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Articles |
50(CD8)His
Asn
Asp]
1
Dipartimento di Scienze e Tecnologie Biomediche, Laboratorio Interdisciplinare Technologie Avanzare (L.I.T.A.), Università degli Studi, I-20090 Segrate, Milan, Italy.
2
Istituto di Clinica e Biologia dell'Età
Evolutiva, Università degli Studi, I-09131 Cagliari, Italy.
3
Istituto di Fisiologia Veterinaria e Biochimica,
Università degli Studi, I-20133 Milano, Italy.
a Address correspondence to this author at: L.I.T.A., Via Fratelli Cervi 93, I-20090 Segrate, Milano, Italy. Fax 39 2 2642 3302; e-mail andrea.mosca{at}unimi.it.
| Abstract |
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50(CD8)His
Asn
Asp] is a human Hb
variant in which a posttranslational deamidation process takes place,
transforming an Asn to an Asp residue. This variant, particularly
widespread in northern Sardinia, has for the first time been
characterized at the DNA level (codon 50 C
A) on the selectively
amplified
2-globin gene. We determined the protein and
DNA sequences and performed cellulose acetate electrophoresis,
isoelectric focusing, globin chain separation, stability tests with
isopropanol and heat precipitation, and oxygen affinity analyses on
whole blood to fully characterize the variant. A comprehensive review
of the deamidation processes involving Asn and Gln residues in mutant
proteins is reported, together with a discussion of the molecular
mechanisms of such deamidations. Finally, examples of other proteins of
clinical importance in which Asn or Gln residues have been implicated
by DNA analysis alone are presented. These findings point out the
importance of the complete characterization of variant proteins by use
of both DNA and protein analyses. | Introduction |
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-globin structural mutants. Hb J Sardegna was
first reported in 1968 in members of a family from the island of
Sardinia, Italy (1). At that time, the variant was described
as a fast-moving Hb and characterized by the classic techniques of
protein chemistry, which demonstrated the substitution of a His with an
Asp residue at position 50 of the
chain. Since then, large
screening programs performed by means of isoelectric focusing and
reverse-phase HPLC have produced detailed information on the prevalence
of this variant and its association with
- and ß-thalassemia. Researchers have discovered that Hb J Sardegna has a relatively high frequency in Sardinia, where it occurs in ~0.09% of the population. The geographic distribution is not uniform: some variations of incidence are found in different areas of the island. A higher incidence has been reported in the north, where it reaches 0.25% (2)(3).
Because thalassemic diseases are also widespread in the Sardinian
population, the association of Hb J Sardegna with
- or
ß-thalassemia is not rare (4)(5). Studies that
correlate the Hb pattern with the
- and ß-globin genotype have
shown that in double heterozygotes for Hb J Sardegna and
-thalassemia, the quantity of the abnormal Hb is substantially
higher than in heterozygous carriers of the Hb variant alone
(6). On the other hand, the concomitant presence of
ß-thalassemia leads to a slight decrease in the amount of the
variant, probably because of a lower affinity of the abnormal
chain
for the ß chain. Hb J Sardegna has also been described in association
with Hb G Philadelphia, another
-chain variant that occurs rather
frequently in the Sardinian population (2)(5).
The presence of Hb J Sardegna does not seem to produce any particular
clinical manifestation. Appreciable clinical complaints have never been
reported in heterozygous carriers of this abnormal Hb, even if it
occurs in combination with
- or ß-thalassemia. To date, no data
are available on the DNA molecular defect associated with Hb J
Sardegna; information on the stability of this variant and its
functional properties is also not available.
In the past few years, methods based on molecular biology techniques
have become reliable and easy tools for identifying Hb variants.
