Introduction
A paradigm shift in the etiology of obesity occurred when it became clear that low-grade metabolic inflammation was detected in several brain regions, particularly in the arcuate nucleus (ARC) of the hypothalamus even before the onset of obesity. The ARC of the hypothalamus is a key regulatory center for the whole-body energy homeostasis and feeding behavior and transmits signals between the periphery and the central nervous system (CNS) [
1]. The two functionally opposing neuronal subpopulations consisting of pro-opiomelanocortin (POMC) and neuropeptide Y/agouti-related protein (NPY/AgRP) neurons in the ARC integrate peripheral and central inputs and communicate with their downstream effectors through various secreted proteins for the maintenance of organismal energy balance [
1,
2]. In the low-energy state, some gut-derived hormones, such as ghrelin, activate orexigenic NPY/AgRP neurons, which stimulate food intake and suppress energy expenditure [
3]. In contrast, in the excess energy state, nutrient-related hormones, such as leptin and insulin, activate anorexigenic POMC neurons, which enhance energy expenditure while decreasing food intake [
4,
5]. POMC, which is expressed as a precursor, undergoes a series of posttranslational cleavages, resulting in the secretion of biologically active neuropeptides (such as α/β-melanocyte-stimulating hormone (α/β-MSH), adrenocorticotropic hormone (ACTH), and β-endorphin) [
6] in addition to fast neurotransmitters such as γ-aminobutyric acid (GABA) [
7]. These neuropeptides play important roles in various physiological processes, including microglial inflammation [
8], pigmentation [
9], stress response, and energy balance [
10,
11]. POMC neurons project specifically to the paraventricular (PVH) and dorsomedial (DMH) nuclei of the hypothalamus, the lateral hypothalamic area (LHA) [
7,
12] and the medial amygdala [
13]. POMC neuron-derived neuropeptides bind to their cognate receptor, melanocortin 4 receptor (MC4R), on these neuronal subpopulations, thereby inducing signaling cascades to maintain energy homeostasis.
Salt inducible kinase 2 (SIK2), an AMP-activated protein kinase (AMPK) family member, is highly expressed in adipose tissue and the liver [
14] and plays a pivotal role in glucose and lipid metabolism [
15]. Previous studies have emphasized the possible modulatory functions of SIK2 in neuronal survival [
16] and proteinopathy-related diseases [
17]. SIK2 reduces the nuclear translocation of target of rapamycin (TOR) complex-2 (TORC2) and corticotropin-releasing hormone (CRH) transcription in the hypothalamic neurons of rats in a stress-dependent manner [
18]. SIK2 contributes to insulin secretion in pancreatic beta cells by promoting calcium influx via Voltage-dependent calcium channels [
19]. SIK2 and SIK3 were implicated in macrophage polarization and secretion of inflammatory cytokines in monocytes and must cells, respectively [
20,
21]. SIK2-mediated phosphorylation of valine-containing protein (VCP)/p97 upregulates endoplasmic reticulum-associated degradation (ERAD)-mediated degradation and autophagy [
22]. Autophagosomes are known to participate in the secretion of leaderless proteins, although the molecular mechanisms related to vesicular diversification between autophagosomes and the secretion of vesicles have yet to be elucidated.
The total secretome, a collection of proteins secreted or shed by cells, plays a central role in many biological processes and shapes the microenvironment of cells [
23]. The content of the neuronal secretome plays a crucial role in neuroprotection, neurodegeneration, and signal transmission in health and disease conditions [
24], such as Parkinson's disease [
25] and amyotrophic lateral sclerosis (ALS) [
26], underscoring its therapeutic potential. Hypothalamic inflammation is characterized by an abrupt surge of chemokines, including fractalkine (CXC3CL1), monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and a few others, which act on POMC neurons by altering their secreted neuropeptides and neurotransmitters, neurotransmitters, which further aggravates the inflammatory state culminating in POMC-mediated dysregulation of food intake and energy expenditure [
27,
28]. Although controversial data exist for the cellular origin and significance of hypothalamic inflammation in obesity development, future design centrally acting anti-obesity drugs will most likely target the specific links between the neurons of the feeding circuitry via their secreted neuropeptides and/or neurotransmitters.
