Molecular and functional analysis of the C-terminal region of human erythroid-specific 5-aminolevulinic synthase associated with X-linked dominant protoporphyria (XLDPP)

Hum Mol Genet. 2013 Apr 1;22(7):1280-8. doi: 10.1093/hmg/dds531. Epub 2012 Dec 20.

Abstract

Frameshift mutations in the last coding exon of the 5-aminolevulinate synthase (ALAS) 2 gene were described to activate the enzyme causing increased levels of zinc- and metal-free protoporphyrin in patients with X-linked dominant protoporphyria (XLDPP). Only two such so-called gain-of-function mutations have been reported since the description of XLDPP in 2008. In this study of four newly identified XLDPP families, we identified two novel ALAS2 gene mutations, a nonsense p.Q548X and a frameshift c.1651-1677del26bp, along with a known mutation (delAGTG) found in two unrelated families. Of relevance, a de novo somatic and germinal mosaicism was present in a delAGTG family. Such a phenomenon may explain the high proportion of this mutation in XLDPP worldwide. Enhancements of over 3- and 14-fold in the catalytic rate and specificity constant of purified recombinant XLDPP variants in relation to those of wild-type ALAS2 confirmed the gain of function ascribed to these enzymes. The fact that both p.Q548X and c.1651-1677del26bp are located in close proximity and upstream from the two previously described mutations led us to propose the presence of a large gain-of-function domain within the C-terminus of ALAS2. To test this hypothesis, we generated four additional nonsense mutants (p.A539X, p.G544X, p.G576X and p.V583X) surrounding the human XLDPP mutations and defined an ALAS2 gain-of-function domain with a minimal size of 33 amino acids. The identification of this gain-of-function domain provides important information on the enzymatic activity of ALAS2, which was proposed to be constitutively inhibited, either directly or indirectly, through its own C-terminus.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 5-Aminolevulinate Synthetase / chemistry
  • 5-Aminolevulinate Synthetase / deficiency
  • 5-Aminolevulinate Synthetase / genetics*
  • 5-Aminolevulinate Synthetase / metabolism
  • Amino Acid Sequence
  • Base Sequence
  • Child, Preschool
  • Codon, Nonsense
  • DNA Mutational Analysis
  • Exons
  • Female
  • Frameshift Mutation
  • Genetic Association Studies
  • Genetic Diseases, X-Linked / enzymology
  • Genetic Diseases, X-Linked / genetics*
  • Humans
  • Infant
  • Kinetics
  • Molecular Sequence Data
  • Mosaicism
  • Mutagenesis, Site-Directed
  • Pedigree
  • Protein Structure, Tertiary
  • Protoporphyria, Erythropoietic / enzymology
  • Protoporphyria, Erythropoietic / genetics*
  • Sequence Analysis, DNA
  • Young Adult

Substances

  • Codon, Nonsense
  • 5-Aminolevulinate Synthetase
  • ALAS2 protein, human

Supplementary concepts

  • Protoporphyria, Erythropoietic, X-Linked Dominant