Protein Folding and Disease Flashcards
What does biological folding require?
Elaborate machinery and energy input
Give examples of bond formation/isomerisation that is too slow to support life unaided.
Spontaneous peptidyl-propyl amide bond isomerisation
Spontaneous disulphide bind formation
In the cell what is there a constant competition between?
Folding, misfolding and aggregation
- Always in equilibrium to the unfolded polypeptide
What does a folding funnel show?
The 3D energy landscape
Where does aggregation occur from?
A partially folded trapped state
OR
Intrinsically unfold proteins - aggregation occurs from the unfolded state
What are the to environments in which proteins commence folding?
Cytoplasm
Secretory pathway
What did Anfinsen teach us?
Refolding is spontaneous at low protein concentration and temperature in vivo
What do chaperones and folding enzymes allow?
Multiple attempts at proper folding
What are the three outcomes for misfiling?
Degradation - Gauchers disease
Improper trafficking - CF
Toxic conformer - FAP, Lysozyme amyloidosis
In the disease lysozyme amyloidosis what is the protein called and what is the precursor?
Lysozyme
mixed alpha beta fold
In FAP what is the protein called and what is the precursor?
Transthyretin, all beta
Give examples of functional amyloid
Melanin made on pMel17
Secretory hormones - small peptides
Define the characteristics of amyloid aggregates
Thread like amyloid fibrils about 10nm in diameter and rich in beta sheet structure
What are the common properties of amyloid fibrils?
Fibre diffraction - cross beta structure
Negative Stain EM
Congo red birefringence - the dye gets ordered
Nucleated growth
What are the examples that amyloid like fibrils can be made from?
Polylysine
Polyglutamate
Polythreonine
and myoglobin (when under the right conditions)
What did cyro-EM studies of amyloid fibrils show?
One form of SH3 fibrils is a hollow tube only about 10nm in diameter but several microns in length
Built of four protofilaments each with cross beta structure
What are amyloid fibrils composed of?
Different numbers of inter twined protofilaments
Define the characteristics of human lysozyme
Small 130 amino acids 4 disulphide bonds Enzyme glycosidase Soluble, globular protein Mixed alpha beta fold X-Ray and NMR structure available
What are the mutations of human lysozyme that form amyloid in vivo?
I56T and D67H
What did the X-ray structures of human lysozyme tell us?
Amyloidogenic variants fold to a native like structure and are catalytically active - highlighting that this is not a folding disease - have the same X-ray structures
Which features imbue the amyloidogenic character of these lysozyme variants?
Lysozyme variants are less stable than wild type and more aggregation prone
What are the common properties of amyloidgoenic lysozyme variants?
- Correctly folded and catalytically active
- Less stable
- Aggregation prone
Does the reduction in stability explain their ability to form amyloid?
No, other variants are found that are equally destabilised yet are not involved in disease
How does the D67H variant of lysozyme exchange with solvent?
Deuterium/hydrogen exchange
- Exchanges cooperatively - transient unfolding of the entire beta domain
What does soft ionisation allow?
Proteins can be introduced into the gas phase whilst maintaining their integrity
How does the D67H exchange with the solvent?
Transient unfolding one the entire beta domain
Cooperatively and concurrently
Give brief details about Jeff Kelly
Professor of Chemistry
Molecule to Market
Published 353 papers with a h=73
Discovered tafamidis
What type of disease are the transthyretin amyloidosis?
In trans gain of proteotoxcity
What type of tissue does TTR aggregation destroy?
post-mitotic tissue
What are the two diseases associated with TTR?
SSA - senile systemic amyloidosis
FAP - familial amyloid polyneuropathy and cardiomyopathy
What protein is implicated in SSA?
Wild type
What [rotein is implicated in FAP?
mutant and wt TTR
What is the age of onset for SSA?
Greater than 60
What is the age of onset for FAP?
15-60
Describe TTR
127 amino acids
Beta sheet rich
55kDa homotetramer
Present in serum and cerebral spinal fluid
What does TTR stand for?
Transport Thyroxine Retinol binding protein
What does TTR not do in humans?
Thyroxine carrier function is not used - negative cooperativity whereas there is thyroxine binding protein that has much higher affinity 6x10^9
How many mutations are known to give rise to transthyretin amyloidosis?
Over 50
What is believed to be the cause of disease?
Tetramer dissociates - monomers misfiled and form oligomers then protofibrils then fibrils
Native monomer is not amyloidogenic
Where is the weak point in TTR?
Along the 2 fold axis - dissociates into two dimers here
When was the proof of principle that kinetic stabilisation of transthyretin prevents fibril formation?
1996
- 3 equivalents of small molecule inhibits TTR aggregation
What is the most conservative approach?
Do not presuppose what the toxic species is
What is the highly penetrant version of FAP in Portugal?
V30M FAP
What did the family who had V30M also have that meant they did not develop FAP?
T119M
What does the T119M mutation seem to do?
Protect against V30M amyloidogenesis in trans through mixed tetramer formation
What does the T119M subunit incorporation do?
Increases the dissociative kinetic barrier preventing amyloidogenesis and amyloidosis
What does the addition of small molecules do?
Activation barrier tuning with small molecules mediated by native state kinetic stabilisation
- Prevent amyloidogenesis by kinetic stabilisation of the native state
At what pH and time did two equivalents of small molecule inhibit TTR aggregation?
