alpha 1-Antitrypsin Mmalton (Phe52-deleted) forms loop-sheet polymers in vivo. Evidence for the C sheet mechanism of

D A Lomas1, P R Elliott, S K Sidhar

  • 1Department of Haematology, University of Cambridge, United Kingdom.

Insights

Alpha 1-antitrypsin deficiency variants, including Mmalton, cause protein misfolding and polymerization. These mutations lead to endoplasmic reticulum retention and altered protein conformations, suggesting complex polymerization mechanisms.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Genetics

Background:

  • Alpha 1-antitrypsin (AAT) deficiency variants, such as Z and Siiyama, cause protein misfolding and endoplasmic reticulum retention through loop-sheet polymerization.
  • This polymerization involves the insertion of the reactive center loop of one AAT molecule into the beta-pleated sheet of another.

Purpose of the Study:

  • To investigate the polymerization mechanism of the AAT Mmalton variant (Phe52-deleted).
  • To compare the polymerization properties of Mmalton with native (M), Z, and Siiyama AAT variants.

Main Methods:

  • Studied AAT Mmalton processing in Xenopus oocytes.
  • Analyzed polymers from Mmalton/QO (null) bolton heterozygote plasma.
  • Isolated and characterized monomeric Mmalton AAT.
  • Utilized transverse urea gradient gel electrophoresis to assess protein unfolding.
  • Compared polymerization kinetics and conformational changes with other AAT variants.

Main Results:

  • Antitrypsin Mmalton is retained at an endoglycosidase H-sensitive stage and forms polymers in vivo.
  • Mmalton polymers are shorter than other AAT polymers and contain a cleaved reactive center loop species.
  • Monomeric Mmalton AAT unfolds normally but polymerizes in vitro more readily than M, but less readily than Z.
  • The A beta-sheet of Mmalton is less receptive to reactive center loop peptides compared to Z and M AAT.
  • Mutations Z, Siiyama, and Mmalton promote a conformational change towards an intermediate between native and latent forms.

Conclusions:

  • The Mmalton mutation contributes to AAT polymerization via a mechanism potentially involving partial reactive loop insertion into the A sheet.
  • Polymerization of AAT variants is more complex than previously understood.
  • These findings highlight the diverse mechanisms underlying AAT polymerization and its associated health implications.

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