30 results on '"DeSantis ME"'
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2. Cargo adaptor identity controls the mechanism and kinetics of dynein activation.
- Author
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Gillies JP, Little SR, Hancock WO, and DeSantis ME
- Abstract
Cytoplasmic dynein-1 (dynein), the primary retrograde motor in most eukaryotes, supports the movement of hundreds of distinct cargos, each with specific trafficking requirements. To achieve this functional diversity, dynein must bind to the multi-subunit complex dynactin and one of a family of cargo adaptors to be converted into an active, processive motor complex. Very little is known about the dynamic processes that promote the formation of this complex. To delineate the kinetic steps that lead to dynein activation, we developed a single-molecule fluorescence assay to visualize the real-time formation of dynein-dynactin-adaptor complexes in vitro. We found that dynactin and adaptors bind dynein independently rather than cooperatively. We also found that different dynein adaptors promote dynein-dynactin-adaptor assembly with dramatically different kinetics, which results in complex formation occurring via different assembly pathways. Despite differences in association rates or mechanism of assembly, all adaptors tested can generate a population of tripartite complexes that are very stable. Our work provides a model for how modulating the kinetics of dynein-dynactin-adaptor binding can be harnessed to promote differential dynein activation and reveals a new facet of the functional diversity of the dynein motor.
- Published
- 2024
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3. CCSer2 gates dynein activity at the cell periphery.
- Author
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Zang JL, Gibson D, Zheng AM, Shi W, Gillies JP, Stein C, Drerup CM, and DeSantis ME
- Abstract
Cytoplasmic dynein-1 (dynein) is a microtubule-associated, minus end-directed motor that traffics hundreds of different cargos. Dynein must discriminate between cargos and traffic them at the appropriate time from the correct cellular region. How dynein's trafficking activity is regulated in time or cellular space remains poorly understood. Here, we identify CCSer2 as the first known protein to gate dynein activity in the spatial dimension. CCSer2 promotes the migration of developing zebrafish primordium cells and of cultured human cells by facilitating the trafficking of cargos that are acted on by cortically localized dynein. CCSer2 inhibits the interaction between dynein and its regulator Ndel1 exclusively at the cell periphery, resulting in localized dynein activation. Our findings suggest that the spatial specificity of dynein is achieved by the localization of proteins that disinhibit Ndel1. We propose that CCSer2 defines a broader class of proteins that activate dynein in distinct microenvironments via Ndel1 inhibition., Competing Interests: Declaration of Interests The authors declare no competing interests.
- Published
- 2024
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4. HIV-1 binds dynein directly to hijack microtubule transport machinery.
- Author
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Badieyan S, Lichon D, Andreas MP, Gillies JP, Peng W, Shi J, DeSantis ME, Aiken CR, Böcking T, Giessen TW, Campbell EM, and Cianfrocco MA
- Abstract
Viruses exploit host cytoskeletal elements and motor proteins for trafficking through the dense cytoplasm. Yet the molecular mechanism that describes how viruses connect to the motor machinery is unknown. Here, we demonstrate the first example of viral microtubule trafficking from purified components: HIV-1 hijacking microtubule transport machinery. We discover that HIV-1 directly binds to the retrograde microtubule-associated motor, dynein, and not via a cargo adaptor, as previously suggested. Moreover, we show that HIV-1 motility is supported by multiple, diverse dynein cargo adaptors as HIV-1 binds to dynein light and intermediate chains on dynein's tail. Further, we demonstrate that multiple dynein motors tethered to rigid cargoes, like HIV-1 capsids, display reduced motility, distinct from the behavior of multiple motors on membranous cargoes. Our results introduce a new model of viral trafficking wherein a pathogen opportunistically 'hijacks' the microtubule transport machinery for motility, enabling multiple transport pathways through the host cytoplasm., Competing Interests: Declaration of interests Authors declare that they have no competing interests.
- Published
- 2023
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5. Ndel1 disfavors dynein-dynactin-adaptor complex formation in two distinct ways.
- Author
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Garrott SR, Gillies JP, Siva A, Little SR, El Jbeily R, and DeSantis ME
- Subjects
- 1-Alkyl-2-acetylglycerophosphocholine Esterase genetics, 1-Alkyl-2-acetylglycerophosphocholine Esterase metabolism, Cytoskeleton metabolism, Microtubules metabolism, Humans, Dynactin Complex genetics, Dynactin Complex metabolism, Dyneins genetics, Dyneins metabolism, Microtubule-Associated Proteins genetics, Microtubule-Associated Proteins metabolism, Carrier Proteins genetics, Carrier Proteins metabolism
- Abstract
Dynein is the primary minus-end-directed microtubule motor protein. To achieve activation, dynein binds to the dynactin complex and an adaptor to form the "activated dynein complex." The protein Lis1 aids activation by binding to dynein and promoting its association with dynactin and the adaptor. Ndel1 and its paralog Nde1 are dynein- and Lis1-binding proteins that help control dynein localization within the cell. Cell-based assays suggest that Ndel1-Nde1 also work with Lis1 to promote dynein activation, although the underlying mechanism is unclear. Using purified proteins and quantitative binding assays, here we found that the C-terminal region of Ndel1 contributes to dynein binding and negatively regulates binding to Lis1. Using single-molecule imaging and protein biochemistry, we observed that Ndel1 inhibits dynein activation in two distinct ways. First, Ndel1 disfavors the formation of the activated dynein complex. We found that phosphomimetic mutations in the C-terminal domain of Ndel1 increase its ability to inhibit dynein-dynactin-adaptor complex formation. Second, we observed that Ndel1 interacts with dynein and Lis1 simultaneously and sequesters Lis1 away from its dynein-binding site. In doing this, Ndel1 prevents Lis1-mediated dynein activation. Together, our work suggests that in vitro, Ndel1 is a negative regulator of dynein activation, which contrasts with cellular studies where Ndel1 promotes dynein activity. To reconcile our findings with previous work, we posit that Ndel1 functions to scaffold dynein and Lis1 together while keeping dynein in an inhibited state. We speculate that Ndel1 release can be triggered in cellular settings to allow for timed dynein activation., Competing Interests: Conflict of interest The authors declare that they have no conflicts of interest with the contents of this article., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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6. CryoEM shows the active dynein complex on microtubules.
