PMID- 14517221 OWN - NLM STAT- MEDLINE DCOM- 20040115 LR - 20210206 IS - 0021-9258 (Print) IS - 0021-9258 (Linking) VI - 278 IP - 50 DP - 2003 Dec 12 TI - Functional and structural basis of carnitine palmitoyltransferase 1A deficiency. PG - 50428-34 AB - Carnitine palmitoyltransferase 1A (CPT1A) is the key regulatory enzyme of hepatic long-chain fatty acid beta-oxidation. Human CPT1A deficiency is characterized by recurrent attacks of hypoketotic hypoglycemia. We presently analyzed at both the functional and structural levels five missense mutations identified in three CPT1A-deficient patients, namely A275T, A414V, Y498C, G709E, and G710E. Heterologous expression in Saccharomyces cerevisiae permitted to validate them as disease-causing mutations. To gain further insights into their deleterious effects, we localized these mutated residues into a three-dimensional structure model of the human CPT1A created from the crystal structure of the mouse carnitine acetyltransferase. This study demonstrated for the first time that disease-causing CPT1A mutations can be divided into two categories depending on whether they affect directly (functional determinant) or indirectly the active site of the enzyme (structural determinant). Mutations A275T, A414V, and Y498C, which exhibit decreased catalytic efficiency, clearly belong to the second class. They are located more than 20 A away from the active site and mostly affect the stability of the protein itself and/or of the enzyme-substrate complex. By contrast, mutations G709E and G710E, which abolish CPT1A activity, belong to the first category. They affect Gly residues that are essential not only for the structure of the hydrophobic core in the catalytic site, but also for the chain-length specificity of CPT isoforms. This study provides novel insights into the functionality of CPT1A that may contribute to the design of drugs for the treatment of lipid disorders. FAU - Gobin, Stephanie AU - Gobin S AD - Departement d'Endocrinologie, Institut Cochin, INSERM U567, CNRS Unite Mixte de Recherche 8104, Universite Rene Descartes, 24 Rue du Faubourg Saint-Jacques, 75014 Paris, France. FAU - Thuillier, Laure AU - Thuillier L FAU - Jogl, Gerwald AU - Jogl G FAU - Faye, Audrey AU - Faye A FAU - Tong, Liang AU - Tong L FAU - Chi, Mihaiti AU - Chi M FAU - Bonnefont, Jean-Paul AU - Bonnefont JP FAU - Girard, Jean AU - Girard J FAU - Prip-Buus, Carina AU - Prip-Buus C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20030929 PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - 0 (Protein Isoforms) RN - EC 2.3.1.21 (Carnitine O-Palmitoyltransferase) RN - EC 3.4.21.4 (Trypsin) SB - IM MH - Amino Acid Sequence MH - Binding Sites MH - Blotting, Western MH - Carnitine O-Palmitoyltransferase/*deficiency/*genetics MH - Catalytic Domain MH - Crystallography, X-Ray MH - Dose-Response Relationship, Drug MH - Electrophoresis, Polyacrylamide Gel MH - Fibroblasts/metabolism MH - Humans MH - Inhibitory Concentration 50 MH - Kinetics MH - Lipid Metabolism MH - Mitochondria/metabolism MH - Models, Genetic MH - Models, Molecular MH - Molecular Sequence Data MH - Mutation MH - Mutation, Missense MH - Protein Conformation MH - Protein Folding MH - Protein Isoforms MH - Protein Structure, Secondary MH - Saccharomyces cerevisiae/metabolism MH - Sequence Homology, Amino Acid MH - Subcellular Fractions/metabolism MH - Trypsin/chemistry EDAT- 2003/10/01 05:00 MHDA- 2004/01/16 05:00 CRDT- 2003/10/01 05:00 PHST- 2003/10/01 05:00 [pubmed] PHST- 2004/01/16 05:00 [medline] PHST- 2003/10/01 05:00 [entrez] AID - S0021-9258(20)75562-6 [pii] AID - 10.1074/jbc.M310130200 [doi] PST - ppublish SO - J Biol Chem. 2003 Dec 12;278(50):50428-34. doi: 10.1074/jbc.M310130200. Epub 2003 Sep 29.