# The Copper Chaperone ATOX1 Exhibits Differential Protein–Protein Interactions and Contributes to Skeletal Myoblast Differentiation

**Authors:** Nathan Ferguson, Yu Zhang, Alexandra M. Perez, Allison T. Mezzell, Jason D. Fivush, Vinit C. Shanbhag, Michael J. Petris, Katherine E. Vest

PMC · DOI: 10.1080/10985549.2026.2621941 · 2026-03-14

## TL;DR

The study explores how the copper chaperone ATOX1 interacts with other proteins during muscle cell differentiation and how these interactions change.

## Contribution

The novel contribution is identifying dynamic ATOX1 protein interactions and their role in myoblast differentiation.

## Key findings

- ATOX1's protein interactions change significantly during myoblast differentiation.
- ATOX1 deficiency leads to distinct cellular phenotypes in proliferating and differentiated cells.
- ATOX1 interacts with ATP7A to regulate copper export during differentiation.

## Abstract

Copper is an essential but potentially toxic nutrient required for a variety of biological functions. Mammalian cells use a complex network of copper transporters and metallochaperones to maintain copper homeostasis. Previous work investigating the role of copper in various disease states has highlighted the importance of copper transporters and metallochaperones. However, questions remain about how copper distribution changes under dynamic conditions like tissue differentiation. We previously reported that the copper exporter ATP7A is required for skeletal myoblast differentiation and that its expression changes in a differentiation dependent manner. Here, we sought to further understand the ATP7A-mediated copper export pathway by examining ATOX1, the copper chaperone that delivers copper to ATP7A. To investigate the role of ATOX1 in a dynamic cellular context, we characterized its protein–protein interactions during myoblast differentiation using the proximity labeling protein APEX2 to biotinylate proteins near ATOX1. We discovered that the ATOX1 interactome undergoes dramatic changes as myoblasts differentiate. These dynamic interactions correlate with distinct phenotypes of ATOX1 deficiency in proliferating and differentiated cells. Together, our results highlight the dynamic interactome of ATOX1 and its contribution to myoblast differentiation.

## Linked entities

- **Genes:** ATP7A (ATPase copper transporting alpha) [NCBI Gene 538], ATOX1 (antioxidant 1 copper chaperone) [NCBI Gene 475]
- **Proteins:** ATOX1 (antioxidant 1 copper chaperone), ATP7A (ATPase copper transporting alpha), APEX2 (apurinic/apyrimidinic endodeoxyribonuclease 2)

## Full-text entities

- **Genes:** ATOX1 (antioxidant 1 copper chaperone) [NCBI Gene 475] {aka ATX1, HAH1}, ATP7A (ATPase copper transporting alpha) [NCBI Gene 538] {aka DSMAX, HMNX, MK, MNK, SMAX3}, APEX2 (apurinic/apyrimidinic endodeoxyribonuclease 2) [NCBI Gene 27301] {aka APE2, APEXL2, XTH2, ZGRF2}
- **Chemicals:** Copper (MESH:D003300)

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12983349/full.md

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Source: https://tomesphere.com/paper/PMC12983349