Molecular cloning and sequence of the
complementary DNA encoding human
mitochondrial acetoacetyl-coenzyme A thiolase
and study of the variant enzymes in cultured
fibroblasts from patients with 3-ketothiolase
deficiency.
T Fukao, … , T Osumi, T Hashimoto
J Clin Invest.
1990;
86(6)
:2086-2092.
https://doi.org/10.1172/JCI114946
.
Complementary DNAs encoding the precursor of human hepatic mitochondrial
acetoacetyl-CoA thiolase (T2) (EC 2.3.1.9) were cloned and sequenced. The cDNA inserts in these
clones were 1,518 bases in length when overlapped, and encoded the 427-amino acid
precursor of this enzyme (45,199 mol wt). This amino acid sequence included a 33-residue
leader peptide moiety and a 394-amino acid subunit of the mature enzyme (41,385 mol wt).
The T2 gene expression in fibroblasts from four patients with 3-ketothiolase deficiency was
analyzed by Northern blotting. The T2 mRNA in all four cell lines had the same 1.7 kb as
that of the control. However, the amounts of T2 mRNA differed: the content was reduced in
two cell lines (cases 1 and 3), whereas it was within a normal range in others (cases 2 and
4). Pulse labeling followed by subcellular fractionation revealed that the T2 proteins in the
fibroblasts from these patients are present in the mitochondria. These results suggest that
different mechanisms are involved in the enzyme defects in the four patients.
Research Article
Find the latest version:
Molecular Cloning
and
Sequence
of the
Complementary
DNA
Encoding
Human
Mitochondrial Acetoacetyl-Coenzyme
A
Thiolase and
Study
of the
Variant
Enzymes
in
Cultured
Fibroblasts from Patients with 3-Ketothiolase
Deficiency
Toshiyuki Fukao,*SeijiYamaguchi,* Masatsugu Kano,*TadaoOrii,*YukioFujiki,* Takashi
Osumi,$
and TakashiHashimoto*Department ofPediatrics, Gifu UniversitySchoolofMedicine, Gifu, Gifu 500, Japan;tDivisionofMolecularCellBiology, Meiji Institute of
Heafth
Science, Odawara, Kanagawa 250, Japan;and§Department ofBiochemistry,Shinshu UniversitySchoolofMedicine, Matsumoto, Nagano 390, Japan
Abstract
Complementary
DNAsencoding
the precursor of humanhe-patic
mitochondrialacetoacetyl-CoA
thiolase (T2) (EC 2.3.1.9) were cloned and sequenced. The cDNA inserts in these clones were1,518
bases inlength when overlapped, anden-coded
the427-amino acid
precursor ofthis
enzyme(45,199
molwt). This amino acid sequence included a 33-residue leaderpeptide moiety and
a394-amino acid
subunit of the mature enzyme(41,385
molwt).
The T2gene expression infibroblasts
from fourpatients with 3-ketothiolase deficiency
was analyzedby Northern
blotting.
The T2 mRNA in allfour cell
lines had
the same 1.7 kb as thatof
the control.However, the amounts of T2 mRNAdiffered:
the content was reduced in two celllines
(cases
1and3),
whereasit
waswithin
anormal range in others(cases
2 and4). Pulse labeling followed by
subcellular fraction-ation revealed that the T2proteins
in thefibroblasts from
these
patients
arepresent in themitochondria.
These results suggest thatdifferent mechanisms
areinvolved
in the enzymedefects in
thefour
patients. (J. Clin.
Invest.1990.
86:2086-2092.) Key words: intracellular localization * ,-ketothiolasedeficiency
- Northernblotting
*organic
acidemia- pulsela-beling
Introduction
3-Ketothiolase
deficiency
(3KTD'
McKusick20375)
isanin-born
errorof
isoleucine
and ketonebody
catabolism. It ischaracterized by intermittent ketoacidosis
episodes
and uri-naryexcretion
oforganic
acidssuch as2-methyl-3-hydroxy-butyrate, 2-methyl-acetoacetate,
andtiglylglycine.
SinceDaum et
al.
(1) reported
this disorderin1971,
over 10 caseshave been
documented
(2-12).
Mammalian tissues have atleast
four
thiolases;
mitochondrial3-ketoacyl-CoA
thiolase(T
1),
acetoacetyl-CoA thiolase
(T2), peroxisomal
3-ketoacyl-CoA thiolase
(PT),
andcytosolic acetoacetyl-CoA
thiolaseAddressreprintrequeststoDr.Fukao, Department ofPediatrics,Gifu University School ofMedicine,40Tsukasa-Machi,Gifu500, Japan.
Receivedfor publication IMay1990andin revised
form
24July
1990.
1.Abbreviations used in this paper: CT, cytosolic acetoacetyl-CoA thiolase;PT,peroxisomal3-ketoacyl-CoA thiolase;T1, mitochondrial 3-ketoacyl-CoAthiolase; T2, mitochondrial acetoacetyl-CoAthiolase;
3KTD, 3-ketothiolasedeficiency.
(CT) (13-15).
Theetiology of
3KTD has beenattributed to a defect in T2 because K+ activation of acetoacetyl-CoA thio-lase, acharacteristic
feature of T2 (7), is absent in tissue frompatients
withthis disorder
(6, 9, 10, 12). T2 alone seems to beresponsible
for the cleavage of 2-methylacetoacetyl-CoA, anintermediate
of isoleucine catabolism (7, 16). The term"3KTD" is
commonly used for T2 deficiency, althoughdefi-ciencies of
PTand CT have also been reported(17,
18).Previously,
we reported that 3KTDin
apatient
was due to adefect
in the T2biosynthesis (19).
Subsequently, we demon-stratedusing
the pulse-chaseexperiments
that, in the fibro-blasts from five 3KTDpatients (including
thefirst
one), the T2proteins of
thesepatients were synthesized but theydiffered
instability
andin
mobility in
SDS-PAGE (20, 21),providing
evidence for heterogeneity
in the moleculardefects
(21). Tobetter
understand 3KTD at the molecular level, wefirst
cloned cDNAfor
rat T2(22).
