Abstract
Acid-sensing ion channel 1a (ASIC1a), a prominent member of the acid-sensing ion channel (ASIC) superfamily activated by extracellular protons, is ubiquitously expressed throughout the human body, including the nervous system and peripheral tissues. Excessive accumulation of Ca2+ ions via ASIC1a activation may occur in the acidified microenvironment of blood or local tissues. ASIC1a-mediated Ca2+‑induced apoptosis has been implicated in numerous pathologies, including neurological disorders, cancer, and rheumatoid arthritis. This review summarizes the role of ASIC1a in the modulation of apoptosis via various signaling pathways across different disease states to provide insights for future studies on the underlying mechanisms and development of therapeutic strategies.
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Facts
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ASIC1a is an ion channel with homotrimer or heterotrimer present in various tissues/cells in the central and peripheral areas.
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Acidosis-activated ASIC1a regulates cell apoptosis by promoting calcium influx.
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ASIC1a exhibits variable regulatory effects on apoptotic processes, promoting or inhibiting apoptosis based on the specific disease context.
Open questions
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In the pursuit of pharmacological development, what strategies can be used to selectively design ASIC1a blockers capable of modulating apoptotic pathways while preserving the normal physiological functions of the channel?
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Is there a prospect for artificial ion channels to exert regulatory influence over apoptotic pathways?
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In the context of tissue biology, how does ASIC1a achieve a delicate equilibrium in modulating the apoptotic, proliferative, and autophagic processes?
Introduction
Acidosis, a pathological condition in which the pH is significantly dropped with a rise in the acidity of the blood and other body tissues, can result from pathological conditions, including tissue inflammation, ischemic stroke, traumatic brain injury, and epileptic seizures[1,2,3,4]. The presence of extracellular acid causes the rapid activation of proton-sensing ionotropic receptors[5, 6]. These channels mainly facilitate acid transduction, which allows cations to enter the cell and transform an acidic extracellular environment into a biological signaling event. Acid-sensing ion channels (ASICs), transient receptor potential vanilloid 1, and a group of proton-sensing G-protein receptors, including ovarian cancer G-protein-coupled receptor 1 (also known as GPR68), are examples of proton-sensing ion receptors[7,8,9]. ASICs involved in acid sensing have attracted significant interest as class of receptors.
The ENaC/DEG ion channel superfamily includes cation channels gated by protons, such as ASICs[10]. Nearly 500 amino acids make up the ASIC subunit, which has two hydrophobic transmembrane (TM) domains, namely a large extracellular loop rich in cysteine and intracellular N- and C-termini [11,12,13]. The ASIC channel proteins consist of three distinct complexes composed of homomeric and heterotrimeric ASIC subunits (Fig. 1A, C) [11,12,13,14,15,16]. Acid-sensing ion channel 1a (ASIC1a), acid-sensing ion channel 1b (ASIC1b2), acid-sensing ion channel 2a (ASIC2a), acid-sensing ion channel 2b (ASIC2b), acid-sensing ion channel 3 (ASIC3), and acid-sensing ion channel 4 (ASIC4a) are the four unique ASICs [17,18,19,20].
The exclusive permeability of ASIC1a to Ca2+ among all ASIC subtypes and its involvement in acidosis have been extensively investigated [21,22,23,24]. Previous studies have established the abnormal expression of ASIC1a in diverse pathogenic processes and its role in promoting disease progression by regulating apoptosis, a fundamental cellular process that is either a normal physiological activity or an aberrant pathogenic behavior [25]. Several diseases are characterized by dysregulated apoptotic pathways, underscoring the paramount importance of investigating the intricate regulation of apoptosis [26,27,28,29]. However, a comprehensive summary and categorization of the distinct mechanisms by which ASIC1a regulates apoptosis in neurological disorders, cancer, and rheumatoid arthritis (RA) is lacking. To address this gap in knowledge, this review summarizes the role and mechanism of ASIC1a in the regulation of apoptosis.
ASIC1a
Overview of ASIC1a
Structure
The architecture of each ASIC1 subunit is characterized by a domain arrangement resembling an upright forearm and clenched hand [15]. Notably, residues from the palm, ball, finger, and thumb domains combine to generate an acidic pocket in the extracellular domain, which is extremely negatively charged. Crucially, two pairs of carboxyl-carboxylate interactions that take place unusually close together between the side chains of aspartate or glutamate residues allow the molecule to sense pH [30,31,32].
The central palm domain of each ASIC1 subunit is made up of a 7-strand sheet, with strands 1 and 12 attaching to the TM1 and TM2 domains and strands 9 and 10 linking to the thumb domain [15, 33]. The knuckle and finger domains are located above the palm domain, with the former including many helices as well as non- and non-structures and the latter including multiple short helices (6 and 7). Disulfide linkages found in abundance in the thumb domain interact with the fingertip domain. The little five-strand ball domain, bordered by the palm, knuckle, finger, and thumb domains, is situated in the middle of the “clenched hand” [15, 33]. Furthermore, Glu-79 and Glu-416, which are essential for proton gating and desensitization, are found in the lower palm domain [15]. The 9–4 loop of the thumb undergoes displacement after proton binding in the extracellular domain, which causes the TM1 domain to rotate and stabilize the channel in the closed state [16].
The TM domain of ASIC1 has a structural arrangement resembling an hourglass, with each TM domain consisting of two elongated helices. The three-fold axis of crystallographic symmetry connects the three subunits that makeup TM1 and TM2 symmetrically [17, 18]. The putative ion channel pore is formed by the TM2 helices, whereas most inter-helical interactions in TM1 take place inside the lipid bilayer [9, 17]. An ion-selective pore is created by the arrangement of the six TM helices. The cation selectivity of ASIC1 is influenced by the net negative electrostatic potential of the intracellular environment. Upon exposure to extracellular acid, the channels undergo rapid activation. The ASIC1a pore, once unmasked, primarily supports an excitatory inward current carried by Na+ and K+ [34,35,36]. Notably, homomeric assemblies of ASIC1a and human ASIC1b, as well as heteromeric ASIC1a/2b complexes, exhibit minimal Ca2+ permeability [36].
Electrophysiology
ASICs exhibit three distinct conformational states, namely closed (resting), open (conducting), and desensitized (proton-bound). Under normal physiological conditions, these channels are predominantly in a closed and resting state [37,38,39].
Depending on the makeup of their subunits, different ASICs can be differently affected by variations in extracellular pH. With an activation threshold close to pH 7.0 and a pH50 (half maximal activation) of approximately 6.2, ASIC1a is especially sensitive to protons [40,41,42,43].
ASIC3 demonstrates a transient component with a pH50 of ~6.2 and a sustained component with a pH50 of ~4.3 [44,45,46]. ASIC1b, much like ASIC1a, exhibits a pH50 of ~6.0 [47,48,49]. In contrast, the least sensitive to acidic pH is ASIC2a, with a pH50 of around 4.4 [35, 36]. Homomeric ASIC2b and ASIC4 channels do not react to proton stimulation [37, 38], and endogenous ligands for these receptors have yet to be identified [39, 40].
ASICs can attain steady-state desensitization and transition from a closed to a desensitized state without undergoing the activation process (Fig. 1B and 2). In instances where there is an insignificant increase in the proton concentration in the environment, the channels are not activated but respond to subsequent potent acid stimuli, which may be weaker or nonexistent [50]. ASIC1a desensitization begins at pH levels marginally below 7.4, with sustained acidification leading to the complete desensitization of all channels at pH values below 7.1. Consequently, ASIC1a is unable to encode continuous acidity owing to complete desensitization, although it can recover from desensitization within a few seconds. Notably, ASIC1a may undergo desensitization without apparent activation; its semi-desensitized pH maximum is at 7.15 (Fig. 2).
Distribution
The distribution and expression range of ASIC1a in various tissues in vivo determine the significance of this ion channel family [51]. ASIC1a is present in diverse mammalian tissues, including those of the nervous system [52,53,54,55,56], bone [57], synovial tissues, intervertebral discs (IVDs), intestinal and bladder epithelial cells [58,59,60], and smooth muscles [16, 61]. By maintaining the extracellular pH at 7.4, ASIC1a serves various physiological functions [18]. It participates in sensory perception, nociception, mechanosensation, taste transduction, synaptic plasticity, learning and memory, fear conditioning, retinal physiology, and cardiovascular homeostasis [62]. Additionally, ASIC1a expression is upregulated in various brain cancers, implying that it has a role in tumor physiology [63, 64].
