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J. Biol. Chem., Vol. 281, Issue 17, 11894-11900, April 28, 2006
A Mutation in Aminopeptidase N (CD13) Isolated from a Patient Suffering from Leukemia Leads to an Arrest in the Endoplasmic Reticulum* 1![]() ![]() ![]() ![]()
From the
Received for publication, October 19, 2005 , and in revised form, January 18, 2006.
Human aminopeptidase N (APN) is used as a routine marker for myelomonocytic cells in hematopoietic malignant disorders. Its gene and surface expressions are increased in cases of malignant transformation, inflammation, or T cell activation, whereas normal B and resting T cells lack detectable APN protein expression. In this study we elucidated the intracellular distribution, expression pattern, and enzymatic activity of a naturally occurring mutation in the coding region of the APN gene. At physiological temperatures the mutant protein is enzymatically inactive, persists as a mannose-rich polypeptide in the endoplasmic reticulum, and is ultimately degraded by an endoplasmic reticulum-associated degradation pathway. It shows in part the distinct behavior of a temperature-sensitive mutant with a permissive temperature of 32 °C, leading to correct sorting of the Golgi compartment accompanied by the acquisition of proper glycosylation but without reaching the cell-surface membrane and without regaining its enzymatic activity. Because the patient bearing this mutation suffered from leukemia, possible links to the pathogenesis of leukemia are discussed.
Membrane alanyl aminopeptidase (aminopeptidase N, APN2 (1), CD13, EC 3.4.11.2 [EC] ) is a 967-amino acid type II transmembrane protein that is expressed on the surface of a broad variety of cell types, most strongly in intestinal mucosa and kidney tissue (1, 2). Although not all aspects of its function are fully understood, it is established that the enzyme preferentially cleaves neutral amino acids from the N terminus of oligopeptides leading to degradation of neuropeptides (3-12), cytokines, immunomodulatory peptides (13-15), and angiotensins (16-18). Depending on its location, APN is involved in terminal degradation of small peptides in the intestinal brush border (19), inactivation of endorphins and enkephalins in synaptic membranes (2), and angiogenesis (21-23).
Furthermore, APN may contribute to extracellular matrix degradation (24, 25) and antigen processing via trimming of major histocompatibility complex class I and II associated peptides (26, 27). There are also several reports of its distinct functions as a receptor for various viruses like the human and murine cytomegalovirus (28-30) or different coronaviruses (31-34). Inhibitors of APN have been shown to inhibit the growth of tumor cells in a mouse model (35-37), as well as gastrointestinal tumors and T cell leukemia cells in man (38-40). Recently it has been shown that APN is capable of promoting phagocytosis by supporting Fc- APN has been implicated in the growth and function of immune cells, including T cells and T cell subsets (42-44). A significant fraction of malignant lymphocytes and corresponding cell lines appear CD13-positive in flow cytometry. In addition, CD13-negative T and B cell lines were shown to contain considerable amounts of APN mRNA (45). Therefore, it is suggested that a dysregulation of APN expression may contribute to or result from malignant transformation of lymphocytes and/or enhanced cellular growth. A previous study reported mutations in the gene coding for APN in 18 and 6% of cases of leukemia and lymphoma, respectively. No such mutations were found among healthy controls (46).
