Zinc Binding to MG53 Protein Facilitates Repair of Injury to Cell Membranes*

Background: MG53, a zinc finger protein, is essential to cell membrane repair. It is not known whether zinc contributes to MG53-mediated membrane repair. Results: Chelation of Zn2+ or mutation of Zn2+-binding motifs in MG53 affects membrane repair. Conclusion: Zn2+ binding to MG53 is required for membrane repair. Significance: This study establishes a base for Zn2+ interaction with MG53 in protection against injury to the cell membrane. Zinc is an essential trace element that participates in a wide range of biological functions, including wound healing. Although Zn2+ deficiency has been linked to compromised wound healing and tissue repair in human diseases, the molecular mechanisms underlying Zn2+-mediated tissue repair remain unknown. Our previous studies established that MG53, a TRIM (tripartite motif) family protein, is an essential component of the cell membrane repair machinery. Domain homology analysis revealed that MG53 contains two Zn2+-binding motifs. Here, we show that Zn2+ binding to MG53 is indispensable to assembly of the cell membrane repair machinery. Live cell imaging illustrated that Zn2+ entry from extracellular space is essential for translocation of MG53-containing vesicles to the acute membrane injury sites for formation of a repair patch. The effect of Zn2+ on membrane repair is abolished in mg53−/− muscle fibers, suggesting that MG53 functions as a potential target for Zn2+ during membrane repair. Mutagenesis studies suggested that both RING and B-box motifs of MG53 constitute Zn2+-binding domains that contribute to MG53-mediated membrane repair. Overall, this study establishes a base for Zn2+ interaction with MG53 in protection against injury to the cell membrane.

delayed wound healing (2)(3)(4). One of the examples of impaired wound healing is acrodermatitis enteropathica, caused by reduced Zn 2ϩ uptake in the small intestine and reduced serum Zn 2ϩ levels (2,3,5). Surgical patients undergoing total hip replacement procedures have impaired wound healing that correlates with lower levels of serum Zn 2ϩ (6,7). Zn 2ϩ deficiency also accompanies aging and a number of other pathophysiological conditions, particularly those linked to oxidative stress (8).
Intracellular Zn 2ϩ levels are tightly controlled by transporters and ion channels. Roughly 10% of the structures deposited in the Protein Data Bank have Zn 2ϩ listed in their structure indexes (9,10). Inside the cell, Zn 2ϩ is bound to numerous structural and regulatory proteins, including transcription factors (11), regulators of hematopoietic stem cells (12) and immune cells (13), and proteins involved in intracellular signaling and neurotransmission (14). As such, metabolically active, labile Zn 2ϩ is present inside cells at pico-to nanomolar concentrations, with extracellular concentrations in the sub-micromolar to micromolar range (15)(16)(17). Increased oxidative stress can release Zn 2ϩ from its binding sites, executing the task of the so-called "redox Zn 2ϩ switch" in performing its corresponding biological functions (18).
Dynamic membrane repair is a fundamental process in maintaining cellular integrity. Defective membrane repair is linked to compromised wound healing, muscular dystrophy, and cardiovascular diseases (19 -23). We discovered that MG53, a TRIM (tripartite motif) family protein, is an essential component of the membrane repair machinery (24). MG53 acts as a sensor of oxidation to nucleate recruitment of intracellular vesicles to the injury site for membrane patch formation. MG53 ablation results in defective membrane repair, with progressive pathological consequences to skeletal and cardiac muscles (24 -27).
Domain homology analysis showed that MG53 contains two Zn 2ϩ -binding domains in the RING finger and B-box motifs (24), but whether MG53 binds with Zn 2ϩ to regulate membrane repair is unknown. Here, we present evidence that Zn 2ϩ binding to MG53 is indispensable for repair of cell membrane injury. Chelation of extracellular Zn 2ϩ impacts the movement of intracellular vesicles to the acute membrane injury sites in a MG53-dependent manner. Defective membrane repair was observed in the absence of extracellular Zn 2ϩ or in response to disruption of Zn 2ϩ -binding motifs in MG53. Our data suggest that MG53 serves as an acceptor for Zn 2ϩ during cell membrane repair and provide mechanic insight in the biology of Zn 2ϩ in wound healing and regenerative medicine.