ASIC1a in the regulation of apoptosis machinery
ASIC1a in hypoxic-ischemic conditions
ASIC1a plays a substantial role in the etiology of illnesses connected to ischemic damage, such as retinal ischemia and strokes. In the visual pathway, retinal ganglion cells (RGCs) are essential; their death by apoptosis causes progressive vision loss, with retinal ischemia acting as a potentially blinding mechanism underpinning a number of sight-threatening diseases. Prior studies have detected ASIC1 mRNA in rabbit [65], mouse [66], and rat [67] retinae.
The high expression of ASIC1a channels in rat RGC primary cultures and retinal slices suggests that these channels are crucial in the ischemia-induced cell death of RGCs. In cultured RGCs, the expression and functionality of ASIC1a channels were upregulated following hypoxia. Ratiometric Ca2+ imaging data showed that the (Ca2+) ion concentration of RGCs increased in response to a decrease in pH, which emphasizes the crucial function of ASIC1a channels in RGCs. The inhibitors amiloride and psalmotoxin 1 can acutely block the ASIC1a channels, significantly reducing RGC death in vitro [68].
In the retina, ASIC1a upregulation induced an influx of extracellular calcium, which may activate calcium-sensitive calpain-1. Similarly, ASIC1a contributes to the mechanism by which renal tubular epithelial cell apoptosis brought on by ischemia/reperfusion (I/R) occurs in the kidney. Renal I/R increases ASIC1a expression both in vivo and in vitro, confirming that ASIC1a is expressed in the kidney. ASIC1a-specific inhibitor psalmotoxin-1 (PcTx1) suppressed H/R-induced apoptosis, especially early apoptosis, in a dose-dependent manner [69].
The I/R model induced acidification in the local microenvironment and ASIC1a activation, resulting in extracellular proton accumulation and Ca2+ influx, leading to a loss of mitochondrial membrane potential, an increase in cleaved caspase-3, and the apoptosis of renal tubular epithelial cells.
The mechanisms by which ASIC1a contributes to renal I/R injury are linked to its calcium permeability. PcTx1, a specific inhibitor of ASIC1a, has the potential to treat acute kidney damage by reducing ischemic renal injury via ASIC1a inhibition [69, 70].
ASIC1a regulates neuronal apoptosis
In various neurological diseases, ASIC1a acts as a proton receptor to mediate acidosis-induced neuronal damage. In ischemic brains, glycolysis produces lactic acid as a byproduct, which, in combination with protons generated by ATP hydrolysis, reduces the pH to 6.0 [71, 72]. Acidosis is a major contributor to neurological damage. Empirical evidence supports the notion that a modest and physiologically relevant reduction in extracellular pH triggers the activation of ASIC1a, which subsequently results in direct increases in Na+ and Ca2+ levels within the cytosol and mitochondria via ASIC1a-mediated processes [73] (Fig. 3).
In the past, glutamate receptors have been linked to excess Ca2+ in the ischemic brain. However, clinical studies using glutamate antagonists to protect the brain from Ca2+ toxicity did not produce encouraging results. The activation of Ca2+ signals in ASIC1a-overexpressing HEK293 T cells persists despite the absence of voltage-gated calcium channels, which provides evidence for an ASIC1a-dependent Ca2+ response [74, 75] (Fig. 3).
ASICs are inhibited by amiloride, whereas homomeric ASIC1a channels are specifically blocked by pcTx1. Both inhibitors can shield neurons from damage caused by acid exposure and oxygen-glucose deprivation, according to in vitro studies [76]. In addition, the injection of these inhibitors decreased infarct volume in animal models of middle cerebral artery occlusion (MCAO). In MCAO rat models, the Chinese herbal supplement sophocarpine demonstrated neuroprotective potential, which can presumably be explained by its anti-ASIC1 and anti-apoptotic characteristics [77]. Furthermore, MCAO-induced neuronal injury was not fatal in ASIC1a knockout mice, emphasizing the importance of ASIC1a activation in the pathophysiology of brain ischemia/stroke [76]. As a result, Ca2+-permeable ASIC1a channel activation during brain ischemia can result in neuronal damage, and ASIC1a inhibition is a prospective therapeutic target for neuroprotection in this situation [18].
Following cerebral ischemia, an intrinsic apoptotic signaling cascade is initiated. Cerebral ischemia activates ASICs, increasing calcium levels in the cytosol. Following the activation of calpains, increased intracellular calcium levels cleave Bid into truncated Bid (tBid) fragments. Proapoptotic proteins, like Bad and Bcl-2-associated X protein (Bax), are generally neutralized by antiapoptotic B-cell leukemia/lymphoma 2 (Bcl-2) family members, like Bcl-2 and Bcl-2-like protein 1 (Bcl-xL), in the mitochondrial membrane, where they interact with tBid. Cytochrome c (Cyt-c) or apoptosis-inducing factor (AIF) is released when mitochondrial transition pores open as a result of tBid heterodimerization with proapoptotic proteins. In the cytoplasm, Cyt-c then joins with procaspase-9 and apoptotic protein-activating factor-1 to form an “apoptosome,” which in turn activates caspase-9 and subsequently caspase-3. When caspase-3 is activated, it cleaves nuclear DNA repair enzymes, such as poly(ADP-ribose) polymerase (PARP), which causes DNA damage and cell death. AIF moves into the nucleus and, in the absence of caspase activation, causes severe DNA breakage and cell death (Fig. 3).
Wang et al. identified a new pattern of subcellular localization and intracellular function for ASIC1a. The study revealed that ASIC1a is present in the mitochondria of mouse cortical neurons, where it physically interacts with adenine nucleotide translocase, a protein of the mitochondrial inner membrane that has been theorized by some scientists to be a part of the mitochondrial permeability transition (MPT) pore, although this assertion has been disputed [78]. MPT pores, a factor in oxidative neuronal cell death, may be regulated or composed of mitochondrial ASIC1a [79, 80]. MPT activity influences the ability of mitochondria to uptake Ca2+ ions [81]. The Ca2+ retention capacity and mitochondrial Ca2+ uptake rate of brain mitochondria isolated from ASIC1a-/- mice are significantly increased [78, 82]. In comparison to those of wild-type mice, neurons of ASIC1a-null mice show increased resistance to H2O2-induced Cyt-c release and inner mitochondrial membrane depolarization [78]. ASIC1a-/- neurons exhibit a reduction in MPT-dependent H2O2-induced neuronal death. According to these findings, mitochondrial ASIC1a may have a novel role in controlling MPT-dependent neuronal death, a crucial stage in brain injury brought on by ischemic stroke and neurodegenerative diseases. Azoulay et al. hypothesized that mtASIC1a functions as a channel that controls mitochondrial Na+ input [82]. The mitochondrial Na+ signal induced by pH 7.0 is mediated by channels sensitive to PcTx1 in both permeabilized HEK293T cells overexpressing ASIC1a and primary cortical neurons, suggesting that these Na+ signals are mediated, at least in part, by mtASIC1a [82]. As a result, mtASIC1a may directly control metabolic activity and mitochondrial membrane potential [83]. Although speculative, plasma membrane ASIC1a (death initiator) and mtASIC1a (death executor) may control ischemia cell death at several stages [84] (Fig. 3).
ASIC1a is involved in neuronal apoptosis triggered by insulin deprivation. Insulin deprivation can induce apoptosis in NS20y cells, while the administration of PcTx-1 can reverse this effect [85]. Endoplasmic reticulum stress (ERS), caused by low insulin levels, increases the expression of CHOP and glucose-regulated protein 78 (GRP78) in the ERS group compared with the control group. CHOP translocates to the nucleus and improves its binding to C/EBP in the process of insulin deficiency-induced nerve cell apoptosis, lowering the negative regulatory effect of C/EBP on ASIC1a and raising the level of nerve cell apoptosis [86] (Fig. 3).
ASIC1a regulates apoptosis in cancer
Cancer is a neoplastic disorder characterized by aberrant angiogenesis, hypoxia, and acidosis within the tumor microenvironment [87,88,89]. The growth, invasion, and metastasis of cancerous cells are promoted by acidification of the extracellular matrix [90, 91]. ASIC1a, a common acid-sensing receptor on the cell surface and a member of the DEG/ENaC family of ASICs, is important in the pathogenesis of many cancers, including gliomas, lung cancer, liver cancer, pancreatic cancer, breast cancer, and hepatocellular carcinoma. In numerous tumor types, ASIC1a significantly modulates the degree of malignancy and exacerbates tumor progression by regulating the apoptotic signaling of neoplastic cells [84, 92,93,94]. Alteration in the tumor microenvironment correspondingly shifts the functional significance of ASIC1a. ASIC1a assumes a pro-apoptotic role across diverse cell types, including neuronal cells, although manifests as an anti-apoptotic mediator within the tumor microenvironment[95,96,97,98].