We now report the molecular
cloning
andnucleotide se-quenceof
cDNAfor
human T2 and the geneexpression of T2 in fibroblastsfrom four patients with 3KTD.Methods
Patients.Case 1isa Japanese boy who presented withepisodic
ketoac-idosis (10) and case 2 isaSpanish girlwho repeatedly experienced
severeketoacidosis attacks (9). Case 3 isaLaotianboy who was well
developed but had several episodes ofketoacidosis (9). Case 4 is a boy
with normaldevelopment,despiteepisodic ketoacidosis. His father is
alsoapatient but withoutsymptomsofthis deficiency (7). The
diag-nosis of 3KTD inthefour patientswas based on theresults of urinary
organic acid analyses bygaschromatography-massspectrometry, and
of theenzyme assayoftheirfibroblasts(7, 9, 10). Thefourcelllines werewellcharacterized,at theprotein level. The amount, biosynthesis,
and degradation ofT2 protein in the fibroblasts were analyzed by
immunoblotandpulse-chase experiments (19-21). These results are
listed later in TableII togetherwiththe results obtained in the present work.
Screeningof thecDNA library. TheXgtl1 cDNA library
con-structedfromhumanhepatic poly(A)RNA withrandom primers was
kindly providedby Dr. M.Mori.The cDNA library wasscreened with theprobe, RT2-6, a full-lengthcDNA ofthe rat T2(22), using the
plaquehybridizationmethod (23).
Subcloning andDNA sequencing. Inserts of cDNA clones were subclonedtoplasmavectorspTZ (U.S.BiochemicalCorp.,Cleveland,
OH)orpHSG(TakaraShuzo, Kyoto, Japan).Appropriate
fragments
forsequencingwereobtained bytreatment with nucleaseBa131 or
restriction endonucleases(TakaraShuzo).DNA sequenceswere
ana-lyzedonthedouble-strandplasmidDNAbythedideoxychain termi-nationmethodwiththe Klenowfragment(Takara Shuzo)or
Sequen-ase(U. S. Biochemical Corp.)(24, 25).
Northern blotanalysis. Skin fibroblasts were growninEagle's min-imumessential medium containing 10% fetal calfserum. The cells wereharvested 3-4 dafter achieving confluency.Total RNA was pre-J.Clin.Invest.
©TheAmerican Society for Clinical Investigation, Inc.
pared
from fibroblastsby
acidguanidium
thiocyanate-phenol-chloro-formextraction
(26).
Total RNAwasdenatured informamide/form-aldehyde
andelectrophoresed
ina1.0% agarosegel
containing
formal-dehyde (27).
RNAwastransferredtoasheet ofHybond-N
(AmershamCorp.,
Arlington
Heights,
IL) by
capillary blotting.
Prehybridization,
hybridization,
andwashing
werecarriedoutusing
theconditionsrec-ommended in the manufacturer's
protocol.
Theinsert of HT2-3(seeFig.
1)was used as aprobe.
In ordertoprovide
standardsfor theamountof
applied
RNAs,
thesamemembranewasrehybridized
witha,B-actin probe (28). Messenger RNA was quantitated by scanning
den-sitometry
of theautoradiograms.
Protein
analyses.
The human enzymewaspurified
fromanpost-mortemliver
using
theprocedure
previously
usedfor thepurificationofratliver enzyme
(22).
Twopeaks
of T2activity
onthephosphocel-lulose column
chromatography,
isoenzymes
A and B(15,29),
wereseparately
purified.
Thepurified proteins
wereS-carboxymethylated.
Theamino-terminal amino acid sequence wasdetermined by
auto-mated Edman
degradation
with aprotein
sequencer(model 470A,
Applied Biosystems, Inc.,
FosterCity, CA).
Amino acidanalysis
wasperformed
withan aminoacidanalyzer (model 6300,
Beckman In-struments,Inc.,PaloAlto, CA)
afterhydrolysis
of theprotein
with 5.7NHCIat 110°Cfor24, 48,and 72h,
respectively.
Pulse
labeling
andsubcellularfractionation offibroblasts.
Fibro-blastswerepulse-labeled
asdescribed(21).
Subcellularfractionation of thefibroblastswasdoneaccording
tothe methodofMackalletal.(30),
withsomemodification.
Briefly,
theharvested cellsweresuspendedin 0.25 Msucrose/20
mMpotassium phosphate,
pH 7.5, and 1 mMEDTA and
digitonin
wasaddedto afinalconcentration of 1 mg/ml.Thesolutionwas
kept
onicewaterfor 1min,thenwascentrifuged
for 5 minat8,000
g. Thepellets
wererinsed with the samebuffer andresuspended
inbuffercontaining
1mg/ml
digitonin.
One-thirdvol-umeof 80mMTris
HCI, pH 7.5,
0.4%SDS,
0.4%TritonX-100,
and 4mM EDTA was added to the supernatant and the
pellet
frac-tion.Immunoprecipitation
andfluorography
wereperformed, asde-scribed (2 1).
Results
Isolation
of
cDNAclones
for
human
T2. TheXgt
11 cDNAlibrary
wasscreenedusing
as aprobe
RT2-6(22),
afull-length
cDNA forthe ratT2. Afterscreening
4.0
X105 recombinant
plaques,
13independent
positive
clones
wereobtained (Fig. 1).
All cDNAinserts
weresubcloned
toplasmid
vectorsand weresequenced
for the entire
regions
of inserts.
Sequence
analysis
of
the
cDNA.Thenucleotide
sequenceof
the cDNAfor the
human
T2is
summarized in
Fig. 2,
together
with
thededuced
amino acid
sequence. A1,28
1-base openreading frame,
starting
atthefirst ATG triplet (positions
1-3), encoded427amino acids.
Theamino-terminal 20-amino acid
sequenceof
thepurified
enzymedetermined by
Edmandegra-dation, perfectly
matched the sequence(Fig.
2).
Hence, the presequenceof
thethiolase
precursorprobably consists of
33amino acid residues. The relative of molecular
massof
the precursorand
the maturesubunit of this
enzyme was calcu-latedtobe45,199
and41,385 D, respectively.