Recently, we used a DNA sequencing approach for additional
characterization of Hb J Sardegna. Surprisingly, the results obtained
by DNA sequencing analysis appeared to disagree with the results of
protein analysis reported originally (1). The mutation found
at the genomic level indicated a His
Asn substitution, whereas
protein structural analysis demonstrated that it was His
Asp. This
enigmatic finding prompted us to reinvestigate this abnormal Hb. We
report here on the characterization of Hb J Sardegna performed at both
the DNA and protein levels.
| Materials and Methods |
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dna analysis
DNA was obtained from white blood cells by standard methods. Gene
mapping of the
-globin genes was carried out by PCR
(7)(8). The
2-globin gene was
selectively amplified by choosing the upstream primer in the 5'
promoter region of both
-globin genes and the downstream primer in
the 3' noncoding
2-specific region. Sequencing reactions
were performed on amplified single-stranded DNA by the dideoxy chain
termination method of Sanger et al. (9). The sequencing
reverse primer was located at positions 355 to 375 upstream from the
Cap site (5'-ACGTGCGCCACGGCGTTGGT-3'). The detection of codon mutation
by use of restriction enzymes was performed with primers to amplify the
127-bp sequence encompassing codon 50 of the
2-globin
and
1-globin genes. The forward and reverse primers
(5'-CCCTCACTCTGCTTCTCCCC-3' and 5'-GGGCGTCGGCCACCTTCTT-3',
respectively) are located at positions 226 and 353 upstream from the
Cap site of the
-globin genes. The PCR conditions were as follows:
denaturation at 94 °C for 1 min, annealing at 65 °C for 2 min for
30 cycles after an initial incubation at 95 °C for 5 min. The
product of amplification was digested by restriction enzyme
DsaI, which recognizes the sequence C
C(A or G)(T or C)GG.
rna analysis
RNA was extracted from lymphocytes by the acid guanidinium
thiocyanate-phenol-chloroform method (10). The cDNA
fragment, obtained by reverse transcription-PCR, was sequenced with the
same primer used for DNA sequencing, as described above.
Hb CHARACTERIZATION
Hemolysate was prepared from washed erythrocytes by the
conventional CCl4-water method. Hb stability was
assessed by isopropanol and heat denaturation tests (11).
Methemoglobin and carboxyhemoglobin were measured by standard
spectrophotometric techniques (12). Oxygen affinity was
studied on fresh blood at pH 7.1 and 37 °C by a continuous recording
method, using a Hemox Analyzer (TCS) as described previously
(13). The measured venous P50 was
corrected to standard values for the most important factors that affect
oxygen affinity, i.e., pH, PCO2,
2,3-diphosphoglycerate, carboxyhemoglobin, and methemoglobin
(14). Red cell 2,3-diphosphoglycerate was measured with an
enzymatic test (Boehringer Mannheim), according to the manufacturer's
instructions.
Electrophoresis of the hemolysate was performed at pH 8.4 in Tris-EDTA-borate buffer on cellulose acetate plates. Isoelectric focusing was performed on 0.5 mm thick polyacrylamide gel containing 20 mL/L ampholine, pH 68. The matrix concentration was 6% T (6 g monomers/100 mL) and 4% C (4 g cross-linker/100 g monomers). Hemolysate samples were applied in a 10-µL volume corresponding to 100 µg of total Hb loaded per track. Running conditions included a prerun at 400 V for 15 min and, after sample application, separation at 750 V for 2 h. Focusing was performed at 10 °C.
Additional characterization of Hb fractions was carried out by HPLC analysis using a Kontron 400 system (Kontron Instruments) composed of two pumps (model 422), an autosampler (model 360) with a 10-µL injector and a ultraviolet-visible detector set at 415 nm. The system was equipped with a cation-exchange polyCAT A column (0.46 x 20 cm, 5 µm particle size, 300 Å pore size; PolyLC). The flow rate was 2 mL/min. Two buffers of the following composition were used: 35 mmol/L bis-Tris, 3.0 mmol/L ammonium acetate, 0.1 g/L KCN, pH 6.47 (buffer A); and 35 mmol/L bis-Tris, 16.9 mmol/L ammonium acetate, 150 mmol/L sodium acetate, 1 g/L KCN, pH 7.0 (buffer B). Samples (10 µL, containing 10 µg of Hb) were applied to the column. The chromatographic separation was achieved by the following step gradient: 2070% buffer B (20-min step), 70100% buffer B (1-min step), and 100% buffer B (3-min step). The original conditions were then rapidly restored, and the column was equilibrated with 20% buffer B:80% buffer A for 3 min. Integration of the peaks was performed with the Kontron 450 Data System, Ver. 3.4.
