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Tiêu đề Mechanisms of amyloid fibril formation – focus on domain-swapping
Tác giả Eva Žerovnik, Veronika Stoka, Andreja Mirtič, Gregor Gunčar, Jože Grdadolnik, Rosemary A. Staniforth, Dušan Turk, Vito Turk
Trường học University of Ljubljana
Chuyên ngành Biochemistry and molecular and structural biology
Thể loại Review article
Năm xuất bản 2011
Thành phố Ljubljana
Định dạng
Số trang 20
Dung lượng 480,74 KB

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To understand the molecular mecha-nisms of the process of amyloid fibril formation, numerous in vitro and in vivo studies, including model and pathologically relevant proteins, have been

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Mechanisms of amyloid fibril formation – focus on

domain-swapping

Eva Zˇerovnik1, Veronika Stoka1, Andreja Mirticˇ2, Gregor Guncˇar3, Jozˇe Grdadolnik2,4,

Rosemary A Staniforth5, Dusˇan Turk1,6and Vito Turk1

1 Department of Biochemistry and Molecular and Structural Biology, Jozˇef Stefan Institute, Ljubljana, Slovenia

2 Laboratory of Biomolecular Structure, National Institute of Chemistry, Ljubljana, Slovenia

3 Department of Biochemistry, Faculty of Chemistry and Chemical Technology, University of Ljubljana, Slovenia

4 En-Fist Centre of Excellence, Ljubljana, Slovenia

5 Department of Molecular Biology and Biotechnology, University of Sheffield, UK

6 Center of Excellence for Integrated Approaches in Chemistry and Biology of Proteins, Ljubljana, Slovenia

Introduction

The ordered aggregation of proteins to amyloid fibrils

is at the core of systemic diseases such as diabetes

type II and immunoglobulin light-chain amyloidosis,

and also prevalent in localized diseases, particularly

in neurodegenerative disorders such as Alzheimer’s,

Parkinson’s, Huntington’s disease, several other

dementias, motor neuron disease, different ataxias

and prion-related diseases [1–4] Increasing evidence suggests that aberrant folding of the mutated protein and its aggregation might be the initial trigger of such diseases, followed by other consequences, such as

Ca2+ and metal ion imbalance, oxidative stress, and the overload of chaperone and ubiquitin proteasome systems [1,5,6] The primary trigger in sporadic cases is

Keywords

domain-swapping; mechanisms of

amyloid-fibril formation; protein aggregation; stefin

B; toxic oligomers

Correspondence

E Zˇerovnik, Department of Biochemistry

and Molecular and Structural Biology, Jozˇef

Stefan Institute, Jamova 39, 1000 Ljubljana,

Slovenia

Fax: + 386 1 477 3984

Tel: + 386 1 477 3753

E-mail: eva.zerovnik@ijs.si

(Received 18 February 2011, revised 6 April

2011, accepted 28 April 2011)

doi:10.1111/j.1742-4658.2011.08149.x

Conformational diseases constitute a group of heterologous disorders in which a constituent host protein undergoes changes in conformation, lead-ing to aggregation and deposition To understand the molecular mecha-nisms of the process of amyloid fibril formation, numerous in vitro and

in vivo studies, including model and pathologically relevant proteins, have been performed Understanding the molecular details of these processes is

of major importance to understand neurodegenerative diseases and could contribute to more effective therapies Many models have been proposed

to describe the mechanism by which proteins undergo ordered aggregation into amyloid fibrils We classify these as: (a) templating and nucleation; (b) linear, colloid-like assembly of spherical oligomers; and (c) domain-swap-ping In this review, we stress the role of domain-swapping and discuss the role of proline switches

Abbreviations

1D, 1 dimensional; AFM, atomic force microscopy; CO, critical oligomers; DA, dipole assembly; DCF, double-concerted fibrillation; IDPs, intrinsically disordered proteins; MDC, monomer-directed conversion; NCC, nucleated conformational conversion; NDP,

nucleation-dependent polymerization; NP, nucleated polymerization; OFF, off-pathway folding; TA, templated assembly; TEM, transmission electron microscopy; TFE, 2,2,2-trifluoroethanol.