The
combined
cDNA sequenceincluded
76 bp of the5'-noncoding region
and 161bp of
the3'-noncoding
region. Aputative
polyadenylation signal
andpoly(A) tail
wasnotfound
in the cloned sequence. This may be due to the use of thelibrary
constructed with cDNAssynthesized using
randomprimers.
The3'-noncoding regions
ofrat andhuman cDNAs werewell conserved.IntheratcDNA sequence (22), a typicalpolyadenylation signal
AATAAA was present 15 bp down-streamof
thesite
thatcorresponds
tothe 3' endof
the human cDNA.ATG Hindlil
RT2cDNA
ATG Hindlil Hindill
TAGI
TAG
HT2cDNA HT2-1 I
-ix 100
bp
HT2-2 ,A.
' v
HT2-3 L I
HT2-4 B
,L v d
HT2-5
x I
HT2-6 1
Figure1.Restrictionmapandsequencingstrategyfor the cDNAs of T2. Partialrestrictionmapsofrat(RT2)and human(HT2)cDNAs
areshownin theupperscheme.ATGs, TAGs,andsolid boxes
indi-cateinitiator methioninecodons,stopcodons,and thecoding
re-gions
forpresequences,respectively. 13 human cDNA clones from HT2-1toHT2-13wereanalyzed,and cDNAsfrom HT2-1toHT2-6areshown. Thehorizontalarrowsunder eachclone indicate the di-rection andextentofsequencing.
When the deduced
amino acid
sequencesof human
andrat T2 werecompared (Fig. 3),
these sequences share 84% of identical residues.Incontrast, sequencehomologies
of humanT2tootherrat
thiolases,
TI andPT(31, 32)
are40 and 33%,respectively.
The subunit of themature enzymeconsisted
of394 amino acids in both ratandhuman T2. The nucleotide
sequences ofcDNAs for rat and human
T2, including
thenoncoding regions,
are 82% identical. Invitro
transcription/
translation of
full-length
human cDNA wasperformed
ac-cording
tothe methodasdescribed(22).
Thepolypeptide
gen-eratedwas
immunoprecipitated
withanti-[rat T2]IgG,
which cannot cross-react with humanT1, PT,
and CT(data
notshown).
Thus,
thehuman cDNA clones shown here encodeT2 and the first ATG codon is the true initiation methioninecodon. Several base substitutions which led to amino acid
changes
werefound among 13independent
cDNAclones,
as shown inFig.
2:C320toA(Ala
toGlu)
and T483to A(Tyr
tostop
codon)
inHT2-3,
G'018
toA(Val
toMet),
G1036
toA(Asp toAsn),
G'
38toT(Ala
toThr),
and A'234toT(Ile
toPhe)
inHT2-2,
andC793 to A(Pro
toThr)
inHT2-5. However,
there were nosubstitutions
common to more than two cDNAclones. These
substitutions
maypossibly
beartifacts occurring
during
the cDNAsynthesis
andcloning,
but sequencehetero-geneity
would havetobe excluded.Protein
analyses.
Twopeaks
of thethiolase activity
on aphosphocellulose
columnchromatography
(termed
isoen-zymesAandB)
wereseparately purified.
Thepurified
isoen-zymes A and B wereindistinguishable
inmobility
in SDS-PAGE(data
notshown).
Theamino-terminal
sequences of0HE40. OHao0-:Oco O<H OOHr 0<H OHco OE-4 OHF4 0<-: 00 0<
00<04) --t OH-q OO r- E0-4co 'HCOi 00HF4co T I-A0H 0<* 'IO0a) C710 00H -It r- 0< 000<.9 aO'0< 0'0 > 00u> 00u> "-40< C.IO cqE-l0 CY)E-4 )O
-HH4r- <4 E4 EO -4HCo H.-4Hj--IH'-F< -Hco -0 0
-EH4CO 0 r <0) O <C) H4co OHri 04 OH
HE-0 > EH 0< 0<c 0<4 0> 00 < 0< < <
E-W I i <4co HCa<oCto 0 ~ O~ H-4 H H
HCaHco " OH-I > F4 OH Ha)0w- 0 H
0< 0 > 0<-4 0< 14 0 -1. 00 H~ 00 0
