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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title>Frontiers in Genetics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Genet.</abbrev-journal-title>
<issn pub-type="epub">1664-8021</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">898083</article-id>
<article-id pub-id-type="doi">10.3389/fgene.2022.898083</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Genetics</subject>
<subj-group>
<subject>Opinion</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Signal Recognition Particle in Human Diseases</article-title>
<alt-title alt-title-type="left-running-head">Kellogg et al.</alt-title>
<alt-title alt-title-type="right-running-head">SRP in Human Diseases</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Kellogg</surname>
<given-names>Morgana K.</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/1733444/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tikhonova</surname>
<given-names>Elena B.</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/904211/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Karamyshev</surname>
<given-names>Andrey L.</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/546451/overview"/>
</contrib>
</contrib-group>
<aff>
<institution>Department of Cell Biology and Biochemistry</institution>, <institution>Texas Tech University Health Sciences Center</institution>, <addr-line>Lubbock</addr-line>, <addr-line>TX</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/510378/overview">Maritza Jaramillo</ext-link>, Universit&#xe9; du Qu&#xe9;bec, Canada</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1052227/overview">Seyed Mehdi Jafarnejad</ext-link>, Queen&#x2019;s University Belfast, United Kingdom</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1169674/overview">Isabelle Plo</ext-link>, Inserm U1287, France</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Andrey L. Karamyshev, <email>andrey.karamyshev@ttuhsc.edu</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to RNA, a section of the journal Frontiers in Genetics</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>08</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>898083</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>03</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Kellogg, Tikhonova and Karamyshev.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Kellogg, Tikhonova and Karamyshev</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The signal recognition particle (SRP) is a ribonucleoprotein complex with dual functions. It co-translationally targets proteins with a signal sequence to the endoplasmic reticulum (ER) and protects their mRNA from degradation. If SRP is depleted or cannot recognize the signal sequence, then the Regulation of Aberrant Protein Production (RAPP) is activated, which results in the loss of secretory protein mRNA. If SRP recognizes the substrates but is unable to target them to ER, they may mislocalize or degrade. All these events lead to dramatic consequence for protein biogenesis, activating protein quality control pathways, and creating pressure on cell physiology, and might lead to the pathogenesis of disease. Indeed, SRP dysfunction is involved in many different human diseases, including: congenital neutropenia; idiopathic inflammatory myopathy; viral, protozoal, and prion infections; and cancer. In this work, we analyze diseases caused by SRP failure and discuss their possible molecular mechanisms.</p>
</abstract>
<kwd-group>
<kwd>signal recognition particle (SRP)</kwd>
<kwd>ribosome</kwd>
<kwd>disease</kwd>
<kwd>cancer</kwd>
<kwd>protein targeting and transport</kwd>
<kwd>protein sorting</kwd>
<kwd>translational control</kwd>
<kwd>protein quality control</kwd>
</kwd-group>
<contract-num rid="cn001">R01GM135167</contract-num>
