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J. Biol. Chem., Vol. 280, Issue 49, 41101-41110, December 9, 2005
Structure of Human Phytanoyl-CoA 2-Hydroxylase Identifies Molecular Mechanisms of Refsum Disease*
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| ABSTRACT |
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-oxidation step in the degradation of phytenic acid in peroxisomes. We describe the x-ray crystallographic structure of PAHX to 2.5 Å resolution complexed with Fe(II) and 2OG and predict the molecular consequences of mutations causing RD. Like other 2OG oxygenases, PAHX possesses a double-stranded
-helix core, which supports three iron binding ligands (His175, Asp177, and His264); the 2-oxoacid group of 2OG binds to the Fe(II) in a bidentate manner. The manner in which PAHX binds to Fe(II) and 2OG together with the presence of a cysteine residue (Cys191) 6.7 Å from the Fe(II) and two further histidine residues (His155 and His281) at its active site distinguishes it from that of the other human 2OG oxygenase for which structures are available, factor inhibiting hypoxia-inducible factor. Of the 15 PAHX residues observed to be mutated in RD patients, 11 cluster in two distinct groups around the Fe(II) (Pro173, His175, Gln176, Asp177, and His220) and 2OG binding sites (Trp193, Glu197, Ile199, Gly204, Asn269, and Arg275). PAHX may be the first of a new subfamily of coenzyme A-binding 2OG oxygenases. | INTRODUCTION |
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Various proteins have been identified as potential PAHX interaction partners, raising the possibility that phytanoyl-CoA may not be the only substrate and that PAHX may have unidentified functions. PAHX has been reported to interact with the blood coagulation factor VIII; it has been proposed that PAHX regulates the expression of this coagulation factor (12), potentially in an oxygen-dependent manner. A further PAHX interaction partner, PAHX-associated protein 1 (PAHX-AP1), identified by a yeast two-hybrid screen (13), interacts with the brain-specific angiogenesis inhibitor 1 (10, 14), suggesting a mechanism for some of the neurological symptoms of RD. The physiological significance of these PAHX interactions has not been determined, and how they occur given the apparent peroxisomal localization of PAHX is unclear.
The presence of a 3-methyl group in phytol prevents its degradation by the normal
-oxidation pathway for saturated fatty acids. Instead, a preliminary
-oxidation pathway occurs, first in the endoplasmic reticulum and subsequently in peroxisomes, to shorten the chain length of 2-hydroxyphytanoyl-CoA by one carbon, thereby enabling
-oxidation to proceed (Fig. 1). It has recently been shown that phytenic acid is first condensed to its coenzyme A ester prior to reduction to phytanoyl-CoA (15), which is subsequently hydroxylated to 2-hydroxyphytanoyl-CoA in the PAHX-catalyzed reaction (Fig. 2) (4-6, 16, 17). The stereospecificity of PAHX is interesting, since it accepts both C-3 epimers as substrates but produces only the threo products (2S,3R or 2R,3S) (18, 19). Thiamine pyrophosphate-dependent lyase-catalyzed fission of the C1-C2 bond of 2-hydroxyphytanoyl-CoA then occurs to produce formyl-CoA and pristanal (20-22), the latter of which is oxidized in an NAD+-dependent reaction to pristanic acid (23). After re-esterification with coenzyme A and epimerization (24-26), metabolism via "normal"
-oxidation pathway, occurs, initially in peroxisomes and later in mitochondria.
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-helix (DSBH) or jelly roll motif (30). However, significant differences exist in the way they bind their substrates and, to a lesser extent, 2OG. The only reported crystal structures for a mammalian 2OG-dependent oxygenase are for factor inhibiting hypoxia-inducible factor (FIH) (31), which, together with other 2OG-dependent oxygenases involved in the human hypoxic response, is a current target for therapeutic intervention.