- Author
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Garrott SR and DeSantis ME
- Subjects
- Cryoelectron Microscopy, Microtubules chemistry, Microtubules metabolism, Dynactin Complex analysis, Dynactin Complex chemistry, Dynactin Complex metabolism, Dyneins metabolism, Microtubule-Associated Proteins analysis, Microtubule-Associated Proteins chemistry, Microtubule-Associated Proteins metabolism
- Abstract
In a recent study, Chaaban and Carter use cryo-electron microscopy (cryo-EM) and an innovative data-processing pipeline to determine the first high-resolution structure of the dynein-dynactin-BICDR1 complex assembled on microtubules. The structure of the complex reveals novel stoichiometry and provides new mechanistic insight into dynein function and mechanism., Competing Interests: Declaration of interests No interests are declared., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
- Published
- 2023
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7. Distinct dynein complexes defined by DYNLRB1 and DYNLRB2 regulate mitotic and male meiotic spindle bipolarity.
- Author
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He S, Gillies JP, Zang JL, Córdoba-Beldad CM, Yamamoto I, Fujiwara Y, Grantham J, DeSantis ME, and Shibuya H
- Subjects
- Mice, Animals, Male, Centrosome metabolism, Meiosis, Metaphase, Dyneins genetics, Dyneins metabolism, Spindle Apparatus metabolism
- Abstract
Spindle formation in male meiosis relies on the canonical centrosome system, which is distinct from acentrosomal oocyte meiosis, but its specific regulatory mechanisms remain unknown. Herein, we report that DYNLRB2 (Dynein light chain roadblock-type-2) is a male meiosis-upregulated dynein light chain that is indispensable for spindle formation in meiosis I. In Dynlrb2 KO mouse testes, meiosis progression is arrested in metaphase I due to the formation of multipolar spindles with fragmented pericentriolar material (PCM). DYNLRB2 inhibits PCM fragmentation through two distinct pathways; suppressing premature centriole disengagement and targeting NuMA (nuclear mitotic apparatus) to spindle poles. The ubiquitously expressed mitotic counterpart, DYNLRB1, has similar roles in mitotic cells and maintains spindle bipolarity by targeting NuMA and suppressing centriole overduplication. Our work demonstrates that two distinct dynein complexes containing DYNLRB1 or DYNLRB2 are separately used in mitotic and meiotic spindle formations, respectively, and that both have NuMA as a common target., (© 2023. The Author(s).)
- Published
- 2023
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8. Ndel1 modulates dynein activation in two distinct ways.
- Author
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Garrott SR, Gillies JP, Siva A, Little SR, Jbeily RE, and DeSantis ME
- Abstract
Dynein is the primary minus-end-directed microtubule motor [1]. To achieve activation, dynein binds to the dynactin complex and an adaptor to form the "activated dynein complex" [2, 3]. The protein Lis1 aids activation by binding to dynein and promoting its association with dynactin and adaptor [4, 5]. Ndel1 and its orthologue Nde1 are dynein and Lis1 binding proteins that help control where dynein localizes within the cell [6]. Cell-based assays suggest that Ndel1/Nde1 also work with Lis1 to promote dynein activation, although the underlying mechanism is unclear [6]. Using purified proteins and quantitative binding assays, we found that Ndel1's C-terminal region contributes to binding to dynein and negatively regulates binding to Lis1. Using single-molecule imaging and protein biochemistry, we observed that Ndel1 inhibits dynein activation in two distinct ways. First, Ndel1 disfavors the formation of the activated dynein complex. We found that phosphomimetic mutations in Ndel1's C-terminal domain increase its ability to inhibit dynein-dynactin-adaptor complex formation. Second, we observed that Ndel1 interacts with dynein and Lis1 simultaneously and sequesters Lis1 away from its dynein binding site. In doing this, Ndel1 prevents Lis1-mediated dynein activation. Our work suggests that in vitro , Ndel1 is a negative regulator of dynein activation, which contrasts with cellular studies where Ndel1 promotes dynein activity. To reconcile our findings with previous work, we posit that Ndel1 functions to scaffold dynein and Lis1 together while keeping dynein in an inhibited state. We speculate that Ndel1 release can be triggered in cellular settings to allow for timed dynein activation.
- Published
- 2023
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9. Structures of human dynein in complex with the lissencephaly 1 protein, LIS1.
- Author
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Reimer JM, DeSantis ME, Reck-Peterson SL, and Leschziner AE
- Subjects
- Humans, Dyneins metabolism, Microtubule-Associated Proteins metabolism, Saccharomyces cerevisiae genetics, Saccharomyces cerevisiae metabolism, Endoribonucleases metabolism, Classical Lissencephalies and Subcortical Band Heterotopias, Saccharomyces cerevisiae Proteins metabolism
- Abstract
The lissencephaly 1 protein, LIS1, is mutated in type-1 lissencephaly and is a key regulator of cytoplasmic dynein-1. At a molecular level, current models propose that LIS1 activates dynein by relieving its autoinhibited form. Previously we reported a 3.1 Å structure of yeast dynein bound to Pac1, the yeast homologue of LIS1, which revealed the details of their interactions (Gillies et al., 2022). Based on this structure, we made mutations that disrupted these interactions and showed that they were required for dynein's function in vivo in yeast. We also used our yeast dynein-Pac1 structure to design mutations in human dynein to probe the role of LIS1 in promoting the assembly of active dynein complexes. These mutations had relatively mild effects on dynein activation, suggesting that there may be differences in how dynein and Pac1/LIS1 interact between yeast and humans. Here, we report cryo-EM structures of human dynein-LIS1 complexes. Our new structures reveal the differences between the yeast and human systems, provide a blueprint to disrupt the human dynein-LIS1 interactions more accurately, and map type-1 lissencephaly disease mutations, as well as mutations in dynein linked to malformations of cortical development/intellectual disability, in the context of the dynein-LIS1 complex., Competing Interests: JR, MD, SR, AL No competing interests declared, (© 2023, Reimer et al.)
- Published
- 2023
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10. The KASH5 protein involved in meiotic chromosomal movements is a novel dynein activating adaptor.