<contract-sponsor id="cn001">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Many secretory and membrane proteins undergo co-translational targeting to the endoplasmic reticulum (ER) governed by the signal recognition particle (SRP). SRP is a ribonucleoprotein consisting of six protein subunits arranged on a long noncoding RNA called 7SL RNA (<xref ref-type="fig" rid="F1">Figure 1A</xref>). SRP is divided into two major domains: the Alu (7SL RNA Alu region with SRP9 and SRP14 proteins) which functions in elongation arrest; and the S or signal recognition domain (7SL RNA S region with SRP19, SRP54, SRP68, and SRP72 proteins). SRP targets proteins using a series of events called the SRP cycle (<xref ref-type="fig" rid="F1">Figure 1B</xref> Scenario 1). First, SRP recognizes signal sequences of secretory proteins upon their exposure from the ribosome during translation, leading to elongation arrest. SRP-ribosome complexes then move to the SRP receptor on the ER membrane. Finally, SRP hands over the ribosome to the SEC61 translocon and hydrolyzes GTP. SRP leaves the complex, translation elongation resumes, and the nascent polypeptide chain is translocated through the translocon into the ER lumen. The SRP cycle is reviewed in detail in (<xref ref-type="bibr" rid="B27">Kellogg et al., 2021</xref>). It is estimated that more than 30% of eukaryotic proteins are secretory or membrane proteins (<xref ref-type="bibr" rid="B52">Uhlen et al., 2015</xref>), and many of them may be targeted by SRP. Thus, defects in SRP biogenesis and mutations in SRP subunits may have pathological effects on a large number of these substrates leading to human diseases.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Signal Recognition Particle (SRP) and human diseases. <bold>(A)</bold> SRP molecular model. The picture was prepared using PyMol software (<xref ref-type="bibr" rid="B47">Schroedinger 2020</xref>). The SRP protein subunits are assembled on 7SL RNA (orange, from PDB 1RY1 (<xref ref-type="bibr" rid="B16">Halic et al., 2004</xref>)), and composed of Alu domain proteins SRP9 (magenta, from PDB 1RY1 (<xref ref-type="bibr" rid="B16">Halic et al., 2004</xref>)) and SRP14 (teal, from PDB 1RY1 ( <xref ref-type="bibr" rid="B16">Halic et al., 2004</xref>)); and S-domain proteins: SRP72 (purple, from PDB 5WRW (<xref ref-type="bibr" rid="B13">Gao et al., 2017</xref>)), SRP68 (light blue, from PDB 5WRV and 4P3F (<xref ref-type="bibr" rid="B15">Grotwinkel et al., 2014</xref>; <xref ref-type="bibr" rid="B13">Gao et al., 2017</xref>)), SRP19 (green, from PDB 1RY1 (<xref ref-type="bibr" rid="B16">Halic et al., 2004</xref>)), and SRP54 (dark blue, from PDB 1MFQ and 1RY1 (<xref ref-type="bibr" rid="B30">Kuglstatter et al., 2002</xref>; <xref ref-type="bibr" rid="B16">Halic et al., 2004</xref>)). <bold>(B)</bold> SRP cycle and possible dysregulation. Scenario 1&#x2013;During normal biogenesis, secretory proteins are recognized by SRP (orange crescent) during their synthesis on ribosome (violet ovals). SRP binds N-terminal signal sequence of the nascent polypeptide chain of secretory protein (chain of colored circles), pauses the translation and targets ribosome-nascent chain complex to SRP receptor (dark grey) in ER membrane. Interactions between SRP and SRP receptor lead to transfer of paused ribosomes to the translocon (brown cylinder) followed by release of SRP and continuation of protein synthesis. The nascent chain is translocated through the ER membrane into the lumen for further transport and modifications. Scenarios 2&#x2013;5 are schematic presentations of events occurring when SRP pathway is defective. Scenario 2&#x2013;A mutation in the hydrophobic part of the N-terminal signal sequence leads to loss of interactions with SRP and induction of Regulation of Aberrant Protein Production (RAPP) and secretory protein mRNA degradation. Scenario 3&#x2013;Lack of SRP subunit induces RAPP. Pathology of antibodies against SRP may also lead to interference with functional SRP complex assembly potentially resulting in RAPP. Mutations in SRP subunits may lead to two possible scenarios&#x2013;if they interfere with SRP binding to nascent chain, they