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| EXPERIMENTAL PROCEDURES |
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-D-thiogalactopyranoside to a final concentration of 1.0 mM. In previous studies, we found that PAHX is unusually prone to site-specific Fe(II) and oxygen-mediated fragmentation. For this reason, dithiothreitol was omitted, and 1 mM EDTA was added to all buffers to prevent fragmentation during purification. PAHX was purified by carboxymethyl-Sepharose cation exchange, followed by size exclusion chromatography (Superdex S75) to yield PAHX of >95% purity by SDS-PAGE analysis. Electrospray ionization mass spectrometry revealed that the mass of the purified PAHX was consistent with loss of the N-terminal methionine from the predicted amino acid sequence (observed, 35,436 Da; calculated without N-terminal methionine, 35,435 Da). Amino acid sequence analysis by Edman degradation confirmed the identity of the protein and loss of the N-terminal methionine (observed, STGISS). The activity of purified PAHX was confirmed for 2OG turn-over using the reported assay monitoring release of 14CO2 (32). Selenomethionine-substituted Protein ExpressionSelenomethionine (SeMet)-substituted PAHX was produced using a metabolic inhibition protocol and LeMaster medium supplemented with 50 mg/liter L-selenomethionine. Selenomethionine incorporation was >95% by electrospray ionization mass spectrometry (observed, 35,858 Da; calculated, 35,859 Da).
CrystallizationCrystallization conditions were initially sought using high throughput robotic screening methods at the Oxford Protein Production Facility (33). Optimization of the initial crystallization condition was performed using the hanging drop vapor diffusion method in VDXTM plates (Hampton Research, Aliso Viejo, CA). Hanging drops containing 2 µl of 5.2 mg/ml PAHX and 2 µl of well solution were suspended over 500 µl of well solution containing 21% polyethylene glycol 3350, 0.3 M triammonium citrate, pH 7.1, at 18 °C. Crystallization with 1 mM iron(II) sulfate and 2 mM 2OG in an anaerobic environment (Bell Technologies glove box under an argon atmosphere) produced square, plate-shaped crystals over a period of 3 weeks to a maximum size of 200 µm x 100 µm x 50 µm. SeMet PAHX crystals were grown aerobically using the same conditions, except that iron(II) sulfate and 2OG were substituted with zinc(II) chloride and N-oxalylglycine.
Crystallographic Data Collection and Structure SolutionA single crystal, anaerobically grown (200 x 100 x 50 µm) was transferred to cryoprotectant (1:7 glycerol/well solution) and immediately cryocooled in liquid nitrogen. Native data were collected at 100 K using beamline 10.1 (34) of the Synchrotron Radiation Source (SRS, Daresbury, UK) equipped with a MAR 225CCD detector. The native data were processed with MOSFLM and SCALA of the CCP4 suite version 5.0.2 (35, 36) with an I222 lattice (TABLE ONE). Calculation of a Matthews coefficient of 2.1 Å3/dalton implied a single monomer in the asymmetric unit. Attempts at molecular replacement and isomorphous replacement were unsuccessful, so crystals were produced from SeMet-substituted protein. A single SeMet crystal (120 µm x 70 µm x 5 µm) was transferred to cryoprotectant (1:9 glycerol/well solution) before cryocooling in liquid nitrogen. Single wavelength anomalous dispersion (SAD) data were collected at 100 K and at the selenium peak wavelength at beamline X10A (Swiss Light Source, Villigen, Switzerland). Data were integrated with HKL2000 version 1.98.0 (37) and merged, and anomalous differences were analyzed with XPREP (38). The substructure was solved with SHELXD of the SHELX-97 suite (39) using anomalous differences to 3.5 Å in space group I222, and the sites and chirality were confirmed with SHELXE. The substructure (top seven selenium sites) was refined with SHARP version 2.0.4 (40) against the SAD data, and two additional selenium sites were identified. Phases were calculated to 3 Å using SHARP, and the combined anaerobic native and SAD data sets result in a figure of merit of 0.33. Phases were improved by density modification using RESOLVE version 2.08 (41) to 2.7 Å with a final figure of merit of 0.85, resulting in core secondary structure elements and a 7
peak in the core region attributable to the iron atom clearly visible in the electron density.
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| RESULTS AND DISCUSSION |
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18-Å-long extended pair of antiparallel
-strands (
-3 and
-4) in which
-4 is antiparallel to
-4 of a symmetry-related molecule along a crystallographic 2-fold axis. Another significant lattice contact involves loop 240-244, which packs against Lys321 of the C-terminal helix, and residues 288-291 of one symmetry-related molecule and residue 94 of another.
