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J. Biol. Chem., Vol. 280, Issue 14, 14105-14113, April 8, 2005
Insights into the Structure and Regulation of Glucokinase from a Novel Mutation (V62M), Which Causes Maturity-onset Diabetes of the Young*From the aDiabetes Research Laboratories, Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford OX3 7LJ, United Kingdom, the bInstitute of Biomedical and Clinical Science, Peninsula Medical School, Exeter EX2 5DW, United Kingdom, the dDepartment of Biochemistry & Biophysics and Diabetes Research Center, University of Pennsylvania School of Medicine, Philadelphia 19104, the eDepartment of Molecular Biophysics and Physiology, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-0615, the fDepartment of Pediatrics, University of Genoa, G. Gaslini Institute, Genoa 16147, Italy, the gDivision of Endocrinology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, the iLaboratorie de Chimie Physiologique, Christan de Duve Institute of Cellular Pathology and Universite Catholique de Louvain, Brussels BE-1200, Belgium, the kIstituto di Ricovero e Cura a Carattere Scientifico Ospedale Pediatrico Bambino Gesu, Rome 81 001323, Italy, and the lDepartment of Metabolic Diseases, Hoffmann-La Roche Inc., Nutley, New Jersey 07110
Glucokinase (GCK) serves as the pancreatic glucose sensor. Heterozygous inactivating GCK mutations cause hyperglycemia, whereas activating mutations cause hypoglycemia. We studied the GCK V62M mutation identified in two families and co-segregating with hyperglycemia to understand how this mutation resulted in reduced function. Structural modeling locates the mutation close to five naturally occurring activating mutations in the allosteric activator site of the enzyme. Recombinant glutathionyl S-transferase-V62M GCK is paradoxically activated rather than inactivated due to a decreased S0.5 for glucose compared with wild type (4.88 versus 7.55 mM). The recently described pharmacological activator (RO0281675) interacts with GCK at this site. V62M GCK does not respond to RO0281675, nor does it respond to the hepatic glucokinase regulatory protein (GKRP). The enzyme is also thermally unstable, but this lability is apparently less pronounced than in the proven instability mutant E300K. Functional and structural analysis of seven amino acid substitutions at residue Val62 has identified a non-linear relationship between activation by the pharmacological activator and the van der Waals interactions energies. Smaller energies allow a hydrophobic interaction between the activator and glucokinase, whereas larger energies prohibit the ligand from fitting into the binding pocket. We conclude that V62M may cause hyperglycemia by a complex defect of GCK regulation involving instability in combination with loss of control by a putative endogenous activator and/or GKRP. This study illustrates that mutations that cause hyperglycemia are not necessarily kinetically inactivating but may exert their effects by other complex mechanisms. Elucidating such mechanisms leads to a deeper understanding of the GCK glucose sensor and the biochemistry of
Received for publication, November 22, 2004 , and in revised form, January 20, 2005. * The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.. c A Diabetes UK RD Lawrence Research Fellow. Supported by a European Foundation for the Study of Diabetes Travel Fellowship and by NIDDK Grant 22122 from the National Institutes of Health (to F. M. M.). h Funded by National Institutes of Health Grant RO1-DK53013. j A chercheur qualifie of the Belgian Fonds National de la Rescherche Scientifique. m A Wellcome Trust Clinical Research Leave Fellow. n To whom correspondence should be addressed: Diabetes Research Center, Rm. 510, Stemmler Hall, 36th and Hamilton Walk, University of Pennsylvania, Philadelphia, PA 19104. Tel.: 215-898-4365; Fax: 215-898-2178; E-mail: matsch{at}mail.med.upenn.edu.
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