Six Previously Undescribed Pyruvate Kinase Mutations Causing Enzyme Deficiency

Blood ◽  
1998 ◽  
Vol 92 (2) ◽  
pp. 647-652
Author(s):  
Anna Demina ◽  
Kottayil I. Varughese ◽  
José Barbot ◽  
Linda Forman ◽  
Ernest Beutler

Erythrocyte pyruvate kinase deficiency is the most common cause of hereditary nonspherocytic hemolytic anemia. We present 6 previously undescribed mutations of the PKLR gene associated with enzyme deficiency located at cDNA nt 476 G→T (159Gly→Val), 884 C→T (295Ala→Val), 943 G→A (315Glu→Lys), 1022 G→A (341Gly→Asp), 1511 G→T (504Arg→Leu), and 1528 C→T (510Arg→Ter). Two of these mutations are near the substrate binding site: the 315Glu→Lys (943A) mutation may be involved in Mg2+ binding and159Gly→Val (476T) mutation has a possible effect on ADP binding. Four of six mutations produce deduced changes in the shape of the molecule. Two of these mutations,504Arg→Leu (1511T) and510Arg→Ter (1528T), are located at the interface of domains A and C. One of them (510Arg→Ter) is a deletion of the C-terminal residues affecting the integrity of the protein. The 504Arg→Leu mutation eliminates a stabilizing interaction between domains A and C. Changes in amino acid 341(nt 1022) from Gly to Asp cause local perturbations. The mutation295Ala→Val (884T) might affect the way pyruvate kinase interacts with other molecules. We review previously described mutations and conclude that there is not yet sufficient data to allow us to draw conclusions regarding genotype/phenotype relationship.

Blood ◽  
1998 ◽  
Vol 92 (2) ◽  
pp. 647-652 ◽  
Author(s):  
Anna Demina ◽  
Kottayil I. Varughese ◽  
José Barbot ◽  
Linda Forman ◽  
Ernest Beutler

Abstract Erythrocyte pyruvate kinase deficiency is the most common cause of hereditary nonspherocytic hemolytic anemia. We present 6 previously undescribed mutations of the PKLR gene associated with enzyme deficiency located at cDNA nt 476 G→T (159Gly→Val), 884 C→T (295Ala→Val), 943 G→A (315Glu→Lys), 1022 G→A (341Gly→Asp), 1511 G→T (504Arg→Leu), and 1528 C→T (510Arg→Ter). Two of these mutations are near the substrate binding site: the 315Glu→Lys (943A) mutation may be involved in Mg2+ binding and159Gly→Val (476T) mutation has a possible effect on ADP binding. Four of six mutations produce deduced changes in the shape of the molecule. Two of these mutations,504Arg→Leu (1511T) and510Arg→Ter (1528T), are located at the interface of domains A and C. One of them (510Arg→Ter) is a deletion of the C-terminal residues affecting the integrity of the protein. The 504Arg→Leu mutation eliminates a stabilizing interaction between domains A and C. Changes in amino acid 341(nt 1022) from Gly to Asp cause local perturbations. The mutation295Ala→Val (884T) might affect the way pyruvate kinase interacts with other molecules. We review previously described mutations and conclude that there is not yet sufficient data to allow us to draw conclusions regarding genotype/phenotype relationship.


Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 3016-3016
Author(s):  
Simone Morera ◽  
Laurent Chiarelli ◽  
Paola Bianchi ◽  
Elisa Fermo ◽  
Alberto Zanella ◽  
...  

