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Originally published In Press as doi:10.1074/jbc.M206894200 on September 19, 2002
J. Biol. Chem., Vol. 277, Issue 48, 46478-46486, November 29, 2002
A Common Autoimmunity Predisposing Signal Peptide Variant of the
Cytotoxic T-lymphocyte Antigen 4 Results in Inefficient Glycosylation
of the Susceptibility Allele*
Suzana
Anjos §,
Audrey
Nguyen¶,
Houria
Ounissi-Benkalha ,
Marie-Catherine
Tessier , and
Constantin
Polychronakos
From the Endocrine Genetics Laboratory, Department of
Pediatrics, Division of Pediatric Endocrinology, McGill University
Health Center, 2300 Tupper, Montréal, Québec H3H 1P3,
Canada and the ¶ Lady Davis Institute, McGill University,
Montréal, Québec H3H 1P3, Canada
Received for publication, July 10, 2002
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ABSTRACT |
A common T17A polymorphism in the signal
peptide of the cytotoxic T-lymphocyte antigen 4 (CTLA-4), a T-cell
receptor that negatively regulates immune responses, is associated with
risk for autoimmune disease. Because the polymorphism is absent from the mature protein, we hypothesized that its biological effect must
involve early stages of protein processing, prior to signal peptide
cleavage. Constructs representing the two alleles were compared by
in vitro translation, in the presence of endoplasmic reticulum membranes. We studied glycosylation by endoglycosidase H digestion and glycosylation mutant constructs, cleavage of peptide with inhibitors, and membrane integration by ultracentrifugation and
proteinase K sensitivity. A major cleaved and glycosylated product was
seen for both alleles of the protein but a band representing incomplete
glycosylation was markedly more abundant in the predisposing Ala allele
(32.7 ± 1.0 versus 10.6% ± 1.2 for Thr,
p < 10 9). In addition, differential
intracellular/surface partitioning was studied with co-transfection of
the alleles fused to distinct fluorescent proteins in COS-1 cells. By
quantitative confocal microscopy we found a higher ratio of cell
surface/total CTLAThr17 versus
CTLAAla17 (p = 0.01). Our findings
corroborate observations, in other proteins, that the signal peptide
can determine the efficiency of post-translational modifications other
than cleavage and suggest inefficient processing of the autoimmunity
predisposing Ala allele as the explanation for the genetic effect.
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INTRODUCTION |
The cytotoxic T-lymphocyte antigen 4 (CTLA-4),1 a disulfide-linked
homodimer expressed on the cell surface of activated T-cells is
responsible for the attenuation of immune response by binding to
ligands (B7.1 and B7.2) expressed on the surface of antigen presenting
cells (1-4). Recent reports have implicated CTLA-4 in the modulation
of autoimmune responses (5-11) and in the maintenance of peripheral
tolerance (1, 12, 13). The CTLA-4 knockout mouse exhibits a severe
lymphoproliferative disorder, autoimmune disease, and early lethality,
demonstrating the importance of CTLA-4 in the modulation of T-cell
response (14, 15). Patients with the Chediak-Higashi syndrome present
symptoms not unlike those of the CTLA / mouse, because
of a defect in the CTLA-4 cycling pathway caused by mutations in the
lysosomal trafficking regulator gene (LYST) (16). More
subtle reductions in expression or function of CTLA-4 may determine
susceptibility to common autoimmune diseases.
Indeed, common CTLA-4 polymorphisms have been found to confer
susceptibility to type 1 diabetes (17-23), thyroid disease (22, 24-33), and several other autoimmune disorders (34-38). By the
transmission disequilibrium test, association with diabetes has been
narrowed down to a haplotype encompassing CTLA-4 but not
adjacent genes (21, 27). The haplotype consists of three
CTLA-4 polymorphisms in tight linkage disequilibrium (LD)
with each other that includes a C/T 318 transition
in the promoter, a signal peptide amino acid substitution (T17A)
(49) and a microsatellite (AT)n repeat in the
3'-untranslated region (21, 27, 39). Because of the tight LD,
contribution to diabetes susceptibility cannot be genetically dissected
and functional studies are required to define the etiological
variant(s). We decided to focus on the nonsynonymous signal peptide
polymorphism as the most likely candidate. Two recent reports present
evidence that T-lymphocytes from subjects homozygous for the diabetes
predisposing G (Ala) allele of the CTLA-4 signal peptide showed
enhanced proliferation and cytokine production after in
vitro stimulation compared with cells from homozygotes for the
protective A (Thr) allele (40, 41). Although Muerer et al.
(41) presented some nonquantitative evidence of defective CTLA-4
targeting to the cell surface by confocal microscopy, neither study
addressed the molecular mechanism for the differential behavior of
T-lymphocytes from homozygotes for each genotype.
Because the signal peptide is co-translationally cleaved in the
endoplasmic reticulum (ER) and is not a part of the mature protein, we
hypothesized that the T17A polymorphism determines differential
targeting to the cell surface by altering early intracellular trafficking of CTLA-4. Signal peptides function in directing
ribosome-bound nascent polypeptides to the (ER) membrane where they
assure the translocation of growing polypeptide chains into the ER
lumen. In conformity with most signal sequences, the CTLA-4 signal
peptide has three distinct regions (Fig.
