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分子表型将 SLC13A5 癫痫中的错义突变分离出来。

Molecular Phenotypes Segregate Missense Mutations in SLC13A5 Epilepsy.

机构信息

Department of Cell Biology and Biochemistry, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.

Department of Cell Biology and Biochemistry, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.

出版信息

J Mol Biol. 2024 Nov 15;436(22):168820. doi: 10.1016/j.jmb.2024.168820. Epub 2024 Oct 22.

Abstract

The sodium-coupled citrate transporter (NaCT, SLC13A5) mediates citrate uptake across the plasma membrane via an inward Na gradient. Mutations in SLC13A5 cause early infantile epileptic encephalopathy type-25 (EIEE25, SLC13A5 Epilepsy) due to impaired citrate uptake in neurons and astrocytes. Despite clinical identification of disease-causing mutations, underlying mechanisms and cures remain elusive. Here we mechanistically classify six frequent SLC13A5 mutations by phenotyping their protein cell surface expression and citrate transport functions. Mutants C50R, T142M, and T227M exhibit impaired citrate transport despite normal expression at the cell surface. In contrast, mutations G219R, S427L, and L488P show low total protein expression levels, absence of mature, glycosylated proteins at the cell surface, retention of the proteins in the endoplasmic reticulum, and diminished transport activity. This mechanistic classification divides SLC13A5 mutants into two groups, Class I (C50R, T142M, and T227M) and Class II (G219R, S427L, and L488P). Importantly, mutants' mRNA levels resemble wildtype, suggesting post-translational defects. Class II mutations display immature core-glycosylation and shortened half-lives, indicating protein folding defects. Together, these experiments provide a comprehensive understanding of the disease-causing mutation's defects in SLC13A5 Epilepsy at the biochemical and molecular level and shed light into the trafficking pathway(s) of NaCT. The two classes of mutations will require fundamentally different approaches for treatment to either restore transport function of the mutant protein that is capable of reaching the cell surface (Class I), or therapies that enable the correction of protein folding defects to enable escape to the cell surface where it may restore transport function (Class II).

摘要

钠-柠檬酸协同转运蛋白(NaCT,SLC13A5)通过内向钠离子梯度介导柠檬酸穿过质膜的摄取。SLC13A5 中的突变导致早发性婴儿癫痫性脑病 25 型(EIEE25,SLC13A5 癫痫),因为神经元和星形胶质细胞中的柠檬酸摄取受损。尽管已经鉴定出致病突变,但潜在的机制和治疗方法仍然难以捉摸。在这里,我们通过表型分析它们的蛋白细胞表面表达和柠檬酸转运功能,对六种常见的 SLC13A5 突变进行了机制分类。突变体 C50R、T142M 和 T227M 尽管在细胞表面表达正常,但表现出柠檬酸转运受损。相比之下,突变体 G219R、S427L 和 L488P 显示出低总蛋白表达水平、成熟的、糖基化的蛋白在细胞表面缺失、蛋白在内质网中的保留以及转运活性降低。这种机制分类将 SLC13A5 突变体分为两类,I 类(C50R、T142M 和 T227M)和 II 类(G219R、S427L 和 L488P)。重要的是,突变体的 mRNA 水平与野生型相似,提示存在翻译后缺陷。II 类突变显示不成熟的核心糖基化和缩短的半衰期,表明蛋白折叠缺陷。总之,这些实验在生化和分子水平上提供了对 SLC13A5 癫痫致病突变缺陷的全面理解,并揭示了 NaCT 的运输途径。这两种类型的突变需要从根本上不同的方法来治疗,要么恢复能够到达细胞表面的突变蛋白的转运功能(I 类),要么采用能够纠正蛋白折叠缺陷的治疗方法,使它们能够逃避到细胞表面,从而恢复转运功能(II 类)。

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