Abstract Abstract 3016 Poster Board II-992 Phosphoglycerate kinase (PGK) is a key glycolytic enzyme that catalyzes the reversible phosphotransfer reaction from 1,3-bisphosphoglycerate (1,3-BPG) to ADP to form 3-phosphoglycerate (3-PG) and ATP. It is a relatively small monomeric molecule characterized by two hinge-bent domains, with a highly conserved structure. The N-terminal domain binds 1,3-BPG or 3-PG, whereas the C-terminal domain binds Mg-ADP or Mg-ATP. During the catalytic cycle, the enzyme undergoes large conformational rearrangements, proceeding from an open form to a closed form. Two isozymes, PGK1 and PGK2, are present in humans, encoded by two distinct genes. Whereas PGK2 is a testis-specific enzyme, PGK1 is expressed in all the somatic cells. The PGK1 gene is located on the X-chromosome q-13.1, and encodes a protein of 416 amino acids. Mutations of the PGK1 gene result in an enzyme deficiency, that is characterized by mild to severe hemolytic anemia, neurological dysfunctions and myopathy. Patients rarely exhibit all three clinical features. To date, 20 different mutations with worldwide distribution have been described. To investigate the genotype-phenotype relationship of PGK deficiency, recently we have undertaken a characterization of the all PGK mutant enzymes so far reported. In this study we describe the molecular abnormalities of the G158V, R206P, V266M and D285V variants obtained from E.coli as recombinant proteins. All patients were affected by moderate to severe hemolytic anemia. Moreover, patients bearing GI58V, R206P, and D285V variants displayed muscular disorders. Neurological dysfunctions were present in patients with R206P and V266M. The desired mutations were introduced into the PGK cDNA by site directed mutagenesis. All mutant enzymes were expressed and purified to homogeneity as previously indicated (Morera et al., Blood, ASH, Annual Meeting Abstracts, 2008;112:2875). Each variant was subjected to kinetic analysis and to different heat treatments in the absence and in the presence of specific ligands. The enzyme activity was determined following the backward reaction. Variants G158V and D285V turned out to be affected in their catalytic activities, displaying kcat values towards ATP and 3-PG 7-fold and 19-fold, respectively, lower than that of the wild type enzyme previously characterized. Variant R206P displayed reduced affinity vs 3-PG, the Km value being 8-fold higher than that of the wild type. Variant V266M showed kinetic properties similar to those of the wild type. The mutant enzymes subjected to heat treatments exhibited different protein stability. Whereas the wild type enzyme preserved 70% of its activity after one hour-incubation at 45°C, mutants G158V and D285V at the same temperature halved their activities after only 5 min and 2 min, respectively. Mutants R206P and V266M turned to be quite heat stable, their T50 (the temperature to which an enzyme halves its activity in 10 min) being 2°C lower than that of the wild type enzyme (47°C vs 49°C). Moreover, at a temperature 3-4 °C higher than its own T50, no one mutant was properly protected by the presence of Mg-ATP. In addition, variants G158V and D285V were not even protected by 3-PG. Therefore, these studies suggest that G158V and D285V substitutions affect amino acid residues located in key positions for allowing the enzyme to preserve its protein stability, especially during the red cell life span, and to adopt its proper conformations in fulfilling the catalytic cycle. The reduced RBC concentration of PGK and the energy pathway deficiency would account for the dysfunctions displayed by patients with G158V and D285V. With regard to R206P variant, the mutation affects an amino acid residue located in the hinge of the enzyme, far away from the 3-PG binding site. Owing to the fact that the variant displayed a reduced affinity versus 3-PG, it is likely that Arg206 plays an important role in the structuring of the 3-PG binding site, via long-distance interactions. Thus mutation R206P would lead to a distortion of the 3-PG binding site, impairing the PGK activity under physiological 3-PG concentrations. Consequently, the reduced energy supply would be the cause of the hemolysis displayed by the PGK deficient patient. Finally, with regard to V266M mutant, no acceptable explanation of the enzyme deficiency can be drawn by the present biochemical studies, the mutant behaving as the wild type enzyme. Disclosures: No relevant conflicts of interest to declare.