Earlier reports have demonstrated that low-grade metabolic inflammation in the hypothalamic arcuate nucleus of obese animal models can alter the expression of anorectic POMC and thereby its derivative neuropeptides, altering the feeding behavior and energy metabolism of the organism [
29]. In vivo studies with obese animal models (DIO) have demonstrated a correlation between hypothalamic inflammation and ER stress and the lipid content of a high-fat diet (HFD) [
30]. In our
in vitro model system we primarily aimed at probing the effects of chemically induced ER stress and its downstream effector kinase SIK2 on POMC secretome to avoid compounding effects associated with the use of physiologically relevant palmitate [
31]. In this study, our strategy was to elucidate SIK2-mediated changes in the ER-stressed POMC secretome that may contribute to disease etiopathogenesis. In the end, these neuropeptides may provide therapeutically invaluable targets for the treatment of obesity and associated diseases.
3. Results
3.1. Establishment of the POMC Model for Comparative Secretome Analyses
POMC neurons are the primary target of hypothalamic inflammation in diet-induced obese animal models and human subjects. Chronic exposure to dietary saturated fatty acids (SFAs) in these model organisms results in persistent ER stress and diminished autophagy flux in POMC neurons, which are repeatedly associated with neuronal loss and/or the development of leptin and insulin resistance. Taken together, the early activation of SIK2 in ER-stressed POMCs and its positive regulatory roles in ERAD and autophagy encouraged us to determine whether the regulatory role of SIK2 in these biological processes, which are tightly associated with the vesicular secretion machinery, has any effect on the cell secretome. To gain further mechanistic insight into the systemic effect of SIK2 on organismal energy homeostasis and feeding behavior, we sought to identify proteins responsible for the secretome of ER-stressed POMCs, the most salient feature of hypothalamic obesity. To achieve this goal, we designed an LC-MS/MS-based differential secretome study of the conditioned media of ER-stressed POMCs lacking or overexpressing SIK2. Prior to the start of comparative secretomic studies, the efficiency of SIK2 knockdown and overexpression in POMCs and their responsiveness to thapsigargin were confirmed by immunoblotting using specific antibodies (
Figure 1A and C). SIK2 appears to be a highly sensitive ER stress sensor because it responded instantaneously to thapsigargin treatment, with its active form reaching a maximum in 15 min and decreasing sharply below the control level within 3 hours despite persistent stress induction and remaining relatively unchanged thereafter (
Figure 1B). For the secretomics studies, cultured POMC cells with either endogenous, over, or underexpressed SIK2 were exposed to thapsigargin for 6 or 12 hours in the absence of serum. Secretomes subjected to 24 hours of ER stress induction were excluded from the data analyses due to the reduced proliferation and viability of the neurons (
Supplementary Figure S1A). The percentage of viable cells present in serum-containing and serum-free cultures did not exhibit a statistically significant difference. Cell viability was persistently sustained at a level exceeding 90% (
Supplementary Figure S1B). Also, a notable effect on cell viability or proliferation was not observed with SIK2 manipulation. The respective secretomes were collected from the conditioned media via a serial centrifugation. For the confirmation of secretome purity, immunoblotting for β-actin and α-tubulin cytoplasmic proteins was performed on secretome samples and full proteomes. A small amount of β-actin was detected in the secretome samples compared to the total lysate (
Figure 1D). Although a 12-hour time window is a commonly used interval that allows cells to synthesize their de novo secretomes, we also collected secretomes at 6 hours post-ER stress induction to more accurately represent changes attributable to SIK2 activity (peak level in the initial 30 minutes) in the resulting secretome. (
Figure 1B). Furthermore, corroborating reports have indicated that cultured cells can produce a secretome effectively and at sufficient levels within 6 hours following treatment with pharmacological agents [
45].
