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Structural and functional alterations in the beta2-adrenoceptor are caused by a point mutation in patients with
Karin U Schallreuter1, Yuwang Wei, Mark R Pittelkow
1Clinical and Experimental Dermatology, Department of Biomedical Sciences, University of Bradford, Bradford, UK. k.schallreuter@bradford.ac.uk
Abstract:
The density of beta2-adrenoceptors is significantly decreased in both keratinocytes and peripheral blood lymphocytes from patients with atopic eczema. Furthermore both cell types showed a sixfold increase in the K(D) for the specific binding of the non-specific antagonists (-)-[(3)H]CGP 12177 and [(125) I]CYP to keratinocytes and lymphocytes respectively compared with healthy controls. Based on these results polymorphism in the beta2-adrenoceptor gene was suspected. Consequently the entire intronless beta2-adrenoceptor gene was isolated from whole blood and by RT-PCR from keratinocyte extracts of nine patients with atopic eczema and four healthy controls. DNA sequence analysis of nine atopic eczema patients confirmed a substitution in codon (1618) GCC (Ala(119)) to GAC (Asp(119)). This point mutation is expressed on the third transmembrane helix only 13A away from the established agonist/antagonist binding site at Asp(113). Computer modelling of this third transmembrane helix revealed substantial structural changes in the mutant compared with the wild type. Epidermal keratinocytes were established from one patient with atopic eczema (homozygote), the mother (heterozygote) and one age-matched healthy control. Cells were grown in media containing different concentrations of l-phenylalanine and receptor densities were determined. The results showed that cells with atopic eczema showed an increased sensitivity to l-phenylalanine concentrations with a narrow homeostasis compared with healthy controls. The heterozygous mother was only 50% as sensitive as the child. In summary, the results indicate that atopic eczema is associated with a single point mutation in the beta2-adrenoceptor gene leading to an impaired adrenergic response in the epidermis of these patients.
Insights
Atopic eczema is linked to a specific gene mutation affecting beta2-adrenoceptors. This genetic change impairs the skin's response to adrenergic signals, impacting cellular function in patients.
Area of Science:
- Genetics
- Dermatology
- Pharmacology
Background:
- Decreased beta2-adrenoceptor density observed in atopic eczema patients' skin and blood cells.
- Increased antagonist binding affinity (K(D)) noted in affected cells compared to healthy controls.
Purpose of the Study:
- Investigate potential genetic polymorphism in the beta2-adrenoceptor gene in atopic eczema.
- Determine the functional impact of identified mutations on cellular response.
Main Methods:
- Isolation and sequencing of the beta2-adrenoceptor gene from patients and controls.
- RT-PCR for gene expression analysis.
- Computer modeling of protein structure.
- In vitro culture of epidermal keratinocytes to assess phenylalanine sensitivity.
Main Results:
- A specific point mutation (Ala119Asp) in the beta2-adrenoceptor gene was identified in atopic eczema patients.
- This mutation causes structural changes in the receptor, affecting its binding site.
- Keratinocytes from patients exhibited heightened sensitivity to L-phenylalanine, indicating altered adrenergic response.
Conclusions:
- Atopic eczema is associated with a single point mutation in the beta2-adrenoceptor gene.
- The identified mutation leads to impaired adrenergic signaling in the epidermis.
- This genetic defect contributes to the pathophysiology of atopic eczema.
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