Blood ◽  
1988 ◽  
Vol 72 (2) ◽  
pp. 500-506 ◽  
Author(s):  
CR Zerez ◽  
MD Wong ◽  
NA Lachant ◽  
KR Tanaka

Abstract RBCs from patients with hemolytic anemia due to pyruvate kinase (PK) deficiency are characterized by a decreased total adenine and pyridine nucleotide content. Because phosphoribosylpyrophosphate (PRPP) is a precursor of both adenine and pyridine nucleotides, we investigated the ability of intact PK-deficient RBCs to accumulate PRPP. The rate of PRPP formation in normal RBCs (n = 11) was 2.89 +/- 0.80 nmol/min.mL RBCs. In contrast, the rate of PRPP formation in PK-deficient RBCs (n = 4) was markedly impaired at 1.03 +/- 0.39 nmol/min.mL RBCs. Impaired PRPP formation in these cells was not due to the higher proportion of reticulocytes. To study the mechanism of impaired PRPP formation, PK deficiency was simulated by incubating normal RBCs with fluoride. In normal RBCs, fluoride inhibited PRPP formation, caused adenosine triphosphate (ATP) depletion, prevented 2,3-diphosphoglycerate (DPG) depletion, and inhibited pentose phosphate shunt (PPS) activity. These results together with other data suggest that impaired PRPP formation is mediated by changes in ATP and DPG concentration, which lead to decreased PPS and perhaps decreased hexokinase and PRPP synthetase activities. Impaired PRPP formation may be a mechanism for the decreased adenine and pyridine nucleotide content in PK-deficient RBCs.


Blood ◽  
1962 ◽  
Vol 19 (3) ◽  
pp. 267-295 ◽  
Author(s):  
KOUICHI R. TANAKA ◽  
WILLIAM N. VALENTINE ◽  
SHIRO MIWA

Abstract 1. The erythrocytes of seven patients conforming to the criteria of Type II congenital nonspherocytic hemolytic anemia have been demonstrated to have a specific deficiency in the glycolytic enzyme pyruvate kinase. Other glycolytic enzymes, glucose-6-phosphate and 6-phosphogluconic dehydrogenases, and certain non-glycolytic erythrocyte enzymes are normally active. The leukocytes of these patients possess normal pyruvate kinase activity. 2. Although no inhibitors were detected, the exact nature of the enzymatic defect remains to be elucidated. 3. Family studies provide strong evidence for a genetically determined disorder and are consistent with an autosomal recessive transmission of the defect. A partial enzyme deficiency, not reflected in clinical disease, is present in heterozygotes. The symptomatic disease, though variable in severity, appears to be due to homozygosity for the defect. 4. It is suggested that the enzyme deficiency is pathogenetically related to the premature demise of the red cells in vivo. 5. The name "pyruvate kinase (PK) deficiency hereditary nonspherocytic hemolytic anemia" is proposed for these patients.


Blood ◽  
2000 ◽  
Vol 95 (11) ◽  
pp. 3585-3588 ◽  
Author(s):  
Ernest Beutler ◽  
Terri Gelbart

Pyruvate kinase (PK) deficiency is the most common cause of hereditary nonspherocytic hemolytic anemia. The prevalence of this deficiency is unknown, though some estimates have been made based on the frequency of low red cell PK activity in the population. An additional 20 patients with hereditary nonspherocytic hemolytic anemia caused by PK deficiency have been genotyped. One previously unreported mutation 1153C→T (R385W) was encountered. The relative frequency of PK mutations in patients with hemolytic anemia caused by PK deficiency was calculated from the 18 white patients reported here and from 102 patients previously reported in the literature. DNA samples from 3785 subjects from different ethnic groups have been screened for the 4 more frequently encountered mutations—c.1456 C→T(1456T), c.1468 C→T(1468T), c.1484 C→T(1484T), and c.1529 G6A (1529A)—by allele-specific oligonucleotide hybridization. Among white patients the frequency of the 1456T mutation was 3.50 × 10−3; that of the 1529A mutation was 2.03 × 10−3. Among African Americans the frequency of the 1456T mutation was 3.90 × 10−3 The only mutation found in the limited number of Asians tested was 1468T at a frequency of 7.94 × 10−3. Based on the gene frequency of the 1529A mutation in the white population and on its relative abundance in patients with hemolytic anemia caused by PK deficiency, the prevalence of PK deficiency is estimated at 51 cases per million white population. This number would be increased by inbreeding and decreased by failure of patients with PK deficiency to survive.


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