1): a predicted hydrophobic sequence of
12 amino acids flanked by two helix-breaking prolines, a small polar
COOH terminus (C-) region encompassing the recognition site for
signal peptide cleavage, and a long NH2 terminus (N-)
region of 20 amino acids that includes the Thr to Ala substitution at position 17. As shown in Fig. 1A, the Ala allele introduces
a hydrophobic amino acid in a highly conserved position, occupied by a
serine or threonine in 24 of 25 other species found in a BLAST search
we performed (four species are shown for illustration purposes in Fig.
1A). This change somewhat alters hydrophobicity and
-helix propensity, two properties known to be important in signal
peptide function (Fig. 1B). Because Ala homozygotes are very
frequent in the general population, the functional consequences of this
substitution must be subtle, as expected of common alleles predisposing
to complex disorders. These allelic effects may involve differential
binding to the signal recognition particle, anchoring of the signal
peptide to the ER membrane, entry of the growing polypeptide into the
lumen, signal peptide cleavage, and possibly, association with
chaperones and other quality control elements of the ER lumen that
might affect folding and glycosylation (42).

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Fig. 1.
Multiple sequence alignment of CTLA-4 signal
peptides and prediction of signal peptide function. A,
alignment of CTLA-4 signal peptides shows a conserved Thr17
or Ser17 (underlined and bold) in 24 of 25 species in a BLAST search (59). The predicted signal peptide
cleavage site is indicated by an arrow. B,
prediction of factors that influence signal peptide function (60) was
done using algorithms available at ProtScale
(us.expasy.org/cgi-bin/protscale.pl). Hydrophobicity was calculated by
the Kyte and Doolittle method (62) and -helix propensity by Deleage
et al. (61). We found that the threonine to alanine change
resulted in increased hydrophobicity and in a higher propensity to form
-helices in the area directly adjacent to the change.
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The work reported here was aimed at testing the hypothesis that the
T17A substitution in the signal peptide of CTLA-4 alters the
early ER trafficking and/or processing of CTLA-4 and leads to its
differential expression on the cell surface. To test our hypothesis we
used a cell-free in vitro translation system suited for
examining early ER transport events. To also look for decreased expression at the cell surface, the hypothesized ultimate consequence of defective early processing, we examined allelic differences in
intracellular versus cell surface CTLA-4 levels in a
dual-transfection system with fusion of each allele to a different
fluorescent protein and simultaneous quantification by confocal
microscopy. The results suggest defective ER processing of a
significant portion of the CTLAAla17 molecules resulting in
an aberrantly glycosylated product and decreased cell surface expression.
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EXPERIMENTAL PROCEDURES |
Construction of DNA Plasmids--
Full-length CTLA-4 was
amplified by reverse transcriptase-PCR from cDNA of a heterozygous
individual for the signal peptide polymorphism at codon 17. For the
fluorescent fusion proteins, a forward primer containing the linker
NheI (underlined),
ATAGCTAGCATGGCTTGCCTTTGGATTTCAG, and an
antisense primer containing the linker AgeI
(underlined), with two additional bases (lowercase)
CACACCGGTgcATTGATGGGAATAAAATAAGGC, ensured an
in-frame, seamless fusion protein. PCR was performed with a high
fidelity polymerase/Taq mixture. Adenine 3' overhangs were added and the PCR product was cloned into pCR2.1 (Invitrogen, Carlsbad, CA). Clone genotyping was done by PCR and digestion with
Fnu4HI (New England Biolabs, Beverly, MA). Full-length
CTLAThr17 and CTLAAla17 digested with
NheI + AgeI purified from plasmid were fused to restricted NheI + AgeI ECFP and EYFP
(Clontech, Palo Alto, CA).
For in vitro transcription, full-length CTLA-4 with the
termination codon was amplified from plasmid with the mutagenic
antisense primer CACACCGGTtcaATTGATGGGAATAAAATAAGGC (the
stop codon is in lowercase and the AgeI linker is
underlined). Adenine 3' overhangs were added to the PCR product and
ligated to pCR2.1 T-vector and clones were selected for orientation
downstream of the T7 promoter.
Truncation of amino acids Tyr201-Asn223 from
the CTLA-4 COOH-terminal results in a mutant constitutively directed to
the cell surface with no requirement for the machinery that normally
directs this translocation in activated T-cells (43). The corresponding
construct was prepared by PCR amplification from cDNA of a
heterozygous individual using the antisense primer
ATAACCGGTgaCCCCTGTTGTAAGAGGGCTTC (AgeI
underlined) and T/A was cloned into pCR2.1. COOH-truncated CTLAThr17 and CTLAAla17 will be denoted herein
as CTLAGlyThr17 and CTLAGlyAla17 in reference
to Gly200, the last amino acid in the truncated constructs
(numbering of all constructs assumes an uncleaved signal
peptide of 37 amino acids). The truncated DNA plasmids were then
subcloned in-frame into ECFP and EYFP plasmids, using the
NheI + AgeI sites. All resulting DNA constructs
were sequenced.
N-Glycosylation Mutants--
The two predicted
N-linked glycosylation sites in the CTLA-4 sequence were
deleted by site-directed mutagenesis by the mismatched primer method
(44) using the QuikChange multisite-directed mutagenesis kit
(Stratagene, La Jolla, CA). Asparagine 113 and asparagine 145 were
converted to aspartate residues in CTLAAla17 and
CTLAThr17. Both sites were mutated in each allele yielding
CTLAAla-17(N113D/D145A) and CTLAThr-17(N113D/N145D) or one at a
time, yielding CTLAAla-17(N113D), CTLAAla17(N113D), and
CTLAThr-17(N145D), and CTLAAla-17(N145D). All mutant constructs were
verified by sequencing.
