Institute of Pharmaceutical Sciences, Department of Chemistry and Applied Biosciences, ETH Zurich, 8093 Zurich, Switzerland.
Department of Medical Oncology and Hematology, University Hospital and University of Zurich, 8091 Zurich, Switzerland.
Cell Chem Biol. 2021 Aug 19;28(8):1221-1234.e6. doi: 10.1016/j.chembiol.2021.02.021. Epub 2021 Mar 22.
Erythropoietic protoporphyria (EPP) is a rare disease in which patients experience severe light sensitivity. It is caused by a deficiency of ferrochelatase (FECH), the last enzyme in heme biosynthesis (HBS). The lack of FECH causes accumulation of its photoreactive substrate protoporphyrin IX (PPIX) in patients' erythrocytes. Here, we explored an approach for the treatment of EPP by decreasing PPIX synthesis using small-molecule inhibitors directed to factors in the HBS pathway. We generated a FECH-knockout clone from K562 erythroleukemia cells, which accumulates PPIX and undergoes oxidative stress upon light exposure. We used these matched cell lines to screen a set of publicly available inhibitors of factors in the HBS pathway. Inhibitors of the glycine transporters GlyT1 and GlyT2 lowered levels of PPIX and markers of oxidative stress selectively in K562 cells, and in primary erythroid cultures from an EPP patient. Our findings open the door to investigation of glycine transport inhibitors for HBS disorders.
红细胞生成性原卟啉症(EPP)是一种罕见的疾病,患者会出现严重的光敏感。它是由亚铁螯合酶(FECH)缺乏引起的,FECH 是血红素生物合成(HBS)的最后一种酶。缺乏 FECH 会导致其光反应性底物原卟啉 IX(PPIX)在患者的红细胞中积累。在这里,我们通过使用针对 HBS 途径中因子的小分子抑制剂来减少 PPIX 的合成,探索了一种治疗 EPP 的方法。我们从 K562 红细胞白血病细胞中生成了一个 FECH 敲除克隆,该克隆在暴露于光下时会积累 PPIX 并发生氧化应激。我们使用这些匹配的细胞系筛选了一组公开可用的 HBS 途径因子抑制剂。甘氨酸转运体 GlyT1 和 GlyT2 的抑制剂选择性地降低 K562 细胞和 EPP 患者原代红细胞培养物中的 PPIX 水平和氧化应激标志物。我们的发现为研究甘氨酸转运抑制剂治疗 HBS 疾病开辟了道路。