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J. Biol. Chem., Vol. 277, Issue 36, 32558-32561, September 6, 2002
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From the Endocrine Unit, Department of Medicine, Massachusetts
General Hospital and Harvard Medical School, Boston, Massachusetts
02114
Received for publication, May 20, 2002
Contact sites between the corticotropin-releasing
factor receptor type 1 (CRFR1), the sauvagine (SVG) radioligands
[Tyr0,Gln1]SVG (125I-YQS)
and [Tyr0,Gln1, Leu17]SVG
(125I-YQLS) were examined. 125I-YQLS or
125I-YQS was cross-linked to CRFR1 using the chemical
cross-linker, disuccinimidyl suberate (DSS), which cross-links the Corticotropin-releasing factor
(CRF),1 sauvagine (SVG),
urocortin-I (UCN-I), and urotensin-I (UTS) bind to the CRF receptors, CRFR1 and CRFR2, previously characterized from various species. Recently, two UCN-like peptides, UCN-II and UCN-III (or stresscopin and
stresscopin-related peptide), which bound specifically to CRFR2 and not
to CRFR1, were characterized (1-4). The CRF receptors belong to group
B of the G-protein-coupled receptors, which contains 6 conserved
cysteine residues and several N-linked glycosylation sites
at their amino termini. Activation of the CRF receptors results in
stimulation of adenylate cyclase (2, 5-8) and phospholipase C
(9).
Recently, receptor mutagenesis has been extensively used to map
ligand-binding sites on the CRF receptors (10-15). It has been shown
that residues within the second extracellular loop and the juxtamembrane region are important for ligand binding (14). In this
study we used the recently characterized oxidation-resistant SVG
analog, [Tyr0,Gln1,Leu17]SVG
(YQLS), which binds to CRFR1 and CRFR2 with high affinity and which can
be cross-linked to CRF receptors with high efficiency (16), to map
cross-linked residues. The results showed that Lys16 of SVG
and Lys257 of CRFR1 (in the second extracellular loop) are
within a molecular distance of 11.4 Å of each other.
Materials--
Unless indicated, all chemicals were purchased
from Sigma Chemicals. Na125I was purchased from PerkinElmer
Life Sciences. The peptides, hCRF-(1-41) (CRF),
[Tyr0,Gln1]SVG (YQS), and
[Tyr0,Gln1,Leu17]SVG (YQLS) were
synthesized in the Massachusetts General Hospital Biopolymer Facility.
They were HPLC-purified and analyzed by mass spectroscopy,
amino-terminal sequencing, and acid hydrolysis. SVG was obtained from
Bachem (King of Prussia, PA) and disuccinimidyl suberate (DSS) was
purchased from Pierce. Tissue culture media were from the Massachusetts
General Hospital Media Facilities (Boston, MA). Centricon 30 centrifugal filters were purchased from Millipore (Bedford, MA). The
molecular mass markers were purchased from Amersham Biosciences.
Cell Culture--
COS-7 cells were transiently transfected with
the murine CRFR1 and various CRFR1 Lys to Arg mutants at 90%
confluency using the DEAE-dextran method (15). The cells were cultured
in Dulbecco's modified Eagle's medium supplemented with 10% fetal
bovine serum, 200 units/ml penicillin, and 20 µg/ml streptomycin
sulfate. The cells were cultured at 37 °C in a humidified atmosphere
in 95% air, 5% CO2.
Site-directed Mutagenesis--
Site-directed mutagenesis was
performed as described previously (16). Single and multiple Lys to Arg
mutations were introduced into CRFR1 cloned in the pcDNA1 plasmid
at the following sites: 257, 262, 257 and 262, 110 and 111, and 110, 111, and 113; the resulting mutants were named K257R, K262R,
K257R/K262R, K110R/K111R, and K110R/K111R/K113R; respectively. All
mutations were confirmed by DNA sequencing.