Flexor Digitorum Brevis (FDB) Muscle Fiber Isolation and Membrane Repair Assay-All animal care and usage followed National Institutes of Health guidelines and was approved by the institutional animal care and use committees of Rutgers University and The Ohio State University. Mice null for MG53 (mg53 Ϫ/Ϫ ) or age-matched WT control animals were produced as described previously (24). FDB muscle fiber isolation was performed with a previously published protocol (24,30,31). Membrane repair capacity in the FDB muscle was determined using an established technique (32,33). Briefly, prior to cell wounding, 2.5 M FM 1-43 (Life Technologies, Inc.) was added to Tyrode's solution containing 140 mM NaCl, 5 mM KCl, 2.5 mM CaCl 2 , 2 mM MgCl 2 , and 10 mM HEPES (pH 7.2), and membranes in FDB fibers were damaged using an UV laser on the stage of a Zeiss LSM 510 confocal microscope (Enterprise) to irradiate a 5 ϫ 5 pixel area at a maximum power for 5 s (80 milliwatts, 351/364 nm). Confocal images were acquired (x-y images captured at 6.6-s intervals) to monitor FM 1-43 dye entry at the irradiation site. The mean fluorescence intensity at the irradiation site was calculated based on the following equation: ⌬F/F 0 ϭ (F t Ϫ F 0 )/F 0 , where F 0 is the fluorescence intensity at the initial time point, and F t is the fluorescence intensity at the various time points afterward. In some experiments, the fibers were preincubated with a cell-impermeable cation chelator (Ca-EDTA, Sigma), a Zn 2ϩ ionophore (1-hydroxypyridine-2-thione zinc salt (Zn-HPT), Sigma), or a high affinity Zn 2ϩ chelator (tetrakis(2-pyridylmethyl)enediamine (TPEN), Sigma) for 5 min at room temperature to analyze the Zn 2ϩ effect on muscle membrane repair. Although the free Zn 2ϩ concentration in Tyrode's solution ranges from 1 to 5 M, the addition of 40 M Ca-EDTA or 40 M TPEN essentially chelates all Zn 2ϩ ions.
Microelectrode Cell Wounding and Confocal Imaging-Live cell confocal imaging was used to monitor intracellular trafficking of GFP-MG53 transiently expressed in C2C12 myoblast cells (24). C2C12 cells were plated onto ⌬T glass-bottom dishes (Bioptechs Inc.) and visualized using a Radiance 2100 laser scanning confocal microscope (Bio-Rad) with a 40ϫ (1.3 numerical aperture) oil immersion objective at 24 h after transfection with the various GFP-MG53 fusion constructs. For mechanical membrane damage, C2C12 myoblasts were penetrated by the tip of a micropipette attached to a micromanipulator, and the movements of GFP-MG53 were monitored following our published protocols (24,34).
Lactate Dehydrogenase (LDH) Release Measurements following Glass Microbead-induced Cell Membrane Injury-C2C12 myoblasts were transfected with GFP-MG53, GFP-MG53(C29L), GFP-MG53(C105S), or GFP-MG53(C29L/ C105S) and allowed to differentiate into myotubes for 3 days. Cells were subjected to glass microbead-induced mechanical damage as described previously (35,36). Measurement of LDH enzymatic activity released from C2C12 myotubes following glass microbead damage was used as an index of membrane injury. LDH activity was measured with a LDH cytotoxicity detection kit (Thermo Scientific) under basal conditions (without glass beads), at 7 min after glass bead-induced injury, or after treatment with 1% Triton X-100 to induce total cell lysis.