<n-4 E04p u0O H Hp4 H4 HCID) < u
ON 0O,I 0O 1 C0<0) OH) 00a : Ic0 0<H :)ur-OH 0) 00u
HF-4 u u 0< 0> HP4 0CH u0 00u 0 0
<Cl E-aH HaQ) 0 H-- <) H co OHi 0 H
00u0 000 0> 00<04 0 00 00> 0H 0C < OH 0<
H " -4 U 0oo 0 -Tt<H
0CO
.OH~O J ) 00000(A OC OH u0 CNH F00 > 00Ha) ON H4coa OOHur- I Cl) - ) -0p " % y E- CY
eH -I
0 uH -<a
HC4
4a94C
H 40 -CaHE
Ha) -40 4 U) u 4OHco
-i <-4P 01- OH 0a H H
H4F4P4 0< <<-. HHE4 00 0 0 <0 H 0 H
Lr)Hco "-4HE4ca -. .OH eCFOr-lC'co Lr) 1-P
-4Cl)
r-O)CYIOHr-a'o
Lr)H
-o4OH 0u> o <-4a,U< ON H > E-04E-4 4Ha)
-04E-i
En -4 H -: -%4 -) -IHCa
P~
OH. Hal3 01- Ha HH Ha)4i Ha 0 04H-0>c <H 00- 0 ) OP- <H <H <~
<aH
H<H>
--00) H0 <0S HCa4 -CCa 0u0H4 04 0
HC4
a En <0). 01 HcoOH
OH OH> CD H H0>CT -1 0< OP-i 0<- 0<-- 00 00 00 HH4 0 <
0<0) OH4 0) 0 c00 4 OHHr OHH O-)HaQ) OHH 0<4 OHa 00) 00C)
-O 0Ou '-0 CCa<CN<H 00 <H~- -4< H 0DHj. %O<- 04 H-4H 00OU0- -ItH OHE-r-<o 0000C) 00u0~ o'HH4 ON-C0 OH P -0u4-i --4 C-1 ~C-JO 0) Cy)<
01-4 <cF4 ) HCa 0P- ~-4 l r) -~a) -01-IP -4 -<4 > -A
-0P~~~~~~~~~~~ 14 O> OP-i 0<4 U0PL 0004
-C0
<14
F4 Ha-) < Cl) HO)En 0~OUP-i <Hl HP-i0 0 04 00 0 0 H
H-4Co 0a) Q <0A ) F4H r- H HE-4 H H
00 0> 0<00C 00)~ 00<.4 0 0H 00u0 000 0<) H 00u COH
c Cy'<0) Lr) UCo -0U00 r-HaQ Y)e 0) oON Lr) : -00)( r- 0 cn O'HE
>N r_ 000Hr- a'01-P ON -HH1C0 0<0)1C EHa) c-I a-4 ) CnU CnH
r-i HP00) HO 0 co H P 4- H
HCaco a) H- a) OHr- 0a) Ha4) Ha)
-0 > <00 -4<o1 OP- H <4 H0E0 F4H C4<z 0 0
0 000E- 000 001- i 0Or-0< 00o-0H 0<0E- 0< 0<-I 0E- OH
'.00 10 '-0 c--I 00 a) -tO OO OO 0NIH a) 00 I- t Ca 00 OONI4C
0- 0 O:H HO0 -<
0l
0 HOM E-<00 0>- <H E-4 <0 0 Ha)~~~~~~~u Ha14 Ha)u04 u-4 uu u H O-:4 H-i O
0 H- 0~ HI-i 01P-i 00) H <04 0
<4 0 Ha) 0 0 0a4) < O 01-P H <0) Ha4) <H 0a H
H H Op- < <0 >%
00
E0
P00
a"
H00
H00 0>
O
4U OuP Ou )urIC
0 00 00
Or-
<u
I-HI-iQ 0u
1)c
nCHP- HCa
HI HOO
-0
U V uPI O 00
41-i
00)
I OOH 0 H OOH 0, 00an rH)00
CY)0<0)4
u-:OOH 0<0) 00 1
C4
uco0Ha44)NIa)C)H-
OHi
HHH1
I I-4 ) rH-HE4( F-40a) E-OCE-4 Q) -40LIu 0) 'u a)i -H a)
< H 00 00-4riFqPF H00 04i u uU
O4 01-i4 Oa)) HC Ha)O C HH4 Ha)4 ua) Ha) Oa)u OHH HCa
c--JO10 -I4000oC:01 OH-<CP-i> -OH'.0< 0CNI0CN<Hr C-I00HE4r.-T0) c' -go,EHa) -tH0Oa)t '.00U4.1Ha) Lr)HCONICaH 000u4-iLOHaF,) -It'OHH c-0HO
0 0< EHH- 00 00 -C4E<H-1 <Hc < u > <94 0<
< OCa HI-i Ha4) H- a) H- > u>O u Ca 0 N F-HO) OP -Ca 0 OH- 0aQ) HH" HH OH OH--OH OHl OH <4H <0) O
H0 OHiO % 000 00 ~co - <Ca <0) H >. H- E4Q 0~ Ha)
u
0Pi01- OHr Ha) OH -~ur-OH HHr- <Hr- H
H 0 0 0<-C OP-4 0<-4 <940< 00 H 00 H PL
-0C 001-iP . 0 <-i OHa) 0EI4HN 04-i 0<-4co 0HE1$ 0 0)CDI:
40c0a 0'
F
H
C`r40,-4-HH
rC<
~0H) CyHaLfO
-c r 4L)uu~0 0 00 O -Ca0 01- <ca -Caq0 OH <0 .
< 01-i E-HCa 01i a) OH~ Ha4) OH Hca 01- <0) <0)
OH-H 0< 0
>E-P < H0 0< 4
HP
0 0>
0P4$4 uHC
H- Ha4) <-. O 4 OH~ EHHCa Oa) HaQ) 0 4 -4 01-i OH
<4 Ho<00 HCa H~ 0) <-Cac Hca OH- I-Pi OH- <ca
-4H OHa-() 00 CDOHl OH4 a) 0<>. 0OOH--O" O H ca 00) a() OHE- Ca OOHr-4OI -t NIO1-) 00<<9 -tu40< C00 1- I'D0 CNIO<-. 000u<4 -It10> 0H00ic '.00> c-4u-lO 0000
100 <CaOHr-ci HHr4a) E-H-iP C7-JO 0) NIOH1- Cle) O H)E0)( -THEPC- LO<t4>. Lc-HP- '-OHaq) %O.0P u() >.