The PAHX fold is a mixed
-
structure composed of a major and a minor
-sheet surrounded by five
-helices and four 310 helices (Fig. 3). As in other 2OG oxygenases for which structures are available (30, 31, 44-49), the core of the protein consists of a DSBH fold composed of eight
-strands (Fig. 4 and supplemental Fig. 2S). However, in PAHX, only seven
-strands of the DSBH are apparent:
-6,
-8,
-9,
-10,
-11,
-12, and
-13, here defined as
-strands I, III, IV, V, VI, VII, and VIII, respectively. In PAHX, the residues that correspond to DSBH
-strand II (
-7) (residues 165-172) in other 2OG oxygenases are disordered and left out of the model. This strand is probably involved in substrate binding (see below). Four additional
-strands (
-1,
-2,
-5, and
-15) hydrogen-bond antiparallel to the core DSBH, resulting in the eight-stranded major
-sheet (Fig. 3). It is interesting to note that both
-strands
-5 and
-15 are paired antiparallel to DSBH
-strand I (
-6), a unique feature among the 2OG oxygenase family.
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-sheets that form the DSBH core in a manner similar to other 2OG oxygenases (30, 31, 44-49) (Fig. 4). The experimental electron density clearly shows the Fe(II) coordinated in an approximately octahedral manner by two oxygens from 2OG, a water molecule (B-factor 44.6 Å2), and the side chains of His175, Asp177, and His264 (Fig. 5, A-C). The HXD motif is located just after the sequence that is typically DSBH
-strand II (residues 165-172), and the second Fe(II)-binding histidine (His264) is located on DSBH
-strand VII (
-12). The observation of Fe(II) coordination by these three residues confirms their provisional assignment by mutation analyses coupled to iron-binding assays (27). The two Fe(II)-binding histidines adopt similar conformations to those observed in other 2OG oxygenases. The aspartate is in a similar conformation to that observed in deacetoxycephalosporin synthase (DAOCS) and proline-3-hydroxylase (30, 48) but differs from that observed in FIH and clavaminic acid synthase (CAS) (Fig. 4) (31, 46). However, the structures of FIH and CAS may reflect unusual cases. In addition to binding Fe(II), the aspartate of FIH forms a hydrogen bond to a backbone amide of the peptide substrate, and in the trifunctional CAS the Fe(II) binding carboxylate is derived from a glutamate rather than an aspartate residue.
2OG BindingThe 2OG co-substrate coordinates the Fe(II) in a bidentate manner with its 2-keto group trans to Asp177 O
1 and the oxygen of the 1-carboxylate trans to His264 N
2 (Fig. 5B). The position of the 2OG 2-keto oxygen relative to the three Fe(II)-binding residues is observed to be conserved in all relevant crystal structures for 2OG oxygenases. However, the relative position of the 1-carboxylate of 2OG varies between being trans to His264 (or its equivalent), as observed in PAHX, or trans to His175 (or its equivalent) (Fig. 5B). In the case of CAS, the relative position of the 1-carboxylate was observed to change upon binding the dioxygen analogue, nitric oxide (50), from being trans to His144 (His175 in PAHX) to being trans to His279 (His264 in PAHX). Binding of the substrate has been observed to displace a water molecule from the Fe(II), thus enabling binding of oxygen (51). Thus, the coordination position of the 2OG 1-carboxylate group in PAHX may vary from its observed position upon (co-)substrate binding or under non-crystalline conditions. It is possible that the observed coordination position of the C1'-carboxylate in PAHX reflects a protected form of the enzyme, preventing oxygen binding to avoid the generation of potentially damaging reactive oxidizing intermediates in the absence of substrate. This may be particularly important in the oxidizing environment of the peroxisomes.
The 1-carboxylate oxygen of 2OG not ligated to the Fe(II) is in position to form a hydrogen bond (3.2 Å) with N
of Lys120 located on
-strand
-5 (Fig. 5A). For some 2OG oxygenases, the side chain of a basic or polar residue is also positioned close to the C1'-carboxylate of 2OG (e.g. Arg297 of CAS, Arg160/162 of DAOCS, and Arg95/97/122 of proline-3-hydroxylase). However, PAHX is the first case where the basic residue, Lys120, is actually close enough to hydrogen-bond (3.2 Å) with the 2OG C1'-carboxylate (Fig. 5A). It is possible either that substrate binding weakens the hydrogen bond, enabling a rearrangement of the ligation position of the 2OG C1'-carboxylate, or that after oxidative decarboxylation of 2OG the side chain of Lys120 is involved in the release of carbon dioxide and/or succinate from the catalytic site.