Purification of Recombinant MG53 and MBP-MG53 Proteins-Plasmid pMAL-MG53, pMAL-C29L, or pMAL-C29L/C105S plasmid was transformed into JM109 bacterial cells. Expression of MBP-MG53 and its mutant proteins was induced with 0.3 mM isopropyl ␤-D-thiogalactopyranoside (Sigma) for 3.5 h at 30°C in bacterial cultures at log phase growth. Harvested bacterial pellets were resuspended in buffer containing 20 mM Tris-HCl, 200 mM NaCl, 100 M ZnSO 4 , and 0.2 mM PMSF (pH 7.5) supplemented with 0.5% protease inhibitor mixture (Sigma), 0.2 mg/ml lysozyme, and 1 mg/ml MgCl 2 and sonicated (Branson Ultrasonics) for 2 min at 30% power output. The lysates were centrifuged twice at 15,000 rpm for 30 min at 4°C and filtered through a 0.45-m syringe filter. The filtrates were then diluted 1:4 into the suspension buffer, mixed with amylase resin beads (1.25% final bead volume; New England Biolabs), and incubated overnight at 4°C on an orbital shaker. The mixture was loaded onto a Poly-Prep chromatography column (Bio-Rad), allowed to precipitate by gravity, and washed with 50 ml of zinc-free column buffer (20 mM Tris-HCl, 200 mM NaCl, and 0.2 mM PMSF (pH 7.5)). MBP-MG53, MBP-MG53(C29L), or MBP-MG53(C29L/C105S) was eluted with 10 mM maltose from the bound amylase resin beads and resuspended in 2 ml of zinc-free column buffer. The final protein concentration was measured with the DC protein assay (Bio-Rad) and verified by SDS-PAGE and colloidal blue staining (Invitrogen). Recombinant human MG53 (rhMG53) was purified from E. coli following our established protocol (30).
Zn 2ϩ Binding Assessment-Zn 2ϩ contents in the recombinant MBP-MG53 proteins were measured by 6-methoxy-(8-ptoluenesulfonamido)quinolone (TSQ) fluorescence assay according to our previous protocol (37). In brief, the Zn 2ϩspecific fluorescent probe TSQ (Life Technologies, Inc.) was added to 2-10 M MBP-MG53 fusion proteins bound on the amylose resin beads in phosphate-buffered saline to a final concentration of 10 M. After removal of the unbound TSQ probe, the thiol-bound Zn 2ϩ contents of the MBP-MG53 fusion proteins on the beads were analyzed with the thiol-reactive reagent p-hydroxymercuriphenylsulfonate (Sigma) for 10 min at room temperature to liberate the intramolecular Zn 2ϩ content. Stained beads were excited at 334 nm, and fluorescence emission was recorded at 465 nm with an Axiovert 200M motorized fluorescence microscope (Zeiss) equipped with a mercury lamp. A standard Zn 2ϩ solution (Sigma) was used to calibrate the assay system. The quantification of relative Zn 2ϩ content was performed with MetaMorph imaging analysis software (Molecular Devices).
Western Blotting-C2C12 cells expressing the different GFP-MG53 proteins were harvested and lysed with ice-cold modified radioimmune precipitation assay buffer (150 mM NaCl, 5 mM EDTA, 1% Nonidet P-40, and 20 mM Tris-HCl (pH 7.5)) supplemented with protease inhibitor mixture. The total protein lysates (10 g each) were separated on 4 -12% SDS-polyacrylamide gradient gels (Invitrogen). Proteins were transferred onto PVDF membrane (Millipore) and probed with a custom-made rabbit anti-MG53 polyclonal antibody as described previously (24), and detection was conducted with an ECL Plus kit (Thermo Scientific). To assay the effect of chelating Zn 2ϩ concentration on the redox-dependent oligomerization of MG53, water-dissolved rhMG53 protein (in lyophilization buffer containing 3% mannitol, 1% sucrose, 0.005% Tween 80, and 5 mM phosphate buffer) (30) was treated with varying concentrations of Ca-EDTA or TPEN as indicated. The protein samples were then incubated with sample loading buffer (62.5 mM Tris-Cl (pH 6.8), 2% SDS, 10% glycerol, and 0.002% bromphenol blue with Ca-EDTA or TPEN and with or without 10 mM DTT as indicated), followed by SDS-PAGE separation.