Qal <H O. <0) OH <0) HHr- 01-i
0 0<9 <H 01.u> 00 HOu 0<.4 00 0< <H9 E4HH
H -CaH
utk
HCai <H 01-
OHE4P
f0c
0 0 ur.O)-: 0 ca <U<) E-0) r. 0 C0~ <Ca
-< 0Ou0- 000u 0<H: 0u-4C0< 000U 0<H: -4 0)I.I Ha Ha 00<
u-L(rO -OHU c--O CY) OH- 0<0 LO) <) -HO& c-P-u0 cnC4) >N a0. Lc-Iu 0) - 0 10 E-HCa HCa -Ca -O 1-c--I> CY)O 1-i Cy)I< ) -,tOHr- -TE4-Ha) Lr) H
> > > L4 uPL << u u '.O
EO4HCa O OHDr- 0 HCa-CO a) H0r) I11 ua ) F
H-H- OH0< Ha)04 H0 >ca H-O (L)OIP OHr HHr- O% HCa <0)t4( >. u
0P4 'V40< < HO 0> 0<-4 ~ 4 c
<Z
<<k
00H0
<H-0)
.Ha)
4 (i
Ico-k
0 Ha)04-i 01-i~~~~~~~000$ Hr-a) HH 01 <0)>1> r4~
-RT2: 1 MAALA-VLH--GVVRRPLLRGLLQEVRCLGRSYASKPTLNDVVIVSATRTPIGSFLGSLA
** ** * **** * ** * ***i ***** ******************
HT2: 1 MAVLAALLRSGARSRSPLLRRLVQEIRYVERSYVSKPTLKEVVIVSATRTPIGSFLGSLS
RT2: 58 SQPATKLGTIAIQGAIEKAGIPKEEVKEVYMGNVIQGGEGQAPTRQATLGAGLPIATPCT ****** ******************* ***** ************ ******* **** HT2: 61 LLPATKLGSIAIQGAIEKAGIPKEEVKEAYMGNVLQGGEGQAPTRQAVLGAGLPISTPCT
RT2: 118 TVNKVCASGMKAIMMASQSLMCGHQDVMVAGGMESMSNVPYVMSRGATPYGGVKLEDLIV
* ***************************************** ** ************* HT2: 121 TINKVCASGMKAIMMASQSLMCGHQDVMVAGGMESMSNVPYVMNRGSTPYGGVKLEDLIV
RT2: 178 KDGLTDVYNKIHMGNCAENTAKKLSISREEQDKYAIGSYTRSKEAWDAGKFANEIMPITI
************** .********* * * *** *** ****** ** **** ** * *
HT2: 181 KDGLTDVYNKIHMGSCAENTAKKLNIARNEQDAYAINSYTRSKAAWEAGKFGNEVIPVTV
RT2: 238 SVKGKPDVVVKEDEEYKRVDFSKVPKLKTVFQKENGTVTAANASTLNDGAAAVVLMTAEA
**** *********************************************** ***** * HT2: 241 TVKGQPDVVVKEDEEYKRVDFSKVPKLKTVFQKENGTVTAANASTLNDGAAALVLMTADA
RT2: 298 AQRLKVKPLARIAAFADAAVDPIDFPLAPAYAVPKVLKYAGLKKEDIAMWEVNEAFSVVV * ** * ***** ******* ***** ** ** *** ***************** **
HT2: 301 AKRLNVTPLARIVAFADAAVEPIDFPIAPVYAASMVLKDVGLKKEDIAMWEVNEAFSLVV
RT2:
HT2:
358 LANIKMLEIDPQKVNVHGGAVSLGHPIGMSGARIVVHLAHALKQGEFGLASICNGGGGAS *************** ****************** ** ******* *************
361 LANIKMLEIDPQKVNINGGAVSLGHPIGMSGARIVGHLTHALKQGEYGLASICNGGGGAS
RT2: 418 AVLIEKL * ** ** HT2: 421 AMLIQKL
indicated by
underlining).
Amino acidcompositions
ofthetwo
isoenzymes
werealsoindistinguishable.
Thecomposition
wasalso
compatible
with that calculated from the deducedsequence(Table I).
Expression
of
the
thiolase
gene
infibroblasts.
Expression
of
T2 gene infibroblasts
from the controls and from thepatients
wasanalyzedby Northern
blotting, using
the cDNA insert ofHT2-3
as aprobe
(Fig.
4A).
Asingle
band forT2 mRNA wasdetected
intwocontrols
and in all fourpatients.
The size oftheT2 mRNAs was 1.7 kb and was
indistinguishable.
However,
incases 1 and
3, the radioactive
signal
wasvery weak and theband
wasdetected
only
afteralong
exposure. In orderto esti-matethe
amount of RNAsapplied,
thesamemembranewasrehybridized with
af3-actin
probe.
Theintensities
ofsignals
for (3-actin band in cases 1 and 3samples
were notsignificantly
smaller
than others. Itis apparent,therefore,
that theamountof
T2 mRNA in the fibroblasts fromcases 1 and 3wasreducedwhereas that
for
cases 2and
4 wasnot.In order to
confirm
the reducedquantity
of
T2 mRNA presentin
cases 1 and3,
T2 mRNAabundance
wasquanti-tated
by densitometric
scanning
ofautoradiograms, using 1, 3,
and
9
Jg
of each of the
total RNAsamples
fromfour controls andfour
patients.
Typical
results
are shown inFig.
4B.Pa-Figure3.Comparison oftheamino acidsequencesof humanand ratT2. Thestandard one-letteramino acid ab-breviationsareused. RT2 and HT2
representthesequencesofthe rat and
humanenzymes,respectively. Gaps(-) wereinsertedtoachievemaximum
ho-mology. Identicalresiduesareindicated bystars.Sequencesarenumbered,
be-ginning with the initiator methionines.
Sequencingdataof theratenzyme are
from Fukaoetal. (22).
tients' RNAs were prepared separately from three fibroblast cultures of different passages andweresimultaneously electro-phoresed
and blotted
on aHybond-N membrane.
Theratio
ofintensity
of the band of
T2 mRNA tothat of
,3-actin
was 0.55±0.32 (n = 4), in case of the four controls. The ratio of cases1,2, 3,and 4 was0.085+0.014,
0.50±0.18,0.009±0.013, and0.42±0.02, respectively.
These results indicate that the amountof T2 mRNA is lower in cases 1 and 3 than in the controls but is within a normal range in cases 2 and 4.Subcellular
fractionation
after pulse labeling
of
the
fibro-blasts. Subcellular fractionation was thendonetodetermine whetheror not the pulse-labeled T2
of
thefibroblasts from
thepatients
weretransported
intothe mitochondria
or werede-graded
incytosol.
Thelabeled
T2 was recovered in theparticle
fraction,
whereas lactatedehydrogenase,
acytosolic
enzyme, was presentin
thecytosol,without exception (Fig.
5). The T2proteins
cantherefore
betranslocated
into
anorganelle,pre-sumably
into themitochondria.