We show here that cloning and sequencing of mutant APN-DNA fragments from a patient with lymphoma revealed the presence of a silent mutation not expected to affect protein structure and function and the substitution (Leu-243
Materials and ReagentsStreptomycin, penicillin, glutamine, Dulbecco's modified Eagle's medium, methionine-free Dulbecco's modified Eagle's medium, fetal calf serum, and trypsin were purchased from BioWest, Essen, Germany. Pepstatin, leupeptin, aprotinin, trypsin inhibitor, and molecular mass standards for SDS-PAGE were purchased from Sigma. Soybean trypsin inhibitor was obtained from Roche Diagnostics. L-[35S]Methionine (1000 Ci/mmol) and protein A-Sepharose were obtained from Amersham Biosciences. Acrylamide, N,N'-methylenebi-sacrylamide, and TEMED were purchased from Carl Roth GmbH, Karlsruhe, Germany. SDS, ammonium persulfate, dithiothreitol, and Triton X-100 were obtained from Merck. pEGFP-N1 vector, pDsRed2-ER, and pECFP-Golgi were purchased from Clontech. pDsRed-Golgi vector was constructed by subcloning dsRed from pEDsRed1-N1 (Clontech) into pECFP-Golgi with BamHI and NotI. Restriction enzymes were obtained from MBI Fermentas, St. Leon-Rot, Germany. Isis polymerase was obtained from Qbiogene, Heidelberg, Germany. Immunochemical ReagentsFor immunoprecipitation of human APN, tagged with GFP, the GFP-antibody, purchased from Clontech was used. Construction of cDNA ClonesFirst, wild type human APN from U937 cells was cloned into the pEGFP-N1 vector, resulting in the expression vector pEGFP-wt-APN containing enhanced GFP fused inframe to the 3' end of wild type APN. Second, the plasmid pEGFP-APNL243P was generated with the QuickChangeTM in vitro mutagenesis system from Stratagene, according to the manufacturer's instructions, by using the pEGFP-APN (wild type) as the template. The following mutagenesis oligonucleotide (both sense and antisense) was used, 5'-CTTATCCACCCCAAGGACCCGACAGCCCTGTCCAACATG-3'. The mutation was confirmed by sequencing. Transient Transfection of COS-1 Cells, Biosynthetic Labeling, and ImmunoprecipitationCOS-1 cells were transiently transfected with DNA by using DEAE-dextran essentially as described previously (47). The plasmids pEGFP-APN and pEGFP-APNL234P were used throughout the studies. 48 h after transfection, the cells were biosynthetically labeled. The cells were incubated in methionine-free minimum Eagle's medium containing 50 µCi of [35S]methionine for the indicated time intervals and chased in pulse-chase experiments with nonlabeled methionine for different periods of time. Subsequently the cells were rinsed twice with ice-cold phosphate-buffered saline and solubilized with 1 ml of lysis buffer containing 25 mM Tris-HCl (pH 8.0), 50 mM NaCl, 0.5% deoxycholate, and 0.5% Triton X-100, supplemented with 1 mM phenylmethylsulfonyl fluoride, 1 µg/ml pepstatin, 5 µg/ml leupeptin, 5 µg/ml aprotinin, 1 µg/ml antipain, and 50 µg/ml trypsin inhibitor for 30 min at 4 °C. After 1 h of preclearing with 30 µl of protein A-Sepharose, the immunoprecipitation was performed with the anti-GFP mAb and 50 µl of protein A-Sepharose as described previously (47). The immunoprecipitates were further processed by SDS-PAGE according to Laemmli. After electrophoresis, the gels were fixed and analyzed by a phosphorimaging device (Bio-Rad). In another set of experiments in which the turnover kinetics and degradation of the mutant were analyzed, the transfected cells were pulsed for 1 h with [35S]methionine and chased for long time intervals up to 36 h in the presence or absence of lactacystin (Sigma), an inhibitor of the proteasome function (48) used at a final concentration of 20 µM/ml medium. The cells were solubilized as described above, and the protein concentration in the lysates as well as the specifically bound radioactivity were estimated. Equal amounts of radioactivity were used in the immunoprecipitations. The labeling intensities of the mutant APNL243P were assessed relative to the first chase time point. Cell Surface ImmunoprecipitationWild type and mutant APN antigens were isolated from the surface of COS-1 cells as described previously (49). Transiently transfected COS-1 cells were labeled with 50 µCi of [35S]methionine for 4 h at 37 °C, 12 h at 20 °C, or 8 h at 32 °C. Subsequently the cells were shifted to 4 °C, and wild type or mutant APN expressed at the cell surface was labeled by mAb anti-GFP added to the medium for 1 h. The cells were solubilized in lysis buffer, and APN-GFP was immunoprecipitated with protein A-Sepharose prior to SDS-PAGE analysis. Trypsin Treatment of Cell LysatesThe immunoprecipitates from transiently transfected, [35S]methionine-labeled COS-1 cells were treated with 0, 2, 4, 6, 8, or 10 µg/µl trypsin for 30 min at 37 °C. The reaction was terminated by cooling on ice at 4 °C and addition of 200 µg of soybean trypsin inhibitor (Roche Diagnostics). Confocal Fluorescence MicroscopyConfocal images of living cells were acquired 2 days after transfection on a Leica TCS SP2 microscope with a x63 water planapochromat lens (Leica Microsystems). Dual color GFP and dsRed images were obtained by sequential scans with the 468-nm excitation line of an argon laser or the 543-nm excitation line of a He/Ne laser, respectively, and the optimal emission wavelength for GFP or dsRed, as described previously.