Measurement of Receptor Expression on the Cell
Surface--
Nine of the ten c-Myc epitope tag sequences
(QKLISEEDL) was introduced within the amino-terminal domain of mCRFR1
between Glu31 and Ser32 (17). Stably
transfected LLCPK-1 cells (90-95% confluent) and transiently
transfected COS-7 cells in 24-well plates (72 h after transfection)
were rinsed with phosphate-buffered saline (PBS) containing 5%
heat-inactivated fetal bovine serum and incubated with the 9E10
monoclonal antibody (17) at 1:1000 dilution. The cells were incubated
for 2 h at room temperature, rinsed with PBS, and incubated for 2 more hours with 125I-labeled sheep anti-mouse
immunoglobulin G (200,000 cpm/well) diluted in PBS, 5% fetal bovine
serum. The supernatant was removed, and then the cells were washed and
lysed with 1 N NaOH. The cell lysates were collected and
counted in a Micromedic gamma counter.
Radioligand Binding to Intact COS-7 Cells--
Binding assays
were performed as described previously (16, 17). Intact COS-7 cells
transiently transfected with mCRFR1 or mCRFR1 mutants were plated into
24-well plates, and a binding assay was performed when cells reached
90-95% confluency. The cells were rinsed with a Tris-based binding
buffer (50 mM Tris-HCl, pH 7.6, 100 mM NaCl, 2 mM CaCl2, 5 mM KCl, 5%
heat-inactivated horse serum, 0.5% heat-inactivated fetal bovine
serum). 125I-YQLS (100,000 cpm/well), prepared and purified
as previously described (14), was added in the presence of increasing
concentrations of the competing peptide for 2-4 h at room temperature.
The cells were then rinsed three times with binding buffer and lysed
with 1 N NaOH (0.25 ml, 3×). The cell lysates were
collected, and the radioactivity was counted in an automated gamma counter.
Chemical Cross-linking of 125I-YQLS or
125I-YQS to CRFR1 and CRFR1 Mutants--
Cells expressing
wild type or mutant receptors were plated in 24-well plates and allowed
to reach 90-95% confluency. The cells were then rinsed with PBS.
125I-YQLS or 125I-YQS (1,000,000 cpm/well) was
added in HEPES binding buffer (25 mM HEPES, pH 7.6, 125 mM NaCl, 5 mM KCl, 5% heat-inactivated horse serum, 0.5% heat-inactivated fetal bovine serum) for 2-4 h at room
temperature. The buffer was removed, the cells were rinsed with PBS to
remove bound tracer, and DSS (0.5 mM) was added to the
cells in PBS (pH 8.2) for 20-30 min. The cells were then rinsed with
PBS, lysed with SDS sample buffer, and analyzed on a 5-20% SDS-polyacrylamide gel. After electrophoresis the gels were dried and
autoradiographed using x-ray film or a phosphorimager screen.
cAMP Stimulation Assay--
COS-7 cells were plated in 24-well
plates and were allowed to reach 90-95% confluency. The cells were
chilled on ice and rinsed with ice-cold PBS. The cells were then
challenged with YQLS at different concentrations in Dulbecco's
modified Eagle's medium containing 2 mM
3-isobutyl-1-methylxanthene (IBMX), 1 mg/ml bovine serum albumin, and
35 mM HEPES, pH 7.4 at 37 °C for 15 min. The medium was
then removed, and the cells were rapidly frozen on dry ice.
Intracellular cAMP was extracted by thawing the cells in 1 ml of 50 mM HCl, and cAMP was then measured using radioimmunoassay (18).
Cyanogen Bromide (CNBr) Peptide Cleavage--
After
autoradiography, the radioactive protein bands were cut, and the
proteins were electroeluted in 1× SDS running buffer (25 mM Tris base, 192 mM of glycine, and 0.1%
SDS). The eluate was concentrated using a Centricon 30 unit
(Millipore). CNBr (100 mM) was added to the sample and
dissolved in 70% formic acid at room temperature for 24 h. CNBr
and formic acid were removed by lyophilization (3×). The proteins were
analyzed on a 5-20% gradient SDS gel or on Tricine/SDS-PAGE (12%
acrylamide) according to the method of Schägger and von Jagow
(19) and autoradiographed using x-ray film or a phosphorimager screen.
DSS Cross-links 125I-YQLS but Not 125I-CRF
to CRFR1--
125I-CRF and 125I-YQLS bind to
CRFR1 with total specific binding of about 6 and 13%, respectively. As
reported previously (16), addition of DSS caused covalent
cross-linking of 125I-YQLS to mCRFR1. No cross-linking
occurred with 125I-CRF. In contrast,
125I-YQLS specifically cross-linked to cells expressing
CRFR1 but not to cells transfected with the pcDNA1 plasmid (Fig.