may potentially induce RAPP (Scenario 4); if mutations in SRP subunits do not affect SRP recognition but interfere with SRP binding to SRP receptor, they may impact protein targeting (Scenario 5). Possible dysregulation events, described here, may cause the defects in expression or transport of secretory and membrane proteins in mammalian cells. <bold>(C)</bold> Clinical SRP54 mutations. Mutations in SRP54NG domain (marked in red) shown in proximity to the SRP receptor SR&#x3b1; subunit. <bold>(D)</bold> Clinical SRP68 and SRP72 mutations. Mutations are marked in red, binding domains of SRP68 and SRP72 are in light blue and purple, respectively. Illustrations in <bold>C</bold> and <bold>D</bold> were made by using PyMol software, PDB for SR&#x3b1; is 5L3Q (<xref ref-type="bibr" rid="B56">Wild et al., 2016</xref>), coordinates for SRP proteins and references are presented in <bold>(A)</bold>. References for the mutations are presented in the main text. <bold>(E)</bold> SRP proteins and 7SL RNA in cancer regulation. The tumor suppressor protein p53 controls cellular growth by inducing apoptosis if DNA damage is detected. However, p53 function or activity is reduced in cancer cells which allows them to propagate. FOXP3, a master regulator of T-cells, and PRC subunits SUZ12 and EZH2 inhibit the transcription of 7SL RNA, preventing its abnormal expression to downregulate p53. In some cancers, the Notch/Myc transcriptional signal cascade positively regulates RNA pol III (green), which upregulates transcription of 7SL RNA. 7SL RNA binds the 3&#x2032;-UTR of p53, preventing the interaction with HuR, a positive regulator of p53, and, thus, inhibiting p53 activity. 7SL RNA also activates RIG-1, which stimulates a type-1 interferon pathway. In cervical cancer, SRP proteins SRP19, SRP54, SRP68 abnormally attenuate p53. All these events induce cancer progression.</p>
</caption>
<graphic xlink:href="fgene-13-898083-g001.tif"/>
</fig>
<p>When SRP cannot recognize the signal sequence due to mutations decreasing its hydrophobicity, it induces a quality control mechanism called the Regulation of Aberrant Protein Production (RAPP) (<xref ref-type="bibr" rid="B23">Karamyshev et al., 2014</xref>; <xref ref-type="bibr" rid="B22">Karamyshev and Karamysheva 2018</xref>) (<xref ref-type="fig" rid="F1">Figure 1B</xref>, Scenario 2). We established that RAPP is pathologically activated by signal sequence defects associated with a number of human diseases: aspartylglucosaminuria (aspartylglucosaminidase), Norrie disease (Norrie disease protein), hypoparathyroidism (parathyroid hormone), frontotemporal lobar degeneration (granulin), and many others (<xref ref-type="bibr" rid="B42">Pinarbasi et al., 2018</xref>; <xref ref-type="bibr" rid="B25">Karamysheva et al., 2019</xref>; <xref ref-type="bibr" rid="B51">Tikhonova et al., 2019</xref>; <xref ref-type="bibr" rid="B24">Karamyshev et al., 2020</xref>). RAPP results in mRNA degradation of secretory proteins that have mutations reducing hydrophobicity of signal sequences demonstrating a novel type of molecular basis for multiple diseases (<xref ref-type="bibr" rid="B24">Karamyshev et al., 2020</xref>). Interestingly, we discovered that the loss of the SRP54 subunit of SRP also induces RAPP (<xref ref-type="bibr" rid="B23">Karamyshev et al., 2014</xref>; <xref ref-type="bibr" rid="B42">Pinarbasi et al., 2018</xref>; <xref ref-type="bibr" rid="B51">Tikhonova et al., 2019</xref>) (<xref ref-type="fig" rid="F1">Figure 1B</xref>, Scenario 3). These observations suggest that mutations in SRP54 or other subunits that affect their functions may also trigger RAPP (<xref ref-type="fig" rid="F1">Figure 1B</xref> Scenario 4). Dysfunction may also occur when SRP cannot bind to the SRP receptor (<xref ref-type="fig" rid="F1">Figure 1B</xref> Scenario 5), and therefore the ribosome cannot reach the translocon. In this work, we analyze and discuss SRP involvement in multiple types of diseases, including hematological disorders (congenital neutropenia, anemia, others), auto-immunity, neurological diseases, cancer, and possible molecular mechanisms.</p>