Statistical Analysis-All data are expressed as mean Ϯ S.E. unless indicated otherwise. Statistical analyses were performed using Student's t test (unpaired and two-tailed). Analysis of variance was used for comparisons between more than two groups. A value of p Ͻ 0.05 was considered statistically significant.

Chelation of Zn 2ϩ Impacts MG53-mediated Membrane
Repair in Skeletal Muscle-To investigate the role of Zn 2ϩ in muscle membrane repair, the FM 1-43 fluorescent dye entry assay following UV laser damage was performed on isolated FDB muscle fibers from WT and mg53 Ϫ/Ϫ mice as described previously (24,34). Changes in FM 1-43 fluorescent dye entry (⌬F/F 0 ) at the damage sites were assessed by confocal microscope imaging. As shown in Fig. 1A, detectable fluorescent dye entry into WT muscle fiber was observed under control conditions. The addition of 20 M Zn-HPT increased membrane repair capacity as reflected by the diminished FM 1-43 dye entry following injury compared with the control. Removal of Zn 2ϩ ions by chelation with 40 M TPEN, a high affinity Zn 2ϩ chelator, led to a significant increase in FM 1-43 dye entry following UV damage, indicating compromised membrane repair capacity in the absence of Zn 2ϩ .
Consistent with our previous study (24), the mg53 Ϫ/Ϫ FDB muscle fibers exhibited defective membrane repair function, as shown by the elevated amount of FM 1-43 dye entry following identical treatment (Fig. 1B, left panel). Unlike the WT muscle fibers, the membrane repair capacity observed in mg53 Ϫ/Ϫ muscle fibers did not show Zn 2ϩ dependence: neither Zn-HPT (Fig. 1B, middle panel) nor TPEN (right panel) affected FM 1-43 dye entry following UV damage. Furthermore, the membraneimpermeable Zn 2ϩ chelator Ca-EDTA, which buffers external Zn 2ϩ , was also found to cause compromised membrane repair capacity in WT muscle, whereas it had no significant effect on membrane repair capacity in mg53 Ϫ/Ϫ muscle (Fig. 1C). These data suggest that MG53 is a critical player in membrane repair, and Zn 2ϩ ions are part of the regulatory component of the repair machinery.
Extracellular Zn 2ϩ Regulates MG53-mediated Vesicle Translocation to Membrane Injury Sites-Our previous study (24) demonstrated that MG53 facilitates intracellular vesicle trafficking to the membrane disruption site for formation of a repair patch. To examine the role of Zn 2ϩ in the process of MG53-mediated vesicle translocation, we expressed GFP-MG53 fusion protein in C2C12 myoblasts and used live cell imaging to assess microelectrode-generated mechanical membrane damage. As shown in Fig. 2A, under resting conditions, GFP-MG53 localized to intracellular vesicles in proximity to the plasma membrane. Acute injury to the cell membrane caused rapid translocation of MG53-containing vesicles to the injury site. Removal of extracellular Zn 2ϩ by preincubation with 40 M Ca-EDTA impaired GFP-MG53 translocation to membrane injury sites (Fig. 2B). Moreover, the addition of 20 M TPEN significantly reduced translocation of GFP-MG53containing vesicles to the mechanical injury site (Fig. 2C). Data from multiple experiments assessing the role of Ca-EDTA and TPEN in GFP-MG53-mediated membrane repair in C2C12 myoblast cells are summarized in Fig. 2E. Clearly, chelation of extracellular Zn 2ϩ produced significant defects in membrane repair patch formation.
GFP-MG53-mediated membrane repair patch formation was also examined in the presence of the Zn 2ϩ ionophore Zn-HPT. Interestingly, after a 15-min incubation with Zn-HPT, GFP-MG53 was redistributed toward the cell surface membrane and concentrated in the intracellular membrane compartments (Fig. 2D), suggesting that elevation of intracellular Zn 2ϩ may facilitate the translocation of GFP-MG53 to intracellular vesicles and to the plasma membrane.