Discussion
The cDNA
for human T2which
wecloned
was1,518 bp
inlength,
including
a 1,281-base openreading
frame encoding
Figure2.Nucleotidesequenceofthe cDNAforhuman T2 and deducedprimarystructureofthe enzyme.Nucleotidesarenumberedinthe di-rection 5'to3',beginningatthefirst residue oftheinitiator ATGtriplet.Thenucleotidesonthe
5'-side
from residue 1areindicatedbynegative numbers. Thededucedamino acidsequenceisshown under thenucleotidesequence. Theunderlined amino acidsequencecompletelymatchedtheamino-terminalsequenceof thepurifiedenzyme,determined byEdmandegradation.The stop codonis representedbyTER. Base
variationsfoundamongdifferentclones are asfollows:Awasfoundatthepositions -22, -6, 33,and93 in HT2-3, HT2-9, HT2-13,and
HT2-1,respectively.Thesesubstitutionsledto noamino acid changes. Positions320 and483wereoccupied byAinHT2-3 instead ofC and
T,respectively.Asaresult,AlaandTyrweresubstituted byGlu and stop codon in HT2-3. HT2-2containedA atpositions1018 and 1036,T
C
1
42C3
A
B
Thiolase
1
3
Controls
3
: -28S
. ...
. -. 0:
..
_.:...
._. ?_ fI _
4
Patients
*.-S ,smifibL .,_biu
*# _
IF||wl
3
.il
..1
.Figure 4.Northern blotanalysisofthethiolasemRNAinfibroblasts fromcontrolsandpatients.(A) 50
,g
oftotal RNA extractedfrom fi-broblastsweredenatured and electrophoresed ina1.0% agarose-form-aldehyde gel. TheRNA wastransferredto aHybond-Nmembrane andhybridized with the 32P-labeled HT2-3 insert. Thesamemem-branewasrehybridized with,B-actin probe. The filterwaswashed to afinal stringency of 0.2X SSCat65°C.The celllinesareidentified with thecasenumbers at the topofeach lane. (B) RNAsfrom four controls andfour patientswereanalyzed. Patients'RNAs were
pre-paredseparately from threefibroblastculturesof differentpassages andelectrophoresedatthesametimefollowed by blottingon a Hy-bond-N membrane.The amountof appliedRNAis indicatedatthe topofthefigure. The filterwaswashedto afinalstringencyofIX
SSC, 0.1% SDSat65°C and exposedto apreflashed X-ray film.A
typicalblotting pattern ofeachpatient isshown.
the entire
precursorfor this
enzyme. This cDNA willserve as apertinent
toolfor
further studies
on themolecular basis of
heterogeneity
in3KTD.
Ithas been proposed that thereare two
isoenzymes
of T2since this
enzymewasseparated
intotwomainpeaks
on phos-phocellulose column chromatographyduring
the processof
purification (13, 29).
Weindeedconfirmed the presence oftwopeaks of
T2activity.
Theexistence
of theseisoenzymes might
cause
confusion
in thestudy
of 3KTD.However,
Huth(33)
hasproposed
that theseisoenzymes
areproduced
by
post-translationalmodification
such as coenzyme A-mediatedtransformation,
basedonthe facts thatisoenzyme
A wasspon-taneously transformed
invitro
toisoenzyme
B,
and that the rechromatographyof
coenzyme A-treatedisoenzyme
Bclearly
demonstrated theconversion
ofisoenzyme
B to A.Also,
wecould
notdistinguish
twopurified
preparations
of
isoenzymes
A and Bfrom
rat(22),
nor thosefrom
humantissue, with regard
toseveral parametersincluding
theamino-terminal amino acidsequence, amino acidcomposition,and
electrophoretic mobility
ofthe subunits.Only
one cDNA clone had a nucleotide substitution causing an amino acidchange among therat 18 cDNAclones,atposition 698 (Thr233
to
Met) (22),
butnosuchsubstitution
wasnoted inthe human cDNA clones. These results support the concept of Huth (33). We examined by Northern blotting the expression of T2 mRNAinfibroblasts from four
patients who have been well characterizedattheprotein level ( 19-21). The resultsarelisted in Table IItogetherwith
a summaryof
the previous studies done attheprotein
level. The present resultsprovide
furtherinformation
onthe molecularbasis of defects in T2 biosynthe-sis of thesepatients.
T2 mRNAs detected in all cell lineswerethesamesizeasthosefrom the controls. However, the amount of themRNA wasreduced in thetwocell
lines,
cases 1 and3,particularly
in the latter. The amount in the other two celllines,
cases2 and 4, was within a normal range. We previously considered thatcases3 and4belong
to asamegroup since theThiolase
,/-actin
.-
acti
nRI
I
l
18S
Table L Amino AcidComposition ofT2
Numberof residuespersubunit
Direct analysis
Predictedfromthe Amino acid Isoenzyme A Isoenzyme B cDNAsequence
Asp 33.8 34.2 15
Asn J 19
Thr 19.7 20.6 21
Ser 20.7 22.5 24 Glu 35.9 35.4 22
Gln LL. 12
Pro 19.0 18.9 18 Gly 38.7 37.5 38 Ala 48.0 47.9 47
Cys 7.3* 6.2* 5 Val 40.6 40.4 39 Met 13.9 14.3 16 Ile 25.1 25.1 25 Leu 32.8 32.1 31 Tyr 7.2 7.5 9 Phe 7.3 7.4 7
Lys 28.7 29.1 30 His 5.3 5.4 5 Arg 9.9 9.5 9 Trp ND$ NDt 2 * Determinedas
S-carboxymethylcysteine.
Not determined.
pulse-labeled
T2proteins could be detected after
a72-h chase, ineither
case(21). However, Northern blot analysis revealed
that
they differed
inexpression
of
T2mRNA.
In case 1, the T2 mRNA was
moderately
decreased. Thepulse-labeled T2 had
a slowerelectrophoretic mobility
thandid the
normal mature T2subunit. The
synthesized
T2 wasunstable.
Fractionation of
fibroblasts after
pulse
labeling
re-vealed that the
variant
T2protein is translocated into
mito-chondria
anddegraded there.