Cell Culture, Transfection, and Antibodies--
COS-1 cells were
grown in Dulbecco's modified Eagle's medium (Invitrogen)
supplemented with 10% fetal bovine serum, 100 units/ml penicillin, and
100 units/ml streptomycin, at 37 °C and 5% CO2. Transient transfections were carried out using FuGENE 6 (Roche Molecular Biochemicals) in 6-well plates on glass coverslips
according to the manufacturer's instructions. Cells were processed
24-48 h after transfection.
In Vitro Transcription, Translation, and Endoglycosidase H
Digestions--
Full-length cDNA encoding CTLAAla17
and CTLAThr17 (or their glycosylation mutants) in pCR2.1
was linearized by SpeI and in vitro transcribed
using T7 RNA polymerase (Promega, Madison, WI). The resulting mRNA
was standardized to 1 mg/ml and equal amounts were added to a premixed
mixture containing rabbit reticulocyte lysate with
[35S]methionine (>1000 Ci/mmol) (Amersham Biosciences),
in the presence or absence of canine pancreatic microsomal membranes
according to the manufacturer's instructions (Promega). Translation
products were denatured by boiling in 2× SDS loading buffer and
10-15-µl aliquots were run on 15% SDS-PAGE, followed by
autoradiography at 70 °C. Endoglycosidase H (EndoH) (New England
Biolabs) digestions were performed on in vitro translated
protein. Briefly, proteins were treated with 75 mM
dithiothreitol and 10% SDS and boiled for 5 min. The resulting
supernatant was incubated with EndoH, for the indicated times at
37 °C. Products were analyzed by SDS-PAGE and visualized by
autoradiography as described above.
Proteinase K Digestions, Ultracentrifugation, and Signal
Peptidase Inhibition--
To distinguish in vitro
translated CTLA-4 molecules integrated in the ER membrane from those in
the cytosolic phase, we used proteinase K digestion. Translation
products were treated with 100 mM CaCl2, and
incubated for 1 h with 20 µg/ml proteinase K (Sigma) with or
without Triton X-100 (1%) at 0 °C. The reaction was terminated with
phenylmethylsulfonyl fluoride (2 mM final concentration).
As an additional measure of cytosolic/ER partition the translation
products were separated by ultracentrifugation. Briefly, reactions were
diluted 100-fold with Na2CO3 (pH 11.5), and
centrifuged at 100,000 rpm for 30 min at 4 °C. The pellet was
resuspended in 1× SDS sample buffer and denatured by boiling for 3-4
min. The supernatant was concentrated by column filtration (Microcon,
Bedford, MA) to 1/10 of its original volume. The sample was prepared
for SDS-PAGE by denaturation in 2× SDS sample buffer. All products
were resolved by SDS-PAGE and visualized by autoradiography. Finally,
inhibition of the signal peptidase was achieved by incubation of the
translation mixture with 5 mM (final concentration)
N-methoxysuccinyl-Ala-Ala-Pro-Val-chloromethyl ketone
(Sigma) in 10% Me2SO for 1 h at 30 °C.
Image Processing and Quantification and Confocal
Microscopy--
Transfected cells were washed 3 times in
phosphate-buffered saline and fixed with ice-cold 50:50
acetone/methanol for 3 min or fixed with freshly prepared 4%
paraformaldehyde for 30 min. The fixed cells were mounted on standard
microscope slides with conventional mounting media. Samples were
analyzed by confocal microscopy (LSM 510, Zeiss Axiophot, Germany).
Simultaneous double acquisitions were performed using the 458- and
514-nm laser lines to excite cyan fluorescent protein (CFP) and yellow
fluorescent protein (YFP), respectively, using ×63 oil immersion
Neofluar objectives. The fluorescence was selected with double
fluorescence dichroic mirror and a band pass filter of 480-520 nm for
CFP and a long pass filter of 560 nm for YFP. The images were processed and analyzed using NIH Image freeware available from the National Institutes of Health (NIH) website
(rsb.info.nih.gov/nih-image/Default.html). An outline of the cell
surface was drawn with the cursor and the mean density was calculated
for each color acquisition simultaneously. The same was done for the
intracellular fluorescence (both procedures are illustrated in Fig.
7C). For densitometry measurements taken from
autoradiographs, background density was subtracted from each band and
the same area was selected for all measurements within one experiment.
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RESULTS |
CTLAAla17 Is Inefficiently Processed in the
ER--
When otherwise identical full-length CTLAAla17 and
CTLAThr17 cDNA constructs were in vitro
transcribed and translated in the absence of microsomal membranes,
[35S]methionine-labeled protein products from both
allelic forms migrated with an apparent molecular weight of
26,000. This is consistent with the calculated molecular mass of
monomeric, uncleaved, unglycosylated CTLA-4 (Fig.