Molecular Analysis of Zn 2ϩ Binding to MG53-MG53 is a member of the TRIM family of proteins comprising two to three Zn 2ϩ -binding domains (38 -40). It has been reported that Zn 2ϩ -binding motifs coordinate Zn 2ϩ ions with a cluster of cysteine and histidine residues. The Cys 2 His 2 -like structure is by far the best characterized class of zinc fingers and is commonly found in mammalian transcription factors. These domains adopt a simple ␤␤␣-fold and have the amino acid sequence motif X 2 -Cys-X 2,4 -Cys-X 12 -His-X 3,4,5 -His (40), which is present in MG53. As shown in the schematic diagram in Fig. 3A, domain homology analysis revealed that MG53 contains one Zn 2ϩ -binding domain in the RING finger motif (amino acids 1-56) and another in the B-box motif (amino acids 86 -117).
To understand the molecular mechanisms underlying the role of Zn 2ϩ binding to MG53 in repair of cell membrane injury, we generated several site-specific mutations of the possible Zn 2ϩ -binding residues in the RING and B-box motifs of GFP-MG53, including GFP-MG53(C29L), GFP-MG53(H31A), and GFP-MG53(C53A/C55A/C56A) in the RING motif; GFP-MG53(C86A) and GFP-MG53(C105S) in the B-box motif; and GFP-MG53(C29L/C105S) in both motifs. These constructs were transiently transfected into C2C12 myoblasts, and expression of the mutant MG53 proteins was determined by Western blotting. As shown in Fig. 3B, all mutant constructs could be expressed in C2C12 cells, with a predicted molecular mass of ϳ75 kDa for GFP-MG53. Although all mutant proteins showed a monomeric form in a reduced environment (with 10 mM DTT) (Fig. 3B, left panel), removal of DTT (right panel) resulted in the appearance of oligomeric forms of GFP-MG53, which were observed for all mutants generated, except for mutant C242A, which was used as a control here because it has been shown to exist only in monomeric form under both reduced and oxidized conditions (24,33). This finding indicates that all mutants with changes in the Zn 2ϩ -binding motifs maintained their intermolecular oligomerization properties, which would be crucial for MG53-mediated membrane repair function.
To examine the Zn 2ϩ -binding properties of MG53 in vitro, we purified the recombinant MBP-MG53 fusion proteins following E. coli fermentation. MBP has been proven to enhance the solubility of proteins expressed in E. coli (41). The addition of MBP to the N terminus of MG53 enabled proper folding and purification of the MBP-MG53 fusion proteins. Approximately 100 mg of fusion protein/liter of bacterial culture could be obtained using the amylose affinity column, as shown in Fig. 4A. To characterize the Zn 2ϩ -binding capacity, we used the Zn 2ϩspecific fluorescent probe TSQ (42) to quantify the amount of Zn 2ϩ that was bound to the MBP-MG53 proteins. The linearity of TSQ fluorescence as a function of Zn 2ϩ content was established in our previous publication (37). The thiol-bound Zn 2ϩ in MBP-MG53, MBP-MG53(C29L), or MBP-MG53(C29L/ C105S) attached to the amylose resin beads was liberated with p-hydroxymercuriphenylsulfonate treatment. After washing away the free TSQ fluorescent dye, the MBP-MG53-bound beads were analyzed by fluorescence microscopy. The images show strong fluorescent signals corresponding to Zn 2ϩ amounts liberated from the beads in striking contrast to the beads under the control conditions (Fig. 4B). Compared with MBP-MG53, TSQ fluorescence was less in the MBP-MG53(C29L) mutant and further decreased in the MBP-MG53(C29L/C105S) double mutant. Quantitative data are presented in Fig. 4C. The Zn 2ϩ content was diminished by approximately half in MBP-MG53(C29L), and Zn 2ϩ binding was further reduced in the MBP-MG53(C29L/C105S) double mutant. Taken together, these data indicate that disruption of zinc finger domains in the RING and B-box motifs of MG53 compromises its Zn 2ϩ -binding capacity.
Due to technical difficulty with expression of the MG53(C105S) mutant in E. coli, its Zn 2ϩ -binding capacity could not be determined. In addition, we found that an MG53 mutant with defective E3 ligase activity (C14A), according to our previous work (43), also could not be expressed in sufficient quantity using E. coli fermentation, likely due to protein-misfolding problems.   (Fig. 5A, right panel).