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-strand VIII (
-13) (30). In FIH, Lys214 (from DSBH
-strand IV) and Thr196 (from DSBH
-strand II) interact with the C5'-carboxylate of 2OG. In PAHX, Arg275, located on DSBH
-strand VIII (
-13) at the back of the 2OG binding pocket, is in position to form an electrostatic interaction with the C5'-carboxylate of 2OG similar to that observed in DAOCS. Based upon the weaker electron density and higher temperature factors, the C5' carboxylate appears less ordered than the 2-oxoacid portion of 2OG. This is probably due to the disordered state of DSBH
-strand II discussed below. There is no RXS motif in PAHX, since the serine is substituted by an alanine. However, O
of Ser266, two residues from the His264 of the HXD... H Fe(II) binding triad on
-12 (DSBH
-strand VII), is in position to hydrogen-bond (2.7 Å) to the C5'-carboxylate of 2OG. It is notable that this serine is conserved in close homologues of PAHX from Mus musculus, Xenopus laevis, Danio rerio, Caenorhabditis elegans, the more distant human homologue PHYHD1, and two homologues from the thienamycin antibiotic biosynthetic gene cluster encoded for by thnG and thnQ (see supplemental information for sequence alignment) (53, 54). Unusual Features of the PAHX Active Site and Substrate BindingIn addition to the Fe(II)- and 2OG-binding residues, there are a number of other polar residues in the PAHX active site including two histidines, His155 and His281 (Fig. 5A). The side chain of His281 is close to Asp177 (which binds to Fe(II)) and is also conserved in the close homologues of PAHX from M. musculus, X. laevis, D. rerio, and C. elegans. These residues are not conserved in FIH, and their presence may explain why PAHX appears particularly susceptible to inhibition by Ni(II) (27, 29, 55), although competition at the Fe(II) binding site is also important in this regard. Cys191 is conserved in the PAHX homologues from M. musculus, X. laevis, D. rerio, and C. elegans. The observation that the sulfydryl of Cys191 is 6.7 Å from the Fe(II) and only 4.6 Å from the water molecule ligated to Fe(II) suggests that it may be of mechanistic significance (Fig. 5A). Assuming that oxygen binds in the position occupied by the water molecule, the sulfur of Cys191 might be within interacting distance of the oxygen. Another mechanistic possibility is that Cys191 is reversibly acylated by the acyl-CoA substrates for PAHX. However, the relatively inaccessible position of Cys191, at least when 2OG is bound, suggests that acylation is unlikely.
Taking into account the size of the PAHX substrate, phytanoyl-CoA, it is likely that the disordered loops that surround the active site play a role in substrate binding and may only become ordered in the presence of phytanoyl-CoA or in the presence of a protein that "presents" the substrate to the enzyme, such as sterol carrier protein-2 (28). As noted previously, residues equivalent to 165-172 have
-strand secondary structure and form DSBH
-strand II in other reported structures for 2OG oxygenases. The region between residues 223 and 233 appears to extend from a long loop between DSBH
-strands IV and V (
-9 and
-10) and probably serves to enclose the active site. The region between residues 303 and 318 is located prior to the C-terminal helix, which for some 2OG oxygenase family members has been shown to play a role in substrate recognition (56); in FIH, the C-terminal helices are involved in dimerization in addition to substrate recognition (57). Assuming the structure of PAHX as observed represents an "open" conformation with its disordered loops, a large groove leading to the active site is clearly visible on its surface. The groove has dimensions of
10 x 40 Å, the appropriate size for phytanoyl-CoA to bind (Fig. 5D). The co-crystallization of PAHX with substrate would provide a greater understanding of the substrate selectivity of PAHX. Soluble substrate analogues such as isovaleryl-CoA are an alternative for co-crystallization studies, since phytanoyl-CoA is relatively insoluble. Co-crystallization attempts with isovaleryl-CoA have not yet been successful.