3.2. LC-MS/MS-Based Analysis of POMC Secretomes
The secretome samples were analyzed by one-dimensional gel electrophoresis (1DE) and SYPRO-Ruby staining prior to mass spectrometry analysis. As anticipated, the buildup effect on the total secretome was noticeable at 12 hours of ER stress induction. The differential expression of some secreted proteins could even be spotted on the gel by the naked eye (
Supplementary Figure S1C). We detected 1306 total proteins that matched the Mus musculus protein databank with an FDR above 0.05 and a confidence interval ranging from medium to high. Among these proteins, 149 were soluble secreted proteins, 12 were shed proteins, and the rest were intracellular proteins. To detect low abundance proteins, we used msAmanda and spectral clustering, which led to the identification of additional proteins, resulting in a final list of 885 soluble and secreted, 144 shed proteins (
Figure 2A). Based on the LFQ abundance intensities, a heatmap was constructed, and subsequently, we applied clustering methodology to these 1029 proteins (885 soluble secreted and 144 shed) whose secretion
were either increased or decreased together with respect to the SIK2 and ER stress variables. These hierarchical clusters of the POMCs secretome presented on the heatmap indicate differentially regulated proteins affected by SIK2 availability in the background of 6 and 12 hours of ER stress conditions to differentiate the early and late response proteins relative to control in the secretome, respectively (
Figure 2B and C). In the absence of ER stress, SIK2 overexpression produced the most significant (≥ 2-fold) increase in a group of related proteins (cluster 3) compared to SIK2 knockdown or control cells (
Figure 2B). However, in response to 6 hours of ER stress induction, significant increases of at least two-fold in the secreted proteins listed in clusters 5 and 6 were detected in SIK2 knockdown cells compared to both control and SIK2 overexpression. That is ER stress-mediated SIK2 activation in POMCs suppresses the level of these proteins, especially during the early phase of ER stress response (
Figure 2C). The comparative analyses of heatmap clusters revealed that SIK2 plays a pivotal role in regulating the secretion of proteins, particularly in the extracellular matrix, immune response, axon guidance and neurite outgrowth, and feeding behavior related terms and pathways. These findings were exclusively observed in the early phase (6 h) of the ER stress response and appear to be discharged from this duty by the implementation of late (12 h) ER stress. Although the observed fluctuations between the 6-hour and 12-hour time points in the control group in the absence of stress may be attributed to the potential effects of serum starvation, there is no statistically significant differences were calculated according to LFQ-based analysis. On the other hand, the data showed that the proportion of differentially secreted proteins showing an increase at the 6-hour time point was greater than that observed at the 12-hour time point for both SIK2 knockdown and overexpressing cells compared to the control. (
Supplementary Figure S2). For example, SIK2 overexpression produced a broader (~70%) yet contrasting incremental effect on these secreted proteins in clusters under no stress conditions (
Supplementary Figure S2C). Taken together, the data presented suggest that the effect of SIK2 on the POMC secretome is limited to the early phase of the ER stress response and is manifested by its ability to suppress various biological processes.
3.3. Functional Enrichment of the SIK2 and ER Stress-Derived Secretome
Functional enrichment analyses were performed on gene lists obtained from the hierarchically clustered proteins (Cluster 1-6) of the heatmap with respect to the SIK2 and ER stress variables using ShinyGO for analysis and identification of functional pathways and biological processes with the highest confidence (FDR < 0,05) (
Figures 2B and 2C). In parallel, four clusters (Cluster 2 and 3, and Cluster 4 and 5) exhibit the SIK2 effect with greater discernibility on the heat map and have been assigned lower FDR values by ShinyGO and were transferred to ClueGO, a Cytoscape plug-in for further analysis. The nonredundant biological terms in the functionally grouped networks were evaluated using the Gene Ontology (Biological Process, Molecular Function, and Cellular Component), KEGG, Reactome, and WikiPathways databases of ClueGo (
Figure 3 and
Figure 4).
The majority of secreted proteins are associated with cellular processes, including the cellular response to external stimuli and biological regulation of the extracellular matrix. However, the percentage distribution of secreted proteins among the functionally related groups seemed to be significantly affected by SIK2 manipulations under physiological and ER stress conditions (Figures 3A and 4A). In agreement with its systemic knockout phenotype, anti-inflammatory effects on macrophages, and cell survival effects on neurons and microglia, the effects of SIK2 on the identity and quantity of secreted proteins revealed the enrichment of functionally associated neuropeptides related to feeding behavior, cellular stress, and immune response, as well as neuron maturation and axon guidance in the absence of ER stress (Figure 3B). Furthermore, the secretion of chemotactic, inflammatory, appetite, and protein folding-associated proteins was altered by SIK2 under ER stress conditions (Figure 4B). Based on the LFQ abundance ratios, we identified 35 SIK2-regulated secreted proteins from the networks that are associated with obesity and feeding behavior, inflammation, and axon guidance and neurite outgrowth pathways (see Table 2 and Supplementary Table S1 for the complete lists).
