A novel mutation, Ile344Asn, in microsomal triglyceride transfer protein abolishes binding to protein disulfide

Swati Valmiki1, Cindy Bredefeld2, M Mahmood Hussain1

  • 1Department of Foundations of Medicine, NYU Grossman Long Island School of Medicine, Mineola, NY, USA.

Journal of Lipid Research
|December 13, 2024
PubMed

Insights

Microsomal triglyceride transfer protein (MTP) mutations cause abetalipoproteinemia. A novel MTP mutation, Ile344Asn, disrupts MTP:PDI interactions, impairing lipid transfer and apolipoprotein B secretion.

Area of Science:

  • Lipid metabolism and lipoprotein assembly
  • Genetic disorders of lipid transport
  • Protein structure-function relationships

Background:

  • Microsomal triglyceride transfer protein (MTP) is essential for apolipoprotein B-lipoprotein assembly.
  • MTP variants causing loss of function lead to abetalipoproteinemia, a condition with absent apoB-lipoproteins.
  • MTP functions as a heterodimer with protein disulfide isomerase (PDI).

Purpose of the Study:

  • To investigate the molecular basis of abetalipoproteinemia in a proband with biallelic MTTP variants.
  • To characterize a novel MTP missense mutation (Ile344Asn) and its impact on MTP function and MTP:PDI interactions.
  • To explore the structure-function relationship of MTP and its interactions with PDI.

Main Methods:

  • Clinical monitoring and genetic testing of an abetalipoproteinemia proband.
  • In vitro assessment of lipid transfer activity and apolipoprotein B secretion for the novel MTP mutant.
  • Analysis of MTP:PDI subunit interactions in relation to the Ile344Asn mutation.

Main Results:

  • The proband presented with very low plasma lipids and undetectable apoB-lipoproteins.
  • Genetic analysis revealed a known nonsense mutation (Gly865∗) and a novel missense mutation (Ile344Asn) in the MTTP gene.
  • The Ile344Asn mutation abrogated MTP lipid transfer activity and apolipoprotein B secretion, indicating a loss of function.
  • This mutation disrupts MTP:PDI subunit interactions, suggesting MTP:PDI interactions are more complex than previously understood.

Conclusions:

  • The novel MTP Ile344Asn missense mutation is pathogenic, causing abetalipoproteinemia by impairing MTP function and MTP:PDI interactions.
  • This finding expands our understanding of MTP structure-function and the dynamics of MTP:PDI interactions.
  • Further characterization of MTP mutations may inform the development of novel therapeutic strategies for hyperlipidemia and atherosclerosis.

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