1A). The cross-linked receptor
was resolved as a broad band of ~80 kDa, which is consistent with
the predicted molecular mass of the glycosylated CRFR1 (Fig.
1A). Addition of increasing concentrations of unlabeled SVG
buffer decreased the 125I-YQLS-CRFR1 cross-linked band in
a concentration-dependent manner (Fig. 1B). These
data indicate that 125I-YQLS but not 125I-CRF
cross-links to CRFR1 efficiently and specifically.
Binding and Cross-linking of 125I-YQLS to CRFR1 Bearing
Lysine to Arginine Mutations--
Because DSS cross-links free amino
groups lying at a molecular distance of 11.4 Å; the efficient
cross-linking of 125I-YQLS to mCRFR1 provides an
opportunity to determine which lysine residues in the ligand and the
receptor are in close proximity to each other. Therefore we mutated the
putative extracellular Lys to Arg residues in mCRFR1 and generated the
following mutants: K257R, K262R, K257R/K262R, K110R/K111R, and
K110R/K111R/K113R. The mutant receptor plasmids were transiently
transfected into COS-7 cells, and cell surface expression was
determined using a double antibody binding assay to the epitope tag.
Expression of K257R, K262R, K257R/K262R, K110R/K111R, and
K110R/K111R/K113R was 90.1 ± 0.4, 81.0 ± 1.9, 72.8 ± 0.6, 90.3 ± 0.5, and 82.6 ± 1.4% of that of wild type
(Table I). Specific binding of
125I-YQLS to K262R was similar to that of CRFR1 (Table I).
In contrast, specific binding of 125I-YQLS to K110R/K111R
and K110R/K111R/K113R was 245.9 ± 5.3 and 157.0 ± 2.9% of
that of CRFR1 (Table I); whereas its specific binding to K257R and
K257R/K262R was 56.1 ± 0.5 and 40.6 ± 2.6% of that of
CRFR1, respectively (Table I). All mutants exhibited comparable
apparent Ki values (Fig.
2A and Table I). YQLS
increased cAMP accumulation in cells transfected with K110R/K111R, K110R/K111R/K113R, and K262R with an Rmax that was
79.9 ± 17.3, 47.1 ± 1.3, and 54.4 ± 4.2% of that
observed in cells transfected with the wild type CRF receptor (Fig.
2B and Table I). Additionally, YQLS increased cAMP
accumulation in cells transfected with K110R/K111R, K110R/K111R/K113R,
and K262R with an EC50 that was similar to that observed in
cells transfected with the wild type CRF receptor (Fig. 2B
and Table I). In contrast, the EC50 of YQLS in cells transfected with K257R and K257R/K262R was greater than that observed in cells transfected with the wild type CRF receptor (Fig.
2B and Table I), and their Rmax was 31.6 ± 4.7 and 45.2 ± 5.8% of the wild type (Fig. 2B and
Table I). The binding and the cAMP data suggest that the lysine residue
at position 257 is an important residue for SVG interaction.
The different CRFR1 mutants were then cross-linked to
125I-YQLS using DSS; the cells were lysed, and the labeled
receptors were analyzed on a gradient SDS-PAGE followed by
autoradiography. The cross-linked mutant receptors appeared as diffuse
bands that were similar in size to that of the wild type receptor (Fig.
1C). Cross-linking efficiency to the mutant receptors was
evaluated by loading equal amounts of radioactivity of cell lysates on
SDS-PAGE. The intensity of the cross-linked mutated receptors, with the
exception of that of K257R, was similar to or more than that of the
wild type (Fig. 1C). This indicates that none of the Lys
residues at positions 110, 111, 113, and 262 participates in the
cross-linking reaction. In contrast, Lys257 in the second
extracellular loop (EC2) appears to be an important cross-linking site.
Identification of the CRFR1 Cross-linking Domain--
To confirm
that the EC2 region is involved in the cross-linking reaction,
CNBr-cleavage of wild type and mutant receptors was used. CRFR1
contains several methionine residues in its backbone; among them
Met230 and Met276 flank the predicted
cross-linking site, Lys257. CNBr cleavage is predicted to
generate a 46-residue fragment from CRFR1 cross-linked to the
41-residue radioligand, 125I-YQLS. The predicted size of
the cross-linked fragment (87 residues) is ~9 kDa (the CNBr-cleaved
fragments are schematically represented in Fig.