2A, lanes 1 and
4). Upon addition of microsomal membranes translation
products of 29 kDa were apparent for both alleles, corresponding to the
size change expected from high mannose glycosylation in two positions
and signal peptide cleavage. In addition, the CTLAAla17
reaction (Fig. 2A, lanes 2 and 3)
contained an intermediate band migrating with an apparent molecular
weight of 25,000. In multiple experiments, this band was absent or only
faintly visible in the CTLAThr17 lane. Quantitatively, the
CTLAAla17 25-kDa product represented 32.7% ± 1.0 of total
processed CTLAAla17 versus 10.6% ± 1.2 for the
CTLAThr17 allele (Fig. 2B) (p < 1 × 10 9, n = 11 independent
experiments). This ratio was independent of the amount of microsomal
membranes in the reaction, within a range from 0.8 to 2.8 eq membranes
added to the reticulocyte lysate. One observation worth noting was that
translation efficiency was substantially increased in the presence of
microsomal membranes suggesting that co-translational CTLA-4 processing
increases translation efficiency. Having established that a portion of
CTLAAla17 molecules is differentially processed in the ER,
we next examined the nature of this allele-specific intermediate.

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Fig. 2.
CTLAAla17 is inefficiently
processed in the endoplasmic reticulum. A,
CTLAAla17 and CTLAThr17 constructs were
in vitro transcribed and translated under conditions
outlined under "Experimental Procedures." Where indicated,
ER-containing microsomal membranes were added. In the presence of
membranes an intermediate is apparent in the CTLAAla17
reaction at ~25 kDa, but virtually absent in the
CTLA4Thr17 reaction. This suggests incomplete ER
processing. A control reaction that contains no mRNA is shown in
lane 5. B, we quantified the % total unprocessed
by measuring densities of the 29-kDa band (considered processed) and
the 25 kDa (considered unprocessed) within each lane for
CTLAAla17 and CTLAThr17. All densities were
measured with NIH Image on scanned autoradiographs. Background was
subtracted for each band and represented are the mean ± S.E. of
11 independent experiments.
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The 25-kDa CTLA4Ala17 fraction, close in size with the band
seen in the absence of microsomes, could represent an uncleaved and
unglycosylated form that has not undergone any processing in the
ER. Alternatively, it could represent correctly
translocated but incorrectly cleaved and/or glycosylated products.
Signal Peptide Is Cleaved in the Major Products of Both
CTLAAla17 and CTLAThr17--
According to
SignalP, a signal peptidase recognition site prediction algorithm (45)
(www.cbs.dtu.dk/services/SignalP/index.html), both alleles had the
same cleavage site at Ala37-Met38 (Fig.
1A), resulting in a 37-amino acid cleaved signal peptide. Cleavage by the signal peptidase was experimentally confirmed by using
a signal peptidase inhibitor
(N-methoxysuccinyl-Ala-Ala-Pro-Val-chloromethyl ketone). For both allelic forms, inhibition of cleavage gave rise to a
full-length intermediate of ~33 kDa resulting from a gain of 4 kDa by
the 29-kDa intermediate, corresponding to a gain of the 37-amino acid
signal peptide (Fig. 3). Thus the major
bands in the translated products of both CTLAAla17 and
CTLAThr17 represent cleaved intermediates. The cleavage
status of the additional CTLAAla17 25-kDa band was less
clear because of band overlap (Fig. 3), as inhibition was not complete
at the maximum effective concentration of inhibitor (higher
concentrations inhibited translation). Thus the major bands for both
alleles must represent fully glycosylated and fully cleaved
product.

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Fig. 3.
Signal peptide cleavage of the major products
of CTLAAla17 and CTLAThr17 is unaffected.
We assessed signal peptide cleavage by performing the translation
reactions for each allele in the presence of the signal peptidase
inhibitor, N-methoxysuccinyl-Ala-Ala-Pro-Val-chloromethyl
ketone. Inhibition of cleavage results in a 4-kDa increase in molecular
weight (band shift to 33,000) as expected for the gain of the 37-amino
acid signal peptide. This indicates that the major translation
products of both alleles are cleaved.
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CTLA-4 Has Two N-linked Glycosylation Sites--
CTLA-4, a cell
surface receptor, has two predicted N-linked glycosylation
sites located in the extracellular domain, at Asn113 and
Asn145, thought to be important for structural integrity
(46). Although not all instances of the consensus sequon
Asn-X-Thr/Ser (X = any amino acid) are
necessarily glycosylated (47, 48), the observed size of the major band
clearly indicated full glycosylation of most of the molecules for
either allele. This was further confirmed with partial digestion of the
in vitro translation products with EndoH that, in
glycoproteins with several glycosylation sites, produces a ladder of
partially digested molecules differing by only one N-linked
chain. Two additional major bands with an estimated molecular weights
of 25,000 and 22,000 appeared after 1-2 h of digestion (Fig.
4A, lanes 2-5)
representing cleavage of, respectively, one or two N-linked
glycosylation moieties from the 29-kDa form that was still visible.
Further digestion for up to 16 h never produced smaller products.
The 25-kDa band was indistinguishable in size from the aberrant
intermediate seen with CTLAAla17. This allowed us to
conclude firmly that, in addition to being cleaved, the 29-kDa product
was glycosylated at both sites and, tentatively, that the aberrant
CTLAAla17 product represents cleaved, monoglycosylated
protein.

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Fig. 4.
