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Allele-specific characterization of alanine: glyoxylate aminotransferase variants associated with primary hyperoxaluria.
[primary hyperoxaluria type 1]
Primary
Hyperoxaluria
Type
1
(
PH
1
)
is
a
rare
autosomal
recessive
kidney
stone
disease
caused
by
deficiency
of
the
peroxisomal
enzyme
alanine
:
glyoxylate
aminotransferase
(
AGT
)
,
which
is
involved
in
glyoxylate
detoxification
.
Over
75
different
missense
mutations
in
AGT
have
been
found
associated
with
PH
1
.
While
some
of
the
mutations
have
been
found
to
affect
enzyme
activity
,
stability
,
and
/
or
localization
,
approximately
half
of
these
mutations
are
completely
uncharacterized
.
In
this
study
,
we
sought
to
systematically
characterize
AGT
missense
mutations
associated
with
PH
1
.
To
facilitate
analysis
,
we
used
two
high
-throughput
yeast-based
assays
:
one
that
assesses
AGT
specific
activity
,
and
one
that
assesses
protein
stability
.
Approximately
30
%
of
PH
1
-
associated
missense
mutations
are
found
in
conjunction
with
a
minor
allele
polymorphic
variant
,
which
can
interact
to
elicit
complex
effects
on
protein
stability
and
trafficking
.
To
better
understand
this
allele
interaction
,
we
functionally
characterized
each
of
34
mutants
on
both
the
major
(
wild-
type
)
and
minor
allele
backgrounds
,
identifying
mutations
that
synergize
with
the
minor
allele
.
We
classify
these
mutants
into
four
distinct
categories
depending
on
activity
/
stability
results
in
the
different
alleles
.
Twelve
mutants
were
found
to
display
reduced
activity
in
combination
with
the
minor
allele
,
compared
with
the
major
allele
background
.
When
mapped
on
the
AGT
dimer
structure
,
these
mutants
reveal
localized
regions
of
the
protein
that
appear
particularly
sensitive
to
interactions
with
the
minor
allele
variant
.
While
the
majority
of
the
deleterious
effects
on
activity
in
the
minor
allele
can
be
attributed
to
synergistic
interaction
affecting
protein
stability
,
we
identify
one
mutation
,
E
274
D
,
that
appears
to
specifically
affect
activity
when
in
combination
with
the
minor
allele
.
Diseases
Validation
Diseases presenting
"complex effects on protein"
symptom
primary hyperoxaluria type 1
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