3C). To resolve the small
CNBr-cleaved fragments, equal amounts of radioactivity of the
cross-linked receptor were loaded on high resolution Tricine/SDS-PAGE
(19). As predicted, CNBr cleavage of 125I-YQLS-cross-linked
CRFR1 produced a major ~ 9-kDa band and a less intense 11-kDa
band (Fig. 3A, CRFR1). The intensity of the 11-kDa band was variable from experiment to experiment and represents incomplete CNBr cleavage. The intensity of the ~ 9-kDa band
decreased dramatically in K257R as compared with the wild type (Fig.
3A, R257), confirming that Lys257 is
an important cross-linking site. Additionally, the ~9-kDa fragment in
K262R had a similar intensity to that of the wild type (Fig.
3A, R262), indicating that Lys262 is
not an important cross-linking site. However the ~9-kDa band disappeared completely in K257R/K262R indicating that
Lys262 participates in the cross-linking reaction only when
Lys257 is mutated (Fig. 3A,
R257/R262). These data identify the EC2 region as a
cross-linking site.
To positively identify the 9-kDa band a M230L mutant was constructed by
changing the methionine residue at position 230 to leucine. The M230L
mutant had an expression level and specific binding that were 85.3 ± 5.2 and 167.4 ± 0.9% of the wild type values, respectively
(Table I). The apparent binding affinity was also similar to that of
the wild type receptor (Table I). Additionally, YQLS increased cAMP
accumulation in cells transfected with M230L with an EC50
that was similar to that observed in cells transfected with the wild
type CRF receptor (Table I). M230L was found to cross-link to
125I-YQLS efficiently (Fig. 1C). The
Leu230 mutation increased the size of the cross-linked
CNBr-cleaved fragment from ~9 to ~11 kDa. The size of the CNBr
fragment in M230L is identical to the less intense ~11-kDa band seen
in the wild type, consistent with an increase in the size of the
fragment by 25 residues (CNBr cleavage occurs at Met205
instead of Met230; Fig. 3C,
M230).
Identification of the Sauvagine Cross-linking Residue--
To
identify the Lys residue within sauvagine that cross-links to the
second extracellular domain of CRFR1, 125I-YQS was used as
the radioligand. 125I-YQS contains a native methionine
residue at position 17 that could be cleaved by CNBr (Fig.
3D). The 125I-YQS radioligand is radiolabeled on
Tyr0 (at position zero). CNBr cleavage of
125I-YQS is predicted to result in a 17-amino acid fragment
bearing the 125I label on Tyr0 and containing
one lysine residue (Fig. 3D, K16). If
Lys16 is cross-linked to CRFR1, a labeled receptor fragment
of 63 residues is predicted (17 residues from YQS and 46 residues from
CRFR1). In contrast, if cross-linking occurs through the other lysine residues of SVG (Lys22, Lys25,
Lys27) then the receptor fragment is not labeled with
125I. Analysis of the CNBr-cleaved,
125I-YQS-cross-linked CRFR1 with high resolution
Tricine-PAGE revealed a labeled band with a size of ~6 kDa (Fig.
3B). This band is smaller than the ~9-kDa band
produced from CRFR1 cross-linked to 125I-YQLS (Fig.
3A). The difference in size between the ~6- and ~9-kDa bands reflects CNBr cleavage of SVG at Met17; this
identifies Lys16, the only Lys residue in the cleaved
fragment, as the cross-linking residue.
Photoaffinity cross-linking of radiolabeled
[Tyr0]ovine CRF to rat CRFR1 was previously reported;
however, the cross-linked residues were not characterized (20). We also
reported that the oxidation-resistant sauvagine radioligand,
125I-YQLS, which exhibits high affinity binding to the CRF
receptors, cross-links efficiently to mCRFR1 through 1 (or more) of the
4 lysine residues of the ligand (positions 16, 22, 25, and 26) to 1 (or
more) of the lysine residues of the receptor clustered at the
juxtamembrane region (positions 110, 112, and 113) and/or the second
extracellular loop (positions 257 and 262) (16). The data presented in
this study indicate that Lys16 of the ligand preferentially
cross-links to Lys257 on the EC2 of mCRFR1. When
Lys257 is mutated to Arg, the other Lys residue in EC2,
Lys262, substitutes for Lys257, indicating that
ligand binding to CRFR1 is not rigid and that residue 16 of CRFR1-bound
YQS is within 11.4 Å from Lys257 more often than from
Lys262 of CRFR1.