- Author
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Agrawal R, Gillies JP, Zang JL, Zhang J, Garrott SR, Shibuya H, Nandakumar J, and DeSantis ME
- Subjects
- Animals, Chromosome Segregation, Dynactin Complex metabolism, Male, Meiosis, Mice, Microtubules metabolism, Dyneins genetics, Dyneins metabolism, Microtubule-Associated Proteins metabolism
- Abstract
Dynein harnesses ATP hydrolysis to move cargo on microtubules in multiple biological contexts. Dynein meets a unique challenge in meiosis by moving chromosomes tethered to the nuclear envelope to facilitate homolog pairing essential for gametogenesis. Though processive dynein motility requires binding to an activating adaptor, the identity of the activating adaptor required for dynein to move meiotic chromosomes is unknown. We show that the meiosis-specific nuclear-envelope protein KASH5 is a dynein activating adaptor: KASH5 directly binds dynein using a mechanism conserved among activating adaptors and converts dynein into a processive motor. We map the dynein-binding surface of KASH5, identifying mutations that abrogate dynein binding in vitro and disrupt recruitment of the dynein machinery to the nuclear envelope in cultured cells and mouse spermatocytes in vivo. Our study identifies KASH5 as the first transmembrane dynein activating adaptor and provides molecular insights into how it activates dynein during meiosis., Competing Interests: RA, JG, JZ, JZ, SG, HS, JN, MD No competing interests declared, (© 2022, Agrawal et al.)
- Published
- 2022
- Full Text
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11. Nde1 and Ndel1: Outstanding Mysteries in Dynein-Mediated Transport.
- Author
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Garrott SR, Gillies JP, and DeSantis ME
- Abstract
Cytoplasmic dynein-1 (dynein) is the primary microtubule minus-end directed molecular motor in most eukaryotes. As such, dynein has a broad array of functions that range from driving retrograde-directed cargo trafficking to forming and focusing the mitotic spindle. Dynein does not function in isolation. Instead, a network of regulatory proteins mediate dynein's interaction with cargo and modulate dynein's ability to engage with and move on the microtubule track. A flurry of research over the past decade has revealed the function and mechanism of many of dynein's regulators, including Lis1, dynactin, and a family of proteins called activating adaptors. However, the mechanistic details of two of dynein's important binding partners, the paralogs Nde1 and Ndel1, have remained elusive. While genetic studies have firmly established Nde1/Ndel1 as players in the dynein transport pathway, the nature of how they regulate dynein activity is unknown. In this review, we will compare Ndel1 and Nde1 with a focus on discerning if the proteins are functionally redundant, outline the data that places Nde1/Ndel1 in the dynein transport pathway, and explore the literature supporting and opposing the predominant hypothesis about Nde1/Ndel1's molecular effect on dynein activity., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Garrott, Gillies and DeSantis.)
- Published
- 2022
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12. Self-repair protects microtubules from destruction by molecular motors.
- Author
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Triclin S, Inoue D, Gaillard J, Htet ZM, DeSantis ME, Portran D, Derivery E, Aumeier C, Schaedel L, John K, Leterrier C, Reck-Peterson SL, Blanchoin L, and Théry M
- Subjects
- Models, Biological, Microtubules metabolism, Molecular Motor Proteins metabolism, Movement
- Abstract
Microtubule instability stems from the low energy of tubulin dimer interactions, which sets the growing polymer close to its disassembly conditions. Molecular motors use ATP hydrolysis to produce mechanical work and move on microtubules. This raises the possibility that the mechanical work produced by walking motors can break dimer interactions and trigger microtubule disassembly. We tested this hypothesis by studying the interplay between microtubules and moving molecular motors in vitro. Our results show that molecular motors can remove tubulin dimers from the lattice and rapidly destroy microtubules. We also found that dimer removal by motors was compensated for by the insertion of free tubulin dimers into the microtubule lattice. This self-repair mechanism allows microtubules to survive the damage induced by molecular motors as they move along their tracks. Our study reveals the existence of coupling between the motion of molecular motors and the renewal of the microtubule lattice.
- Published
- 2021
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13. LIS1 promotes the formation of activated cytoplasmic dynein-1 complexes.
- Author
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Htet ZM, Gillies JP, Baker RW, Leschziner AE, DeSantis ME, and Reck-Peterson SL
- Subjects
- Animals, Carrier Proteins metabolism, HEK293 Cells, Humans, Mice, Microtubules metabolism, Protein Binding physiology, Recombinant Proteins metabolism, 1-Alkyl-2-acetylglycerophosphocholine Esterase metabolism, Cytoplasmic Dyneins metabolism, Dynactin Complex metabolism, Microtubule-Associated Proteins metabolism
- Abstract
Cytoplasmic dynein-1 is a molecular motor that drives nearly all minus-end-directed microtubule-based transport in human cells, performing functions that range from retrograde axonal transport to mitotic spindle assembly
1,2 . Activated dynein complexes consist of one or two dynein dimers, the dynactin complex and an 'activating adaptor', and they show faster velocity when two dynein dimers are present3-6 . Little is known about the assembly process of this massive ~4 MDa complex. Here, using purified recombinant human proteins, we uncover a role for the dynein-binding protein LIS1 in promoting the formation of activated dynein-dynactin complexes that contain two dynein dimers. Complexes activated by proteins representing three families of activating adaptors-BicD2, Hook3 and Ninl-all show enhanced motile properties in the presence of LIS1. Activated dynein complexes do not require sustained LIS1 binding for fast velocity. Using cryo-electron microscopy, we show that human LIS1 binds to dynein at two sites on the motor domain of dynein. Our research suggests that LIS1 binding at these sites functions in multiple stages of assembling the motile dynein-dynactin-activating adaptor complex.- Published
- 2020
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14. Nuclear-Import Receptors Reverse Aberrant Phase Transitions of RNA-Binding Proteins with Prion-like Domains.