Deglycosylation abolishes allelic differences
in processing efficiency. A, CTLAThr17 and
CTLAAla17 were in vitro translated in the
presence of microsomal membranes and subjected to partial EndoH
digestions for 1 or 2 h at 37 °C. A ladder of intermediates was
obtained representing the deglycosylated proteins. The smaller
digestion product obtained in lanes 2-5 corresponds to a
completely deglycosylated protein and migrates at 22 kDa. The 25-kDa
intermediate observed in lanes 2-5 represents a
monoglycosylated protein and migrates with the same apparent molecular
mass as the intermediate observed in the CTLAAla17 reaction
(lane 6). B, in vitro translated
CTLAThr17 and CTLAAla17, in the presence of
microsomal membranes, were subjected to overnight digestion with EndoH
resulting in a major digestion product at 22 kDa (lanes 2 and 3) abrogating the difference between the two alleles.
This confirms that the 25-kDa precursor observed following microsomal
processing of the CTLAAla17 represents a cleaved but
improperly glycosylated CTLA-4.
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This was further confirmed with complete EndoH deglycosylation. As
expected, prolonged digestion for 16 h with EndoH resulted in a
major band of 22 kDa for both alleles, with no extra band for
CTLAAla17 (Fig. 4B). Thus complete
deglycosylation abolished any difference between allelic forms of the
protein, allowing us to conclude that the extra band seen after
microsomal processing of nascent CTLAAla17 represents
cleaved but aberrantly glycosylated CTLA-4.
Differential Processing of the Two Alleles Depends on
Glycosylation--
The deglycosylation results regarding the nature of
the unprocessed intermediate observed in CTLAAla17 were
further corroborated by site-specific mutagenesis designed to abrogate
glycosylation by removing each glycosylation site separately and both
together in each allele. Asn113 and Asn145, the
predicted N-linked glycosylation sites, were replaced with Asp residues at the same positions (Fig.
5). The resulting constructs were
in vitro transcribed and translated, as described above.

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Fig. 5.
Differential processing of the two alleles
depends on glycosylation. CTLA-4 mutants with abolished
N-linked glycosylation sites were in vitro
transcribed and translated in the presence of microsomal membranes. In
lanes 2 and 3, CTLAThr-17(N145D) and
CTLAAla-17(N145D), respectively, translated a 25-kDa product, the
expected size for a monoglycosylated CTLA-4; these monoglycosylated
mutants translate an intermediate equal in size as the partially
glycosylated form in CTLAAla17 (wild-type, lane
4). Similarly, in lanes 6 and 7, mutants at
the second glycosylated site, Asn113, translate a 25-kDa
monoglycosylated CTLA-4, the same size as the CTLAAla17
intermediate (WT-Ala in lane 8 for comparison). Lanes
10 and 11 correspond to double mutants,
CTLAThr-17(N113D/N145D) and CTLAAla-17(N113D/N145D), respectively,
where a 22-kDa translation product is obtained corresponding to a
cleaved but unglycosylated CTLA-4. Differences between the two alleles
are therefore abolished when one or the other site is mutated; they
appear to be dependent on the presence of both glycosylation
sites.
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All glycosylation mutants translated in the absence of microsomal
membranes behaved as the wild-type alleles and a 26-kDa translation
product was detected. In the presence of ER-containing membranes, the double glycosylation mutant migrated at 22 kDa, as
expected of an unglycosylated CTLA-4 with a cleaved signal peptide. No
extra band corresponding to the differentially processed CTLAAla17 band was detectable (Fig. 5, lanes 10 and 11), clearly indicating that the allelic difference in
processing requires the presence of glycosylation sites. The uniform
25-kDa electrophoretic mobility of the single-site mutants
CTLAThr-17(N113D) and CTLAAla-17(N113D), CTLAThr-17(N145D), and
CTLAAla-17(N145D) (Fig. 5, lanes 2, 3, and 6, 7)
is consistent with loss of the signal peptide (4 kDa) and gain of a
single high mannose glycosylation site (2-3 kDa). Again there was no
difference between alleles, indicating that differential processing
occurs only in the presence of both glycosylation sites. These results
also confirm with certainty that both CTLA-4 signal peptide alleles are
ER-translocation competent and can be cleaved, because a completely
deglycosylated product migrates at 22 kDa, 4-kDa less than the
monomeric CTLA-4 product translated in the absence of membranes.
The Partial Glycosylation Intermediate Is Not Integrated in the ER
Membrane--
We next addressed the question of whether the cleaved
but aberrantly glycosylated CTLAAla17 intermediate,
representing almost one-third of all molecules of the autoimmunity
predisposing allele in the ER, can be correctly targeted to the cell
surface. Misprocessed proteins are retained in the ER bound to
chaperones such as calnexin and calreticulin and eventually
translocated back to the cytoplasmic phase where they undergo
ubiquitin-driven, proteasome-dependent degradation (49).
Partition of the aberrantly glycosylated CTLAAla17
between cytosolic phase and ER membrane was evaluated by two independent assays. Protection from proteinase K digestion and resistance to extraction by alkaline high salt are both indicators of
integration into the microsomal membranes. Because CTLA-4 is a type I
transmembrane glycoprotein, its 36-amino acid COOH tail is exposed in
the cytoplasm and will be digested, resulting in a 4-kDa loss.