Gliomas are aggressive and highly invasive. They originate from glial progenitor cells in the central nervous system [99, 100]. In patients with glioma, the expression of ASIC1 mRNA is upregulated, while the expression of ASIC2 and ASIC3 is downregulated compared with levels in healthy individuals. ASIC1a subunit-containing channels may be involved in various processes in malignant cells, as they are expressed in U251 MG and A172 glioma cells but not in normal astrocytes [83]. ASIC1a mediates the inward movement of amiloride-sensitive cations into advanced glioma cells [83]. Mambalgin-2, an ASIC1a-specific inhibitor, induces cell cycle arrest and apoptosis in glioma cells by interacting with the ASIC1a channel. The inhibitor binds to the ASIC1a channel in the upper half of the thumb domain (residues Asp-349 and Ph-350) to interfere with the palm and beta sphere domains of the nearby subunit, inhibiting cyclin D1 and CDK phosphorylation, inducing apoptosis, and keeping the channel closed regardless of the pH [101]. These results indicate that ASIC1a promotes glioma occurrence and development by inhibiting apoptosis in U251 MG and A172 glioma cells. Additionally, Ma et al. revealed that extracellular acidification induces apoptosis in C6 glioma cells via ASIC1a. Apoptotic cell percentages increase with decreasing pH, while ASIC1a knockout reduces extracellular acid-induced apoptosis. This process may be accociated with calcium influx in C6 cells [102] (Fig. 3).
Melanoma, a malignant neoplasm, is known for its aggressive behavior. The proliferation, motility, and invasion of primary metastatic melanoma cells are considerably enhanced by the acidification of extracellular mediators [103, 104]. According to Lyukmanova et al., metastatic melanoma cells express more acid-sensitive channels with the subunits ASIC1a, -ENaC, and -ENaC than corresponding estimates in healthy keratinocytes. Additionally, administering a recombinant analog of mambalgin-2 effectively inhibits the growth, migration, and invasion of acidification-induced metastatic melanoma cells, promotes cell apoptosis, inhibits the expression of the proto-oncogenes CD44 and Frizzled-4, and lowers the phosphorylation of the transcription factor SNAI. These results offer insights into therapeutic targets to control metastatic melanoma [105].
Non-small cell lung cancer, which includes lung adenocarcinoma, accounts for approximately 85% of all lung cancer diagnoses and is a highly frequent malignancy globally [106, 107]. Mambalgin-2 effectively suppresses the development and migration of A549, metastatic Lewis P29 cells, and WI-38 cells but has no similar effect on normal fibroblasts. Mambalgin-2 interacts with ASIC1a, -ENaC, and -ENaC iso-tramer channels, causing cell cycle arrest in the G2/M phase, promoting cell death, and preventing the spread and development of lung cancer, as determined by affinity chromatography on lung adenocarcinoma cells.
The development of novel therapeutic approaches for the treatment of non-small cell lung cancer, in particular lung adenocarcinoma, is significantly impacted by these findings [108].
Aside from glioma and lung cancer, the abnormal expression of ASIC1a has also been observed in liver cancer, a prevalent malignancy that has been identified as the primary cause of cancer-related death globally [76, 77]. ASIC1a facilitates the migration and invasion of liver cancer cells. Acidification of the tumor microenvironment results in H+ accumulation, leading to H+ competition for Ca2+ binding sites on ASIC1a, cell membrane depolarization, β-catenin phosphorylation, and ubiquitination, increased Ca2+ influx, and, ultimately, apoptotic resistance of hepatoma cells. ASIC1a deletion, conversely, causes G1/S phase block and cell death and prevents liver cancer cells from proliferating. The results suggest ASIC1a as a potential new therapeutic target for the treatment of liver cancer [109] (Fig. 3).
ASIC1a regulates chondrocyte apoptosis in RA
RA, a chronic autoimmune condition, is characterized by escalating joint inflammation. The affected joints exhibit symmetrical synovial inflammation, resulting in cartilage degradation, bone erosion, and functional impairment [78, 110]. A possible factor contributing to the pathogenesis and development of RA is extracellular acidification [111].
Particularly, in patients with active RA, the pH of synovial fluid may drop below 6.0. Additionally, ASIC1a expression levels are higher in patients with RA and rat models of RA than in normal tissues, suggesting that ASIC1a is involved in the pathogenesis of RA [112].
ASIC1a is an essential component in the transmission of apoptotic signaling molecules in articular chondrocytes. The inhibition of ASIC1a with prevents acid-induced chondrocyte apoptosis [111]. The ASIC1a subunit is activated by extracellular acidosis and mediates Ca2+ overload, resulting in acid-induced rat articular chondrocyte damage [82]. According to Yuan et al., articular chondrocytes cultivated under an extracellular pH of 6.0 had elevated intracellular calcium levels. The increase in Ca2+ and acid-induced chondrocyte damage in articular chondrocytes was decreased by amiloride. The inhibitory effect of amiloride on ASIC1a mitigated articular cartilage degradation and higher levels type II collagen and aggrecan mRNA and protein expression in rats with adjuvant arthritis (AA) [86]. Excess calcium in the cytoplasm has been found to cause apoptosis by various mechanisms. Hu et al. demonstrated the involvement of ASIC1a in the transmission of apoptotic signaling molecules in articular chondrocytes. ASIC1a activates calpain and calcineurin through a Ca2+ overload. Amiloride inhibits caspase-3 activity and downregulates Ca2+-dependent signaling pathways, such as calpain and calcineurin, which protect articular chondrocytes from acid-induced apoptosis [113]. Apoptosis in acid-induced chondrocytes was reduced by amiloride treatment in a dose-dependent manner; following extracellular acidification, 54.4% of chondrocytes died. ASIC1a controls the expression of several Bcl-2 proteins, such as the anti-apoptotic BCL-2 and Bcl-xL as well as the pro-apoptotic Bax and BID. Amiloride affects the mRNA expression of apoptosis-related Bcl-2 family genes and caspase-3/9 activity, which in turn partially restores mitochondrial membrane potential in chondrocytes produced by extracellular acid [114] (Fig. 3).
Interleukin-1 beta (IL-1), tumor necrosis factor alpha (TNF-), and interleukin-6 (IL-6) have elevated pro-apoptotic effects in acid-stimulated articular chondrocytes, and this was partially ascribed to their role in controlling ASIC1a expression and activity. Zhou has shown that IL-1, TNF-, and IL-6 therapy elevated ASIC1a levels in a time- and dose-dependent manner. The signaling pathways for Janus kinase 2 and signal transducer and activator of transcription 3 (JAK2/STAT3) as well as mitogen-activated protein kinase/nuclear factor-kappa B (MAPK/NF-B) may be partially responsible for this rise. TNF and IL-1 increased NF-κB binding to the ASIC1a promoter, increasing ASIC1a activity. Pyrrolidine dithiocarbamate abolished this effect. Additionally, IL-1 and TNF pretreatment significantly raised levels of intracellular Ca2+, cleaved PARP, caspase-3, and caspase-9 and resulted in the loss of mitochondrial membrane potential (m) in acid-induced articular chondrocytes. By using PcTx1 to block ASIC1a channels, these effects might be partially reverted [115, 116]. Additionally, ASIC2a has a stronger inhibitory effect against acid-induced articular chondrocyte apoptosis in the presence of PcTx1 and Apamin-Sensitive Potassium Channel Blocker 2 (APETx2). By reducing intracellular Ca2+ levels and blocking the p38 and extracellular signal-regulated kinase 1/2 (ERK1/2)/MAPK signaling pathways, the overexpression of ASIC2a may exert a stronger protective effect. ASIC2a overexpression increased the levels of Bcl-2 and Bcl-xL mRNA, while decreasing the expression of Bax mRNA in acid-stimulated chondrocytes [117] (Fig. 3).
ASIC1a can simultaneously promote autophagy and death in articular chondrocytes activated by acid. Dai et al. demonstrated that ASIC1a increases intracellular Ca2+ levels in rat articular chondrocytes, which causes acid to activate autophagy. Following pretreatment with the ASIC1a inhibitor PcTx1 and the calcium-chelating compound BAPTA-AM, the levels of the autophagy-related markers LC3-II and Beclin 1 decreased substantially, with subsequent increases in response to extracellular acid at pH 6.0 [118]. Zhou and colleagues analyzed changes in autophagy and apoptosis over time in distinct stages of animal AA. The results imply that reducing apoptosis while increasing autophagy mitigates chondrocyte damage in the joints of rats with AA.