- Author
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Guo L, Kim HJ, Wang H, Monaghan J, Freyermuth F, Sung JC, O'Donovan K, Fare CM, Diaz Z, Singh N, Zhang ZC, Coughlin M, Sweeny EA, DeSantis ME, Jackrel ME, Rodell CB, Burdick JA, King OD, Gitler AD, Lagier-Tourenne C, Pandey UB, Chook YM, Taylor JP, and Shorter J
- Subjects
- Adult, Aged, Animals, Cytoplasm chemistry, DNA-Binding Proteins chemistry, Drosophila melanogaster, Female, Green Fluorescent Proteins chemistry, HEK293 Cells, HeLa Cells, Homeostasis, Humans, Karyopherins chemistry, Male, Middle Aged, Molecular Chaperones chemistry, Mutation, Neurodegenerative Diseases pathology, Protein Domains, RNA-Binding Protein EWS chemistry, TATA-Binding Protein Associated Factors chemistry, beta Karyopherins chemistry, Active Transport, Cell Nucleus, Prions chemistry, RNA-Binding Proteins chemistry, Receptors, Cytoplasmic and Nuclear chemistry
- Abstract
RNA-binding proteins (RBPs) with prion-like domains (PrLDs) phase transition to functional liquids, which can mature into aberrant hydrogels composed of pathological fibrils that underpin fatal neurodegenerative disorders. Several nuclear RBPs with PrLDs, including TDP-43, FUS, hnRNPA1, and hnRNPA2, mislocalize to cytoplasmic inclusions in neurodegenerative disorders, and mutations in their PrLDs can accelerate fibrillization and cause disease. Here, we establish that nuclear-import receptors (NIRs) specifically chaperone and potently disaggregate wild-type and disease-linked RBPs bearing a NLS. Karyopherin-β2 (also called Transportin-1) engages PY-NLSs to inhibit and reverse FUS, TAF15, EWSR1, hnRNPA1, and hnRNPA2 fibrillization, whereas Importin-α plus Karyopherin-β1 prevent and reverse TDP-43 fibrillization. Remarkably, Karyopherin-β2 dissolves phase-separated liquids and aberrant fibrillar hydrogels formed by FUS and hnRNPA1. In vivo, Karyopherin-β2 prevents RBPs with PY-NLSs accumulating in stress granules, restores nuclear RBP localization and function, and rescues degeneration caused by disease-linked FUS and hnRNPA2. Thus, NIRs therapeutically restore RBP homeostasis and mitigate neurodegeneration., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
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15. Lis1 Has Two Opposing Modes of Regulating Cytoplasmic Dynein.
- Author
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DeSantis ME, Cianfrocco MA, Htet ZM, Tran PT, Reck-Peterson SL, and Leschziner AE
- Subjects
- 1-Alkyl-2-acetylglycerophosphocholine Esterase chemistry, Adenosine Triphosphate metabolism, Amino Acid Sequence, Cryoelectron Microscopy, Dyneins chemistry, Humans, Microtubule-Associated Proteins chemistry, Models, Molecular, Molecular Motor Proteins metabolism, Protein Domains, Saccharomyces cerevisiae Proteins chemistry, Sequence Alignment, 1-Alkyl-2-acetylglycerophosphocholine Esterase metabolism, Dyneins metabolism, Microtubule-Associated Proteins metabolism, Saccharomyces cerevisiae metabolism, Saccharomyces cerevisiae Proteins metabolism
- Abstract
Regulation is central to the functional versatility of cytoplasmic dynein, a motor involved in intracellular transport, cell division, and neurodevelopment. Previous work established that Lis1, a conserved regulator of dynein, binds to its motor domain and induces a tight microtubule-binding state in dynein. The work we present here-a combination of biochemistry, single-molecule assays, and cryoelectron microscopy-led to the surprising discovery that Lis1 has two opposing modes of regulating dynein, being capable of inducing both low and high affinity for the microtubule. We show that these opposing modes depend on the stoichiometry of Lis1 binding to dynein and that this stoichiometry is regulated by the nucleotide state of dynein's AAA3 domain. The low-affinity state requires Lis1 to also bind to dynein at a novel conserved site, mutation of which disrupts Lis1's function in vivo. We propose a new model for the regulation of dynein by Lis1., (Copyright © 2017 Elsevier Inc. All rights reserved.)
- Published
- 2017
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16. The human cytoplasmic dynein interactome reveals novel activators of motility.
- Author
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Redwine WB, DeSantis ME, Hollyer I, Htet ZM, Tran PT, Swanson SK, Florens L, Washburn MP, and Reck-Peterson SL
- Subjects
- Cell Line, Cytological Techniques methods, Humans, Microtubules metabolism, Staining and Labeling methods, Carrier Proteins metabolism, Cell Movement, Cytoplasmic Dyneins metabolism, Dynactin Complex metabolism
- Abstract
In human cells, cytoplasmic dynein-1 is essential for long-distance transport of many cargos, including organelles, RNAs, proteins, and viruses, towards microtubule minus ends. To understand how a single motor achieves cargo specificity, we identified the human dynein interactome by attaching a promiscuous biotin ligase ('BioID') to seven components of the dynein machinery, including a subunit of the essential cofactor dynactin. This method reported spatial information about the large cytosolic dynein/dynactin complex in living cells. To achieve maximal motile activity and to bind its cargos, human dynein/dynactin requires 'activators', of which only five have been described. We developed methods to identify new activators in our BioID data, and discovered that ninein and ninein-like are a new family of dynein activators. Analysis of the protein interactomes for six activators, including ninein and ninein-like, suggests that each dynein activator has multiple cargos.
- Published
- 2017
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17. The Hsp104 N-terminal domain enables disaggregase plasticity and potentiation.
- Author
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Sweeny EA, Jackrel ME, Go MS, Sochor MA, Razzo BM, DeSantis ME, Gupta K, and Shorter J
- Subjects
- Adenosine Triphosphate analogs & derivatives, Adenosine Triphosphate chemistry, Adenosine Triphosphate metabolism, Adenylyl Imidodiphosphate chemistry, Adenylyl Imidodiphosphate metabolism, Heat-Shock Proteins genetics, Heat-Shock Proteins metabolism, Microscopy, Electron, Microscopy, Fluorescence, Models, Molecular, Mutation, Peptide Termination Factors chemistry, Peptide Termination Factors metabolism, Protein Binding, Saccharomyces cerevisiae genetics, Saccharomyces cerevisiae metabolism, Saccharomyces cerevisiae Proteins genetics, Saccharomyces cerevisiae Proteins metabolism, Scattering, Small Angle, X-Ray Diffraction, Heat-Shock Proteins chemistry, Protein Multimerization, Protein Structure, Tertiary, Saccharomyces cerevisiae Proteins chemistry
- Abstract
The structural basis by which Hsp104 dissolves disordered aggregates and prions is unknown. A single subunit within the Hsp104 hexamer can solubilize disordered aggregates, whereas prion dissolution requires collaboration by multiple Hsp104 subunits. Here, we establish that the poorly understood Hsp104 N-terminal domain (NTD) enables this operational plasticity. Hsp104 lacking the NTD (Hsp104(ΔN)) dissolves disordered aggregates but cannot dissolve prions or be potentiated by activating mutations. We define how Hsp104(ΔN) invariably stimulates Sup35 prionogenesis by fragmenting prions without solubilizing Sup35, whereas Hsp104 couples Sup35 prion fragmentation and dissolution. Volumetric reconstruction of Hsp104 hexamers in ATPγS, ADP-AlFx (hydrolysis transition state mimic), and ADP via small-angle X-ray scattering revealed a peristaltic pumping motion upon ATP hydrolysis, which drives directional substrate translocation through the central Hsp104 channel and is profoundly altered in Hsp104(ΔN). We establish that the Hsp104 NTD enables cooperative substrate translocation, which is critical for prion dissolution and potentiated disaggregase activity., (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Published
- 2015
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18. Mechanism and regulation of cytoplasmic dynein.