In case2,
the
amountof
T2 mRNA waswithin
anormal
range;however,
asmaller
amountof
normal-sized T2
protein
wasdetected in the mitochondrial
C
1
2
3
4
IPs~-l P
pS7
pI
IS
sP
IS
II
PI-'SlPIS'
s
IF-T
T20
~ I SI
lPSIPSi
IlPS
LDH v-; X
-I
Figure5.Subcellularfractionation after pulselabeling.The pulse-la-beledfibroblastswerefractionated into supernatant(cytosolic frac-tion, S) and pellets (particle fracfrac-tion, P),asdescribed in Methods. Eachfractionwassubjectedtoimmunoprecipitationwith anti-mito-chondrial acetoacetyl-CoA thiolase (T2)antibodyand anti-lactate dehydrogenase(LDH)antibody followed bySDS-PAGE and fluo-rography. C, controlfibroblasts;1-4, the cell lines ofcases1-4,
re-spectively. Arrowheads indicate the bands for T2orLDH.
fraction,
andwas unstable. Hence the mutation ofT2 gene mustbe located in the regioncoding
for the mature T2 pro-tein. In case 3, the amountof T2 mRNAwasmarkedly de-creased, and theamountofT2protein detected was alsosmall.The mobility in SDS-PAGE and
stability
of the T2 were indis-tinguishable from those of controls. Thecauseofanenzyme defect in this patientseems tobeagene mutationaffecting the splicing, or inefficienttranscription.
Middleton et al.(9)
re-ported that some residual T2activity,
- 7%ofthecontrol,
wasdetected in fibroblasts from this
patient.
Takentogether,
the T2 protein in case 3 might be functional.Incase4, the amount ofT2mRNA was within a normal range, and the pulse-labeled T2 was normal in size butunstable.
T2protein
wassmaller
in amount than that of the controls anddegraded
considerably
at a 72-h chase. Apoint mutation in theprotein coding
region may beconsidered
asthe causeof the
enzymedefect
in case4.
The mutation sites in thecoding region
in cases 2 and 4 pa-tientspresumably
differ because themutantprotein
in case2degraded more rapidlythan didthat from case 4.
Thus,
the molecular basis of the disease appears tobe
different
in allfour
patients.Table IL Summary
of
Heterogeneityin3KTDPulse-chaseexperiment
Pulse Immunoblot
Amountof Northem T2
Case blot mRNA* CRM* Size Chasestability CRM activityl
kD
Control N +++++ 41 Stable +++++ +
Case I Moderatelyreduced + 42 Unstable -
-Case2 N + 41 Unstable
Case 3 Markedlyreduced + 41 Stable +
Case4 N + 41
Relatively
unstable +Acknowledgments
The authorsthankDr. M. Mori,Institute for MedicalGenetics,
Ku-mamotoUniversityMedicalSchool,Japan for thegiftof the human cDNA library; Dr. R. B. H. Schutgens, Department ofPediatrics, University Hospital, Amsterdam,TheNetherlands;Dr. L.Sweetman,
Department ofPediatrics, UniversityofCalifornia, Berkeley;andDr. N.Sakura, Department ofPediatrics,HiroshimaUniversity School of
Medicine,Japan forprovidingthecelllines;and M.Oharaforhelpful
comments.
This studywassupportedinpartbygrantsfor thepromotionof science research(01570522)from theMinistryofEducation, Science,
andCulture ofJapan,andforstudiesoninherited disorders(630104)
from theMinistryof Health andWelfare,Japan, and bygrant 2-11-19 from the National Center of Neurology andPsychiatryof theMinistry
of Health andWelfare, Japan.
References
1. Daum, R. S., P. H. Lamm, 0.A. Mamer, andC. R. Scriver. 1971. A "new" disorder of isoleucine catabolism. Lancet. ii:1289-1290.
2. Daum,R.S., C.R.Scriver,0.A.Mamer,E.Devlin,P.Lamm, andH.Goldman. 1973.Aninherited disorder of isoleucine catabolism
causingaccumulation of a-methylacetoacetate and a-methyl-,8-hy-droxybutyrate, and intermittent metabolic acidosis. Pediatr. Res. 7:149-160.
3.Gompertz, D.,J. M.,Saudubray,C.Charpentier,K.Bartlett,P.
A.Goodey,and G. H.Draffan. 1974.Adefect in L-isoleucine metabo-lism associated with a-methyl-B-hydroxybutyric and a-methyl-aceto-aceticaciduria:quantitativein vivo and invitrostudies. Clin. Chim.
Acta.57:269-281.
4.Hillman,R.E., and J.P.Keating. 1974. Beta-ketothiolase
defi-ciency
as acauseof the "ketotichyperglycinemia syndrome."Pediat-rics.53:221-225.
5.Halvolsen,S., 0.Stokke,andE.Jellum. 1979.Avariant form of
2-methyl-3-hydroxybutylic and 2-methylacetoacetic aciduria. Acta
Pediatr. Scand.68:123-128.
6. Robinson,B. H.,W.G. Sherwood,J.Taylor,J. W. Balfe,and
0.A. Mamer. 1979.Acetoacetyl-CoAthiolasedeficiency. Acauseof
severe ketoacidosis in
infancy
simulating salicylism. J. Pediatr. 95:228-233.7.Schutgens,R. B.H., B. Middleton,J. F.Blij, W.E.Oorthuys, H. A.Veder,T.Vulsma,and W. H. H.Tegelaers. 1982. Beta-Ketoth-iolasedeficiencyinafamilyconfirmedbyinvitroenzymaticassaysin fibroblasts. Eur. J.Pediatr. 139:39-42.
8. Bennett,M.J.,J. M. Littlewood,A.MacDonald,R.J.Pollitt,
andJ.Thompson. 1983.Acasereportof,B-ketothiolase deficiency.J.
InheritedMetab.Dis.6:157.
9.Middleton, B.,K.Bartlett,A.Romanos,J.Gomez Vazquez, C.
Conde,R.A. Cannon,M.
Lipson,
L.Sweetman,
and W. L. Nyhan. 1986.3-Ketothiolasedeficiency.Eur. J.Pediatr. 144:586-589.10.Hiyama,K.,N.Sakura,T.Matsumoto,
and
T.Kuhara. 1986. Deficient beta-ketothiolaseactivityin leukocytesfromapatientwith2-methylacetoaceticaciduria.Clin. Chim.Acta. 155:189-194.