Globin chain analysis was performed by reverse-phase HPLC using a Vydac 218TP54, C18 column (0.46 x 25 cm, 5 µm particle size). The hemolysate was diluted with water to deliver an Hb concentration of 5 g/L, and 10-µL samples were injected in the column. Buffer A was acetonitrilemethanol155 mmol/L sodium chloride, pH 2.7 (50:20:30, by volume); and buffer B was acetonitrilemethanol155 mmol/L sodium chloride, pH 2.7 (25:40:30, by volume). The elution was performed at a flow rate of 1.4 mL/min for 65 min, with the following gradient: 5020% buffer B (55-min step) and 20% buffer B (5-min step). The detector was set at 215 nm.
structural studies
For preparative purposes, the heme was removed from the globins by
precipitation of the total hemolysate in cool acetone (-20 °C)
containing 0.3 mol/L HCl. Precipitated globins were washed with cold
acetone, dried at room temperature, and then redissolved in 8 mol/L
urea buffer. Globin chain separation was obtained by preparative
chromatography on carboxymethyl cellulose (Whatman CM-52) in the
presence of urea and dithiothreitol (15). After
extensive dialysis to remove all traces of urea and salts, the abnormal
chains were digested with trypsin
(N-methyl-tosyl-Lphenylalanine chloromethyl
ketone-treated) in 50 mmol/L ammonium acetate, pH 8.3, using
20 mg of enzyme per 1 g of substrate. The reaction was performed
at 37 °C for 5 h and stopped by acidification.
Tryptic peptide separation was performed by reverse-phase HPLC
essentially as described (16). Briefly, 1 mL of the tryptic
digest from native and mutant
chains (1 mg of starting protein) was
centrifuged, and the supernatant was applied to an Aquapore RP-300
C8 column (25 x 0.46 cm; Applied Biosystems),
equilibrated in 0.01 mol/L ammonium acetate, pH 5.7. Peptides were
eluted with a 125-min linear gradient (030%) of 0.01 mol/L ammonium
acetate, pH 5.7, in 500 mL/L acetonitrile at a flow rate of 1 mL/min.
Approximately 60 mL of eluted native and mutated
T-6 peptides were
N-terminal sequenced on a 477/A protein sequenator (Applied Biosystems)
according to the manufacturer's instructions.
BFU-e STUDIES
Mononuclear cells were isolated from peripheral blood on a
gradient of Histopaque 1077 (Sigma) and seeded at a density of 5
x 109 cells/L in
minimum essential medium
supplemented with 100 g/L fetal calf serum (both from Life
Technologies), 1 mL/L cyclosporin A (Sandoz), and 100 mL/L conditioned
medium collected from cultures of the 5637 bladder carcinoma cell line
(17). The cultures were incubated at 37 °C in an
atmosphere of 5% CO2. After a 5-day incubation period in
this phase I culture, the nonadherent cells were harvested,
washed, and recultured for 1015 days in a fresh medium composed
of
medium, 300 mL/L fetal calf serum, 10 g/L deionized bovine serum
albumin, 10 µmol/L ß-mercaptoethanol, 1.5 mmol/L
L-glutamine, 1 µmol/L dexamethasone, and 1 kilounit/L
human recombinant erythropoietin.