Upon analysis of these proteins, interestingly, during the early phase of the ER stress response (6 hr), a group of proteins related to feeding and energy homeostasis, including growth/differentiation factor 15 (Gdf15), Serpinc1, amyloid precursor protein (App), TIMP metallopeptidase inhibitor 1 and 2 (Timp1 and Timp2), were significantly increased in the secretome of SIK2-knockdown neurons. Surprisingly, a similar effect was reproduced, albeit to a slightly greater extent, by overexpressing SIK2 only in the absence of ER stress induction. This finding is compatible with the idea that SIK2 controls the level of these POMC-derived neuropeptides to communicate with cells in their immediate surroundings and with secondary neurons in the feeding circuitry under both physiological and early ER stress conditions. Conversely, one of the members of this group, calreticulin (Calr) decreased in SIK2-deficient POMCs in response to early ER stress induction, and this effect was reversed upon SIK2 overexpression, indicating differential regulation of counteracting factors within the same group (Table 2, see the obesity and feeding behavior group, red colored).
In addition, the secretion of axon guidance-related proteins, namely, perlecan (Hspg2), dickkopf-like protein 1 (Dkkl1), cathepsin B (Ctsb), matrilin-4 (Matn4) and nidogen-1 (Nid1) were induced collectively in the secretome of SIK2-depleted cells in response to early ER stress induction, and similar to SIK2 overexpression in feeding and obesity-related group, SIK2 overexpression increased the secretion of these proteins in a stress-independent manner, except for Dkkl1. In contrast to the general trend of other members of the group, the Dkkl1 level decreased with SIK2 overexpression during the early ER stress response (Table 2, see the axon guidance and neurite outgrowth group, green colored).
The third group of secreted proteins, which are tightly controlled by SIK2 under physiological and early ER stress conditions, belongs to the proinflammatory cytokine and chemokine family. In fact, following early ER stress induction, the expression profiles of members of this inflammatory gene group were similar to previously mentioned ones. The levels of macrophage migration inhibitory factor (Mif), annexin A1 (Anxa1), fraktalkine (Cx3cl1), and granulin (Grn) in this inflammatory group were consistently and significantly upregulated in secretome POMCs lacking SIK2 upon early ER stress induction. As noted for the members of the former two groups, SIK2 had a positive effect on the levels of three inflammatory secreted proteins, Mif, Grn and Cx3cl1 in the absence of ER stress but negatively regulated Anxa1 under early ER stress conditions (Table 2, see the inflammation group, blue colored).
As a general trend, the levels of all these proteins listed in the three groups are confined to the early phase of the ER stress response by stress-activated SIK2, and its deactivation during the late ER stress period releases these molecules, which apparently marks the end of the cell survival period (
Supplementary Table S1). Furthermore, functional enrichment analysis of differentially secreted proteins grouped into clusters 2 and 4 (
Figure 2B and 2C) revealed a concerted effort to activate the major survival-related PI3K-AKT pathway during the early phase of the ER stress response [
46] (
Supplementary Figure S3), whereas death-related CHOP signaling emerged as the activity of SIK2 decreased in response to prolonged ER stress induction [
47].