11. Hartlage, P., G. Eller, L.Carter,A.Roesel,and F. Hommes.
1986. Mitochondrial acetoacetyl-CoA thiolase deficiency. Biochem. Med. Metab. Biol. 36:198-206.
12. Leonard, J. V., B. Middleton, and J. W. T. Seakins. 1987.
Acetoacetyl-CoAthiolasedeficiency presentingasketotic
hypoglyce-mia.Pediatr.Res.21:211-213.
13.Middleton,B. 1973. Theoxoacyl-coenzymeAthiolases of
ani-maltissues.Biochem.J. 132:717-730.
14. Miyazawa, S.,T.Osumi,and T. Hashimoto. 1980.The
pres-enceofa new3-oxoacyl-CoAthiolaseinratliverperoxisomes.Eur. J.
Biochem. 103:589-596.
15.Miyazawa, S.,S.Furuta,T.Osumi,T.Hashimoto,andN.Ui.
1981. Properties of peroxisomal 3-ketoacyl-CoA thiolase from rat
liver.J.Biochem.90:511-519.
16.Middleton, B., andK.Bartlett. 1983. Thesynthesis and char-acterisation of2-methylacetoacetyl coenzyme A and itsuse inthe identification of the site of the defect in2-methylacetoaceticand
2-methyl-3-hydroxybutyric aciduria. Clin. Chim. Acta. 128:291-305.
17.Schram,A.W.,S.Goldfischer, C. W. T.vanRoermund, E. M.
Brouwer-Kelder, J. Collins, T. Hashimoto, H. S.A.Heymans,H. van den Bosch, R. B. H. Schutgens, J. M. Tager, et al. 1987. Human
peroxisomal 3-oxoacyl-coenzyme A thiolasedeficiency. Proc. Natl. Acad.Sci. USA. 84:2494-2496.
18.Bennet,M. J.,G.P.Hosking, M. F.Smith, R. G.F.Gray,and B. Middleton. 1984. Biochemical investigationson apatientwith a
defect in cytosolicacetoacetyl-CoA thiolase, associated with mental retardation. J.Inherited Metab. Dis. 7:125-128.
19.Yamaguchi, S.,T.Orii,N.Sakura, S.Miyazawa,and T. Hashi-moto.1988.Defect in biosynthesis ofmitochondrial acetoacetyl-coen-zymeAthiolase incultured fibroblasts fromaboywith 3-ketothiolase deficiency.J.Clin. Invest. 81:813-817.
20.Yamaguchi, S.,T.Orii,N.Sakura,S.Miyazawa,and T.
Hashi-moto. 1988. Immunochemical studies of cultured fibroblasts froma
patient with 3-ketothiolase deficiency. J. Inherited Metab. Dis. 11:345-347.
21. Nagasawa, H., S.Yamaguchi,T.Orii,R. B. H.Schutgens,L.
Sweetman, and T. Hashimoto. 1989. Heterogeneity of defects in mi-tochondrial acetoacetyl-CoA thiolase biosynthesis in fibroblasts from fourpatients with 3-ketothiolasedeficiency. Pediatr. Res. 26:145-149. 22.Fukao, T., K.Kamijo, T. Osumi, Y. Fujiki, S. Yamaguchi,T.
Orii, and T. Hashimoto. 1989. Molecularcloningandnucleotide se-quenceof cDNAencoding the entireprecursorofratmitochondrial acetoacetyl-CoA thiolase.J.Biochem. 106:197-204.
23. Huynh, T. V.,R. A.Young, andR. W.Davis. 1985.
Construct-ing andscreening cDNA libraries in AgtlO and Xgtl1. In DNA Clon-ing: A Practical Approach. D. M. Glover, editor. IRL Press, Ltd., Oxford,England. 49-78.
24. Sanger, F., S. Nicklen, and A. R. Coulson. 1977. DNA se-quencing with chain-termination inhibitors. Proc. Natl. Acad. Sci.
USA. 74:5463-5467.
25.Hattori, M., andY.Sakaki. 1986.Dideoxy sequencing method
usingdenaturedplasmidtemplates. Anal. Biochem. 152:232-238. 26.Chomczynski,P., and N. Sacchi. 1987.Single-step method of RNAisolation by acidguanidiniumthiocyanate-phenol-chloroform
extraction.Anal.Biochem. 162:156-159.
27.Maniatis, T., E. F.Fritsch,and J. Sambrook. 1982. Molecular Cloning:Alaboratory manual. ColdSpringHarborLaboratory, Cold
SpringHarbor,NY. 1-545.
28.Nakajima-lijimaS.,H.Hamada, P.Reddy, and T. Kakunaga. 1985. Molecular structure of the human cytoplasmic
#l-actin
gene:Interspecies homology of sequences in the introns.Proc. Natl. Acad. Sci. USA. 82:6133-6137.
29.Middleton,B.1978.Enzymaticaspectsof ketone body metabo-lism: the roleof mitochondrial acetoacetyl-CoA thiolaseisoenzymes. In Biochemical and Clinical Aspectsof Ketone Body Metabolism.
H. D.Soling.and C. D.Seufelt,editors. Georg Thieme Verlag, Stutt-gart. 1-10.
30.Mackall, J.,M.Meredith, andM. D.Lane. 1979.Amild
pro-cedure for the rapid release ofcytoplasmic enzymes from cultured animal cells. Anal.Biochem. 95:270-274.
31.Arakawa, H.,M.Takiguchi,A.Amaya, S.Nagata,H.Hayashi,
andM.Mori. 1987.cDNAderived amino acidsequenceofrat
mito-chondrial 3-oxoacyl-CoAthiolase withno transientpresequence:
structuralrelationshipwithperoxisomal isozyme. EMBO(Eur.Mol. Biol.Organ)JJ. 6:1361-1366.
32. Hijikata, M., N. Ishii, H. Kagamiyama, T. Osumi, and T.
Hashimoto. 1987. Structuralanalysis ofcDNA forratperoxisomal 3-ketoacyl-CoAthiolase.J.Biol. Chem. 262:8151-8158.
33.Huth,W. 1981. Thechargeheterogeneityofthemitochondrial