The GFP-MG53(C105S) mutant with a mutation in the B-box motif also failed to move to the acute injury site following microelectrode penetration in an extracellular nominal zincfree solution (Fig. 5B, middle panel). Similarly, the addition of Zn-HPT led to partial rescue of the membrane repair capacity of the GFP-MG53(C105S) mutant, as evidenced by its movement toward the injury site (Fig. 5B, right panel).
Further study showed that the GFP-MG53(C29L/C105S) double mutant failed to move to the plasma membrane upon acute membrane damage in nominal zinc-free solution (Fig. 5C,  middle panel) and following the addition of extracellular Zn 2ϩ (right panel). Data from multiple experiments are summarized in Fig. 5D. These results demonstrated that the membrane repair function of the MG53(C29L/C105S) mutant was completely abolished and was insensitive to Zn 2ϩ (Fig. 5D, right  panel).
We next performed a quantitative LDH release assay to assess the impact of Zn 2ϩ -binding motif mutations on MG53mediated cell membrane repair (35,36). Populations of C2C12 cells (5 ϫ 10 5 ) transfected with GFP-MG53, GFP-MG53(C29L), GFP-MG53(C105S), or GFP-MG53(C29L/ C105S) were subjected to glass microbead-induced cell membrane damage. Membrane damage-induced release of LDH into the culture medium was measured using a LDH detection kit. As shown in Fig. 5E, C2C12 cells expressing GFP-MG53(C29L) or GFP-MG53(C105S) did not show a significant change in LDH release compared with cells expressing GFP-MG53. However, C2C12 cells expressing GFP-MG53(C29L/ C105S) displayed a significant increase in LDH release, indicating more cell injury. These data are consistent with our live cell imaging of MG53-mediated vesicle translocation to acute membrane injury sites, where mutations in Zn 2ϩ binding to both RING and B-box motifs are required for complete disruption of the membrane repair function of MG53.
Chelation of Zn 2ϩ by Either Ca-EDTA or TPEN Does Not Affect Redox-dependent Oligomerization of MG53-In our previous studies (24,33), we determined that the redox-dependent oligomerization of MG53 plays an important role in the nucleation process of cell membrane repair. To address whether Zn 2ϩ binding affects the oligomerization process of MG53, we conducted the following experiments. We recently developed a protocol for scale-up production of the rhMG53 protein from CHO cells. Purified rhMG53 showed redox-dependent oligomerization, as removal of DTT from the sample buffer led to the appearance of dimers and oligomers of rhMG53 (Fig. 6). To test whether chelation of Zn 2ϩ affects the oligomerization of MG53, we supplemented the sample buffer with increasing concentrations of Ca-EDTA and TPEN. As shown in Fig. 6, these treatments did not affect the oligomerization of rhMG53. On the basis of these results, we conclude that both Zn 2ϩ binding to MG53 and redox-dependent oligomerization of MG53 contribute to the nucleation process of cell membrane repair.
The results from comparative analysis of Zn 2ϩ binding, MG53 oligomerization, and repair function for the various mutant constructs are summarized in Table 1. WT MG53 possesses the ability to form oligomers, bind Zn 2ϩ ions, and function as a membrane repair molecule. MG53(C242A) lost the ability to form oligomers and is defective in membrane repair FIGURE 4. Characterization of Zn 2؉ binding to mutant MG53 proteins. A, purified MBP-MG53 fusion proteins expressed in E. coli were analyzed by SDS-PAGE. B, the Zn 2ϩ -binding capacity of the MBP-MG53 mutant fusion proteins was characterized by TSQ staining of amylase beads. Representative fluorescence images were taken after washing out the unbound TSQ. C, the purified MBP fusion proteins were used to assay for the Zn 2ϩ -binding capacity with an established biochemical protocol. The relative Zn 2ϩ concentration in each MBP-MG53 fusion protein was quantified. Data from multiple trials were averaged and normalized to WT MBP-MG53 (mean Ϯ S.E., n ϭ 5). *, p Ͻ 0.05; **, p Ͻ 0.001. function (24,33). The MG53(C29L) and MG53(C105S) single mutants can form dimers, but they have diminished ability to bind Zn 2ϩ and thus cannot repair the injured membrane in the absence of extracellular Zn 2ϩ . However, the repair function can be partially recovered in the presence of extracellular Zn 2ϩ . however, it lost the ability to bind Zn 2ϩ and cannot repair the injured membrane even in the presence of extracellular Zn 2ϩ . Altogether, the data suggest that Zn 2ϩ binding to MG53 is indispensable to MG53-mediated function in vesicular trafficking and membrane repair following acute membrane damage in muscle cells.