Measurement of APN Enzymatic ActivityCells were resuspended in PBS and solubilized by sonication on ice for 30 min. The suspension was centrifuged at 60,000 x g for 30 min, and the particulate fraction was resuspended in 500 µl of PBS. GFP fluorescence was read at 488/507 nm using the luminescence spectrophotometer LS50 (PerkinElmer Life Sciences) and used to normalize for APN activity. The activity of APNL243P was determined by measuring the hydrolysis of Ala-p-nitroanilide (50) ratio proportional to wt-APN. Transient Transfection of N109 Cells, Invasion, and Proliferation AssaysThe renal carcinoma cell line N109 was recently established from a bone metastasis of a typical clear cell renal carcinoma at the Institute of Pathology, University of Magdeburg, Germany. It does not express any APN mRNA or protein. N109 cells were transiently transfected with wt-APN or APNL243P DNA by using Effectene (Qiagen) as described previously (49). Proliferation of N109 cells transfected with either wt-APN or APNL243P in comparison to sham-transfected cells was determined by measuring [3H]thymidine incorporation as described (44). Cellular invasion through a Matrigel-coated 24-well transwell chamber (Costar) was analyzed as described recently (51). Briefly, 48 h after transfection, N109 cells were incubated for another 24 h in the invasion chambers. Cells passing the membrane and attaching to the lower side of the Matrigel-coated membranes (invasive cells) were harvested using trypsin/EDTA, and the cell number was assessed using a Coulter Counter ZII.
The mRNA of peripheral blood mononuclear cells of a male 67-year-old patient suffering from non-Hodgkin lymphoma (centroblastic, IIIb) was isolated and transcribed into cDNA as described (52). Amplified DNA was sequenced by SSCP analysis, and two mutations were identified. Besides a silent mutation at position 115, an exchange from T to C at position 728 leads to replacement of leucine by proline at amino acid 243. The complete absence of T at position 728 in the sequences obtained indicate the homozygotic nature of this mutation (Fig. 1). This mutant was termed APNL243P and subsequently cloned into a pEGFP-N1 vector.
Biochemical studies of APNL243P showed that it was predominantly expressed as an endo H-sensitive mannose-rich polypeptide (Fig. 2, APNh), whereas the wt-APN shows the typical pattern of a correctly processed glycoprotein, consisting of the mannose-rich precursor form (APNh,
Pulse-chase experiments of mutant and wild type APN showed that mutant APNL243P persisted as a mannose-rich species throughout the entire chase periods. By contrast, the wild type counterpart acquired complex glycosylation and endo H resistance already after 2 h of chase (Fig. 3). From these data we conclude that the mutant protein is not able to mature in the Golgi to a complex glycosylated protein because of impaired trafficking and intracellular accumulation in the ER. To explore this further, confocal microscopy analysis was used to visualize the subcellular location of APNL243P. The mutant protein showed a distinct pattern of staining strongly associated with the ER (Fig. 4). In contrast, wt-APN was located in Golgi vesicles as well as on the cell-surface membrane, indicating that C-terminal attachment of GFP to APN does not change its normal subcellular localization (nor its function as shown by enzymatic analyses; data not shown).
To confirm the intracellular localization, we co-transfected wt-APN and the L243P mutant with either pDsRed-ER, containing the signal sequence of calreticulin, a specific marker for the ER, and a C-terminal KDEL ER-retention sequence, or a Golgi-specific marker, the N-terminal 81 amino acids of human
Many mutant phenotypes of membrane proteins in human diseases reveal the characteristics of temperature-sensitive mutants that acquire partial folding at the permissive temperature and subsequently are able to exit the ER to the Golgi and ultimately to the cell surface (52). At the nonpermissive temperature, these mutants undergo degradation in their initial mannose-rich polypeptides.