The autophagy inhibitor 3-methyladenine (3MA) increased synovial fluid inflammation and articular chondrocyte mortality in AA mice in vivo, while the autophagy activator rapamycin attenuated these effects [103]. Additionally, autophagy affected the in vitro death of articular chondrocytes induced by acid. Rat articular chondrocytes pretreated with rapamycin exhibited reduced acid-induced apoptosis, whereas pretreatment with 3MA exacerbated apoptosis. Furthermore, 3MA decreased Beclin 1 expression, prevented the formation of autophagic vesicles, and reversed the conversion of LC3-I to LC3-II. In contrast to a pH 6.0 group, it also markedly boosted the expression of apoptosis-related proteins, like cleaved PARP, caspase-3, and caspase-9, and raised apoptosis rates from 13.90% to 21.54%.
To prevent acid-induced apoptosis in chondrocytes, 17-E2 induces the degradation of ASIC1a through the endoplasmic reticulum (ER) receptors. Exposure to 17-E2 reduced ASIC1a protein levels and associated Ca2+ influx in a time-dependent manner. Further research revealed that 17-E2 can promote ASIC1a protein degradation by activating chondrocyte autophagy via the autophagy-lysosomal pathway. In ovariectomized rats with AA, Hang et al. demonstrated that estradiol can protect articular cartilage in vivo by lowering ASIC1a expression, autophagy, and pro-inflammatory markers.
This potential mechanism may be explained by the inhibitory effects of estrogen on ASIC1a expression via interactions with G-protein-coupled estradiol receptor 1 and activation of the PI3K-AKT-mTOR signaling pathway [90] (Fig. 3).
ASIC1a regulates IVD apoptosis
IVDs comprise three main cellular components: endplate (EP) chondrocytes in the cephalic and caudal EPs, nucleus pulposus (NP) cells in the inner region, and annulus fibrosus (AF) cells in the outer region [91]. Physiologically, the pH of normal NP ranges between 7.0 and 7.25. However, pathologically degenerated NP tissue removed post surgery exhibits significantly reduced pH values of 5.5–5.6 [108, 119, 120]. The microenvironment of deteriorated IVDs in particular exhibits unique and extreme chemical characteristics, such as an acidic matrix, increased extracellular osmolarity, and impaired feeding. The deteriorated IVD exhibits matrix acidity, which may compromise cell viability and function [121].
The IVD of healthy human participants expresses all four ASIC mRNA species, including ASIC1, ASIC2, ASIC3, and ASIC4 [103, 122]. Notably, these mRNA species are markedly upregulated in IVD after degeneration. In both the AF and NP of the typical IVD, ASIC2 expression levels were highest among ASIC mRNA species, followed by ASIC3, ASIC1, and ASIC4.
In the deteriorated IVD, AF exhibited a substantial rise in the number of cells expressing ASIC1 and ASIC4, whereas NP exhibited considerable increases in the expression of ASIC1, ASIC2, and ASIC3 [123, 124].
Cai et al. investigated primary human NPCs generated from patients with IVD degeneration [125]. At pH of 6.0, 6.5, and 7.0, there was a significant rise in the proportion of apoptotic cells, while PcTx1-treated groups showed a decline in the rate of apoptosis. The expression of apoptosis-related proteins, such as Bax and cleaved caspase-3, increased following acidic incubation, while Bcl-2 expression dropped. PcTx1 treatment, however, increased the expression of Bcl-2, while decreasing the expression of Bax and cleaved caspase-3 [120] (Fig. 3).
Non-steroidal anti-inflammatory drugs are commonly recognized as non-specific inhibitors of ASICs. Sun et al. uncovered their potential to modulate ASIC expression in NPCs. Following treatment with ibuprofen, the expression and current of ASIC1 and ASIC3, which are triggered by acidic stress, decreased significantly. Additionally, degeneration-induced cell death was effectively suppressed [124].
Following exposure to acidic stimuli, ASIC1a contributes to the regulation of ERS and promotes NPC apoptosis. Acid-induced activation of ASIC1a upregulates ERS markers. Moreover, the blockade of ASIC1a activity reduces the levels of GRP78, CHOP, and caspase-12.
GRP78, a vital protein involved in ERS, has been found to function as a key mediator of ASIC1a and acid-induced ERS. CHOP and caspase-12, both essential proteins involved in ERS-induced apoptosis, have also been implicated in this process [126].
EP tissue is a form of hyaline cartilage. Li et al. investigated the EP and determined that the activation of ASIC1a triggers apoptosis in the EP by regulating the rise in intracellular Ca2+ concentration and calcium-dependent protease activity. By inhibiting calcium-activated signaling pathways such as BAD dephosphorylation, Cyt-c release, and effector caspase activation, the blockade of ASIC1a with PcTx1 and ASIC1a-siRNA may safeguard EP chondrocytes against acid-induced apoptosis [122].
Bone marrow stromal cells (BMSCs) have attracted research interest owing to their vast potential in regenerative medicine. Stem cell transplantation has been explored as a possible means of preventing or reversing the process of disc degeneration [103]. Using a rabbit model, Cai et al. revealed that the transplantation of BMSCs can enhance the regeneration of damaged discs [104]. However, it is possible that BMSC vitality and biosynthetic activity are not sufficient to meet the needs of severely degenerated discs. The harsh microenvironmental conditions in degenerated discs can have deleterious effects on both native and transplanted cells [120].
ASIC1a expression in murine BMSCs has been documented [125].
Furthermore, ASIC1a expression in rat BMSCs was discovered by Cai et al., and its activation was discovered to cause calcium-dependent BMSC death in circumstances that mimicked the acidic microenvironment of the degenerating IVD [109]. ASIC1a activation has been linked to the increase in intracellular Ca2+ induced by acid in BMSCs. The Ca2+-dependent activation of calpain and calcineurin may result from this rise in Ca2+. Additionally, activated calcineurin can promote pBAD dephosphorylation. The resulting dephosphorylated BAD enhances the release of Cyt-c from mitochondria by increasing mitochondrial permeability. Thus, the mitochondrial apoptosis pathway partially mediates acid-induced BMSC injury (Fig. 3). ASIC1a is essential for apoptosis in a variety of tissues and disorders; Table 1 summarizes its distribution and functions.
Conclusions
Learning, memory, and brain activity are just a few of the physiological activities involving the ASIC family of ion channels [105]. ASICs also have a significant impact on several illnesses, including RA, glioma, stroke, and neuronal apoptosis [43, 90, 106, 107] and are an essential member of the ASIC family, as they accelerate disease development by inducing apoptosis in a variety of cell types [106, 109, 125]. For example, ASIC1a activation can cause extracellular calcium influx and induce apoptosis in RGCs, renal tubular epithelial cells, and neurons under hypoxic or ischemic conditions [68]. ASIC1a also regulates anti-apoptotic pathways in different cancers, including glioma, melanoma, and lung and liver cancers, via homologous or heterologous subunits. Inhibiting ASIC1a using mambalgin-2 can significantly promote cancer cell apoptosis and slow disease progression [127]. In contrast, ASIC1a strongly promotes apoptosis in chondrocytes during RA. IL-1β, TNF-α, and IL-6 activate ASIC1a via various pathways, including calpain or ASIC2, leading to calcium influx and chondrocyte apoptosis [111, 112, 115, 116, 128]. Furthermore, ASIC1a can regulate chondrocyte apoptosis through autophagy [113]. In the acidic microenvironment of degraded discs, EP chondrocytes undergo apoptosis due to increased levels of apoptosis-related proteins promoted by ASIC1a activation [120]. Moreover, ASIC1a activation also leads to calcium-dependent apoptosis in BMSCs [108].
As one of the basic biological processes of cells, apoptosis is related to the balance between apoptotic and anti-apoptotic processes. Simply promoting or inhibiting apoptosis, which has been a focus of research, will lead to various toxic side effects in living organisms [129, 130]. Studies have rarely considered the balance between regulating apoptotic and anti-apoptotic processes. Ion channels are very important barriers to communication between cells and the external environment [131]. The targeted regulation or competitive binding of ion channels is an important approach to regulating cellular processes [132]. Examples include the development of a variety of artificial subnanopores, subnanochannels, and subnanoslits with good ion selectivity and permeability for signal communication and biosensing [133, 134]. In addition to the synthesis of artificial channels, the development of new competitive specific channel blockers that are different from PCTX-1 is another strategy to regulate the balance of apoptosis. Research in this area is focused on a reliable and convenient means to study the apoptotic balance. Recent data on ASIC1a have provided novel insights into its mechanisms and functions in apoptosis across various cell types [135, 136]. Such knowledge can provide a scientific basis for diagnosing and treating multiple diseases. However, further investigations are necessary to explore the expression and roles of ASIC1a in understudied tissues or diseases and to understand the factors underlying differences in its effects depending on the tissue environment. We believe that advancements in science, technology, and experimental techniques will bring both opportunities and challenges in ASIC1a research.
