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Characterization of point mutations in patients with pyruvate dehydrogenase deficiency: role of methionine-181, proline-188, and arginine-349 in the alpha subunit.
[pyruvate dehydrogenase deficiency]
Human
pyruvate
dehydrogenase
(
E
1
)
,
a
heterotetramer
(
alpha
2
beta
2
)
,
is
the
first
component
of
the
pyruvate
dehydrogenase
complex
(
PDC
)
.
E
1
catalyzes
the
thiamin
pyrophosphate
(
TPP
)
-
dependent
decarboxylation
of
pyruvate
and
the
reductive
acetylation
of
the
dihydrolipoamide
acetyltransferase
component
.
Site-directed
mutagenesis
was
employed
to
recreate
three
point
mutations
in
the
alpha
subunit
identified
in
E
1
-
deficient
patients
,
M
181
V
,
R
349
H
,
and
P
188
L
(
P
188
A
mutant
E
1
was
used
because
of
the
very
low
level
of
expression
of
P
188
L
)
,
to
investigate
the
functional
roles
of
these
three
amino
acid
residues
.
P
188
A
mutant
E
1
was
much
less
thermostable
than
the
wild-
type
E
1
.
The
kcats
of
M
181
V
and
P
188
A
mutant
E
1
s
determined
in
the
PDC
reaction
were
38
and
24
%
of
that
of
the
wild-
type
enzyme
,
respectively
.
The
apparent
Km
for
TPP
for
M
181
V
increased
significantly
(
approx
250
-
fold
when
determined
in
the
PDC
assay
)
,
while
the
apparent
Km
for
pyruvate
increased
by
only
about
3
-
fold
.
In
contrast
,
P
188
A
had
similar
Kms
for
the
coenzyme
and
the
substrate
as
the
wild-
type
.
Km
values
for
R
349
H
were
not
determined
due
to
the
extremely
low
activity
of
this
mutant
(
1
.
2
%
of
the
wild-
type
E
1
-
specific
activity
measured
in
the
PDC
assay
)
.
Wild-
type
E
1
displayed
a
lag
phase
in
the
progress
curve
of
the
PDC
reaction
measured
in
the
presence
of
low
TPP
concentrations
(
below
1
microM
)
only
.
All
mutants
had
a
lag
phase
that
was
not
eliminated
even
at
very
high
TPP
concentrations
,
suggesting
modifications
in
the
conformation
of
the
active
site
.
Kinetic
analysis
indicated
thiamin
2
-
thiothiazolone
pyrophosphate
(
ThTTPP
)
to
be
an
intermediate
analog
for
wild-
type
human
E
1
.
M
181
V
required
a
higher
concentration
of
ThTTPP
for
inactivation
than
the
wild-
type
and
P
188
A
E
1
s
.
The
results
of
circular
dichroism
spectropolarimetry
in
the
far
UV
region
indicated
that
there
were
no
major
changes
in
the
secondary
structure
of
M
181
V
,
P
188
A
,
and
R
349
H
E
1
s
.
These
mutant
enzymes
exhibited
negative
dichroic
spectra
at
about
330
nm
only
in
the
presence
of
high
TPP
concentrations
.
This
study
suggests
that
arginine-
349
is
critical
for
E
1
's
activity
,
methionine-
181
is
involved
in
the
binding
of
TPP
,
and
proline-
188
is
necessary
for
structural
integrity
of
E
1
.
Diseases
Validation
Diseases presenting
"type enzyme"
symptom
erythropoietic protoporphyria
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
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