<sec id="s1-1">
<title>Signal Recognition Particle in Hematological Diseases</title>
<p>SRP54 and SRP72 harbor autosomal-dominant mutations, which cause different types of hematological diseases (<xref ref-type="bibr" rid="B29">Kirwan et al., 2012</xref>; <xref ref-type="bibr" rid="B4">Bellanne-Chantelot et al., 2018</xref>). Patients with SRP54 heterozygous mutations exhibit neutropenia (low number of neutrophils), transient moderate anemia, frequent infections, and skeletal abnormalities. Eight different SRP54 G-domain autosomal dominant mutations were identified, as shown in <xref ref-type="fig" rid="F1">Figure 1C</xref> (<xref ref-type="bibr" rid="B9">Burwick et al., 2012</xref>; <xref ref-type="bibr" rid="B10">Carapito et al., 2017</xref>; <xref ref-type="bibr" rid="B4">Bellanne-Chantelot et al., 2018</xref>; <xref ref-type="bibr" rid="B21">Juaire et al., 2021</xref>; <xref ref-type="bibr" rid="B48">Schurch et al., 2021</xref>). Some of these mutations (about 13% of patients) mimic the pathology associated with Schwachman-Diamond syndrome. Regardless of the mutation locations in G-domain they dramatically reduce granulocyte differentiation (<xref ref-type="bibr" rid="B4">Bellanne-Chantelot et al., 2018</xref>). Three mutations have been studied in detail: T115A, T117del, and G226E; they affect SRP54 protein stability and GTPase activity leading to ER stress, UPR activation with insufficient XBP1 splicing and aberrant protein translation (<xref ref-type="bibr" rid="B10">Carapito et al., 2017</xref>; <xref ref-type="bibr" rid="B4">Bellanne-Chantelot et al., 2018</xref>; <xref ref-type="bibr" rid="B21">Juaire et al., 2021</xref>; <xref ref-type="bibr" rid="B48">Schurch et al., 2021</xref>). It was also shown that SRP54 mRNA expression was reduced in patients&#x2019; bone marrow (<xref ref-type="bibr" rid="B10">Carapito et al., 2017</xref>). Although the exact molecular mechanisms behind congenital neutropenia caused by mutations in SRP54 is still not completely understood, they may be connected with defects in protein targeting caused by reduced GTPase activity; or in some cases by inducing RAPP when SRP54 expression is affected, though there is no experimental data so far. Each studied mutation causes a similar pathology&#x2013;yet the mechanism may be different in each of the eight mutations. The mutation G226E may interfere with packing necessary for interaction between SRP54 and SR&#x3b1;.</p>
<p>Abnormalities in SRP72 also cause a bone marrow pathology. SRP72 heterozygous mutant patients exhibit deafness and aplastic anemia, where immature bone marrow cells become deformed and non-functional (<xref ref-type="bibr" rid="B29">Kirwan et al., 2012</xref>). The SRP72 mutation T355Kfs<sup>&#x2217;</sup>19 causes synthesis of a truncated protein, inhibiting the binding of SRP72 to 7SL RNA and SRP68. This truncation likely affects export from the nucleus, ribosome binding, and the ability to target proteins to the ER. The R207H mutation may disrupt the protein binding interface between SRP72 and SRP68 or SRP54 impacting the targeting of proteins to the ER. Also, it is still unknown why R207H and T355Kfs<sup>&#x2217;</sup>19 mutations cause milder forms of aplasia and myelodysplasia in mice than in humans (<xref ref-type="bibr" rid="B12">D&#x27;Altri et al., 2019</xref>). Recently, SRP68 with A50Ffs<sup>&#x2217;</sup>52 has also been shown to cause congenital neutropenia, and likely causes a loss in binding 7SL RNA and subsequent protein targeting problems (<xref ref-type="bibr" rid="B46">Schmaltz-Panneau et al., 2021</xref>). The SRP72 mutations V53I and Y86C, and the SRP68 mutation F590L (as shown in <xref ref-type="fig" rid="F1">Figure 1D</xref>) also inhibit targeting of proteins to the ER and have been observed in cancer (<xref ref-type="bibr" rid="B13">Gao et al., 2017</xref>).</p>
</sec>
<sec id="s1-2">