References
Ritzel RM, He J, Li Y, Cao T, Khan N, Shim B, et al. Proton extrusion during oxidative burst in microglia exacerbates pathological acidosis following traumatic brain injury. Glia. 2021;69:746–64.
M Tóth O, Menyhárt Á, Frank R, Hantosi D, Farkas E, Bari F. Acidosis associated with ischemic stroke to guide neuroprotective drug delivery. Biology. 2020;9:460.
Wright AJ, Husson ZMA, Hu D-E, Callejo G, Brindle KM, Smith ESJ. Increased hyperpolarized [1- C] lactate production in a model of joint inflammation is not accompanied by tissue acidosis as assessed using hyperpolarized C-labelled bicarbonate. NMR Biomed. 2018;31:e3892.
Kraut JA, Madias NE. Treatment of acute metabolic acidosis: a pathophysiologic approach. Nat Rev Nephrol. 2012;8:589–601.
Mogi C, Nakakura T, Okajima F. Role of extracellular proton-sensing OGR1 in regulation of insulin secretion and pancreatic β-cell functions. Endocr J. 2014;61:101–10.
Aoki H, Mogi C, Okajima F. Ionotropic and metabotropic proton-sensing receptors involved in airway inflammation in allergic asthma. Mediators Inflamm. 2014;2014:712962.
Sisignano M, Fischer MJM, Geisslinger G. Proton-sensing GPCRs in health and disease. Cells. 2021;10:2050.
Garami A, Steiner AA, Pakai E, Wanner SP, Almeida MC, Keringer P, et al. The neural pathway of the hyperthermic response to antagonists of the transient receptor potential vanilloid-1 channel. Temperature. 2023;10:136–54.
Li Q, Qin L, Li J. Characteristics of acid-sensing ion channel currents in male rat muscle dorsal root ganglion neurons following ischemia/reperfusion. Physiol Rep. 2023;11:e15654.
MacLean DM, Soto E. Editorial: ASICs: structure, function, and pharmacology. Front Physiol. 2022;13:831830.
Carattino MD, Montalbetti N. Acid-sensing ion channels in sensory signaling. Am J Physiol Renal Physiol. 2020;318:F531–43.
Storozhuk M, Cherninskyi A, Maximyuk O, Isaev D, Krishtal O. Acid-sensing ion channels: focus on physiological and some pathological roles in the brain. Curr Neuropharmacol. 2021;19:1570–89.
Zhu Y, Hu X, Wang L, Zhang J, Pan X, Li Y, et al. Recent advances in acid-sensitive ion channels in central nervous system diseases. Curr Pharm Des. 2022;28:1406–11.
Bassilana F, Champigny G, Waldmann R, de Weille JR, Heurteaux C, Lazdunski M. The acid-sensitive ionic channel subunit ASIC and the mammalian degenerin MDEG form a heteromultimeric H+-gated Na+ channel with novel properties. J Biol Chem. 1997;272:28819–22.
Jasti J, Furukawa H, Gonzales EB, Gouaux E. Structure of acid-sensing ion channel 1 at 1.9 A resolution and low pH. Nature. 2007;449:316–23.
Zha XM. Acid-sensing ion channels: trafficking and synaptic function. Mol Brain. 2013;6:1.
Wemmie JA, Price MP, Welsh MJ. Acid-sensing ion channels: advances, questions and therapeutic opportunities. Trends Neurosci. 2006;29:578–86.
Xiong ZG, Pignataro G, Li M, Chang SY, Simon RP. Acid-sensing ion channels (ASICs) as pharmacological targets for neurodegenerative diseases. Curr Opin Pharmacol. 2008;8:25–32.
Alasmari F, Sari DB, Alhaddad H, Al-Rejaie SS, Sari Y. Interactive role of acid sensing ion channels and glutamatergic system in opioid dependence. Neurosci Biobehav Rev. 2022;135:104581.
Cegielski V, Chakrabarty R, Ding S, Wacker MJ, Monaghan-Nichols P, Chu XP. Acid-sensing ion channels in glial cells. Membranes (Basel). 2022;12:119.
Liu H, Lu WL, Hong HQ, Li MJ, Ye MP, Rao QF, et al. CaM/CaMKII mediates activation and proliferation of hepatic stellate cells regulated by ASIC1a. Front Pharmacol. 2022;13:996667.
Sun HW, Chu XP, Simon RP, Xiong ZG, Leng TD. Inhibition of acid-sensing ion channels by KB-R7943, a reverse Na/Ca exchanger inhibitor. Biomolecules. 2023;13:507.
Liu Y, Zhu Y, Wang L, Li K, Du N, Pan X, et al. Acid-sensitive ion channel 1a regulates TNF-α expression in LPS-induced acute lung injury via ERS-CHOP-C/EBPα signaling pathway. Mol Immunol. 2023;153:25–35.
Zai Z, Xu Y, Qian X, Li Z, Ou Z, Zhang T, et al. Estrogen antagonizes ASIC1a-induced chondrocyte mitochondrial stress in rheumatoid arthritis. J Transl Med. 2022;20:561.
Nagata S. Apoptosis and clearance of apoptotic cells. Annu Rev Immunol. 2018;36:489–517.
Singh R, Letai A, Sarosiek K. Regulation of apoptosis in health and disease: the balancing act of BCL-2 family proteins. Nat Rev Mol Cell Biol. 2019;20:175–93.
Sauler M, Bazan IS, Lee PJ. Cell death in the lung: the apoptosis-necroptosis axis. Annu Rev Physiol. 2019;81:375–402.
Schwabe RF, Luedde T. Apoptosis and necroptosis in the liver: a matter of life and death. Nat Rev Gastroenterol Hepatol. 2018;15:738–52.
Carneiro BA, El-Deiry WS. Targeting apoptosis in cancer therapy. Nat Rev Clin Oncol. 2020;17:395–417.
Hanukoglu I. ASIC and ENaC type sodium channels: conformational states and the structures of the ion selectivity filters. FEBS J. 2017;284:525–45.
Liechti LA, Bernèche S, Bargeton B, Iwaszkiewicz J, Roy S, Michielin O, et al. A combined computational and functional approach identifies new residues involved in pH-dependent gating of ASIC1a. J Biol Chem. 2010;285:16315–29.
Vallée C, Howlin BJ, Lewis R. Single ion free energy calculation in ASIC1: the importance of the HG loop. Phys Chem Chem Phys. 2022;24:13824–30.
Stockand JD, Staruschenko A, Pochynyuk O, Booth RE, Silverthorn DU. Insight toward epithelial Na+ channel mechanism revealed by the acid-sensing ion channel 1 structure. IUBMB Life. 2008;60:620–8.
Yang L, Palmer LG. Ion conduction and selectivity in acid-sensing ion channel 1. J Gen Physiol. 2014;144:245–55.
Jernigan NL, Naik JS, Resta TC. Acid-sensing ion channel 1 contributes to pulmonary arterial smooth muscle cell depolarization following hypoxic pulmonary hypertension. J Physiol. 2021;599:4749–62.
Garcia SM, Naik JS, Resta TC, Jernigan NL. Acid-sensing ion channel 1a activates IKCa/SKCa channels and contributes to endothelium-dependent dilation. J Gen Physiol. 2023;155:e202213173.
Wu Y, Chen Z, Canessa CM. A valve-like mechanism controls desensitization of functional mammalian isoforms of acid-sensing ion channels. Elife. 2019;8:e45851.
Li T, Yang Y, Canessa CM. Outlines of the pore in open and closed conformations describe the gating mechanism of ASIC1. Nat Commun. 2011;2:399.
Krauson AJ, Rooney JG, Carattino MD. Molecular basis of inhibition of acid sensing ion channel 1A by diminazene. PLoS ONE. 2018;13:e0196894.
Rook ML, Williamson A, Lueck JD, Musgaard M, Maclean DM. beta11-12 linker isomerization governs acid-sensing ion channel desensitization and recovery. Elife. 2020;9:e51111.
Kalina RS, Koshelev SG, Zelepuga EA, Kim NY, Kozlov SA, Kozlovskaya EP, et al. APETx-like peptides from the sea anemone heteractis crispa, diverse in their effect on ASIC1a and ASIC3 ion channels. Toxins (Basel). 2020;12:266.
