Folliculin variants linked to Birt-Hogg-Dubé syndrome are targeted for proteasomal degradation

PLoS Genet. 2020 Nov 2;16(11):e1009187. doi: 10.1371/journal.pgen.1009187. eCollection 2020 Nov.

Abstract

Germline mutations in the folliculin (FLCN) tumor suppressor gene are linked to Birt-Hogg-Dubé (BHD) syndrome, a dominantly inherited genetic disease characterized by predisposition to fibrofolliculomas, lung cysts, and renal cancer. Most BHD-linked FLCN variants include large deletions and splice site aberrations predicted to cause loss of function. The mechanisms by which missense variants and short in-frame deletions in FLCN trigger disease are unknown. Here, we present an integrated computational and experimental study that reveals that the majority of such disease-causing FLCN variants cause loss of function due to proteasomal degradation of the encoded FLCN protein, rather than directly ablating FLCN function. Accordingly, several different single-site FLCN variants are present at strongly reduced levels in cells. In line with our finding that FLCN variants are protein quality control targets, several are also highly insoluble and fail to associate with the FLCN-binding partners FNIP1 and FNIP2. The lack of FLCN binding leads to rapid proteasomal degradation of FNIP1 and FNIP2. Half of the tested FLCN variants are mislocalized in cells, and one variant (ΔE510) forms perinuclear protein aggregates. A yeast-based stability screen revealed that the deubiquitylating enzyme Ubp15/USP7 and molecular chaperones regulate the turnover of the FLCN variants. Lowering the temperature led to a stabilization of two FLCN missense proteins, and for one (R362C), function was re-established at low temperature. In conclusion, we propose that most BHD-linked FLCN missense variants and small in-frame deletions operate by causing misfolding and degradation of the FLCN protein, and that stabilization and resulting restoration of function may hold therapeutic potential of certain disease-linked variants. Our computational saturation scan encompassing both missense variants and single site deletions in FLCN may allow classification of rare FLCN variants of uncertain clinical significance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Birt-Hogg-Dube Syndrome / genetics
  • Birt-Hogg-Dube Syndrome / pathology*
  • Carrier Proteins / metabolism
  • Cell Line, Tumor
  • Computational Biology
  • Germ-Line Mutation
  • Humans
  • Loss of Function Mutation
  • Mutation, Missense
  • Proteasome Endopeptidase Complex / metabolism*
  • Protein Aggregates
  • Protein Binding / genetics
  • Protein Folding
  • Protein Stability
  • Proteolysis
  • Proto-Oncogene Proteins / genetics
  • Proto-Oncogene Proteins / metabolism*
  • Saccharomyces cerevisiae
  • Tumor Suppressor Proteins / genetics
  • Tumor Suppressor Proteins / metabolism*
  • Ubiquitin-Specific Peptidase 7 / metabolism

Substances

  • Carrier Proteins
  • FLCN protein, human
  • FNIP1 protein, human
  • FNIP2 protein, human
  • Protein Aggregates
  • Proto-Oncogene Proteins
  • Tumor Suppressor Proteins
  • USP7 protein, human
  • Ubiquitin-Specific Peptidase 7
  • Proteasome Endopeptidase Complex

Grants and funding

Novo Nordisk Foundation challenge programme PRISM to K.L.L., A.S. & R.H.P. The Lundbeck Foundation to A.S. & L.C. The Danish Cancer Society to R.H.P. Foundation Jochum to R.H.P. Eva & Henry Frænkels Mindefond to R.H.P. The Danish Council for Independent Research (Natural Sciences) to R.H.P. & M.L. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.