3.4. Protein-Protein Interaction Network Analyses
A list of POMC-derived secreted proteins regulated by SIK2 during the early phase of the ER stress response was directly uploaded to STRING software for protein-protein interaction (PPI) network analysis (
Table 2). A network of PPIs among functionally related proteins was visualized along with their functional annotations with reference to experimental or database-predicted information. String analysis revealed both inter- and intraconnections between the members of the three distinct gene groups obtained from the functional enrichment analyses, and the genes depicted in the PPI network are listed in the table below (
Figure 5). Notably, PPI network analyses revealed an intricate interaction network between the members of three functionally related groups, accounting for their coregulation by SIK2, presumably downstream of the unfolded protein response (UPR), in ER-stressed POMC neurons. For example, the stress alarmone and anorectic protein Gdf15 interact with members of two other groups, including inflammatory Cx3cl1, axon guidance-related protein (Bmp3), and the obesity-related proteins Timp1 and erythropoietin (Epo). Concerning Timp1, a shed protein implicated in the inflammatory response plays a central regulatory role at the crossroads of protein-protein interactions between obesity-related proteins and feeding behavior-related proteins (Gdf15, Cd44, Sparc and Angptl4) as well as axon guidance-related proteins (Ctsb, Hspg2, Col1a1 and 2) and neuroinflammation-related proteins (Cx3cl1, Anxa1 and Mif). We also found that cathepsin B (Ctsb), a lysosomal cysteine protease involved in protein turnover and proteolytic processing of amyloid precursor protein (APP), interacted with obesity- and feeding behavior-related proteins Calr, App, Hsp90ab1, Timp1, and Timp2 and inflammation-related Hmgb1 and Grn (
Figure 5). Although APP is predominantly linked to the pathophysiology of Alzheimer's disease, a recent report pointed out its association with obesity phenotypes such as insulin resistance and inflammation, which are regulated by tumor necrosis factor α (TNF-α) [
48,
49]. We provided an extended and targeted evaluation of these PPIs in the discussion.
4. Discussion
Intriguingly, SIK2 localizes mainly to the ER membrane and undergoes rapid transient activation upon ER stress induction independent of its upstream activator kinase liver kinase B1 (LKB1) [
50]. Although the functional importance of its ER localization and the identity of its upstream activator kinase are not fully understood, a recent study revealed that the UPR is involved in the ER stress-dependent activation of SIK2. Moreover, SIK2 has been repeatedly implicated in the regulation of major ER stress response pathways such as inflammation, ERAD, and autophagy downstream of UPR activation. SIK2 mediates the upregulation of ERAD and autophagy flux by phosphorylating p97/VCP, an unidentified factor involved in autophagosome-lysosome fusion, respectively, on the ER membrane. Consistent with these findings, a recent report proposed that SIK2 enrichment in ER lipid rafts is required for the proper packaging of secretory cargo proteins into export vesicles, suggesting a molecular mechanism that enables SIK2 to modify the level and/or identity of secreted proteins. In the same study, SIK2 was also shown to relocate to a distinct ER subdomain to promote autophagy and protect cells from apoptosis under ER stress conditions [
51]. Based on the ER stress-mediated activation and localization of SIK2 to lipid rafts, we hypothesized that the effect of SIK2 on the POMC secretome could be readily delineated by probing qualitative and quantitative changes in secreted proteins via high-resolution LC-MS/MS-based secretome studies
. To do so, we designed a comparative secretomic study to decipher the effects of SIK2 on the POMC secretome alone or in combination with pharmacologically induced ER stress conditions. Comparative analyses of the POMC secretomes specific to the early and prolonged phases of ER stress responses revealed the intriguing ability of SIK2 to control the expression profiles of dozens of secreted proteins concertedly only during the early phase of the ER stress response, consistent with its ER stress-dependent activation profile (
Figure 1B). The functional clustering of these genes revealed six biologically relevant clusters, of which we focused on the four clusters (Cluster 2 and 3, and Cluster 4 and 5) related to obesity and feeding behavior, axon guidance and neurite outgrowth, and neuroinflammation based on their FDR values and close association with inflammation and cell survival, the cardinal biological functions of SIK2 in various cell types, including neurons and glia. Our comparative secretome analyses demonstrated that the effect of SIK2 on the POMC secretome is limited to the early phase of the ER stress response. However, prolonged ER stress uncouples SIK2 from its effectors, thereby unleashing inflammatory and apoptotic secreted mediators to execute their functions within or on distantly located neuronal and nonneuronal cells. That is, during this prolonged ER stress response, SIK2 repression of these secreted proteins, which are clustered in three different but functionally integrated groups, is relieved coincident with the deactivation of SIK2. As noted before, SIK2 suppresses the inflammatory content of the POMC secretome primarily in the early phase of the ER stress response almost identically to its effect on two other groups, including obesity and feeding behavior, axon guidance and neurite outgrowth (
Table 2).