Gründer S, Chen X. Structure, function, and pharmacology of acid-sensing ion channels (ASICs): focus on ASIC1a. Int J Physiol Pathophysiol Pharmacol. 2010;2:73–94.
Clusmann J, Franco KC, Suárez DAC, Katona I, Minguez MG, Boersch N, et al. Acidosis induces RIPK1-dependent death of glioblastoma stem cells via acid-sensing ion channel 1a. Cell Death Dis. 2022;13:702.
Jiang Q, Peterson AM, Chu Y, Yao X, Zha XM, Chu XP. Histidine residues are responsible for bidirectional effects of zinc on acid-sensing ion channel 1a/3 heteromeric channels. Biomolecules. 2020;10:1264.
de Weille JR, Bassilana F, Lazdunski M, Waldmann R. Identification, functional expression and chromosomal localisation of a sustained human proton-gated cation channel. FEBS Lett. 1998;433:257–60.
Andreev YA, Osmakov DI, Koshelev SG, Maleeva EE, Logashina YA, Palikov VA, et al. Analgesic activity of acid-sensing ion channel 3 (ASIcapital ES, Cyrillic3) inhibitors: sea anemones peptides Ugr9-1 and APETx2 versus low molecular weight compounds. Mar Drugs. 2018;16:500.
Lee CH, Chen CC. Roles of ASICs in nociception and proprioception. Adv Exp Med Biol. 2018;1099:37–47.
Chen X, Paukert M, Kadurin I, Pusch M, Gründer S. Strong modulation by RFamide neuropeptides of the ASIC1b/3 heteromer in competition with extracellular calcium. Neuropharmacology. 2006;50:964–74.
Chen X, Kalbacher H, Gründer S. Interaction of acid-sensing ion channel (ASIC) 1 with the tarantula toxin psalmotoxin 1 is state dependent. J Gen Physiol. 2006;127:267–76.
Waldmann R, Champigny G, Bassilana F, Heurteaux C, Lazdunski M. A proton-gated cation channel involved in acid-sensing. Nature. 1997;386:173–7.
Guo Y, Meng Y, Liu H, Wang B, Ding C, Rong X, et al. Acid-sensing ion channels mediate the degeneration of intervertebral disc via various pathways-A systematic review. Channels (Austin). 2019;13:367–73.
Alvarez de la Rosa D, Zhang P, Shao D, White F, Canessa CM. Functional implications of the localization and activity of acid-sensitive channels in rat peripheral nervous system. Proc Natl Acad Sci USA. 2002;99:2326–31.
Bässler EL, Ngo-Anh TJ, Geisler HS, Ruppersberg JP, Gründer S. Molecular and functional characterization of acid-sensing ion channel (ASIC) 1b. J Biol Chem. 2001;276:33782–7.
Alvarez de la Rosa D, Krueger SR, Kolar A, Shao D, Fitzsimonds RM, Canessa CM. Distribution, subcellular localization and ontogeny of ASIC1 in the mammalian central nervous system. J Physiol. 2003;546:77–87.
Jiang Q, Li MH, Papasian CJ, Branigan D, Xiong ZG, Wang JQ, et al. Characterization of acid-sensing ion channels in medium spiny neurons of mouse striatum. Neuroscience. 2009;162:55–66.
Wemmie JA, Askwith CC, Lamani E, Cassell MD, Freeman JH Jr, Welsh MJ. Acid-sensing ion channel 1 is localized in brain regions with high synaptic density and contributes to fear conditioning. J Neurosci. 2003;23:5496–502.
Jahr H, van Driel M, van Osch GJ, Weinans H, van Leeuwen JP. Identification of acid-sensing ion channels in bone. Biochem Biophys Res Commun. 2005;337:349–54.
Dong X, Ko KH, Chow J, Tuo B, Barrett KE, Dong H. Expression of acid-sensing ion channels in intestinal epithelial cells and their role in the regulation of duodenal mucosal bicarbonate secretion. Acta Physiol. 2011;201:97–107.
Kobayashi H, Yoshiyama M, Zakoji H, Takeda M, Araki I. Sex differences in the expression profile of acid-sensing ion channels in the mouse urinary bladder: a possible involvement in irritative bladder symptoms. BJU Int. 2009;104:1746–51.
Sánchez-Freire V, Blanchard MG, Burkhard FC, Kessler TM, Kellenberger S, Monastyrskaya K. Acid-sensing channels in human bladder: expression, function and alterations during bladder pain syndrome. J Urol. 2011;186:1509–16.
Grifoni SC, Jernigan NL, Hamilton G, Drummond HA. ASIC proteins regulate smooth muscle cell migration. Microvasc Res. 2008;75:202–10.
Abboud FM, Benson CJ. ASICs and cardiovascular homeostasis. Neuropharmacology. 2015;94:87–98.
Berdiev BK, Xia J, McLean LA, Markert JM, Gillespie GY, Mapstone TB, et al. Acid-sensing ion channels in malignant gliomas. J Biol Chem. 2003;278:15023–34.
Bubien JK, Keeton DA, Fuller CM, Gillespie GY, Reddy AT, Mapstone TB, et al. Malignant human gliomas express an amiloride-sensitive Na+ conductance. Am J Physiol. 1999;276:C1405–1410.
Brockway LM, Zhou ZH, Bubien JK, Jovov B, Benos DJ, Keyser KT. Rabbit retinal neurons and glia express a variety of ENaC/DEG subunits. Am J Physiol Cell Physiol. 2002;283:C126–134.
Ettaiche M, Guy N, Hofman P, Lazdunski M, Waldmann R. Acid-sensing ion channel 2 is important for retinal function and protects against light-induced retinal degeneration. J Neurosci. 2004;24:1005–12.
Lilley S, LeTissier P, Robbins J. The discovery and characterization of a proton-gated sodium current in rat retinal ganglion cells. J Neurosci. 2004;24:1013–22.
Tan J, Ye X, Xu Y, Wang H, Sheng M, Wang F. Acid-sensing ion channel 1a is involved in retinal ganglion cell death induced by hypoxia. Mol Vis. 2011;17:3300–8.
Song N, Lu Z, Zhang J, Shi Y, Ning Y, Chen J, et al. Acid-sensing ion channel 1a is involved in ischaemia/reperfusion induced kidney injury by increasing renal epithelia cell apoptosis. J Cell Mol Med. 2019;23:3429–40.
Dibas A, Millar C, Al-Farra A, Yorio T. Neuroprotective effects of psalmotoxin-1, an acid-sensing ion channel (ASIC) inhibitor, in ischemia reperfusion in mouse eyes. Curr Eye Res. 2018;43:921–33.
Nedergaard M, Kraig RP, Tanabe J, Pulsinelli WA. Dynamics of interstitial and intracellular pH in evolving brain infarct. Am J Physiol. 1991;260:R581–588.
Siesjö BK, Katsura K, Kristián T. Acidosis-related damage. Adv Neurol. 1996;71:209–33.
Savic Azoulay I, Liu F, Hu Q, Rozenfeld M, Ben Kasus Nissim T, Zhu MX, et al. ASIC1a channels regulate mitochondrial ion signaling and energy homeostasis in neurons. J Neurochem. 2020;153:203–15.
Wahlgren NG, Ahmed NA. Neuroprotection in cerebral ischaemia: facts and fancies–the need for new approaches. Cerebrovasc Dis. 2004;17:153–66.
Berjukow S, Döring F, Froschmayr M, Grabner M, Glossmann H, Hering S. Endogenous calcium channels in human embryonic kidney (HEK293) cells. Br J Pharmacol. 1996;118:748–54.
Argilés JM, López-Soriano FJ, Stemmler B, Busquets S. Cancer-associated cachexia - understanding the tumour macroenvironment and microenvironment to improve management. Nature reviews. Clin Oncol. 2023;20:250–64.
Yahoo N, Dudek M, Knolle P, Heikenwälder M. Role of immune responses for development of NAFLD-associated liver cancer and prospects for therapeutic modulation. J Hepatol. 2023;79:538–51.
Lin YJ, Anzaghe M, Schülke S. Update on the pathomechanism, diagnosis, and treatment options for rheumatoid arthritis. Cells. 2020;9:880.
Wang YZ, Zeng WZ, Xiao X, Huang Y, Song XL, Yu Z, et al. Intracellular ASIC1a regulates mitochondrial permeability transition-dependent neuronal death. Cell Death Differ. 2013;20:1359–69.