<title>Signal Recognition Particle in Autoimmunity</title>
<p>Autoimmunity also has a link to SRP and protein targeting. Anti-SRP antibodies are prevalent in immune-mediated necrotizing myositis (IMNM), an autoimmune rheumatological disease with a incidence of 17&#x2013;45% of all patients with idiopathic inflammatory myopathies (IIM) (<xref ref-type="bibr" rid="B55">Watanabe et al., 2016</xref>). IIM itself has an incidence of 2 in 100,000 (<xref ref-type="bibr" rid="B49">Smoyer-Tomic et al., 2012</xref>). IMNM (or anti-SRP IIM) clinically presents with myopathy, endomysial fibrosis, and necrosis (<xref ref-type="bibr" rid="B41">Nakashima 2018</xref>; <xref ref-type="bibr" rid="B37">Christopher-Stine et al., 2022</xref>). Anti-SRP antibodies are associated with chronic disease and aggressive and severe myopathy with little control with immunosuppressants and glucocorticoids (<xref ref-type="bibr" rid="B38">Targoff 2021</xref>; <xref ref-type="bibr" rid="B37">Christopher-Stine et al., 2022</xref>). Only four antibodies against SRP have been associated with necrotizing myopathy&#x2013;anti-SRP19, anti-SRP54, anti-SRP72, and anti-7SL RNA (<xref ref-type="bibr" rid="B45">Satoh et al., 2005</xref>; <xref ref-type="bibr" rid="B44">Romisch et al., 2006</xref>; <xref ref-type="bibr" rid="B3">Apiwattanakul et al., 2016</xref>; <xref ref-type="bibr" rid="B54">Wang et al., 2016</xref>). Anti-SRP19 auto-antibodies are the most common cause of necrotizing myopathy and are suspected to be a factor in the pathogenesis of anti-SRP IIM (<xref ref-type="bibr" rid="B54">Wang et al., 2016</xref>).</p>
<p>The mechanism behind the pathogenesis of anti-SRP antibody linked IMNM is largely unknown. It has been demonstrated that anti-SRP54 antibodies significantly impair protein targeting to ER <italic>in vitro</italic> (<xref ref-type="bibr" rid="B44">Romisch et al., 2006</xref>). It is still enigmatic how SRP subunits are subject to immune system destruction. Anti-SRP antibodies are involved with the complement cascade C3 convertase and paraneoplastic syndrome, hinting that presentation of SRP subunits (or fragments thereof) to CD5<sup>&#x2b;</sup> B-cells or CD4<sup>&#x2b;</sup> T-cells may be a factor in pathogenesis (<xref ref-type="bibr" rid="B53">Utz et al., 1998</xref>; <xref ref-type="bibr" rid="B2">Acciavatti et al., 2013</xref>; <xref ref-type="bibr" rid="B6">Bergua et al., 2019</xref>). However, it is still unclear whether phosphorylation, caspase cleavage, or some other mechanism mediates autoimmunity to SRP.</p>
<p>Lastly, SRP19 is involved in another rheumatological disease called Kashin-Beck. SRP19 is upregulated in Kashin-Beck disease, an osteochondropathy that causes the death of cartilage cells (<xref ref-type="bibr" rid="B59">Zhang et al., 2018</xref>). Dysfunction could be due to the dysregulation of SRP19; either too much (in Kashin-Beck) or too few (in anti-SRP IIM) causes diseases.</p>
</sec>
<sec id="s1-3">
<title>Signal Recognition Particle in Neurological, Neurodegenerative, and Infectious Diseases</title>
<p>Defects in signal sequence recognition and protein targeting are also connected with neurodegenerative diseases. Thus, mutations in granulin signal sequence associated with frontotemporal lobar degeneration inhibit interaction with SRP54 leading to granulin mRNA degradation implicating pathological RAPP activation in the disease (<xref ref-type="bibr" rid="B42">Pinarbasi et al., 2018</xref>; <xref ref-type="bibr" rid="B25">Karamysheva et al., 2019</xref>). SRP also plays a role in alpha-synuclein biogenesis and in Parkinson&#x2019;s disease, although the mechanism is still unknown (<xref ref-type="bibr" rid="B18">Hernandez et al., 2021</xref>). There are indications that upregulated SRP9 causes mesial temporal lobe epilepsy (<xref ref-type="bibr" rid="B19">Hessel et al., 2014</xref>). SRP9 and SRP14 are also major components of stress granules, and interact with neuronal BC200 (<xref ref-type="bibr" rid="B57">Xiao et al., 2012</xref>; <xref