Structure and functional analysis of CDNF-BiP interaction reveal a role in endoplasmic reticulum proteostasis regulation

Cerebral dopamine neurotrophic factor (CDNF) was identified for ability to rescue midbrain dopamine neurons and as endoplasmic reticulum (ER)-located protein that can be secreted. Structurally homologous to mesencephalic astrocyte-derived neurotrophic factor (MANF), CDNF has been shown to interact with ER-localized chaperone BiP. The ER plays a crucial role in protein synthesis, folding, and quality control, with BiP being a key player in maintaining protein homeostasis. CDNF is protective against ER stress and involved in regulating the unfolded protein response (UPR) signaling and interaction with BiP. Recent studies have shown that CDNF interacts with UPR sensor proteins PERK, IRE1, and ATF6, suggesting an overlap in CDNF binding with UPR sensors and BiP. In rodent models of Parkinson's disease (PD), CDNF protects and restores the function of brain dopamine neurons and was successful in PD phase 1 clinical studies. CDNF has shown therapeutic potential for several neurological diseases, including amyotrophic lateral sclerosis, and ischemic stroke. Despite extensive knowledge on CDNF's impact on cellular function and neuronal degeneration, its detailed molecular mechanism of action in the ER remains unclear. Here, we have characterized the CDNF interaction with BiP both structurally and functionally and solved the crystal structures of CDNF-BiP complexes to 1.5 Å resolution, complemented with molecular dynamics simulations. Results show CDNF's role as an antagonist of BiP nucleotide exchange, and thus in its chaperone function, binding to the ADP-bound state. Finally, we show its effect on neuroprotection with stem cell-derived human dopamine neurons, highlighting its potential in neurodegenerative disease treatment.