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Microbes & Immunity                                      RANTES/CCL5 and ezrin peptide RepG3 for long COVID



            protein translation. This temporal regulation of protein   6. Ezrin and cell membrane protein
            translation in the endoplasmic reticulum seems to be   complex CFTR+EBP50+PKC
            controlled by multi-protein complexes at the cell membrane.
            It is this delay in the production of RFALT-1/KLF13 protein   6.1. Ezrin peptide RepG3 activates RANTES/CCL5
            that causes the 3-day delay in RANTES/CCL5 mRNA    expression and secretion
            transcription and protein translation.             Ezrin protein has a number of functional conformations:
              Three days after T-cell activation, two signaling pathways   it transforms from an inactive globular form in the
            coordinate to trigger the translation of RFLAT-1/KLF13   cytoplasm, to a partially-active transmembrane “receptor”
            mRNA into protein. Triggered by cytokines and mitogens,   form and on to a fully active elongated submembrane
                                                                   80
            the first kinase cascade commences at phosphoinositide   form  (Figure 6).
            3-kinase (PI3K), which is bound to the alpha domain of   Submembrane-active ezrin carries specific attachment
            membrane-associated human ezrin protein. Allosteric   sites for cell adhesion molecules such as ICAM-1, ICAM-
            activation causes PI3K to convert PIP2 into PIP3, which,   3, CD43, and CD44; specific binding sites for kinases
            then, phosphorylates PDK1, which, then, phosphorylates   such as Ras, RhoA, PKC, PI3K, and PKA; cytoskeleton
            and activates AKT/PKB. In the endoplasmic reticulum,   components such as actin; and adaptor proteins such as
            active AKT/PKB phosphorylates and activates the TSC   EBP50, which bind to ion channel proteins such as CFTR.
            protein complex. TSC1 phosphorylates and activates the   Ezrin peptide RepG3 can bind to an anti-parallel
            mTORC1 multiprotein complex containing mTOR. Active   alpha-helical Hep-receptor site in the alpha domain of
            mTOR then phosphorylates and deactivates a 20-amino   human ezrin to induce conformational switching of the
            acid protein translation repressor polypeptide called 4E-BP.   human ezrin protein, leading to its transformation from
            Phosphorylated 4E-BP is forced to detach from eukaryotic   the transmembrane receptor conformation of ezrin into
            protein translation initiation factor 4E (eIF4E), resulting in   the submembrane extended conformation of ezrin, which
            a semi-active protein translation initiation factor.
                                                               induces multi-protein complexes. The ezrin-assembled
              The second kinase cascade is also initiated by allosteric   membrane-associated  multi-protein-complex  appears  to
            changes in  the membrane-associated multi-protein   be  a  biological  information  processing  system  that  can
            complex. Ras kinase, a low-molecular-weight GTP-binding   modulate cellular responses to extracellular stimuli. Ezrin-
            protein (G protein) bound to the FERM domain of ezrin,   based multi-protein-complexes can trigger downstream
            activates the ezrin+Ras > Raf > MEK > ERK-1/2 > MNK1   protein-tyrosine-kinase cascades such as Ras > Raf > MEK
            signaling cascade. Activated ERK phosphorylates and   > ERK1/2 > RSK, as well as PI3K > PDK1 > AKT/PKB >
            activates MNK1 in the cytoplasm, which migrates to the   mTOR.
            endoplasmic reticulum and then rapidly phosphorylates
            and fully activates free eIF4E. Active eIF-4E, then,   6.2. CFTR+EBP50+PKC+ezrin regulation of RANTES/
            mediates  the  assembly  of  ribosomal  components  at  the   CCL5 gene expression
            five-prime end of the mRNA into functional ribosomes.   The  cystic  fibrosis  transmembrane  regulator  (CFTR)
            Activated eIF4E interacts directly with the five-prime-  plays an important role in the regulation of mucosal
            end cap-structure of RFLAT-1/KLF13 mRNA to form    immunity to infection in airway epithelia. CFTR and
            a ribosomal translation initiation complex with eIF4A,   EPB50, also known as Na /H -exchanger  regulatory
                                                                                          +
                                                                                       +
            eIF3, eIF4G, PABP, and MNK1. The new ribosome, then,   factor 1 (NHERF1), form a signaling complex with the
            initiates translation of mRNA into the transcription factor   FERM domain of ezrin, which is directly connected to the
            RFLAT-1/KLF13 protein.                             ezrin alpha domain, containing specific binding sites for
              The new transcription factor RFLAT-1/KLF13 migrates   signaling initiators PKC, PI3K, and PKA. Activated ezrin
            to the nucleus and binds to the –71bp to –53bp “A” site   assembles CFTR+EBP50+ICAM+Ezrin+PKC+PI3K into
            gene promoter of the RANTES/CCL5 gene, where it    a multiprotein complex at the membrane, which initiates a
            assembles a transcription complex. The RANTES/CCL5   range of signals in the cell interior.
            gene transcription into mRNA increases more than ten-  It is well known that CFTR functions as a cyclic AMP-
            fold, and the new RANTES/CCL5 mRNA migrates back   regulated chloride-ion  Cl-  channel.  As part of  a multi-
            to the endoplasmic reticulum. RANTES/CCL5 mRNA is   protein complex with ezrin, CFTR also regulates the
            then translated into a 91-amino acid pre-cursor protein   adjacent epithelial sodium ion channel Na /H  exchanger
                                                                                                 +
                                                                                                    +
            that is cleaved to form a 68-amino acid RANTES/CCL5   (NHE), which removes intracellular protons in exchange
            polypeptide, which is excreted from the cell through the   for extracellular sodium. However, CFTR triggers
            Golgi apparatus. 79                                RANTES/CCL5 mRNA expression through a mechanism


            Volume 1 Issue 1 (2024)                         14                               doi: 10.36922/mi.2474
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