The early phase-specific profile imposed on SIK2 availability is commonly observed with the members of the three collectively acting groups. To avoid profile redundancy, we intentionally concentrated on a few representative secretome proteins selected from these three major groups (
Figure 5 and
Figure 6). One of the most interesting proteins listed in the table related to obesity and feeding behavior is Gdf15. It is an anorexigenic protein and acts through its cognate receptor, GFRAL, on the paraventricular nucleus (PVN) downstream of POMC neurons to end feeding and increase energy expenditure [
52]. In our study, the level of Gdf15 in the SIK2 knockdown POMC secretome significantly increased in response to early ER stress induction and returned to the control level in response to SIK2 overexpression. However, without ER stress, the overexpression of SIK2 caused an increase in the Gdf15 level comparable to or even greater than that induced by ER stress in the absence of SIK2. It is commonly observed that the level of circulating Gdf15 is elevated in obese human subjects despite increased food intake [
53]. Since exogenous Gdf15 injection ameliorated the obesity phenotype in obese animal models [
54], therapeutic strategies targeting Gdf15 or its upstream regulator SIK2 in POMC neurons of the obese human brain will require the identification of differences in the Gdf15-GFRAL axis between the two species. In this group, calreticulin (Calr), which responds to early ER stress induction, exhibited a twofold increase in the secretome of SIK2-overexpressing neurons compared to that of control neurons. Accordingly, the level of Calr decreased significantly with SIK2 deficiency independent of ER stress, in stark contrast to other members of the same group, excluding the coregulated proteins of other groups. Calreticulin is a multifunctional ER chaperone implicated in obesity and related metabolic disorders, and its secreted form acts as a molecular chaperone for App [
55,
56]. It has been implicated in several aspects of obesity and feeding behavior in addition to its well-known role in the pathophysiology of Alzheimer's disease [
48]. We presumed that the reduced low level of Calr detected in the secretome of SIK2-deficient POMC neurons during the early ER stress response may interfere with the proper folding of App in relation to the pathogenesis of obesity and related diseases.
Cd44 antigen is a transmembrane protein expressed in both glial and neuronal cells, and its depletion has been linked to inflammation, neurite outgrowth, insulin resistance, and resistance to high-fat diet-induced obesity [
57,
58,
59]. The level of Cd44 in the POMC secretome undergoes dynamic changes with respect to ER stress and SIK2 availability, which is in complete agreement with the findings of the gate-keeper model imposed by the absence of SIK2 during the early response phase of ER stress induction. However, SIK2 overexpression in POMCs caused a significant decrease in the Cd44 level, contrary to otherwise coregulated members of this and other related groups, especially those with no ER stress. Collectively, these results substantiated the anti-inflammatory and regulatory role of SIK2 in axonal guidance by decreasing the level of Cd44 in the secretome, thereby aggravating disease pathogenesis in its absence. Perlecan, a heparan sulfate proteoglycan, has been demonstrated to play a role in neuronal development and neurite outgrowth, with evidence supporting its involvement in brain repair following injury [
60]. The level of perlecan in the SIK2 knockdown POMC secretome significantly increased in response to early ER stress induction and decreased in response to SIK2 overexpression. However, without ER stress, the overexpression of SIK2 caused an increase in the perlecan level comparable to that induced by ER stress in the absence of SIK2.
Fractalkine/Cx3cl1, a selected member of the inflammatory group, responds collectively with other members of the group to the gatekeeper molecule SIK2, which is a chemokine that plays a critical role in modulating neuronal–microglial communication [
61,
62]. It has a dual role in neuroinflammation, inhibiting the production of proinflammatory cytokines by microglia while acting as a chemoattractant for immune cells [
63,
64]. In agreement with the proposed model for the role of SIK2 in dictating early phase ER stress responsiveness of the POMC secretome, the Cx3cl1 level was increased 2-2.5-fold in POMC knockdown cells, and SIK2 overexpression reversed this increase in the early phase of the ER stress response. However, in the absence of ER stress, SIK2 overexpression increased the level of Cx3cl1, contrary to its absence. This indicates that the ability of SIK2 to suppress fractalkine levels in the POMC secretome during the early phase of the ER stress response is dependent on its UPR-mediated activation. Nevertheless, in the absence of ER stress, SIK2 is inactive and may act as a dominant negative to block endogenous SIK2 activity due to the tonic physiological level of ER stress. Granulin, a marker of chronic inflammation associated with insulin resistance, obesity, and type 2 diabetes mellitus, and its expression profile in the POMC secretome also obeyed the regulatory constraint imposed by a gatekeeper function of SIK2 [
65]. For the extended coverage of the quantitative changes in the members of the three major groups, readers are referred to
Table 2.