- Author
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Cianfrocco MA, DeSantis ME, Leschziner AE, and Reck-Peterson SL
- Subjects
- Animals, Biological Transport physiology, Humans, Meiosis physiology, Microtubule-Associated Proteins metabolism, Microtubules metabolism, Mitosis physiology, Organelles metabolism, Organelles physiology, Cytoplasmic Dyneins metabolism
- Abstract
Until recently, dynein was the least understood of the cytoskeletal motors. However, a wealth of new structural, mechanistic, and cell biological data is shedding light on how this complicated minus-end-directed, microtubule-based motor works. Cytoplasmic dynein-1 performs a wide array of functions in most eukaryotes, both in interphase, in which it transports organelles, proteins, mRNAs, and viruses, and in mitosis and meiosis. Mutations in dynein or its regulators are linked to neurodevelopmental and neurodegenerative diseases. Here, we begin by providing a synthesis of recent data to describe the current model of dynein's mechanochemical cycle. Next, we discuss regulators of dynein, with particular focus on those that directly interact with the motor to modulate its recruitment to microtubules, initiate cargo transport, or activate minus-end-directed motility.
- Published
- 2015
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19. Potentiated Hsp104 variants antagonize diverse proteotoxic misfolding events.
- Author
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Jackrel ME, DeSantis ME, Martinez BA, Castellano LM, Stewart RM, Caldwell KA, Caldwell GA, and Shorter J
- Subjects
- Animals, Animals, Genetically Modified, DNA-Binding Proteins metabolism, Heat-Shock Proteins chemistry, Humans, Models, Molecular, Mutagenesis, Neurons cytology, Neurons pathology, Parkinson Disease metabolism, Parkinson Disease pathology, Parkinson Disease therapy, Protein Folding, Protein Structure, Tertiary, Proteostasis Deficiencies metabolism, Proteostasis Deficiencies pathology, Proteostasis Deficiencies therapy, RNA-Binding Protein FUS metabolism, Saccharomyces cerevisiae Proteins chemistry, alpha-Synuclein metabolism, Caenorhabditis elegans, Disease Models, Animal, Heat-Shock Proteins genetics, Heat-Shock Proteins metabolism, Saccharomyces cerevisiae Proteins genetics, Saccharomyces cerevisiae Proteins metabolism
- Abstract
There are no therapies that reverse the proteotoxic misfolding events that underpin fatal neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS) and Parkinson's disease (PD). Hsp104, a conserved hexameric AAA+ protein from yeast, solubilizes disordered aggregates and amyloid but has no metazoan homolog and only limited activity against human neurodegenerative disease proteins. Here, we reprogram Hsp104 to rescue TDP-43, FUS, and α-synuclein proteotoxicity by mutating single residues in helix 1, 2, or 3 of the middle domain or the small domain of nucleotide-binding domain 1. Potentiated Hsp104 variants enhance aggregate dissolution, restore proper protein localization, suppress proteotoxicity, and in a C. elegans PD model attenuate dopaminergic neurodegeneration. Potentiating mutations reconfigure how Hsp104 subunits collaborate, desensitize Hsp104 to inhibition, obviate any requirement for Hsp70, and enhance ATPase, translocation, and unfoldase activity. Our work establishes that disease-associated aggregates and amyloid are tractable targets and that enhanced disaggregases can restore proteostasis and mitigate neurodegeneration., (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Published
- 2014
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20. Conserved distal loop residues in the Hsp104 and ClpB middle domain contact nucleotide-binding domain 2 and enable Hsp70-dependent protein disaggregation.
- Author
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Desantis ME, Sweeny EA, Snead D, Leung EH, Go MS, Gupta K, Wendler P, and Shorter J
- Subjects
- Amino Acid Sequence, Binding Sites genetics, Circular Dichroism, Electrophoresis, Polyacrylamide Gel, Endopeptidase Clp, Escherichia coli Proteins genetics, Escherichia coli Proteins metabolism, HSP70 Heat-Shock Proteins genetics, HSP70 Heat-Shock Proteins metabolism, Heat-Shock Proteins genetics, Heat-Shock Proteins metabolism, Hot Temperature, Models, Molecular, Molecular Sequence Data, Mutation, Protein Binding, Protein Denaturation, Protein Structure, Secondary, Saccharomyces cerevisiae Proteins genetics, Saccharomyces cerevisiae Proteins metabolism, Scattering, Small Angle, Sequence Homology, Amino Acid, X-Ray Diffraction, Escherichia coli Proteins chemistry, HSP70 Heat-Shock Proteins chemistry, Heat-Shock Proteins chemistry, Protein Structure, Tertiary, Saccharomyces cerevisiae Proteins chemistry
- Abstract
The homologous hexameric AAA(+) proteins, Hsp104 from yeast and ClpB from bacteria, collaborate with Hsp70 to dissolve disordered protein aggregates but employ distinct mechanisms of intersubunit collaboration. How Hsp104 and ClpB coordinate polypeptide handover with Hsp70 is not understood. Here, we define conserved distal loop residues between middle domain (MD) helix 1 and 2 that are unexpectedly critical for Hsp104 and ClpB collaboration with Hsp70. Surprisingly, the Hsp104 and ClpB MD distal loop does not contact Hsp70 but makes intrasubunit contacts with nucleotide-binding domain 2 (NBD2). Thus, the MD does not invariably project out into solution as in one structural model of Hsp104 and ClpB hexamers. These intrasubunit contacts as well as those between MD helix 2 and NBD1 are different in Hsp104 and ClpB. NBD2-MD contacts dampen disaggregase activity and must separate for protein disaggregation. We demonstrate that ClpB requires DnaK more stringently than Hsp104 requires Hsp70 for protein disaggregation. Thus, we reveal key differences in how Hsp104 and ClpB coordinate polypeptide handover with Hsp70, which likely reflects differential tuning for yeast and bacterial proteostasis.
