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Updated: Oct 8, 2025

In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
Published on: August 20, 2019
Molecular characterization of a novel His333Arg variant of human protoporphyrinogen oxidase IX
Zora Novakova1, Jana Mikesova1, Marketa Ondrakova1
1Laboratory of Structural Biology, Institute of Biotechnology of the Czech Academy of Sciences, BIOCEV, Prumyslova 595, Vestec, 252 50, Czech Republic.
Abstract:
Variegate porphyria is caused by mutations in the protoporphyrinogen oxidase IX (PPOX, EC 1.3.3.4) gene, resulting in reduced overall enzymatic activity of PPOX in human tissues. Recently, we have identified the His333Arg mutation in the PPOX protein (PPOX(H333R)) as a putative founder mutation in the Moroccan Jewish population. Herein we report the molecular characterization of PPOX(H333R) in vitro and in cells. Purified recombinant PPOX(H333R) did not show any appreciable enzymatic activity in vitro, corroborating the clinical findings. Biophysical experiments and molecular modeling revealed that PPOX(H333R) is not folded properly and fails to adopt its native functional three-dimensional conformation due to steric clashes in the vicinity of the active site of the enzyme. On the other hand, PPOX(H333R) subcellular distribution, as evaluated by live-cell confocal microscopy, is unimpaired suggesting that the functional three-dimensional fold is not required for efficient transport of the polypeptide chain into mitochondria. Overall, the data presented here provide molecular underpinnings of the pathogenicity of PPOX(H333R) and might serve as a blueprint for deciphering whether a given PPOX variant represents a disease-causing mutation.
Insights
The His333Arg mutation in the protoporphyrinogen oxidase IX (PPOX) gene causes Variegate porphyria by preventing proper protein folding and enzymatic activity. This mutation
Area of Science:
- Biochemistry
- Genetics
- Molecular Biology
Background:
- Variegate porphyria results from mutations in the protoporphyrinogen oxidase IX (PPOX) gene, leading to decreased enzyme activity.
- A specific His333Arg mutation (PPOX(H333R)) was identified as a potential founder mutation in the Moroccan Jewish population.
Purpose of the Study:
- To perform molecular characterization of the PPOX(H333R) mutation in vitro and in cellular models.
- To elucidate the molecular mechanisms underlying the pathogenicity of the PPOX(H333R) mutation.
Main Methods:
- In vitro enzymatic activity assays of purified recombinant PPOX(H333R).
- Biophysical experiments and molecular modeling to assess protein structure and folding.
- Live-cell confocal microscopy to evaluate subcellular distribution of PPOX(H333R).
Main Results:
- Recombinant PPOX(H333R) exhibited no significant enzymatic activity in vitro.
- Molecular modeling and biophysical data indicated PPOX(H333R) misfolding due to steric clashes near the active site.
- Subcellular distribution of PPOX(H333R) within mitochondria was unaffected, suggesting fold-independent transport.
Conclusions:
- The PPOX(H333R) mutation leads to Variegate porphyria through impaired protein folding and loss of enzymatic function.
- Proper protein conformation is not essential for mitochondrial import of PPOX.
- These findings provide a molecular basis for PPOX(H333R) pathogenicity and a framework for evaluating other PPOX variants.
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