The Hb composition was studied by ion-exchange HPLC as described for
hemolysate obtained from mature red blood cells. Globin chain
biosynthesis was determined in mature erythroid colonies incubated with
3H-leucine (TRK 754; Amersham). Separation was carried
out on a Beckman HPLC System Gold, and the total area under the
chromatogram was measured. The percentage of globin synthesis was
calculated according to the following equation:
[
-globin/(
-globin + ß-globin)] x 100 (18).
| Results |
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A in the first position of
codon 50 (Fig. 1
AAC mutation is expected to produce a
change of His to Asn. In the patient with Hb J and -
/
(-3.7)
genotypes the nucleotide usually at the first position of codon 50 is
not evident because only one
gene (i.e., the
2
gene) carrying the C
A mutation is present. The C
A mutation was
also confirmed by use of a restriction enzyme (Fig. 2
A) removes a recognition site
for this enzyme, generating a novel DNA fragment of 102 bp (Fig. 2
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The results of both isopropanol and heat precipitation tests for Hb stability were within reference values. Methemoglobin and carboxyhemoglobin were within reference values (0.5% and 2.5%, respectively). The whole blood of the Hb J Sardegna carrier displayed an oxygen equilibrium curve of standard sigmoidal shape and shifted towards the left side of the health-related reference range. After standardization, the P50 value was found to be 24.9 mmHg (reference range, 24.628.9 mmHg). The red cell 2,3-diphosphoglycerate concentration was slightly decreased (0.68 mol/mol Hb; reference range, 0.771.07 mol/mol Hb).
Cellulose acetate electrophoresis revealed the presence of an abnormal
band on the anode side of Hb A0 and migrating in a
position consistent with a difference of two negative charges compared
with normal Hb. Isoelectric focusing (Fig. 3
) demonstrated the presence of two abnormal Hb components. The
first component, amounting to 23% of the total Hb, displayed a
much more acid isoelectric point than Hb A0; the second
component focused slightly to the anode side of Hb A0 and
was 5% of the total Hb.
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The separation of Hb by cation-exchange HPLC is shown in Fig. 4
. The elution profile showed an anomalous Hb fraction that
eluted just after the Hb A1c peak, in the Hb F position
(indicated as X1 in Fig. 4
). It amounted to ~25% of the
total Hb. A second difference was a distinct increase in the proportion
of the Hb A1d peak, probably suggesting the presence of an
additional Hb component that eluted in the same position (indicated as
X2 in Fig. 4
). This peak was ~9% of the total Hb,
whereas in fresh hemolysates from healthy individuals it never exceeded
3%. The Hb A2 concentration was slightly reduced (1.8%),
whereas Hb F was not detectable because it was overlapped by the
variant peak. This elution pattern was confirmed in all Hb J Sardegna
carriers examined. HPLC analysis of the hemolysate from one Hb J
Sardegna carrier was periodically repeated during a 20-day storage at
4 °C. The elution profiles showed no evident differences in the
relative proportion of the different Hb fractions. HPLC analysis of Hb
was also performed in culture-grown erythroid cells obtained from an Hb
J Sardegna carrier. The results (not reported in detail here) showed
that Hb composition of BFU-e-derived erythroblasts was similar to that
observed in the hemolysate prepared from peripheral blood.
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The separation of globin chains from whole hemolysate obtained by
analytical reverse-phase HPLC is shown in Fig. 5
. Three main peaks were present, corresponding to ß chains,
native
chains, and more hydrophilic variant
chains, which
accounted for 24% of the total
subunits. Globin chain biosynthesis
was analyzed in BFU-e-derived erythroblasts and indicated an
-chain/non-
-chain ratio of 1.02, suggesting a balanced rate of
synthesis of the globin chains. Furthermore, the HPLC elution pattern
presented no different peaks with respect to those detected in the
separation performed on peripheral blood.
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For structural studies, the variant
chains were separated by
preparative ion-exchange chromatography and digested with trypsin. The
separation of tryptic peptides from native and variant
chains by
reverse-phase HPLC is shown in Fig. 6
. From the comparison of the tryptic digests, it was noted that
one peptide peak was missing, whereas a new, more hydrophilic peak was
present. N-terminal sequence analysis revealed this new peptide as
4156, which corresponds to an
T-6 peptide in which the His at
position 50 was replaced by Asp. During the N-terminal sequencing of
tryptic peptide 6, the expected amount of L-aspartic
acid was recovered. This finding should exclude the presence of
isoaspartic acid, because it probably would not be released efficiently
during the Edman degradation. Moreover, no other additional peaks, with
the exception of a small quantity of Ala, were detected. The small
amount of Ala was probably derived from cross-contamination of the
chromatographic peak with ßT-9 peptide, which carry Ala in position
10.