Liu Z, Pei H, Zhang L, Tian Y. Mitochondria-targeted DNA nanoprobe for real-time imaging and simultaneous quantification of Ca and pH in neurons. ACS Nano. 2018;12:12357–68.
Quarato G, Llambi F, Guy CS, Min J, Actis M, Sun H, et al. Ca-mediated mitochondrial inner membrane permeabilization induces cell death independently of Bax and Bak. Cell Death Differ. 2022;29:1318–34.
Yuan FL, Chen FH, Lu WG, Li X, Wu FR, Li JP, et al. Acid-sensing ion channel 1a mediates acid-induced increases in intracellular calcium in rat articular chondrocytes. Mol Cell Biochem. 2010;340:153–9.
Bychkov M, Shulepko M, Osmakov D, Andreev Y, Sudarikova A, Vasileva V, et al. Mambalgin-2 induces cell cycle arrest and apoptosis in glioma cells via interaction with ASIC1a. Cancers. 2020;12:1837.
Sudarikova AV, Bychkov ML, Kulbatskii DS, Chubinskiy-Nadezhdin VI, Shlepova OV. Mambalgin-2 inhibits lung adenocarcinoma growth and migration by selective interaction with ASIC1/α-ENaC/γ-ENaC heterotrimer. Front Oncol. 2022;12:904742.
Pan X, Zhu Y, Wu X, Liu L, Ying R, Wang L, et al. The interaction of ASIC1a and ERS mediates nerve cell apoptosis induced by insulin deficiency. Eur J Pharmacol. 2021;893:173816.
Yuan FL, Chen FH, Lu WG, Li X, Li JP, Li CW, et al. Inhibition of acid-sensing ion channels in articular chondrocytes by amiloride attenuates articular cartilage destruction in rats with adjuvant arthritis. Inflamm Res. 2010;59:939–47.
Apostolova P, Kreutmair S, Toffalori C, Punta M, Unger S, Burk AC, et al. Lactic acid and lactate: revisiting the physiological roles in the tumor microenvironment. Trends Immunol. 2022;43:969–77.
Heuser C, Renner K, Kreutz M, Gattinoni L. Targeting lactate metabolism for cancer immunotherapy - a matter of precision. Semin Cancer Biol. 2023;88:32–45.
Hanahan D, Monje M. Cancer hallmarks intersect with neuroscience in the tumor microenvironment. Cancer Cell. 2023;41:573–80.
Hang X, Zhang Z, Niu R, Wang C, Yao J, Xu Y, et al. Estrogen protects articular cartilage by downregulating ASIC1a in rheumatoid arthritis. J Inflamm Res. 2021;14:843–58.
Jiang LB, Cao L, Ma YQ, Chen Q, Liang Y, Yuan FL, et al. TIGAR mediates the inhibitory role of hypoxia on ROS production and apoptosis in rat nucleus pulposus cells. Osteoarthritis Cartilage. 2018;26:138–48.
Wang Y, Zhang J, Jiang P, Li K, Sun Y, Huang Y. ASIC1a promotes acidic microenvironment-induced HCC cells migration and invasion by inducing autophagy. Eur J Pharmacol. 2021;907:174252.
Zhang Y, Cao N, Gao J, Liang J, Liang Y, Xie Y, et al. ASIC1a stimulates the resistance of human hepatocellular carcinoma by promoting EMT via the AKT/GSK3β/Snail pathway driven by TGFβ/Smad signals. J Cell Mol Med. 2022;26:2777–92.
Cortés Franco KD, Brakmann IC, Feoktistova M, Panayotova-Dimitrova D, Gründer S, Tian Y. Aggressive migration in acidic pH of a glioblastoma cancer stem cell line in vitro is independent of ASIC and K3.1 ion channels, but involves phosphoinositide 3-kinase. Pflugers Archiv Eur J Physiol. 2023;475:405–16.
Lv J, Wei Y, Yin JH, Chen YP, Zhou GQ, Wei C, et al. The tumor immune microenvironment of nasopharyngeal carcinoma after gemcitabine plus cisplatin treatment. Nat Med. 2023;29:1424–36.
Zou W, Green DR. Beggars banquet: metabolism in the tumor immune microenvironment and cancer therapy. Cell Metab. 2023;35:1101–13.
Wu Z, Qu B, Yuan M, Liu J, Zhou C, Sun M, et al. CRIP1 Reshapes the gastric cancer microenvironment to facilitate development of lymphatic metastasis. Adv Sci. 2023. https://doi.org/10.1002/advs.202303246.
Tang C, Xie AX, Liu EM, Kuo F, Kim M, DiNatale RG, et al. Immunometabolic coevolution defines unique microenvironmental niches in ccRCC. Cell Metab. 2023;35:1424–40.e5.
Schaff LR, Mellinghoff IK. Glioblastoma and other primary brain malignancies in adults: a review. JAMA. 2023;329:574–87.
Tylawsky DE, Kiguchi H, Vaynshteyn J, Gerwin J, Shah J, Islam T, et al. P-selectin-targeted nanocarriers induce active crossing of the blood-brain barrier via caveolin-1-dependent transcytosis. Nat Mater. 2023;22:391–9.
Salinas M, Besson T, Delettre Q, Diochot S, Boulakirba S, Douguet D, et al. Binding site and inhibitory mechanism of the mambalgin-2 pain-relieving peptide on acid-sensing ion channel 1a. J Biol Chem. 2014;289:13363–73.
Weng XC, Zheng JQ, Jin QE, Ma XY. Inhibition of acid-induced apoptosis by targeting ASIC1a mRNA with short hairpin RNA. Acta Pharmacol Sin. 2007;28:1621–7.
Bae WC, Masuda K. Emerging technologies for molecular therapy for intervertebral disk degeneration. Orthop Clin North Am. 2011;42:585–601.
Cai F, Wu XT, Xie XH, Wang F, Hong X, Zhuang SY, et al. Evaluation of intervertebral disc regeneration with implantation of bone marrow mesenchymal stem cells (BMSCs) using quantitative T2 mapping: a study in rabbits. Int Orthop. 2015;39:149–59.
Deval E, Gasull X, Noël J, Salinas M, Baron A, Diochot S, et al. Acid-sensing ion channels (ASICs): pharmacology and implication in pain. Pharmacol Ther. 2010;128:549–58.
Qiao Q, Qu Z, Tian S, Cao H, Zhang Y, Sun C, et al. KetogeniC diet alleviates hippocampal neurodegeneration possibly via asic1a and the mitochondria-mediated apoptotic pathway in a rat model of temporal lobe epilepsy. Neuropsychiatric Dis Treat. 2022;18:2181–98.
Ge H, Zhou T, Zhang C, Cun Y, Chen W, Yang Y, et al. Targeting ASIC1a promotes neural progenitor cell migration and neurogenesis in ischemic stroke. Research. 2023;6:0105.
Cai F, Hong X, Tang X, Liu NC, Wang F, Zhu L, et al. ASIC1a activation induces calcium-dependent apoptosis of BMSCs under conditions that mimic the acidic microenvironment of the degenerated intervertebral disc. Biosci Rep. 2019;39:BSR20192708.
Xu Y, Zai Z, Zhang T, Wang L, Qian X, Xu D, et al. Nesfatin-1 exerts protective effects on acidosis-stimulated chondrocytes and rats with adjuvant-induced arthritis by inhibiting ASIC1a expression. Lab Investig. 2022;102:859–71.
Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis. Lancet. 2016;388:2023–38.
Zhou R, Wu X, Wang Z, Ge J, Chen F. Interleukin-6 enhances acid-induced apoptosis via upregulating acid-sensing ion channel 1a expression and function in rat articular chondrocytes. Int Immunopharmacol. 2015;29:748–60.
Zhou RP, Dai BB, Xie YY, Wu XS, Wang ZS, Li Y, et al. Interleukin-1β and tumor necrosis factor-α augment acidosis-induced rat articular chondrocyte apoptosis via nuclear factor-kappaB-dependent upregulation of ASIC1a channel. Biochimica et biophysica acta. Mol Basis Dis. 2018;1864:162–77.
Xie YY, Li Y, Zhou RP, Dai BB, Qian YJ, Wu XS, et al. Effects of autophagy on acid-sensing ion channel 1a-mediated apoptosis in rat articular chondrocytes. Mol Cell Biochem. 2018;443:181–91.
Rong C, Chen FH, Jiang S, Hu W, Wu FR, Chen TY, et al. Inhibition of acid-sensing ion channels by amiloride protects rat articular chondrocytes from acid-induced apoptosis via a mitochondrial-mediated pathway. Cell Biol Int. 2012;36:635–41.