- Published
- 2014
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21. Fission yeast does not age under favorable conditions, but does so after stress.
- Author
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Coelho M, Dereli A, Haese A, Kühn S, Malinovska L, DeSantis ME, Shorter J, Alberti S, Gross T, and Tolić-Nørrelykke IM
- Subjects
- Cellular Senescence genetics, Cellular Structures cytology, Green Fluorescent Proteins genetics, Schizosaccharomyces genetics, Schizosaccharomyces metabolism, Adenosine Triphosphatases genetics, Asymmetric Cell Division physiology, Cellular Senescence physiology, Heat-Shock Proteins genetics, Schizosaccharomyces physiology, Stress, Physiological physiology
- Abstract
Background: Many unicellular organisms age: as time passes, they divide more slowly and ultimately die. In budding yeast, asymmetric segregation of cellular damage results in aging mother cells and rejuvenated daughters. We hypothesize that the organisms in which this asymmetry is lacking, or can be modulated, may not undergo aging., Results: We performed a complete pedigree analysis of microcolonies of the fission yeast Schizosaccharomyces pombe growing from a single cell. When cells were grown under favorable conditions, none of the lineages exhibited aging, which is defined as a consecutive increase in division time and increased death probability. Under favorable conditions, few cells died, and their death was random and sudden rather than following a gradual increase in division time. Cell death correlated with the inheritance of Hsp104-associated protein aggregates. After stress, the cells that inherited large aggregates aged, showing a consecutive increase in division time and an increased death probability. Their sisters, who inherited little or no aggregates, did not age., Conclusions: We conclude that S. pombe does not age under favorable growth conditions, but does so under stress. This transition appears to be passive rather than active and results from the formation of a single large aggregate, which segregates asymmetrically at the subsequent cell division. We argue that this damage-induced asymmetric segregation has evolved to sacrifice some cells so that others may survive unscathed after severe environmental stresses., (Copyright © 2013 Elsevier Ltd. All rights reserved.)
- Published
- 2013
- Full Text
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22. Hsp104 drives "protein-only" positive selection of Sup35 prion strains encoding strong [PSI(+)].
- Author
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DeSantis ME and Shorter J
- Subjects
- Saccharomyces cerevisiae genetics, Saccharomyces cerevisiae metabolism, Heat-Shock Proteins metabolism, Peptide Termination Factors metabolism, Prions metabolism, Saccharomyces cerevisiae Proteins metabolism
- Abstract
Structurally distinct, self-templating prion "strains" can encode distinct phenotypes and amplify at different rates depending upon the environment. Indeed, prion strain ensembles can evolve in response to environmental challenges, which makes them highly challenging drug targets. It is not understood how the proteostasis network amplifies one prion strain at the expense of another. Here, we demonstrate that Hsp104 remodels the distinct intermolecular contacts of different synthetic Sup35 prion strains in a way that selectively amplifies prions encoding strong [PSI(+)] and simultaneously eliminates prions encoding weak [PSI(+)]. Hsp104 has reduced ability to fragment prions encoding weak [PSI(+)], but readily converts them to nontemplating forms. By contrast, Hsp104 readily fragments prions encoding strong [PSI(+)], but has reduced ability to eliminate their infectivity. Thus, we illuminate direct mechanisms underpinning how the proteostasis network can drive prion strain selection., (Copyright © 2012 Elsevier Ltd. All rights reserved.)
- Published
- 2012
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23. Operational plasticity enables hsp104 to disaggregate diverse amyloid and nonamyloid clients.
- Author
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DeSantis ME, Leung EH, Sweeny EA, Jackrel ME, Cushman-Nick M, Neuhaus-Follini A, Vashist S, Sochor MA, Knight MN, and Shorter J
- Subjects
- Adenosine Triphosphate metabolism, Animals, Endopeptidase Clp, Escherichia coli metabolism, Escherichia coli Proteins metabolism, Humans, Parkinson Disease metabolism, Prions metabolism, Protein Folding, Amyloid metabolism, Heat-Shock Proteins chemistry, Heat-Shock Proteins metabolism, Saccharomyces cerevisiae metabolism, Saccharomyces cerevisiae Proteins chemistry, Saccharomyces cerevisiae Proteins metabolism
- Abstract
It is not understood how Hsp104, a hexameric AAA+ ATPase from yeast, disaggregates diverse structures, including stress-induced aggregates, prions, and α-synuclein conformers connected to Parkinson disease. Here, we establish that Hsp104 hexamers adapt different mechanisms of intersubunit collaboration to disaggregate stress-induced aggregates versus amyloid. To resolve disordered aggregates, Hsp104 subunits collaborate noncooperatively via probabilistic substrate binding and ATP hydrolysis. To disaggregate amyloid, several subunits cooperatively engage substrate and hydrolyze ATP. Importantly, Hsp104 variants with impaired intersubunit communication dissolve disordered aggregates, but not amyloid. Unexpectedly, prokaryotic ClpB subunits collaborate differently than Hsp104 and couple probabilistic substrate binding to cooperative ATP hydrolysis, which enhances disordered aggregate dissolution but sensitizes ClpB to inhibition and diminishes amyloid disaggregation. Finally, we establish that Hsp104 hexamers deploy more subunits to disaggregate Sup35 prion strains with more stable "cross-β" cores. Thus, operational plasticity enables Hsp104 to robustly dissolve amyloid and nonamyloid clients, which impose distinct mechanical demands., (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