ref-type="bibr" rid="B5">Berger et al., 2014</xref>). BC200 is involved in translational regulation in dendrites (<xref ref-type="bibr" rid="B28">Khanam et al., 2007</xref>; <xref ref-type="bibr" rid="B39">Mus et al., 2007</xref>; <xref ref-type="bibr" rid="B57">Xiao et al., 2012</xref>; <xref ref-type="bibr" rid="B8">Booy et al., 2021</xref>), and dysregulation of BC200 has been shown in Alzheimer&#x2019;s patients (<xref ref-type="bibr" rid="B39">Mus et al., 2007</xref>). SRP9 has also been shown to be associated with plaque formation in Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="B33">Li and De Muynck 2021</xref>), suggesting there could be a causal link between BC200, SRP9, and the pathogenesis of Alzheimer&#x2019;s disease.</p>
<p>Additionally, 7SL RNA, the scaffold of SRP, is connected to viral, protozoal, and prion infections. HIV recruits and processes 7SL RNA in cells and packages it in virions as a remnant without the SRP54 protein component (<xref ref-type="bibr" rid="B26">Keene et al., 2010</xref>). The 7SL RNA interacts with Gag, a viral membrane protein family that mediates assembly, maturation, and release of virions and nucleocapsid proteins (<xref ref-type="bibr" rid="B20">Itano et al., 2018</xref>). 7SL RNA is also an indicator of an active trypanosomiasis infection and an attractive target for inhibition (<xref ref-type="bibr" rid="B11">Chiweshe et al., 2019</xref>). Lastly, the prion PrP interacts and depletes 7SL through RNA-binding domains in scrapie, a sheep neurodegenerative disease (<xref ref-type="bibr" rid="B14">Gomes et al., 2008</xref>; <xref ref-type="bibr" rid="B31">Lathe and Harris 2009</xref>).</p>
</sec>
<sec id="s1-4">
<title>Signal Recognition Particle in Cancer</title>
<p>SRP is a factor implicated in cancer progression. Cancer is marked by ten hallmarks: sustained proliferation, evading growth suppression, avoidance of the immune system, cell immortality, inflammation, invasion and metastasis, angiogenesis, mutability, anti-apoptotic measures, and deregulation of cell energetics (<xref ref-type="bibr" rid="B17">Hanahan and Weinberg 2011</xref>). Cancer-related mutations and dysregulation of SRP in various types of cancer have caused a number of these hallmarks.</p>
<p>One of the most common mechanisms of cancer is to deactivate the tumor suppressor p53; this occurs through mutations, deletions, or attenuating the protein. p53 suppression protects cancer cells from destruction by apoptosis and evades the growth checkpoint between G1 and S phases. SRP19, SRP54, and SRP68 attenuate the p53 protein. It was shown in cervical cancer that the SRP subunits SRP19, SRP54, and SRP68 interact with p53 and decrease the number of copies of p53 available (<xref ref-type="bibr" rid="B1">Abdelmohsen et al., 2014</xref>). Additionally, 7SL RNA, the RNA pol III transcribed structural backbone of SRP, directly interacts with the 3&#x2019; UTR of p53 through putative binding sites that out-competes binding by HuR, a positive regulator of p53 (<xref ref-type="bibr" rid="B1">Abdelmohsen et al., 2014</xref>). However, tumor FOXP3 indirectly activates p53 by suppressing 7SL activity (<xref ref-type="bibr" rid="B58">Yang et al., 2016</xref>), suggesting a mechanism of interplay between the three proteins. Further studies have shown breast cancer Polycomb repressive complex (PRC), with subunits EZH2 and SUZ12, suppresses 7SL transcription by H3K27 triple methylation at the 7SL promoter (<xref ref-type="bibr" rid="B35">Liu et al., 2015</xref>). <xref ref-type="fig" rid="F1">Figure 1E</xref> illustrates the intricate relationship between SRP proteins and 7SL RNA and cancer.</p>