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| Discussion |
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Asn mutation, the latter showing a
His
Asp substitution in the same position. Moreover, we have proven
that the mutation occurs in the
2 gene because the
subjects heterozygous for Hb J Sardegna and
-thalassemia (deletion
of one of the two
2 genes) possess an
2
gene sequence with no trace of the normal sequence of the
A-globin. Furthermore, the abnormal Hb seemed to be
present as two fractions. One possible explanation for these findings
is that a C
A mutation occurs in codon 50 of the
-globin gene,
which causes the substitution of His for Asn, and that the new
50
Asn residue subsequently undergoes a posttranslational partial
deamidation to Asp.
Indeed, two forms of Hb J Sardegna were found. Hb J Sardegna-Asp was
easily seen in the ion-exchange HPLC chromatogram, as well as in the
electrophoretic and isoelectrophoretic pattern, because it is more
negatively charged than Hb A0. The presence of Asp at
position
50 was confirmed by the Edman degradation. The Hb fraction
that coeluted with Hb A1d in an intermediate position
between Hb J Sardegna-Asp and Hb A0 is probably Hb J
Sardegna-Asn, in agreement with a difference of charge attributable to
the replacement of the slightly protonated His by a neutral amino acid.
No evidence for two abnormal
chains was seen, however, in
reverse-phase HPLC separation of globin chains where only variant
-Asp chains could be detected. The
-Asn chains have polar
properties similar to normal
chains and would be expected to
coelute with them. Therefore, we were not able to purify
-Asn
chains, which are present in very small amounts, to prove the presence
of Asn in position 50 by Edman degradation. However, the presence of
-Asn chains can be inferred from the results of the isoelectric
focusing.
In previous reports on Hb J Sardegna, the fraction carrying Asn had never been observed, probably because its detection requires high resolution techniques. Manca and Masala (3), in their paper on the identification of Hb J Sardegna by means of isoelectric focusing, reported the presence of an additional band focusing closer to the anode than Hb A0 and accounting for 3.511.6% of the total Hb; however, they did not identify it. It is reasonable to suppose that this unknown band corresponds to Hb J Sardegna-Asn.
In an attempt to verify where the conversion of Hb J Sardegna-Asn to Hb J Sardegna-Asp occurs, we have analyzed the Hb composition of erythroid progenitor cells. The fraction containing Asp that was found in BFU-e-derived erythroblasts suggests that the conversion of Asn to Asp takes place in a very early phase of red cell maturation. Afterward, the proportions of the two Hb fractions do not seem to change in peripheral blood or in vitro during sample storage. On the other hand, in one study of Hb Redondo, deamidation reportedly occurred rapidly in vitro, and after a few days of storage at 4 °C the relative proportions of the two fractions changed (19).
In addition to Hb J Sardegna, six other rare Hb variants have been
reported in which deamidation of an Asn residue to an Asp occurs as a
spontaneous posttranslational modification. A list of these variants,
including Hb J Sardegna, is given in Table 1
. The mutation, the amino acid sequence surrounding the Asn
undergoing deamidation, and the relative percentage of the two protein
forms containing, respectively, Asn or Asp detected in blood have been
reported for each variant. In most of these variants, including Hb J
Sardegna, the deamidation reaction involves the mutant Asn itself,
whereas in Hb La Roche-sur-Yon (20) and Hb J Singapore
(21) the variant amino acids, a Gly and a His, respectively,
induce the deamidation of the adjacent Asn residue. To support the
possibility of the existence of particular tridimensional structures
and sequences favoring deamidation reaction, it may be observed that in
three of the seven Hb variantsHb J Singapore, Hb La Roche-sur-Yon,
and Hb Providence (22)the deamidation is localized within
the EF corner, and in Hb Osler (23) it occurs in the
C-terminal region, which exhibits a flexible local conformation.