24. Specific fluorine labeling of the HyHEL10 antibody affects antigen binding and dynamics.
- Author
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Acchione M, Lee YC, DeSantis ME, Lipschultz CA, Wlodawer A, Li M, Shanmuganathan A, Walter RL, Smith-Gill S, and Barchi JJ Jr
- Subjects
- Animals, Antibodies, Monoclonal metabolism, Antigens chemistry, Binding Sites, Antibody, Crystallography, X-Ray methods, Immunoglobulin G chemistry, Immunoglobulin G metabolism, Isotope Labeling methods, Mice, Molecular Dynamics Simulation, Muramidase immunology, Muramidase metabolism, Nuclear Magnetic Resonance, Biomolecular methods, Protein Binding immunology, Protein Structure, Secondary, Protein Structure, Tertiary, Antibodies, Monoclonal chemistry, Antigens metabolism, Fluorine metabolism, Muramidase chemistry
- Abstract
To more fully understand the molecular mechanisms responsible for variations in binding affinity with antibody maturation, we explored the use of site specific fluorine labeling and (19)F nuclear magnetic resonance (NMR). Several single-chain (scFv) antibodies, derived from an affinity-matured series of anti-hen egg white lysozyme (HEL) mouse IgG1, were constructed with either complete or individual replacement of tryptophan residues with 5-fluorotryptophan ((5F)W). An array of biophysical techniques was used to gain insight into the impact of fluorine substitution on the overall protein structure and antigen binding. SPR measurements indicated that (5F)W incorporation lowered binding affinity for the HEL antigen. The degree of analogue impact was residue-dependent, and the greatest decrease in affinity was observed when (5F)W was substituted for residues near the binding interface. In contrast, corresponding crystal structures in complex with HEL were essentially indistinguishable from the unsubstituted antibody. (19)F NMR analysis showed severe overlap of signals in the free fluorinated protein that was resolved upon binding to antigen, suggesting very distinct chemical environments for each (5F)W in the complex. Preliminary relaxation analysis suggested the presence of chemical exchange in the antibody-antigen complex that could not be observed by X-ray crystallography. These data demonstrate that fluorine NMR can be an extremely useful tool for discerning structural changes in scFv antibody-antigen complexes with altered function that may not be discernible by other biophysical techniques.
- Published
- 2012
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25. The elusive middle domain of Hsp104 and ClpB: location and function.
- Author
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Desantis ME and Shorter J
- Subjects
- Amino Acid Motifs, Amino Acid Sequence, Endopeptidase Clp, Molecular Sequence Data, Protein Binding, Protein Interaction Domains and Motifs, Protein Structure, Quaternary, Structural Homology, Protein, Escherichia coli Proteins chemistry, Heat-Shock Proteins chemistry, Saccharomyces cerevisiae Proteins chemistry
- Abstract
Hsp104 in yeast and ClpB in bacteria are homologous, hexameric AAA+ proteins and Hsp100 chaperones, which function in the stress response as ring-translocases that drive protein disaggregation and reactivation. Both Hsp104 and ClpB contain a distinctive coiled-coil middle domain (MD) inserted in the first AAA+ domain, which distinguishes them from other AAA+ proteins and Hsp100 family members. Here, we focus on recent developments concerning the location and function of the MD in these hexameric molecular machines, which remains an outstanding question. While the atomic structure of the hexameric assembly of Hsp104 and ClpB remains uncertain, recent advances have illuminated that the MD is critical for the intrinsic disaggregase activity of the hexamer and mediates key functional interactions with the Hsp70 chaperone system (Hsp70 and Hsp40) that empower protein disaggregation., (Copyright © 2011 Elsevier B.V. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
26. Purification of hsp104, a protein disaggregase.
- Author
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Sweeny EA, DeSantis ME, and Shorter J
- Subjects
- Escherichia coli genetics, Escherichia coli metabolism, Heat-Shock Proteins biosynthesis, Heat-Shock Proteins genetics, Escherichia coli chemistry, Heat-Shock Proteins isolation & purification
- Abstract
Hsp104 is a hexameric AAA+ protein(1) from yeast, which couples ATP hydrolysis to protein disaggregation (Fig. 1). This activity imparts two key selective advantages. First, renaturation of disordered aggregates by Hsp104 empowers yeast survival after various protein-misfolding stresses, including heat shock. Second, remodeling of cross-beta amyloid fibrils by Hsp104 enables yeast to exploit myriad prions (infectious amyloids) as a reservoir of beneficial and heritable phenotypic variation. Remarkably, Hsp104 directly remodels preamyloid oligomers and amyloid fibrils, including those comprised of the yeast prion proteins Sup35 and Ure2). This amyloid-remodeling functionality is a specialized facet of yeast Hsp104. The E. coli orthologue, ClpB, fails to remodel preamyloid oligomers or amyloid fibrils. Hsp104 orthologues are found in all kingdoms of life except, perplexingly, animals. Indeed, whether animal cells possess any enzymatic system that couples protein disaggregation to renaturation (rather than degradation) remains unknown. Thus, we and others have proposed that Hsp104 might be developed as a therapeutic agent for various neurodegenerative diseases connected with the misfolding of specific proteins into toxic preamyloid oligomers and amyloid fibrils. There are no treatments that directly target the aggregated species associated with these diseases. Yet, Hsp104 dissolves toxic oligomers and amyloid fibrils composed of alpha-synuclein, which are connected with Parkinson's Disease as well as amyloid forms of PrP. Importantly, Hsp104 reduces protein aggregation and ameliorates neurodegeneration in rodent models of Parkinson's Disease and Huntington's disease. Ideally, to optimize therapy and minimize side effects, Hsp104 would be engineered and potentiated to selectively remodel specific aggregates central to the disease in question. However, the limited structural and mechanistic understanding of how Hsp104 disaggregates such a diverse repertoire of aggregated structures and unrelated proteins frustrates these endeavors. To understand the structure and mechanism of Hsp104, it is essential to study the pure protein and reconstitute its disaggregase activity with minimal components. Hsp104 is a 102 kDa protein with a pI of -5.3, which hexamerizes in the presence of ADP or ATP, or at high protein concentrations in the absence of nucleotide. Here, we describe an optimized protocol for the purification of highly active, stable Hsp104 from E. coli. The use of E. coli allows simplified large-scale production and our method can be performed quickly and reliably for numerous Hsp104 variants. Our protocol increases Hsp104 purity and simplifies His(6)-tag removal compared to a previous purification method from E. coli. Moreover, our protocol is more facile and convenient than two more recent protocols.
- Published
- 2011
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27. Preventing Parkinson's pathology.
- Author
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DeSantis ME and Dersh D
- Subjects
- Animals, Caenorhabditis elegans drug effects, Caenorhabditis elegans metabolism, Disease Models, Animal, Humans, Protein Structure, Quaternary, Rats, Saccharomyces cerevisiae drug effects, Saccharomyces cerevisiae metabolism, Small Molecule Libraries pharmacology, alpha-Synuclein chemistry, alpha-Synuclein toxicity, Parkinson Disease pathology, Parkinson Disease prevention & control
- Published
- 2010
- Full Text
- View/download PDF
28. Light chain somatic mutations change thermodynamics of binding and water coordination in the HyHEL-10 family of antibodies.
