Crystal structure and enzymatic activity of an ADAMTS-13 mutant with the East Asian-specific P475S polymorphism

M Akiyama1, D Nakayama, S Takeda

  • 1Department of Molecular Pathogenesis, National Cerebral and Cardiovascular Center, Osaka, Japan. akiyamam@ri.ncvc.go.jp

Abstract

Insights

An East Asian genetic variant in ADAMTS-13 reduces enzyme activity by lowering substrate affinity, not reaction rate. This structural change is insufficient to cause thrombotic thrombocytopenic purpura (TTP).

Area of Science:

  • Biochemistry
  • Structural Biology
  • Genetics

Background:

  • An East Asian-specific polymorphism, P475S, in the ADAMTS-13 gene reduces plasma ADAMTS-13 activity by approximately 16%.
  • ADAMTS-13 plays a crucial role in regulating von Willebrand factor (VWF) cleavage.

Purpose of the Study:

  • To structurally and functionally characterize the P475S mutant of ADAMTS-13.
  • To elucidate the impact of the P475S polymorphism on ADAMTS-13 activity and its potential link to thrombotic thrombocytopenic purpura (TTP).

Main Methods:

  • Determined the crystal structure of the ADAMTS-13 catalytic domain mutant (DTCS-P475S) and compared it to the wild-type.
  • Assessed enzymatic parameters and substrate binding affinity of ADAMTS-13 mutants (MDTCS-P475S).
  • Investigated the effect of denaturants and temperature on enzyme activity and VWF cleavage.

Main Results:

  • The P475S mutation resulted in a two-fold lower affinity for the peptidyl substrate, identifying the V-loop as a substrate-binding exosite.
  • Structural analysis revealed significant conformational changes in the V-loop of DTCS-P475S, leading to increased susceptibility to environmental factors.
  • ADAMTS-13-P475S exhibited moderate activity in cleaving shear-treated VWF, with a reaction rate similar to wild-type but reduced substrate affinity.

Conclusions:

  • The P475S polymorphism causes local structural instability in ADAMTS-13, reducing substrate affinity without altering the reaction rate.
  • The residual activity of ADAMTS-13-P475S on VWF is sufficient to prevent the onset of TTP.