Clinically Observed and Other MutantsA total of 16 clinically observed missense mutations in PAHX have been identified (TABLE TWO) (8, 58). Analysis of the PAHX structure reveals the majority of these mutations to be clustered in two regions: one around the Fe(II) (five mutants) and the other around the 2OG binding pocket (six mutants) (Fig. 6). The enzymatic activity of P29S, Q176K, G204S, N269H, R275W, and R275Q clinical mutations have been assayed using recombinant enzyme (29). The P29S mutation, located in the PTS2, has been proposed to effect targeting of pro-PAHX to the peroxisome (29, 59).
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Two other clinical mutations, H220Y and P173S, are also predicted to affect Fe(II) binding. His220 is located on the sequence approaching the disordered loop (223-233), predicted to be involved in substrate binding, and its N
1 atom is in position to hydrogen-bond with the backbone amide of Gln176. Mutation of His220 to a bulky hydrophobic tyrosine may ablate the hydrogen bond and destabilize or modify the conformation of the Fe(II)-binding residues on either side of Gln176. Region 165-172 is disordered, representing a high level of conformational flexibility. Pro173 introduces a conformationally rigid anchor point that prevents the flexibility of the sequence just prior from being transferred to the subsequent Fe(II)-binding residues His175 and Asp177. The clinical mutation, P173S, removes this rigid anchor and probably destabilizes Fe(II) binding.
Clinical mutations that affect, or probably affect, 2OG binding include Arg275 (R275W and R275Q), Trp193 (W193R), Ile199 (I199F), Glu197 (E197Q), Gly204 (G204S), and Asn269 (N269H). Arg275 and Trp193 interact directly with 2OG via electrostatic and hydrophobic interactions, respectively. Consistent with their apparent important role in binding 2OG, analyses on the recombinant versions of the clinically observed mutants R275W and R275Q demonstrate very low catalytic activities (<0.5%) (60). Other mutations involving Glu197, Ile199, Gly204, and Asn269 are clustered in the region around Arg275 and are predicted to affect the 2OG-binding pocket. The O
2 of Glu197 is in position to form a hydrogen bond to the backbone nitrogen of Lys276 (2.9 Å), the residue adjacent to Arg275, and a long range electrostatic interaction with the side chain amine of Lys276 (5.5 Å). Therefore, E197Q probably disrupts the 2OG-binding pocket. Ile199 makes hydrophobic interactions with the methylenes of Arg275 and Trp193, and I199F probably disrupts these interactions due to increased steric bulk. The backbone oxygen of Gly204 is in position to hydrogen-bond with the side chain of Arg275 (2.9 Å); the addition of a hydroxymethylene side chain in the clinical mutation G204S could destabilize the interaction due to steric constraints. Asn269 is in position to make four hydrogen bonds involved in maintaining the structure of the turn immediately prior to Arg275. These hydrogen bonds include Asn269 O
1 to Thr271 nitrogen (3.2 Å) and O
1 (2.7 Å), and Asn269 N
2 to Gly273 oxygen (2.8 Å) and Lys161 oxygen (2.9 Å).
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-sheet contacting helix
-4 and is buried in a hydrophobic pocket made up of residues Tyr61, Leu67, Ile69, Leu72, Ile139, Tyr142, Phe146, Val190, Ala192, and Thr255. The F275S mutation will unfavorably place a polar side chain in a hydrophobic pocket and possibly interfere with the overall structure or impair protein folding. Two clinical mutations, R245Q and N83Y, are located on the surface of the enzyme and far from the active site. These mutations may result in disruption of protein-protein interactions proposed to involve PAHX, such as that with sterol carrier protein-2, proposed to be responsible for solubilization and presentation of phytanoyl-CoA (as opposed to phytanic acid, pristanic acid, or pristanoyl-CoA (61)) to PAHX (62, 63).
In studies aimed at defining the Fe(II) binding ligands of PAHX, various other histidine mutations have been made and assayed. The H264A mutation has been shown to disrupt Fe(II) binding, an observation supported by the structure. His259 is located at the i position of a Type I
-turn between strands
-11 and
-12 (the sixth and seventh
-strands of the DSBH core) and makes three hydrogen bonds: His259 oxygen to Leu262 nitrogen at the i + 3 position (3.0 Å), His259 N
1 to Ile261 nitrogen at the i + 2 position (2.9 Å), and His259 N
2 to Asp187 O
1 (3.2 Å). The H259A mutation removes two of the hydrogen bonds and probably destabilizes the
-turn, which in turn destabilizes the core DSBH. His213 is located on a small stretch of 310-helix (residues 212-214) and is positioned to interact with the C-terminal end of helix
-1 and probably stabilizes the helix dipole through electrostatic interactions. The H213A mutation results in insoluble protein during expression (27), consistent with the proposed structural role for this residue.