- Author
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Acchione M, Lipschultz CA, DeSantis ME, Shanmuganathan A, Li M, Wlodawer A, Tarasov S, and Smith-Gill SJ
- Subjects
- Antibodies immunology, Calorimetry, Crystallography, X-Ray, Glycine chemistry, Immunoglobulin Fab Fragments immunology, Immunoglobulin Heavy Chains chemistry, Immunoglobulin Heavy Chains genetics, Models, Molecular, Muramidase chemistry, Muramidase immunology, Pliability, Protein Structure, Secondary, Thermodynamics, Antibodies chemistry, Antibodies genetics, Immunoglobulin Light Chains genetics, Mutation genetics, Water chemistry
- Abstract
Thermodynamic and structural studies addressed the increased affinity due to L-chain somatic mutations in the HyHEL-10 family of affinity matured IgG antibodies, using ITC, SPR with van't Hoff analysis, and X-ray crystallography. When compared to the parental antibody H26L26, the H26L10 and H26L8 chimeras binding to lysozyme showed an increase in favorable DeltaG(o) of -1.2+/-0.1 kcal mol(-1) and -1.3+/-0.1 kcal mol(-1), respectively. Increase in affinity of the H26L10 chimera was due to a net increase in favorable enthalpy change with little difference in change in entropy compared to H26L26. The H26L8 chimera exhibited the greatest increase in favorable enthalpy but also showed an increase in unfavorable entropy change, with the result being that the affinities of both chimeras were essentially equivalent. Site-directed L-chain mutants identified the shared somatic mutation S30G as the dominant contributor to increasing affinity to lysozyme. This mutation was not influenced by H-chain somatic mutations. Residue 30L is at the periphery of the binding interface and S30G effects an increase in hydrophobicity and decrease in H-bonding ability and size, but does not make any new energetically important antigen contacts. A new 1.2-A structure of the H10L10-HEL complex showed changes in the pattern of both inter- and intra-molecular water bridging with no other significant structural alterations near the binding interface compared to the H26L26-HEL complex. These results highlight the necessity for investigating both the structure and the thermodynamics associated with introduced mutations, in order to better assess and understand their impact on binding. Furthermore, it provides an important example of how backbone flexibility and water-bridging may favorably influence the thermodynamics of an antibody-antigen interaction.
- Published
- 2009
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29. Association energetics of cross-reactive and specific antibodies.
- Author
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Mohan S, Kourentzi K, Schick KA, Uehara C, Lipschultz CA, Acchione M, Desantis ME, Smith-Gill SJ, and Willson RC
- Subjects
- Animals, Calorimetry, Chickens, Coturnix, Muramidase immunology, Mutation genetics, Protein Structure, Secondary, Quail, Thermodynamics, Antibodies, Monoclonal chemistry, Antibodies, Monoclonal immunology, Antibody Specificity immunology, Cross Reactions immunology
- Abstract
HyHEL-8, HyHEL-10, and HyHEL-26 (HH8, HH10, and HH26, respectively) are murine monoclonal IgG(1) antibodies which share over 90% variable-region amino acid sequence identity and recognize identical structurally characterized epitopes on hen egg white lysozyme (HEL). Previous immunochemical and surface plasmon resonance-based studies have shown that these antibodies differ widely in their tolerance of mutations in the epitope. While HH8 is the most cross-reactive, HH26 is rigidified by a more extensive network of intramolecular salt links and is highly specific, with both association and dissociation rates strongly affected by epitope mutations. HH10 is of intermediate specificity, and epitope mutations produce changes primarily in the dissociation rate. Calorimetric characterization of the association energetics of these three antibodies with the native antigen HEL and with Japanese quail egg white lysozyme (JQL), a naturally occurring avian variant, shows that the energetics of interaction correlate with cross-reactivity and specificity. These results suggest that the greater cross-reactivity of HH8 may be mediated by a combination of conformational flexibility and less specific intermolecular interactions. Thermodynamic calculations suggest that upon association HH8 incurs the largest configurational entropic penalty and also the smallest loss of enthalpic driving force with variant antigen. Much smaller structural perturbations are expected in the formation of the less flexible HH26 complex, and the large loss of enthalpic driving force observed with variant antigen reflects its specificity. The observed thermodynamic parameters correlate well with the observed functional behavior of the antibodies and illustrate fundamental differences in thermodynamic characteristics between cross-reactive and specific molecular recognition.
- Published
- 2009
- Full Text
- View/download PDF
30. Laser treatments with verteporfin therapy and its potential impact on retinal practices.
- Author
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Margherio RR, Margherio AR, and DeSantis ME
- Subjects
- Choroidal Neovascularization economics, Choroidal Neovascularization etiology, Cost-Benefit Analysis, Humans, Injections, Intravenous, Laser Coagulation, Macular Degeneration complications, Macular Degeneration economics, Photosensitizing Agents economics, Porphyrins economics, Sickness Impact Profile, Verteporfin, Visual Acuity, Choroidal Neovascularization drug therapy, Macular Degeneration drug therapy, Ophthalmology statistics & numerical data, Photochemotherapy economics, Photosensitizing Agents therapeutic use, Porphyrins therapeutic use, Practice Patterns, Physicians' statistics & numerical data
- Abstract
Background: In the 1990s, the only available treatment for neovascular age-related macular degeneration (ARMD) was laser photocoagulation, but a minority of patients could be treated. Photodynamic therapy with verteporfin potentially allows many more patients to be treated. The authors' aim was to assess the impact of this increase on retinal practices., Methods: The number of patients who received laser photocoagulation in 1998 was determined. Based on that number and a retrospective review of 1000 consecutive records of new patients with ARMD referred to the Associated Retinal Consultants practices during 1998, estimates were made of how many patients would have been eligible for verteporfin therapy., Results: Of the 1000 patients, 171 had predominantly classic subfoveal choroidal neovascularization secondary to ARMD and would have been eligible for verteporfin therapy, compared with 99 treated with laser photocoagulation according to Macular Photocoagulation Study guidelines. If this patient population is representative of the general population, approximately 84,000 patients would be eligible for verteporfin therapy in the United States per year, compared with 42,000 for laser photocoagulation. This would lead to 286,000 verteporfin treatments per year if retreatments are required., Conclusions: This increase in treatments for neovascular ARMD will have a considerable impact on retinal practices. Although the resources that will need to be expended are high, the potential benefit of verteporfin therapy in reducing vision loss will outweigh the costs.
- Published
- 2000
- Full Text
- View/download PDF
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