To assess whether the APNL243P is temperature-sensitive, we analyzed its trafficking at various temperatures. Here, transiently transfected COS-1 cells were cultured at 22, 28, or 32 °C for 24 h prior to biosynthetic labeling and immunoprecipitation. In the case of the 22 and 28 °C incubations, no change in the glycosylation pattern of the mutant protein was observed, whereas at 32 °C APNL243P showed a noticeable complex glycosylation pattern, suggesting that at this temperature the protein can acquire at least a partial transport competence. A pulse-chase experiment with a 30-min labeling period followed by a chase of up to 24 h showed that at 32 °C APNL243P gained complex glycosylation after 4 h, which is identical to the wt-APN (Fig. 6). But in contrast to wt-APN, the band representing the mannose-rich form of APNL243P did not disappear after 8 h but was only slightly faded after 16 h. In addition to conversion to the complex glycosylated form, this could be also due to general protein degradation. Next we investigated if APNL243P is able to reach the cell-surface membrane by performing a cell-surface immunoprecipitation at 32 °C (Fig. 7). A complex glycosylated form of wt-APN was clearly detectable on the cell surface at 32 °C, whereas in the case of APNL243P, no protein was found on the cell membrane either directly at 32 °C or after a chase of 1 h at 37 °C following the 32 °C incubation period. In the total lysate, the mannose-rich form as well as the complex glycosylated form was present, indicating that the mutant is able to reach the Golgi but not the cell surface. These biochemical findings are strongly supported by our analysis of the subcellular distribution of APNL243P in COS-1 cells at 32 °C by confocal microscopy. In some cells the mutant protein was present in distinct vesicles clearly associated with the cis-Golgi network, as proven by co-localization with pDsRed-Golgi. No molecules were found at the cell-surface membrane (Fig. 8). However, APN was not located in all cells in the Golgi, indicating that progression of the mutant protein to the Golgi apparatus remains somehow restricted. wt-APN used as a control appeared as fully transport competent at 32 °C as at 37 °C (data not shown).
Analysis of protein enzymatic activity revealed that APNL243P is enzymatically inactive at 32 °C as well as at physiological temperatures, whereas wt-APN exhibits a definite activity at both temperatures (Fig. 9). From these results we conclude that the mutated protein APNL243P, although partially transport competent at 32 °C, is not capable of reaching the cell-surface membrane nor of regaining enzymatic activity. Finally we analyzed the folding status of the APN mutant. Immunoprecipitated protein was treated with trypsin at different concentrations (Fig. 10). wt-APN was only marginally degraded by trypsin even over long periods of time and increased concentrations of trypsin, indicating a strong resistance toward this protease. In contrast, APNL243P was degraded very quickly already at low trypsin concentrations. Presumably, the abnormal folding of the APN mutant leads to the exposure of potential trypsin-cleavage sides, resulting in an easily degradable protein. In the case of APNL243P, the trypsin digestion pattern did not change when the cells were incubated at 32 °C for 24 h prior to immunoprecipitation, indicating a similar folding pattern at 32 °C compared with that at physiological temperature (data not shown). To assess any functional consequences resulting from the APNL243P mutation, we transfected the fully APN-negative N109 cell line with both wt-APN and APNL243P and determined cellular proliferation and invasion through a Matrigel-coated membrane. As observed for COS-1 cells, transfection with wt-APN resulted in an expression at the cell surface of APN, whereas the L243P mutant was retained intracellularly (data not shown) (Fig. 11A). Expression of wt-APN in N109 cells increased cellular proliferation when compared with sham-transfected cells. In contrast, N109 cells transfected with APNL243P showed no such increase in proliferation (Fig. 11B). Similarly, cellular invasion of N109 cells increased after transfection with APNwt but not after transfection with APNL243P (Fig. 11C).
The homozygotic mutation L243P characterized in a patient suffering from leukemia elicits substantial changes in the biosynthetic features, intracellular transport, and biological function of the membrane glycoprotein APN. Thus, altered folding of the mutant APNL243P protein leads to its accumulation in the ER as an inactive protein that is ultimately degraded by an ER-associated degradation pathway. Retention of proteins in the ER is known to be linked to several severe diseases like Gaucher disease (53), cystic fibrosis (54) or congenital muscular dystrophies (55). Interestingly, APNL243P reveals characteristics of a temperature-sensitive mutant. In fact, APNL243P acquires partial folding at a permissive temperature of 32 °C that results in transport competence from the ER to the Golgi and acquisition of complex glycosylation. The enzymatic function of APNL243P is, however, not restored under these conditions, suggesting different folding determinants for trafficking and function within the APN molecule. These observations clearly indicate that by exchange of a single leucine to proline, the minimal folding requirements of the mutated APN protein are no longer maintained, resulting in a misfolded protein that lacks the competence to pass from the ER into the Golgi apparatus under physiological conditions. Proline is known to have a strong helix-breaking ability, which is why we expect that its introduction into the mutant L243P causes a change in the protein conformation associated with a loss of function. Incubation at a decreased temperature of 32 °C results in a partial transport competence but not in a significant difference in folding, as could be concluded from the unchanged resistance toward trypsin. Thus we propose that the transport is more a failure of ER exit control mechanisms at lower temperatures than a significant conformational change in the APN molecule itself.