Discussion
Over the past 2 decades, a large body of evidence has determined that an unbalanced homeostasis of two signaling cations, Ca 2ϩ and Zn 2ϩ , contributes to the development of various human diseases. It is well known that the extracellular Ca 2ϩ entry is involved in the fusion of intracellular vesicles to reseal the injured plasma membrane (19,44,45). Our previous reports have shown that mice null for MG53 display defective muscle membrane repair and progressive myopathy (24,30). MG53 is a critical component of the membrane repair machinery, and interestingly, the initial movement of MG53 in response to membrane injury is Ca 2ϩ -independent (24). Like Ca 2ϩ , Zn 2ϩ is involved in a wide array of physiological functions (46), and the deregulation of intracellular Zn 2ϩ has an important role in pathophysiology, including wound healing. Evidence has been obtained that Zn 2ϩ delivered locally provides therapeutic advantages in treatment of both acute and chronic wounds (4,(47)(48)(49). However, the definitive role of Zn 2ϩ in the process of plasma membrane repair has not yet been determined. In this study, we established a base for Zn 2ϩ interaction with MG53 in protection against injury to the cell membrane.
Our studies showed that different motifs serve distinct roles in MG53-mediated membrane repair. The C242A mutation in MG53 causes oligomerization loss and has a dominant-negative effect on MG53-mediated membrane repair, indicating that protein oligomerization is important for vesicular nucleation by MG53 at the membrane disruption sites (24,33). In addition to redox-dependent oligomerization, Zn 2ϩ binding constitutes an important factor for cell membrane repair. We have demonstrated that MG53 is a potential target for Zn 2ϩ during the membrane repair process. We have shown that removing extracellular Zn 2ϩ or disrupting the Zn 2ϩ -binding motifs in MG53 alters MG53-mediated vesicular translocation and membrane repair function in muscle cells. We have also shown that the effect of Zn 2ϩ on cell membrane repair was lost in mg53 Ϫ/Ϫ muscle fibers, suggesting that MG53 probably serves as a receptor for Zn 2ϩ during cell membrane repair. Because chelation of free Zn 2ϩ did not appear to affect the redox-dependent oligomerization of MG53, we conclude that both Zn 2ϩ binding to MG53 and redox-dependent oligomerization of MG53 contribute to the nucleation process of cell membrane repair.
Zn 2ϩ deficiency has been linked to many human diseases (50), including cardiovascular diseases (51) and Alzheimer disease (52). Defective membrane repair has been associated with muscular dystrophy and cardiomyopathy (32,53). Our study highlights a novel potential therapeutic approach in targeting the functional interaction between Zn 2ϩ and MG53 for treatment of human diseases associated with compromised membrane repair capacity.
As a TRIM family protein, MG53 possesses an intrinsic E3 ligase function, enabling it to execute the ubiquitination of specific target proteins (38 -40). Recent studies showed that MG53-mediated IRS-1 ubiquitination negatively regulates insulin signaling in skeletal muscle (43,54). A single mutation in the Zn 2ϩ -binding motif of MG53, C14A, causes complete disruption of E3 ligase function. The data presented in this study show that Zn 2ϩ -binding single mutations do not completely abolish the membrane repair function of MG53, unlike the double mutation MG53(C29L/C105S), which results in loss   of repair function. Thus, therapeutic approaches for increased expression of MG53 in tissues that bypasses its interaction with IRS-1 may be a novel way to treat human diseases linked to compromised membrane repair capacity.