Titrated in different concentrations of thyroxine relative to TTR
pH 5
72 hours
What are the properties required for a TTR amyloid drug?
Bind tightly to TTR with negative cooperativity
Bind one or more binding sites
Bind with high selectivity to TTR in plasma
Does not interfere with thyroid hormone receptor
What is the efficacy score for TTR amyloid drug?
A combination of binding affinity for TTR and binding selectivity
What small molecule can be used with TTR?
A small analogue of thyroxine - TTR can bind thyroxine but this function is not used in vivo
What did the attachment of the cysteine to TTR do?
Made a heterotetramer and a place to attach an extra moiety
What was discovered about the linker?
The longer the linker the more inhibition - needs to be able to bind round to the AS
Otherwise the biaromatic moiety can’t bind round and fit in
Don’t need to work against negative cooperativity
What type of kinetic stabilisers are excellent for TTR amyloidogenesis inhibitors?
Benzoxazole based TTR kinetic stabilisers
What drug was designed with air of X-Ray crystallography?
Tafamidis
With tafamidis what neurological examination changes?
Sensation, muscle strength and lower limn reflexes change from baseline
What else does tafamidis improve?
Large fibre function, five nerve conduction measurements, vibratory threshold, heart rate and response to deep breathing
Improved cachexia and autonomic neuropathy
What statistical significance was found in all endpoints?
Improved small nerve fibre function
Improved large nerve fibre function
Reversal in slope of modified body mass index
Improvement in lower extremity neurological exam
What is the proteostasis network?
Compilation of integrated biological pathways that influence the proteome and its function from birth to death - protein synthesis, folding, trafficking and degradation
Maintenance of the proteome
Are the proteins involved in maintaining the proteasome conserved?
Yes from yeast to fungi to man
Where are chaperone regulators increased greatly?
In higher order eukaryotes
How many genes do eukaryotes have to monitor the proteome?
Around 600
What are the various types of molecular chaperones and folding enzymes?
Hsp70 and Hsp40 Hsp90 sHSPs Chp Pfd
What is Gauchers disease?
A genetic disease in which a fatty substance accumulates in cells and certain organs
What type of disease is Gauchers the most common?
Lysosomal storage diseases
What is Gauchers disease characterised by?
Bruising, low platelets, enlargement of the liver and spleen, fatigue and anaemia
What enzyme is involved in Gauchers disease?
Hereditary deficiency in the enzyme glucosylceramidase
What does the enzyme do?
Acts on the fatty acid glucysoylceramide - when the enzyme is absent glucosylceramide accumulates particularly in white blood cells, most often macrophages
What is the threshold value for lysosomal GC enzymatic activity?
10%
At what percentage do you have Gauchers disease?
8%
Hence why this is a good disease to try and treat - not trying to get 100% of the enzyme folded, just need to increase by 2%
What does GC convert glucosylceramide into?
Glucose and ceramide
What happens when the mutation N370S is incorporated into GC?
Would be stable in the lysosome, however the large pH difference between the lysosome (5) and ER (7.4) means that the protein is not stable in the ER hence degraded ERAD
What did immunofluorescence show?
Wildtype co-localises to the lysosome (LAMP4)
What mutation in GC showed trafficking at a permissive temperature?
L444P
What happened to this mutation?
At 30 degrees the protein can fold and traffic to the lysosome
At 37 degrees the protein can not make it to the lysosome
What are proteostasis regulators?
Small molecules or biologicals that control the concentration, conformation, quaternary structure and location of proteins comprising the proteome by manipulating the proteostasis network, often by influencing the signaling pathways that control the proteostasis network
What were the two proteostasis regulators that increased L444P GC activity in patient-derived fibroblasts?
Celastrol and MG-132
What concentration of MG-132 increased L44P activity in patient derived fibroblasts?
Around 0.8 microM
What sugar side chain is sensitive to endo H?
Mannose rich glycans in the ER
What sugar side chain is resistant to EndoH?
Complex glycan in the Golgi
What did EndoH analysis of L444P show?
MG-132 allows its trafficking to the Golgi
What did immunofluorescence with proteostasis regulators show?
They enhance proper GC trafficking to the lysosome as discerned by immunofluorescence
What is the mechanism of protein homeostasis regulators NOT revealed by?
Known pharmacology
Celasrtrol - heat shock response activation of the proteostasis network do not explain
MG-132 - proteasome inhibition does not explain
What does the Unfolded Protein Response do?
Remodels the ER proteostasis network through three branches
What are the three branches of the UPR?
ATF6
PERK
IRE1
- BiP binds to these proteins and switches them off - when they are activated BiP dissociates off to help the protein folding chaperone activity
Where does IRE1 sit?
ER membrane
What happens when BiP dissociates from IRE1?
Dimerise and trans-phosphorylate - become active
What does IRE1 then do?
Alter a type of mRNA splicing within the cytoplasm - XBP1 - normally an intron however splicing by IRE1 switches XBP1 on
What is XBP1 when active?
A TF - turns on transcription and translation of chaperone, lipid synthesis components and ERAD proteins
Does MG-132 and Celastrol affect IRE1?
Yes - look at XBP1 splicing