Indeed, proteinase K digestion resulted in the expected 4-kDa reduction
of the 29-kDa major bands seen with both alleles (Fig. 6A, lanes 2 and
5). A band corresponding to a 4-kDa reduction in the size of
the 25-kDa intermediate seen with CTLAAla17 is also seen
(Fig. 6A, lane 5) but this form is considerably less intense relative to the upper band, indicating partial sensitivity to proteinase K digestion. By densitometric quantification, prior to
digestion it constitutes 34.5% ± 0.6 of total CTLAAla17
product, but only 18.5% ± 0.8 after digestion (p = 0.0001, n = 3 independent experiments) (Fig.
6B, in reference to lanes 5 and 6 in
Fig. 6A). The corresponding percentages for
CTLAThr17 are 10.8 ± 1.0 and 9.9% ± 1.8, respectively (NS, n = 3) (Fig. 6B, in reference to Fig. 6A, lanes 1 and 2). Thus, the allelic difference in the abundance
of the incompletely processed form can be accounted for almost entirely
by molecules located outside the ER.

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Fig. 6.
The partially glycosylated
CTLAAla17 intermediate is located outside the ER membrane.
A, we subjected in vitro translated
CTLAThr17 and CTLAAla17 in the presence of
microsomal membranes, to proteinase K in the presence of Triton X-100
(where indicated). We observed a ~4-kDa reduction in the size for
both alleles of their major 25-kDa band, as a result of digestion of
the 36-amino acid cytoplasmic tail (lanes 2 and
5). We detected a minor product in the CTLAAla17
digest (lane 5, arrow) migrating at ~22 kDa,
which represents the incompletely glycosylated precursor minus the COOH
tail. Because we recovered considerably less intermediate upon
digestion this suggests it is outside the ER membrane. B,
quantification of relative densities of the major and minor bands
before and after proteinase K digestion. The bar graph shown
represents three independent experiments evaluated by a one-tailed
Student's t test. C, as an alternative assay of
ER membrane integration, translation products were extracted with
Na2CO3 (pH 11.5) and ultracentrifuged.
ER-integrated proteins were found in the membrane pellet, whereas
cytosolic molecules stay in the supernatant. D,
quantification of the proportion of incompletely glycosylated
intermediate recovered in the pellet, as a fraction of total.
Checkered bars represent percentage in the pellet.
Statistics as in B, n = 3 experiments.
This independently confirms that a substantial portion of the
incompletely glycosylated fraction in the Ala allele retrotranslocates
to the cytoplasmic phase.
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Strikingly similar results were obtained upon treatment of translation
reactions with high Na2CO3, which releases
soluble and peripheral membrane proteins while transmembrane proteins remain inserted in the ER lipid bilayer, followed by separation of
pellet (P) and supernatant (S) fractions by ultracentrifugation. The
major 29-kDa bands were largely recovered in the pellet (Fig. 6C, lanes 5 and 6) for
CTLAThr17 and CTLAAla17. This supports the
results found in the protease sensitivity assay and confirms that
CTLAAla17 and CTLAThr17 are both translocation
competent and integral ER membrane proteins. It was apparent, however,
that significantly less incompletely glycosylated CTLAAla17
intermediate was recovered in the pellet. By densitometric
quantification it was found to be 36.2% ± 1.0 of the total prior to
separation by ultracentrifugation and 24.9% ± 0.4 in the pellet
(p = 0.0078, n = 3) (Fig.
6D). The corresponding values obtained for the
CTLAThr17 intermediate were 8.9% ± 2.7 prior to
ultracentrifugation and 10.0% ± 1.2 recovered in the pellet
(NS, n = 3). This remarkable concordance
between two independent methods demonstrates that roughly half of the
aberrantly processed CTLAAla17 is in the cytoplasmic phase.
Because it has undergone signal peptide cleavage and glycosylation,
this fraction does not represent failure of translocation to the ER but
rather retrotranslocation back to the cytoplasmic phase for proteasomal degradation.
CTLAAla17 and CTLAThr17 Do Not Co-localize
in Co-transfected COS-1 Cells--
To determine whether the
differential processing observed in the cell-free system would
translate into cell surface expression differences, we devised a
dual-transfection system in COS-1 cells with fusion proteins of CFP
and YFP downstream of otherwise identical CTLAAla17 and CTLAThr17. In these
experiments reciprocal constructs were always tested to exclude
possible effects because of the different properties of the fluorescent
proteins. In addition, we directly demonstrated that co-transfections
with the same allele tagged with each of the two FPs (e.g.
CFP-CTLAThr17 and YFP-CTLAThr17) showed that
the same allele did not behave differently as a result of the different
fluorescent protein fusion and was targeted and expressed in the same
compartments (Fig. 7A,
panels a-c). Similar results were observed for
CFP-CTLAAla17 and YFP-CTLAAla17
co-transfections (Fig. 7A, panels
d-f).

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|
Fig. 7.
CTLAAla17 and
CTLAThr17 do not co-localize in transfected cells and there
is significantly less Ala17 expressed at the cell
surface. We transfected COS-1 cells with CTLA-4
fused to cyan or yellow fluorescent protein (respectively CFP,
green, and YFP, red). A, the same
allele fused to different color fluorescent proteins was co-transfected
into COS-1 cells: YFP-CTLAThr17 + CFP-CTLAThr17
(panels a-c) and YFP-CTLAAla17 + CFP-CTLAAla17 (panels d-f). We processed the
cells 24-48 h following transfection and analyzed them by confocal
microscopy at ×63 magnification. All transfections were repeated
independently at least 5 times. Complete co-localization of the
different colored fusion proteins validates the approach despite
inherent differences in the fluorophore intensities. B,
panels a and b represent the co-transfection of
YFP-CTLAAla17 + CFP-CTLAThr17 into COS-1 cells.