Temperature-sensitive mutants of glycoproteins are well known and were described with a wide spread of the nonpermissive temperature (56-59), but the described mutant is to our knowledge the first naturally occurring mutation affecting protein expression, folding and function, observed in the human APN gene. As it has been isolated from a patient suffering from leukemia, it is tempting to speculate that it could somehow contribute directly or indirectly to the disease.
Normal myeloid cells of monocytic and granulocytic origin express the metallopeptidase cluster of differentiation 13 (CD13) on the surface just as leukemic blasts in most acute myeloid leukemias (60-62). Because of activation or malignant transformation, other leukocyte subpopulations including human B and T cells acquire significant APN gene and surface expression. Abnormal expression of "myeloid" APN on malignant lymphocytes, the activation-dependent induction of APN surface expression on tumor-infiltrating and chronic inflammatory site peripheral T cells, and the strong anti-proliferative effects of aminopeptidase inhibitors point to a linkage of APN expression and/or function to leukocyte growth (20, 63). This view is supported by the observation that mutations in the gene coding for APN have been found in a number of patients suffering from leukemia and lymphoma, although these mutations are rare or absent among healthy controls (51). The molecular mechanisms by which dys-regulation of APN expression/activity might contribute to the malignant phenotype remain to be elucidated. An important step toward this goal is to understand the consequences that a given mutation exerts on specific enzymatic activity, cellular localization, and trafficking. Here we show that the L243P mutation, originally described in a patient suffering from non-Hodgkin lymphoma, severely compromises activity, cellular localization, and trafficking, glycosylation, and the structure of APN. Thus, the lymphoma-derived mutation L243P is indeed associated with impaired APN function, which supports the idea that dysregulation of APN contributes to tumor development or progression. APN is involved in growth, differentiation, proliferation, and effector functions of myeloid cells and lymphocytes. Here, we investigated the effect on proliferation and invasion, two key features of malignant cells, of introducing APNwt or APNL243P into a fully APN-negative cell line, N109. The absence of any APN-mRNA expression distinguishes this cell line from different hematopoietic cell lines that have been analyzed previously for APN expression (45). Our results demonstrate that increased expression of wtAPN is associated with enhanced cellular proliferation and invasion and, thus, are in line with previous reports showing growth inhibitory effects in response to an inhibition of APN enzymatic activity (42). Therefore, it should be concluded that it is neither proliferation nor invasion whereby down-regulation (mutation) of APN could primarily contribute to a malignant phenotype. However, the development, growth, and spreading of tumor cells does involve a multitude of other molecular and cellular mechanisms, which still might gain profit from compromised APN expression/activity. Changes in intracellular signaling pathways and, in particular, the induction of a pro-angiogenic expression profile are among the mechanisms that warrant further investigation. In summary, it could be conceived that changes in glycosylation, folding, or cellular localization of APN, in addition to the lack of enzymatic activity, alter the susceptibility of a cell to malignant transformation. However, the detailed mechanism needs to be addressed in future studies. Nevertheless, as far as we know, the reported mutant could be the first direct link between a mutation in the mRNA coding for APN and leukemia.
* This work was supported by Grant Na 331/1-4 from the Deutsche Forschungsgemeinschaft, Bonn, Germany, and by Sonderforschungsbereich 621, Bonn, Germany (to H. Y. N.). 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. 1 To whom correspondence should be addressed: Dept. of Physiological Chemistry, School of Veterinary Medicine Hannover, Bünteweg 17, D-30559 Hannover, Germany. Tel.: 49-511-953-8786; Fax: 49-511-953-8585; E-mail: Marwan.Alfalah{at}tiho-hannover.de.
2 The abbreviations used are: APN, aminopeptidase N; GFP, green fluorescent protein; CD, cluster of differentiation; GT, galactosyltransferase; ER, endoplasmic reticulum; mAb, monoclonal antibody; endo H, endo-
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