Medicinal and Biological ImplicationsKnowledge of the 2OG binding site of PAHX may help to develop new treatments for RD and in the design of selective inhibitors for human 2OG oxygenases. Mukherji et al. (60) have shown that it is possible to partially rescue the activity of a purified 2OG binding pocket mutant using complementary 2OG analogues. An R275Q mutant showed a 500-fold increase in activity using 2-oxobutyrate in place of 2OG as the co-substrate. Structural knowledge of the 2OG binding pocket of PAHX may enable the design of more efficient substituted 2-oxoacids, which are useful for "chemical co-substrate rescue" of mutant PAHX activity.
Human 2OG oxygenases involved in the hypoxic response, including FIH and the hypoxia-inducible factor (HIF) prolyl-hydroxylases, are targets for inhibition with the medicinal objective of up-regulating HIF target genes (64). Inhibitors of 2OG oxygenases based upon analogues of 2OG (e.g. N-oxalylamino acids) have been shown to be active against the HIF hydroxylases (65), including FIH. N-oxalylglycine is also an inhibitor of PAHX4 and probably inhibits many human 2OG oxygenases and other 2OG-utilizing enzymes. Recently, it has been reported that N-oxalylamino acids with the D-stereochemistry and hydrophobic side chains are selective for FIH over a HIF prolyl-hydroxylase (human prolyl-hydroxylase domain isoform 2) (66). Given the differences in the 2OG binding pocket between FIH and PAHX, it might be possible to use the PAHX structure to design FIH inhibitors that do not significantly inhibit PAHX and possibly its nearest human relative, PHYHD1.
The observation of homozygous patients possessing inactive mutant PAHX that can still metabolize phytanoyl-CoA, albeit at a very reduced rate (67), have led to proposals for an alternative pathway for phytanoyl-CoA metabolism via
-oxidation (68), or the existence of other phytanoyl-CoA-metabolizing enzymes. The putative human 2OG oxygenase, PHYHD1 (phytanoyl-CoA dioxygenase domain-containing 1) (52), is clearly related to PAHX, and both have additional homologues in a wide range of metazoans and bacteria. Although the Fe(II)- and 2OG-binding residues (including His175, Asp177, His264, Arg275, Lys120, and Ser266), together with other active site residues (e.g. His281), are conserved among the homologues, the three disordered regions in PAHX proposed to be involved in substrate binding are very different. This suggests that phytanoyl-CoA is not a common substrate. However, the evolutionary relationship of PAHX to its homologues might indicate a new subfamily of coenzyme A-binding 2OG-dependent oxygenases.
| FOOTNOTES |
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* This work was supported by European Union Grant QLG3-CT-2002-00696 and Biotechnology and Biological Research Council Grant 43/B14227. The Structural Genomics Consortium is a registered charity (number 1097737) funded by the Wellcome Trust, GlaxoSmithKline, Genome Canada, the Canadian Institutes of Health Research, the Ontario Innovation Trust, the Ontario Research and Development Challenge Fund, and the Canadian Foundation for Innovation. 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. ![]()
The on-line version of this article (available at http://www.jbc.org) contains supplemental Figs. 1S and 2S. ![]()
1 These authors contributed equally to this work (protein purification and crystallization (D. B. and T. S.) and crystallography (M. A. M. and K. L. K.)). ![]()
2 To whom correspondence should be addressed. Tel.: 44-1865-285110; Fax: 44-1865-285002; E-mail: christopher.schofield{at}chemistry.oxford.ac.uk.
3 The abbreviations used are: RD, Refsum disease; DSBH, double-stranded
-helix; 2OG, 2-oxoglutarate; SAD, single wavelength anomalous dispersion; SeMet, selenomethionine. ![]()
4 T. Searls and C. J. Schofield, unpublished data. ![]()
| ACKNOWLEDGMENTS |
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endez, C., Braäna, A. F., Blanco, G., and Salas, J. A. (2003) Chem. Biol. 10, 301-311[CrossRef][Medline]
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