The two alleles do not co-localize in COS-1 cells (panel c,
see arrows, note areas where no red is found and
areas where no green is found). Panels d-f are a
representative of the reciprocal transfection YFP-CTLAThr17 + CFP-CTLAAla17. C, we performed quantitative
fluorescence analysis in COS-1 cells co-transfected with
carboxyl-terminal-truncated YFP-CTLAGlyAla17 + CFP-CTLAGlyThr17. Only cells where the cell surface was
clearly visible were taken into account, and the reciprocal
transfection was likewise analyzed. Measurements were collected by
outlining the cell surface and the intracellular fluorescence with a
cursor (see panels a-f) and measuring pixel densities. All
raw data was processed in NIH Image and the cells shown are a
representative of at least two independent transfections and at least 9 different cells.
|
|
CTLA-4 is known to localize to endosomal compartments in T-cells as
well as in non-T cell systems (43, 50). To demonstrate that the fusions
of CTLA-4 resulted in a properly targeted protein, each allele was
transfected independently and the cells were stained with an antibody
to the transferrin receptor followed by detection by a Cy-5
conjugate. The transferrin receptor has been previously shown to
co-localize with CTLA-4 in post-Golgi compartments as was the case for
our fusion proteins (data not shown).
When the two alleles, now labeled with different fluorescent proteins
(CFP-CTLAThr17 and YFP-CTLAAla17) were
introduced into COS-1 cells clear differences in targeting were seen,
with distinct regions where only one allele could be found (Fig.
7B, panels a-c, see arrows). Similar
observations were made for reciprocal transfections of
YFP-CTLAThr17 and CFP- CTLAAla17 (Fig.
7B, panels d-f). These results are consistent
with our in vitro observations of cytoplasmic
retrotranslocation of CTLAAla17. The expected resulting
difference in targeting to the cell surface was then investigated.
Cell Surface Levels of CTLAAla17 in COS-1 Cells Are
Lower Than CTLAThr17--
Using the same dual transfection
system described above, CTLA-4 constructs with signal peptide allelic
variants were tested for quantitative differences in expression at the
cell surface of COS-1 cells. Surface expression is specific for
activated T-lymphocytes, but truncating the last 22 amino acids of the
carboxyl tail allows partial cell surface expression in a non-T cell
system (43). By co-expressing fluorescent fusion proteins of the
COOH-truncated CTLA-4 alleles in one single cell, it was possible to
simultaneously measure fluorescence intensity at the cell surface for
both alleles and compare it with intracellular fluorescence (Fig.
7C, panels a-f). Ratios of cell
surface/intracellular mean fluorescence were quantified in single cells
for both CTLA-4 alleles and compared with a paired, two-tailed
Student's t test. Mean cell surface/intracellular fluorescence intensity ratios are 9.4 ± 2.2 for
YFP-GlyThr17 and 1.5 ± 0.8 for
CFP-GlyAla17 (p = 5 × 10 4, n = 9 cells, example
illustrated in Fig. 7C). The average ratios of cell
surface/intracellular fluorescence intensity for
YFP-GlyAla17 and CFP-GlyThr17 co-transfections
were 6.0 ± 2.4 and 10.0 ± 2.8, respectively (p = 0.01) (Fig. 7C). The ratio varied
somewhat from cell to cell, accounting for the relatively large
mean ± S.E. but, because the comparisons were paired within the
same cell, the difference was highly significant statistically. The
results presented here were calculated from at least 9 different cells
obtained in at least two independent transfections for each allele.
Cells were selected for expressing the two colors at roughly equal
intensities, and their selection was finalized prior to any knowledge
of the quantitative results. By choosing to measure ratios within the
same cell for both alleles correction for transfection efficiency
differences is inherent as well as correction for any differences in
fluorophore efficiency. Again, in this case same-allele
co-transfections were performed and similar calculations were done but
no statistical significance was found (p > 0.05). This
allowed us to conclude that, for any given level of expression, there
is significantly less CTLAGlyAla17 expressed at the cell
surface of COS-1 cells than CTLAGlyThr17.
 |
DISCUSSION |
Our data demonstrate that a common amino acid polymorphism in a
signal peptide can have measurable consequences on the efficiency of
processing the protein and ultimately on its expression level at the
cell surface. In the case of CTLA-4, a molecule involved in the
inhibitory regulation of the immune response, this mechanism offers an
attractive explanation for the higher frequency of diabetes and other
autoimmune diseases in individuals homozygous for the Ala allele (19,
20, 22, 23, 25, 26, 33). Signal peptide mutations completely abrogating
proper targeting of a protein have been described in Mendelian
disorders (51-54) but, to our knowledge, this is the first
demonstration of a subtler effect in the context of susceptibility to a
common complex disease. However subtle, such effects are extremely
important toward composite molecular prediction and better
understanding of the mechanism leading to effective
prevention/treatment.
To summarize our findings: by a widely used model of in
vitro reconstitution of translation and ER processing, we have
shown that both alleles of the signal peptide are capable of
translocation to the ER and both are completely and correctly cleaved.
