 10 October 2017 REVIEWS part in resolution of inflammation, whereas granulins seem to be Rheumatoid arthritis proinflammatory. Granulin B, but not PGRN, stimulates interleu- The development of atsttrin was made in the field of inflammatory kin (IL)-8 expression in epithelial cells [36]. However, granulin E arthritis, so its effects on the pathophysiology of RA have been was reported to support neuronal cell survival similarly to PGRN extensively studied and reviewed [22,25,47,49,51,52]. In brief, [37]. atsttrin administration results in reduced disease severity in colla- It is not yet clear whether there is a unique receptor for PGRN, gen-antibody-induced arthritis (CAIA) and in the collagen-in- given the wide range of effects mediated either by PGRN or duced arthritis (CIA) mouse model. Notably, atsttrin shows granulins in different cell types. The observation that PGRN is more-potent anti-inflammatory activity than PGRN, possibly as a secreted protein that is internalised through an endocytic a result of the absence of a complete granulin domain with mechanism suggests the existence
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