Overall, we propose
a gatekeeper model for SIK2 because of its ability to maintain the transient control of these otherwise pathologically relevant inflammatory and apoptotic pathways during the early phase of the response to ER stress induction and to provide cells with a window of opportunity to rectify ER stress and maintain organismal homeostasis and cellular survival. In other words, SIK2 acts as a stopcock for the uncontrolled surge of double-edged biological processes such as inflammation and autophagy at the physiological level to maintain neuronal functions and survival. In contrast, prolonged unresolved ER stress tips the balance toward pathologically relevant chronic inflammation and abrogates autophagy by dampening the activity of SIK2, which agrees well with our data-driven
gatekeeper model depicted in
Figure 6. Although the molecular mechanisms responsible for the SIK2-mediated changes in the levels of secreted proteins are not addressed here, we propose that SIK2 could achieve this indirectly by regulating ERAD and autophagy processes or directly by modulating the autophagy-related unconventional secretion pathway. The effect of SIK2 on POMC secretome profiles during early ER stress response can be mediated either at the transcriptional level by modulating the activity of its downstream coactivators CREB-regulated transcription coactivators (CRTCs), p300/CREB-binding protein, and transcription factor EB (TFEB) or by upregulating ERAD and autophagy fluxes, respectively [
17,
66]. However, it is equally or even more likely that SIK2 participates in the coat protein complex II (COPII) vesicle formation and/or cargo selection at the specified ER subdomains rich in lipid rafts [
67]. Our laboratory and others reported direct and indirect physical interactions between SIK2 and the outer coat protein of COPII vesicles in immunoprecipitation-based mass spectrometry (IP-MS)-driven protein-protein interaction data (unpublished data). Based on the localization of SIK2 to lipid rafts on the ER membrane where COPII vesicles form, we speculated that SIK2 in lipid rafts could regulate either the formation of secretion vesicles or the selection of cargo proteins for secretion [
50,
67].
The novel aspect of the proposed work lies in undertaking the issue of obesity pathogenesis by examining the secreted neuropeptides and neurotransmitters of pathologically relevant POMC neurons, the central control unit for organismal energy homeostasis and energy expenditure. In diet-induced obese (DIO) animal models and human subjects, POMC neurons are either malfunctioning (resistant to anorectic hormones such as leptin and insulin) or depleted due to apoptotic loss. Therefore, the maintenance of healthy communication with their immediate neighbors (i.e., microglia, astrocytes, etc.) and distantly localized secondary neurons in the feeding circuitry (PVN) through their secreted proteins is vital for POMCs and thereby the life of an organism. We proposed an unprecedented regulatory role for SIK2 in the homeostatic control of obesity-related secreted proteins within physiological boundaries in response to the early phase of ER stress conditions. However, if unmitigated, persistent ER stress will unlock the SIK2 gate to allow a sudden increase in the levels of these obesogenic genes, which is compatible with disease pathogenesis. As noted in our model (Figure 6), when SIK2 was overexpressed, SIK2 could reverse this inflammatory state, although additional studies are needed to determine the effective dose for enhancing SIK2 activity due to the possibility of eradicating the basal response to ER stress.
In this study, we identified a number of POMC-driven pathologically relevant secreted molecules that we believe could be targeted individually or in combination to combat obesity and related diseases. It would be quite interesting and informative to obtain molecular insight into the possible regulatory roles of SIK2 both in the formation and cargo selection processes of secretory autophagosomes and COP II vesicles. Our comparative secretomic study revealed dozens of therapeutically valuable target proteins secreted by POMC neurons to modulate the immediate surroundings of neuronal and nonneuronal cells along distantly located secondary neurons of the PVN, all of which are implicated in the etiology and pathogenesis of obesity and various associated metabolic diseases, including neurodegeneration.