The difference appears to lie in the fact that up to one-third of
CTLAAla17 molecules are glycosylated on only one of the two
possible sites.
The absence of an effect on translocation or cleavage was not
surprising, as the polymorphism does not alter any of the known consensus elements required for translocation or the signal peptidase cleavage site. Somewhat less expected was the effect on glycosylation, as this modification is not ordinarily thought of as depending on the
signal peptide. However, evidence is arising that in the time interval
between entry of the amino-terminal of the nascent polypeptide into the
ER and signal peptidase cleavage, the signal peptide may participate in
the process of protein folding and alter its interactions with ER
chaperone proteins and modifying enzymes (42, 55). Thus, the highly
inefficient processing of the human immunodeficiency virus glycoprotein
120 was shown to be due strictly to its signal peptide, as the exact
same mature-protein sequence is processed efficiently with a control
signal peptide (42). The native human immunodeficiency virus
glycoprotein 120 signal sequence is translocation-competent, but
affects processing by prolonging glycoprotein 120 association with ER
chaperones and results in incorrect folding, which causes ER retention
(42).
Moreover, it is now clear that although the oligosaccharyltransferase
complex is tethered to the ER membrane, transfer of N-linked
high mannose moieties to proteins is not synchronous with translocation
to ER, but may follow folding of the protein and is profoundly
influenced by it (56). It is known that not all consensus
Asn-X-Ser/Thr N-linked glycosylation sites are
equally glycosylated or glycosylated at all. A proline in position X
(or immediately after Ser/Thr) eliminates glycosylation (47, 57), whereas Trp, Asp, Glu, and Leu decrease glycosylation efficiency (57).
By introducing glycosylation sequons into different positions of the
Saccharomyces carboxypeptidase Y, Holst et al.
(56) showed dependence of glycosylation on protein folding and the
position of the sequon in the context of the folded protein, results
that led them to conclude that glycosylation does not necessarily
precede folding, and can be affected by it. In addition, deletion of
downstream sequences was shown to abrogate glycosylation of the
hepatitis C virus E1 protein (58). Taken together, these observations suggest a mechanism whereby a signal peptide variant may affect the
glycosylation efficiency through altered chaperone association and folding.
We performed the single mutant experiments to define which of the two
sites remained unglycosylated in the partially processed CTLAAla17 fraction. Assuming that each mutation did not
otherwise change CTLA-4 processing, we had expected that elimination of
the specific site that remained unglycosylated in a fraction of
CTLAAla17 would result in a single monoglycosylated band
for both alleles, whereas elimination of the site fully glycosylated in
both alleles would give a monoglycosylated band in both alleles, plus
an additional minor unglycosylated band in CTLAAla17.
Instead we found a single monoglycosylated band in both alleles, regardless of which site was mutated. The simplest explanation for this
is that abolition of the consistently glycosylated site leads to
alterations in protein folding and/or interactions with ER chaperones
that abolish the glycosylation inefficiency seen with
CTLAAla17. Alternatively, eliminating one of two
glycosylation sites through mutagenesis may relieve competition between
them, although a mechanism for such competition is not obvious and no
previous paradigm exists.
Our cell surface targeting studies used a truncated CTLA-4 mutant that
by-passes the activated lymphocyte-specific regulatory mechanism of
translocation from Golgi to the cell surface. We believe that this does
not detract from the validity of our conclusions, as passage from Golgi
to the cell surface is a post-ER event, occurring after cleavage of the
signal peptide and its efficiency should not differ between the
Ala17 and Thr17. Given the allelic differences
in early processing we found in the in vitro system of
isolated ER, the obvious explanation is that less of the
Ala17 makes it to the Golgi, and therefore less is
translocated to the cell surface.
Throughout this discussion we have assumed that doubly glycosylated
CTLA-4, the major band in both alleles, represents correct ER
processing leading to functional expression at the cell surface; it is
practically the only form seen with the Thr17 allele,
homozygotes for which are common in the general population and healthy.
Extrapolating from our in vitro assay, we propose that Ala
homozygotes express one-third less CTLA-4 on the surface of their
T-cells than Thr homozygotes, which might tip the balance in favor of
immune response and predispose them to autoimmune disease. One might
speculate that survival of this allele in evolution despite this
disadvantage is because of the counterbalancing effect of better
defense against infectious diseases.
 |
ACKNOWLEDGEMENTS |
We thank Dr. Andrew Karaplis for helpful
discussions and technical support as well as Dr. Dominique Nouël
for expert help with confocal microscopy.
 |
FOOTNOTES |
*
This work was supported in part by the Juvenile Diabetes
Research Foundation.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.
§
Supported by a Thyroid Foundation of Canada/Canadian Institute of
Health Research doctoral research award.
To whom correspondence should be addressed: Pediatric
Endocrinology, McGill University Health Center, 2300 Tupper,
Montréal, Québec H3H 1P3, Canada. Tel.:
514-412-4315; Fax: 514-412-4264; E-mail:
constantin.polychronakos@mcgill.ca.
Published, JBC Papers in Press, September 19, 2002, DOI 10.1074/jbc.M206894200
 |
ABBREVIATIONS |
The abbreviations used are:
CTLA-4, cytotoxic T-lymphocyte antigen 4;
ER, endoplasmic reticulum;
EndoH, endoglycosidase H;
CFP, cyan fluorescent protein;
YFP, yellow
fluorescent protein.
 |
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