Zhou RP, Ni WL, Dai BB, Wu XS, Wang ZS, Xie YY, et al. ASIC2a overexpression enhances the protective effect of PcTx1 and APETx2 against acidosis-induced articular chondrocyte apoptosis and cytotoxicity. Gene. 2018;642:230–40.
Song SJ, Tao JJ, Li SF, Qian XW, Niu RW, Wang C, et al. 17β-estradiol attenuates rat articular chondrocyte injury by targeting ASIC1a-mediated apoptosis. Mol Cell Endocrinol. 2020;505:110742.
Dai B, Zhu F, Chen Y, Zhou R, Wang Z, Xie Y, et al. ASIC2a overexpression enhances the protective effect of PcTx1 and APETx2 against acidosis-induced articular chondrocyte apoptosis and cytotoxicity. Gene. 2018;642:230–40.
Dai B, Zhu F, Chen Y, Zhou R, Wang Z, Xie Y, et al. ASIC1a promotes acid-induced autophagy in rat articular chondrocytes through the AMPK/FoxO3a pathway. Int J Mol Sci. 2017;18:2125.
Kitano T, Zerwekh JE, Usui Y, Edwards ML, Flicker PL, Mooney V. Biochemical changes associated with the symptomatic human intervertebral disk. Clin Orthop Relat Res. 1993;372–77.
Cai F, Wang F, Hong X, Xie XH, Shi R, Xie ZY, et al. Acid-sensing ion channel 1a regulates the survival of nucleus pulposus cells in the acidic environment of degenerated intervertebral discs. Iran J Basic Med Sci. 2016;19:812–20.
Wuertz K, Godburn K, Iatridis JC. MSC response to pH levels found in degenerating intervertebral discs. Biochem Biophys Res Commun. 2009;379:824–9.
Li X, Wu FR, Xu RS, Hu W, Jiang DL, Ji C, et al. Acid-sensing ion channel 1a-mediated calcium influx regulates apoptosis of endplate chondrocytes in intervertebral discs. Expert Opin Ther Targets. 2014;18:1–14.
Cuesta A, Del Valle ME, García-Suárez O, Viña E, Cabo R, Vázquez G, et al. Acid-sensing ion channels in healthy and degenerated human intervertebral disc. Connect Tissue Res. 2014;55:197–204.
Sun X, Jin J, Zhang JG, Qi L, Braun FK, Zhang XD, et al. Expression of acid-sensing ion channels in nucleus pulposus cells of the human intervertebral disk is regulated by non-steroid anti-inflammatory drugs. Acta Biochim Biophys Sin. 2014;46:774–81.
Li Y, Zhang A, Li K, Zhao D, Li F, Liao S, et al. ASIC1a induces mitochondrial apoptotic responses in acute lung injury. Eur J Pharmacol. 2022;934:175296.
Xie ZY, Chen L, Zhang C, Liu L, Wang F, Cai F, et al. Acid-sensing ion channel 1a regulates fate of rat nucleus pulposus cells in acid stimulus through endoplasmic reticulum stress. Biores Open Access. 2018;7:2–9.
Bychkov ML, Kirichenko AV, Shulepko MA, Mikhaylova IN, Kirpichnikov MP, Lyukmanova EN. Mambalgin-2 inhibits growth, migration, and invasion of metastatic melanoma cells by targeting the channels containing an asic1a subunit whose up-regulation correlates with poor survival prognosis. Biomedicines. 2021;9:1324.
Wei X, Sun C, Zhou RP, Ma GG, Yang Y, Lu C, et al. Nerve growth factor promotes ASIC1a expression via the NF-κB pathway and enhances acid-induced chondrocyte apoptosis. Int Immunopharmacol. 2020;82:106340.
Shahar N, Larisch S. Inhibiting the inhibitors: targeting anti-apoptotic proteins in cancer and therapy resistance. Drug Resist Updat. 2020;52:100712 https://doi.org/10.1016/j.drup.2020.100712.
Gao Y, Shang Q, Li W, Guo W, Stojadinovic A, Mannion C, et al. Antibiotics for cancer treatment: a double-edged sword. J Cancer. 2020;11:5135–49.
Deng Z, Zhao Y, Ma Z, Zhang M, Wang H, Yi Z, et al. Pathophysiological role of ion channels and transporters in gastrointestinal mucosal diseases. Cell Mol Life Sci. 2021;78:8109–25.
Grosse W, Essen LO, Koert U. Strategies and perspectives in ion-channel engineering. Chembiochem. 2011;12:830–9.
Hou J, Zhao C, Zhang H. Bio-inspired subnanofluidics: advanced fabrication and functionalization. Small Methods. 2023. https://doi.org/10.1002/smtd.202300278.
Shefer I, Peer-Haim O, Leifman O, Epsztein R. Enthalpic and entropic selectivity of water and small ions in polyamide membranes. Environ Sci Technol. 2021;55:14863–75.
Wang JJ, Liu F, Yang F, Wang YZ, Qi X, Li Y, et al. Disruption of auto-inhibition underlies conformational signaling of ASIC1a to induce neuronal necroptosis. Nat Commun. 2020;11:475.
Zhou RP, Liang HY, Hu WR, Ding J, Li SF, Chen Y, et al. Modulators of ASIC1a and its potential as a therapeutic target for age-related diseases. Ageing Res Rev. 2023;83:101785.
Wang Y. C, Li W. Z, Wu Y, Yin Y. Y, Dong L. Y, Chen Z. W, et al. Acid-sensing ion channel 1a contributes to the effect of extracellular acidosis on NLRP1 inflammasome activation in cortical neurons. J neuroinflammation. 2015;12:246. https://doi.org/10.1186/s12974-015-0465-7.
King P, Wan J, Guo A. A, Guo S, Jiang Y, Liu M. Regulation of gliomagenesis and stemness through acid sensor ASIC1a. Int J Oncol. 2021;59:82. https://doi.org/10.3892/ijo.2021.5262.
Weng X. C, Zheng J. Q, Li J, Xiao W. B. Underlying mechanism of ASIC1a involved in acidosis-induced cytotoxicity in rat C6 glioma cells. Acta Pharmacol Sin. 2007;28:1731–6. https://doi.org/10.1111/j.1745-7254.2007.00708.x.
Zhao K, An R, Xiang Q, Li G, Wang K, Song Y, et al. Acid-sensing ion channels regulate nucleus pulposus cell inflammation and pyroptosis via the NLRP3 inflammasome in intervertebral disc degeneration. Cell Prolif. 2021;54:e12941. https://doi.org/10.1111/cpr.12941.
Hu W, Chen FH, Yuan FL, Zhang TY, Wu FR, Rong C, et al. Blockade of acid-sensing ion channels protects articular chondrocytes from acid-induced apoptotic injury. Inflammation research : official journal of the European Histamine Research Society… [et al.]. 2012;61:327–35. https://doi.org/10.1007/s00011-011-0414-6
Yamanashi T, Maki M, Kojima K, Shibukawa A, Tsukamoto T, Chowdhury S, et al. Quantitation of the neural silencing activity of anion channelrhodopsins in Caenorhabditis elegans and their applicability for long-term illumination. Sci Rep. 2019;9:7863. https://doi.org/10.1038/s41598-019-44308-x.
Zhou R, Zhu F, Wu X, Song S, Chen Y, Zhu C, et al. Effects of autophagy on apoptosis of articular chondrocytes in adjuvant arthritis rats. J Cell Mol Med. 2019;23:7879–84. https://doi.org/10.1111/jcmm.14629.
Acknowledgements
All figures were created using BioRender.com. Funding for this study was provided by the Social Development Project of Jiangsu Province (BE2022701), Top Talent Support Program for young and middle-aged people of Wuxi Health Committee (BJ2020044; BJ2020057; HB2020043), and Fundamental Research Funds of Health and Family Planning Commission of Wuxi (M202024), and special program for translational medicine research of Wuxi Translational Medicine Center (2020DHYB07; 2020DHYB03); Key special project of precision medicine of Wuxi Health Commission (J202101); the National Natural Science Foundation of China (82372412).
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ZZ and MC designed and wrote the paper, WZ and YC drew the schematic diagram, TW and ZC completed the literature search, and DM, JR, and FY participated in the design and proofreading of the project.
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Zhang, Z., Chen, M., Zhan, W. et al. Acid-sensing ion channel 1a modulation of apoptosis in acidosis-related diseases: implications for therapeutic intervention. Cell Death Discov. 9, 330 (2023). https://doi.org/10.1038/s41420-023-01624-6
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DOI: https://doi.org/10.1038/s41420-023-01624-6
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