# Modulation of CREB3L2-ATF4 heterodimerization via proteasome inhibition and HRI activation in Alzheimer’s disease pathology

**Authors:** Krystal Herline-Killian, Michaela M. Pauers, Jessica E. Lipponen, Michael A. Zrzavy, Cláudio Gouveia Roque, Ethan P. McCurdy, Kyung Min Chung, Ulrich Hengst

PMC · DOI: 10.1038/s41419-025-07586-0 · 2025-03-31

## TL;DR

This study explores how protein interactions in neurons change during Alzheimer's disease and suggests a potential way to restore normal gene activity.

## Contribution

The study reveals how proteasome inhibition and HRI activation modulate CREB3L2-ATF4 heterodimerization in Alzheimer’s disease.

## Key findings

- HRI activation reduces CREB3L2 and CREB3L2-ATF4 levels in neurons.
- Proteasome inhibition increases nuclear levels of CREB3L2 and ATF4.
- HRI activation prevents transcriptional dysregulation of SNX3.

## Abstract

Alzheimer’s disease (AD) pathology includes transcriptional changes in the neurons, which are in part caused by the heterodimerization of two stress response transcription factors, CREB3L2 and ATF4. We investigated the role of proteasome inhibition and the eIF2α-kinase HRI in the formation of CREB3L2-ATF4 in neurons exposed to soluble oligomeric Aβ42. While HRI activation increased ATF4 expression, it decreased CREB3L2 and CREB3L2-ATF4 levels. Proteasome inhibition, induced by Aβ42, leads to increased levels of both transcription factors in the nucleus. These findings suggest that CREB3L2 levels are normally kept low due to rapid degradation, but proteasome inhibition in response to Aβ42 disrupts this balance, increasing CREB3L2 and heterodimer levels. Activation of HRI not only reduced CREB3L2 and heterodimer levels but also prevented the transcriptional dysregulation of a CREB3L2-ATF4 target, SNX3. Our results suggest that manipulating the HRI pathway during proteasome inhibition could help restore normal gene expression in the context of AD-related protein accumulation.

## Linked entities

- **Genes:** CREB3L2 (cAMP responsive element binding protein 3 like 2) [NCBI Gene 64764], ATF4 (activating transcription factor 4) [NCBI Gene 468], SNX3 (sorting nexin 3) [NCBI Gene 8724], EIF2A (eukaryotic translation initiation factor 2A) [NCBI Gene 83939]
- **Proteins:** EIF2AK1 (eukaryotic translation initiation factor 2 alpha kinase 1)
- **Diseases:** Alzheimer’s disease (MONDO:0004975)

## Full-text entities

- **Genes:** CREB3L2 (cAMP responsive element binding protein 3 like 2) [NCBI Gene 64764] {aka BBF2H7}, ATF4 (activating transcription factor 4) [NCBI Gene 468] {aka CREB-2, CREB2, TAXREB67, TXREB}, EIF2AK1 (eukaryotic translation initiation factor 2 alpha kinase 1) [NCBI Gene 27102] {aka HCR, HRI, hHRI}, SNX3 (sorting nexin 3) [NCBI Gene 8724] {aka Grd19, MCOPS8, SDP3}, APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, EIF2A (eukaryotic translation initiation factor 2A) [NCBI Gene 83939] {aka CDA02, EIF-2A, MST089, MSTP004, MSTP089}
- **Diseases:** AD (MESH:D000544)

## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11958753/full.md

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Source: https://tomesphere.com/paper/PMC11958753