It is interesting to note that the single mutation of
Lys257 to Arg and the double mutation of Lys257
and Lys262 to Arg result in mutant receptors with decreased
binding activity and decreased cAMP accumulation efficiency. This
suggests that Lys257 may be important for ligand-receptor
interaction. In contrast, none of the other mutants has a decreased
binding activity. The decreased binding of Lys257 is
consistent with data from human CRFR1 and CRFR2 hybrids showing important regions for SVG interaction in the EC2 (Asp254)
and at the junction of the EC2 with the fifth transmembrane domain (12,
13, 16).
The nature of bimolecular interactions of polypeptide ligands with
their cognate receptors from group B of G-protein-coupled receptors has
been recently investigated. Polypeptide ligands, such as CRF and PTH,
exhibit strong helical tertiary structures (21, 22). Important binding
determinants, both in the amino terminus as well as the carboxyl
terminus of the ligands, have been characterized. In general,
cross-linking studies identified residues within the carboxyl terminus
of the ligands that lie within close proximity to the amino terminus of
their respective receptors and residues within the amino terminus of
the ligands that lie within close proximity to the extracellular loops
and the transmembrane domains of their respective receptors. However, differences were uncovered in some receptors. For instance, residues 1 and 13 of PTH-(1-34) cross-linked to Met425 in the third
extracellular domain and Arg186 in the juxtamembrane region
that is amino-terminal to transmembrane 1 of the PTH receptor type 1, respectively (23, 24). Surprisingly, residues 6, 22, and 26 of secretin
cross-linked to the most distal part of the amino terminus of the
secretin receptor at positions Val4, Leu17, and
Leu36, respectively (25), and residue 23 of PTH
cross-linked to a region between residues 23 and 40 of the PTH receptor
type 1 (26). Our data that show that residue 16 of SVG and residue 257 of CRFR1 are in close proximity to each other indicate that the
residues in close proximity in ligand-bound CRFR1 are different from
those found in the other members of this family of G-protein-coupled receptors. These results should facilitate modeling of ligand-receptor interaction in CRF receptors.
*
This work was supported by Grant DK45020 from the NIDDK,
National Institutes of Health.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
Published, JBC Papers in Press, May 23, 2002, DOI 10.1074/jbc.M204964200
The abbreviations used are:
CRF, corticotropin-releasing factor;
SVG, sauvagine;
HPLC, high performance
liquid chromatography;
PBS, phosphate-buffered saline;
Tricine, N-[2-hydroxy-1,1-bis(hydroxymethyl)ethyl]glycine;
PTH, parathyroid hormone;
DSS, disuccinimidyl suberate;
IBMX, 3-isobutyl-1-methylxanthene;
m, mouse.
Sauvagine Cross-links to the Second Extracellular Loop of the
Corticotropin-releasing Factor Type 1 Receptor*
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ABSTRACT
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
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DISCUSSION
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amino groups of lysine residues that have a molecular distance of 11.4 Å. DSS specifically and efficiently cross-linked 125I-YQLS
and 125I-YQS to CRFR1. CRFR1 contains 5 putative
extracellular lysine residues (Lys110,
Lys111, Lys113, Lys257, and
Lys262) that can cross-link to the 4 lysine residues
(Lys16, Lys22, Lys25, and
Lys27) of the radioligands. Identification of the
CNBr-cleaved fragments of CRFR1 cross-linked to 125I-YQLS
or 125I-YQS established that the second extracellular loop
of CRFR1 cross-links to Lys16 of YQS. Additionally,
site-directed mutagenesis (changing Lys to Arg in CRFR1 individually
and in combination) revealed that Lys257 in the second
extracellular loop of CRFR1 is an important cross-linking site.
In conclusion, it was shown that in SVG-bound CRFR1,
Lys257 of CRFR1 lies in close proximity (11.4 Å) to
Lys16 of SVG.
