Stricklin G P, Welgus H G, Bauer E A
J Clin Invest. 1982 Jun;69(6):1373-83. doi: 10.1172/jci110577.
Recessive dystrophic epidermolysis bullosa, a genodermatosis characterized by dermolytic blister formation in response to minor trauma, is characterized by an incresaed collagenase synthesis by skin fibroblasts in culture. Since preliminary studies of partially purified recessive dystrophic epidermolysis bullosa collagenase suggested that the protein itself was aberrant, efforts were made to purify this enzyme to homogeneity, so that detailed biochemical and immunologic comparisons could be made with normal human skin fibroblast collagenase. Recessive dystrophic epidermolysis bullosa skin fibroblasts obtained from a patient documented to have increased synthesis of the enzyme were grown in large scale tissue culture and both serum-free and serum-containing medium collected as a source of collagenase. The recessive dystrophic epidermolysis bullosa collagenase was purified to electrophoretic homogeneity using a combination of salt precipitation, ion-exchange, and gel-filtration chromatography. In contrast to the normal enzyme, the recessive dystrophic epidermolysis bullosa collagenase bound to carboxymethyl-cellulose at Ca(2+) concentrations at least 10 times higher than those used with the normal enzyme. Additionally, this enzyme was significantly more labile to chromatographic manipulations, particularly when serum-free medium was used. However, rapid purification from serum-containing medium yielded a preparation enzymatically equivalent to normal human skin collagenase. Like the normal enzyme, the recessive dystrophic epidermolysis bullosa collagenase was secreted as a set of two closely related zymogens of approximately 60,000 and approximately 55,000 daltons that could be activated by trypsin to form enzymically active species of approximately 50,000 and approximately 45,000 daltons, respectively. Amino acid analysis suggested slight variations between the normal and recessive dystrophic epidermolysis bullosa collagenases. Cyanogen bromide digests demonstrated peptides unique to the enzyme from each source. The recessive dystrophic epidermolysis bullosa proenzyme was significantly more thermolabile at 60 degrees C than the normal, a finding that correlated with an approximate fourfold decrease in the affinity of the mutant enzyme for Ca(2+), a known activator and stabilizer of human skin collagenase. Aside from the altered affinity for this metal cofactor, kinetic analysis of the structurally altered recessive dystrophic epidermolysis bullosa collagenase revealed that its reaction rates and substrate specificity for human collagen types I-V were identical to those for the normal enzyme. Likewise, enzymes from both sources displayed identical energies of activation and deuterium isotope effects. Antisera were raised to the normal and putatively mutant procollagenases respectively, and, although they displayed a reaction of identity in double diffusion analysis, immunologic differences were present in enzyme inhibition and quantitative precipitation studies. These studies indicate that recessive dystrophic epidermolysis bullosa is characterized by the increased synthesis of an enzymically normal, but structurally aberrant, collagenase.
隐性遗传性营养不良型大疱性表皮松解症是一种遗传性皮肤病,其特征是受到轻微创伤后会形成皮肤溶解性水疱,其特点是培养的皮肤成纤维细胞中胶原酶合成增加。由于对部分纯化的隐性遗传性营养不良型大疱性表皮松解症胶原酶的初步研究表明该蛋白质本身存在异常,因此努力将这种酶纯化至同质,以便能够与正常人皮肤成纤维细胞胶原酶进行详细的生化和免疫学比较。从一名被证明该酶合成增加的患者身上获取的隐性遗传性营养不良型大疱性表皮松解症皮肤成纤维细胞在大规模组织培养中生长,并收集无血清和含血清培养基作为胶原酶的来源。使用盐沉淀、离子交换和凝胶过滤色谱相结合的方法将隐性遗传性营养不良型大疱性表皮松解症胶原酶纯化至电泳同质。与正常酶相比,隐性遗传性营养不良型大疱性表皮松解症胶原酶在Ca(2+)浓度下与羧甲基纤维素结合,该浓度至少比用于正常酶的浓度高10倍。此外,这种酶对色谱操作明显更不稳定,特别是在使用无血清培养基时。然而,从含血清培养基中快速纯化得到的制剂在酶活性上与正常人皮肤胶原酶相当。与正常酶一样,隐性遗传性营养不良型大疱性表皮松解症胶原酶以一组两种紧密相关的酶原形式分泌,分子量分别约为60,000和55,000道尔顿,可被胰蛋白酶激活形成酶活性形式,分子量分别约为50,000和45,000道尔顿。氨基酸分析表明正常和隐性遗传性营养不良型大疱性表皮松解症胶原酶之间存在细微差异。溴化氰消化显示每种来源的酶具有独特的肽段。隐性遗传性营养不良型大疱性表皮松解症酶原在60℃时比正常酶原对热更不稳定,这一发现与突变酶对Ca(2+)的亲和力下降约四倍相关,Ca(2+)是已知的人皮肤胶原酶的激活剂和稳定剂。除了对这种金属辅因子的亲和力改变外,对结构改变的隐性遗传性营养不良型大疱性表皮松解症胶原酶的动力学分析表明,其对人I-V型胶原的反应速率和底物特异性与正常酶相同。同样,来自两种来源的酶显示出相同的激活能和氘同位素效应。分别针对正常和推定的突变前胶原酶制备了抗血清,尽管它们在双向扩散分析中显示出同一性反应,但在酶抑制和定量沉淀研究中存在免疫学差异。这些研究表明,隐性遗传性营养不良型大疱性表皮松解症的特征是合成一种酶活性正常但结构异常的胶原酶增加。