Moreover, the sequences flanking the Asn site often include amino acid
residues known to be potentially catalytic in the deamination reaction
(see below). In particular, in Hb J Sardegna the
50 Asn residue is
located near a serine residue at position
49 and a Gly residue at
position
51. In all reported cases, the Asn residue is only
partially deamidated, as proven by the finding that both of the Hb
forms, containing either Asn or Asp, are present in peripheral blood.
Hb Redondo occurs in rather low proportion to Hb A0 because
it is a highly unstable variant (19), whereas the unusually
low percentage of Hb Wayne is probably the result of an increased rate
of destruction because of a relevant structural abnormality of the 3'
terminal region (24).
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Indeed, the molecular mechanism proposed for deamidation reactions of Asn residues involves the formation of a cyclic succinimidyl intermediate from whose opening aspartyl and isoaspartyl residues are formed (25). The reaction is influenced by different factors, including both primary and tertiary structural characteristics of the protein and general properties of the media surrounding the protein (26). From the comparison of amino acid sequences in model peptides, it has been noted that the Asn residue undergoing deamidation is frequently found nearby a residue with a small, nonbulky side chain, such as Gly, Ser, or Ala, which can be contiguous in sequence or brought close to the amide residue by the tertiary structure of the protein (27). Other studies point out that Asn is more susceptible to deamidation when it has a basic or acid residue on one side and a threonine, serine, or cysteine residue on the other side (28). In addition to the nature of neighboring residues, the polypeptide conformation seems to be equally important. It has been shown, in fact, that a high degree of flexibility of the polypeptide chain and the proximity of a His residue are required for the deamidation reaction (20)(29). Moreover, the Gln residues also may undergo posttranslational deamidation (27), and it has been postulated that these deamidations may serve as molecular timers that control protein turnover and aging (28). In addition, in the case of the deamidation of Gln residues, the polypeptide conformation and sequence, especially in the surroundings of Gln residues, has been proven to be important determinants for the occurrence of these spontaneous deamidations (27)(28)(30).
Apart from this proposed deamidation mechanism, there are other possible explanations, including errors in codon reading because of unusual mRNA structure or mischarging of tRNA (31). We did not test such hypotheses, but such alternative mechanisms do appear to take place rather rarely.
From a more general viewpoint, with regard to the eventual consequences of the deamidation of an Asn residue, it is important to remember that Asn residues are important determinants of posttranslational self-splicing (32), and that there is relatively extensive literature about deamidation of Asn residues, especially concerning well-characterized proteins of pharmaceutical interest (26)(33). Therefore, we strongly recommend that, in the case of mutant proteins, both DNA and protein structure analysis should be undertaken to fully characterize the mutation, especially when Asn or Gln residues have been introduced in the mutant protein.
In conclusion, in consideration of the widespread use of DNA
techniques for the molecular characterization of mutant proteins, we
would like to note that protein structural studies are sometimes not
performed or are performed as a second step. We report here some cases
in which, to our knowledge, only DNA analysis has been exploited to
characterize the mutations: (a) factor V Leiden (1696G
A,
506Arg
Gln), a mutant of factor V associated with resistance to
activated protein C known to be a genetic risk factor for venous
thrombosis (34); (b) the first discovered
apolipoprotein B-100 mutant (10708G
A, 3500Arg
Gln), which causes
familial defective apolipoprotein B-100, an autosomal disorder
associated with hypercholesterolemia (35); (c) a
recently discovered polymorphism in human orosomucoid
(ORM1F1 60CAA
CAG) (36); and (d) a
variant of red cell pyruvate kinase (1529G
A, 509Arg
Gln), which
causes severe nonspherocytic hemolytic anemia (37). We hope
that this missing information (i.e., protein structure analysis) will
soon be available to define these abnormal proteins completely.
| Acknowledgments |
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| References |
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