<p>SRP dysfunction in cancer can also cause invasion and metastasis, promotes inflammation, avoids immune system destruction, and has anti-apoptotic measures. When SRP9 and SRP14 are absent from the 7SL RNA Alu-domain in triple-negative breast cancer, it increases metastasis and activates RIG-1, a pattern recognition receptor usually reserved for viral infections (<xref ref-type="bibr" rid="B40">Nabet et al., 2017</xref>). RIG-1 causes an interferon response, which increases inflammation and metastasis in breast cancer, and drives therapy resistance (<xref ref-type="bibr" rid="B7">Boelens et al., 2014</xref>). 7SL RNA&#x2019;s role in other types of cancer is unknown, and, likely, the suppression of p53 by 7SL is also driving tumorigenesis in triple-negative breast cancer.</p>
<p>SRP subunits could be predictive markers of cancer, though only SRP9 and SRP14 have been investigated as prognostic tools. Colorectal cancer upregulates adenosine-to-inosine RNA editing enzymes which edit the mRNA of SRP9 causing upregulation and indicating SRP9 can be used as a prognostic marker in these cancers (<xref ref-type="bibr" rid="B43">Rho et al., 2008</xref>; <xref ref-type="bibr" rid="B32">Lee et al., 2017</xref>). SRP9 has been discovered as an aberrant fusion gene with epoxide hydrolase 1 in Non-Hodgkin&#x2019;s lymphoma (<xref ref-type="bibr" rid="B36">Matsumoto et al., 2021</xref>). SRP14 is a diagnostic marker in hepatocellular cancer (<xref ref-type="bibr" rid="B34">Li et al., 2021</xref>).</p>
</sec>
</sec>
<sec sec-type="discussion" id="s2">
<title>Discussion</title>
<p>Multiple human diseases are associated with SRP defects. Different disorders involve deficiencies/mutations in distinct SRP protein subunits or in its non-coding RNA. Defects or association with diseases are demonstrated for all SRP subunits suggesting multiple molecular mechanisms for different disorders. Some of them may be associated with inefficiency of protein targeting and transport as a consequence of defects in GTPase activity, decrease in association with the SRP receptor and translocon, or other disruptions. Other diseases may be associated with reduced recognition of signal sequences by SRP, thus triggering the pathological activation of the RAPP pathway and its following mRNA degradation of secretory proteins. While all SRP subunits are important for the complex functioning, the SRP54 subunit interacts with signal sequences directly, thus, aberrant SRP54 is the most likely candidate for activation of RAPP. Since congenital neutropenia involves mutations in SRP54, it is possible that one of the mechanisms of disease is the activation of RAPP at least in part (<xref ref-type="fig" rid="F1">Figure 1B</xref> Scenario 4). However, we would like to acknowledge that RAPP activation is still speculative since the mutations are not directly localized in the signal recognition domain of SRP54. In IMNM, antibodies are attacking the SRP proteins themself. Thus, if SRP54 is depleted because of degradation by the immune system, then RAPP could be activated (<xref ref-type="fig" rid="F1">Figure 1B</xref> Scenario 3). Depletion of SRP19 may affect the binding interface on 7SL RNA for SRP54, which could induce RAPP and cause the depletion of secreted proteins in the extracellular matrix. 7SL involvement in disease is more esoteric; it may be activating RAPP with its dysregulation in SRP complex, but 7SL RNA also has SRP-independent functions and could be causing completely different mechanisms of disease (<xref ref-type="bibr" rid="B50">Talhouarne and Gall 2018</xref>).</p>
</sec>
</body>
<back>
<sec id="s3">
<title>Author Contributions</title>
<p>AK contributed to conceptualization; MK and AK wrote the manuscript; all authors discussed and edited the manuscript; MK and ET designed and prepared the figure. All authors agreed and approved the final version of the manuscript for publication.</p>
</sec>
<sec id="s4">
<title>Funding</title>
<p>This work was supported by the National Institute of General Medical Sciences of the National Institutes of Health under award number R01GM135167. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.</p>
</sec>
<sec sec-type="COI-statement" id="s5">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s6">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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