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INTRODUCTION
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ABSTRACT
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EXPERIMENTAL PROCEDURES
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
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RESULTS
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ABSTRACT
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EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

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Fig. 1.
Chemical cross-linking of CRFR1 to
125I-YQLS in the presence of DSS (0.5 mM).
A, COS-7 cells transfected with CRFR1 plasmid or with
vector alone were incubated with the 125I-YQLS.
B, COS-7 cells transfected with the CRFR1 cDNA were
incubated with 125I-YQLS and increasing concentration of
SVG. C, COS-7 cells transfected with CRFR1 and CRFR1 mutant
plasmids were incubated with 125I-YQLS. The cells were
incubated for 2 h at room temperature until maximal binding was
achieved. Excess unbound ligand was removed, and the cells were rinsed
with PBS. DSS (0.5 mM) was then added for 20-30 min at
room temperature. The cells were then lysed with SDS loading buffer,
and equal amounts of radioactivity were analyzed on gradient 5-20%
SDS-PAGE. The gel was autoradiographed for 24 h.
Expression, ligand binding, and cAMP stimulation of CRFR1 mutant
receptors

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Fig. 2.
Binding and signaling characteristics of the
different lysine to arginine (R) CRFR1 mutants.
A, COS-7 cells transfected with the wild type or mutant
CRFR1 were incubated with 125I-YQLS for 2 h at room
temperature in the presence of increasing concentrations of SVG.
Specific binding percent was calculated and plotted. The data are
presented as mean ± S.D. of triplicates of one of two similar
experiments. B, stimulation of intracellular cAMP
accumulation by YQLS in COS-7 cells expressing the wild type receptor
or mutant CRFR1. The cells, in 24-well plates, were incubated with
increasing concentrations of the peptides at 37 °C for 15 min in the
presence of IBMX (2 mM). Intracellular cAMP was extracted
and measured by specific radioimmunoassay. The data are presented as
mean ± S.D. of triplicates of one of two similar
experiments.

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Fig. 3.
CNBr cleavage of CRFR1 mutants cross-linked
to 125I-YQLS or 125I-YQS.
A, Tricine-PAGE analysis of CNBr-cleaved wild type
CRFR1 and CRFR1 bearing Lys to Arg mutations cross-linked to
125I-YQLS. Cross-linking and SDS-PAGE were performed as
described in the legend to Fig 1; the ~80-kDa band was cut from an
SDS-PAGE gel, electroeluted, and CNBr-cleaved. The cleaved products
were lyophilized and reconstituted in the SDS sample buffer containing
6%
-mercaptoethanol. Equal amounts of radioactivity were analyzed
on Tricine-PAGE followed by autoradiography. The molecular size markers
are (from bottom up): insulin chain A (2.5 kDa), insulin
chain B (3.5 kDa), aprotinin (6.5 kDa), lysozyme (14.3 kDa), trypsin
inhibitor (20 kDa), and carbonic anhydrase (30 kDa). The positions of
the ~9- and ~11-kDa CNBr fragments and the free ligand are shown on
the right side. B, Tricine-PAGE analysis of
CNBr-cleaved wild type CRFR1 and CRFR1 cross-linked to
125I-YQLS or 125I-YQS. The conditions are
similar to those of panel A. Note that the presence of the
methionine residue at position 17 in YQS decreased the size of the
CNBr-cleaved receptor fragment from ~9 to ~6 kDa. Similarly the
size of the free ligand decreased from ~5 to less than ~2 kDa.
C, scheme showing the predicted CNBr-cleaved fragments
and the location of the extracellular lysine (K) residues in
the murine CRFR1. D, scheme of CNBr cleavage of
125I-YQS and 125I-YQLS showing the positions of
the label (125I), methionine residue in YQS
(M17) and the lysine (K) residues in
both peptides (K16, K22,
K25, and
K27).
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ABSTRACT
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FOOTNOTES
To whom correspondence should be addressed: Endocrine Unit,
Massachusetts General Hospital, Boston, MA 02114. Tel.: 617-726-6723; Fax: 617-726-1703; E-mail: samra@helix.mgh.harvard.edu.
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ABBREVIATIONS
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REFERENCES
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
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