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still a matter of debate Proteins and lipids become

damaged by oxidative stress and by excessive metal

interactions, which, in turn, could both promote

pro-tein aggregation [7,8] Aging by itself influences the

performance of the ubiquitin–proteasome system [9]

and autophagy [10], with a concomitant decline in

pro-tein degradation capability In addition, mitochondrial

energy production becomes less efficient with age [11]

All these factors could contribute to the accumulation

of protein aggregates

Understanding the rules governing protein folding

should lead to a better understanding of protein

‘mis-folding’ (i.e folding to an alternative, often multimeric

state) The conversion to the cross-b structure observed

in mature amyloid fibrils takes place starting from an

intermediate conformation which, in the case of

globu-lar proteins, forms after partial unfolding and, in

natively unfolded proteins, after partial folding [12,13]

Dobson [14] proposed that any protein can be

trans-formed into amyloid fibrils Many disease-related and

nonpathological proteins have been studied in an

attempt to reveal the molecular mechanism of their

aggregation into ordered, b-sheet rich amyloid fibrils

In this review, we focus on the possible mechanisms of

amyloid-fibril formation and search for common

grounds We also discuss the interface between folding

and aggregation

The field of protein aggregation into amyloid

fibrils combines physicochemical and structural studies,

cellular and animal models, and clinical studies In

addition to providing a basic understanding of the

pro-cesses of protein folding and aggregation, such data

help towards translational approaches in medicine

Structural and morphological data

Pre-amyloid, oligomeric intermediates, at the

cross-roads between protein folding and aggregation, possess

some common structure, regardless of their amino acid

sequence, because polyclonal antibodies raised against

one can bind to most such oligomers of different

amy-loid proteins [15] It remains to be clarified whether

the structure of the prefibrillar oligomers is indeed all

b-sheet or whether the a-helical parts are the ones that

cross the membranes As revealed by atomic force

microscopy (AFM), the structure of such annular

olig-omers embedded in lipid bilayers resembles that of the

well ordered bacterial toxins [15–17] It still remains

for us to capture and image the annular oligomers in

their cellular environment where they are inserted in

cellular membranes We envisage that two-photon

fluo-rescence correlation spectroscopy [18] may soon make

this possible However, the common structural details

of the oligomers and their mode of toxic action remain unknown [4] and would profit from innovative research approaches

Mature amyloid fibrils are long and straight, usually comprising four to six filaments They specifically bind certain dyes such as Congo red and thioflavin T, and they demonstrate a characteristic cross-b pattern

on X-ray diffraction, reflecting distances between b-strands (4.7 A˚) and distances between b-sheets (9–11 A˚) [19,20]

High-resolution structural methods such as NMR and X-ray diffraction are of limited use for character-izing prefibrillar aggregates and amyloid fibrils, pri-marily as a result of their limitations in providing insight into the structure of heterogeneous species However, they can be used to determine the structure

of the precursor conformation, whereas, for the fibrils and oligomers, cryo-electron microscopy, transmission electron microscopy, small angle X-ray scattering and AFM are more suitable [21] AFM and electron microscopy have revealed multiple morphological vari-ants of amyloid fibrils differing in the number of fila-ments and the helicity of their intertwining [22–24] The structure of the mature fibrils has been deter-mined in a limited number of cases by either solid state NMR [25] or by H⁄ D exchange quenched flow fol-lowed by heteronuclear NMR [26] However, the struc-ture of the prefibrillar oligomers, which is more relevant to biomedically oriented research, remains rather elusive Both Yu et al [27] and Glabe [28] proposed that two kinds of b-structure are possible: the b-sheet that is observed in the mature fibrils and the a-pleated sheet [29], which could be the structure

in the prefibrillar species, termed either globular oligo-mers (or ‘globulooligo-mers’), ‘granules’, ‘critical oligooligo-mers’

or ‘spheres’ The a-pleated sheet structure would give the globular oligomers higher dipole moments, which would lead to a linear, colloid-like growth of amyloid protofibrils Glabe [28] suggested that, instead of selecting oligomers by size, they could be selected by the structural epitopes that become exposed Trials with conformationally selective antibodies have shown that most of the prefibrillar species are bound by the selective A11 antibody, and only a few by OC anti-body, which also binds fibrils [28]

Comparison of amyloid aggregation and protein folding

Under physiological conditions, protein folding takes place in the crowded milieu of the cell with a whole range of helper proteins [30] These helpers include a series of molecular chaperones whose functions,

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amongst others, are to prevent aggregation of

incom-pletely folded polypeptide chains [31] and to

disaggre-gate formed aggredisaggre-gates [32–34]

Protein folding involves a complex molecular

recog-nition phenomenon that depends on the cooperative

action of a large number of relatively weak,

noncova-lent interactions involving thousands of atoms

Hydro-phobic [35,36], electrostatic [37–39] and van der Waals

interactions [40,41]; peptide hydrogen bonds [42,43];

and peptide solvation [44,45] are major forces driving

protein folding The electrostatic interaction between

polar C=O and NH groups in the peptide backbone

depends strongly on the peptide backbone

conforma-tion [37,38] In the extended b-strand conformaconforma-tion,

C=O and NH dipoles of adjacent peptide units are

aligned antiparallel, whereas, in the a-helical

confor-mation, they are parallel The stability of both types of

structure can be explained by the electrostatic

screen-ing model [37,46] This readily explains the distinct

preferences of residues in native and denatured

pro-teins [46] and in peptides [47,48] In this model, it is

assumed that the total free energy of an amino acid

residue is determined predominantly by the local

elec-trostatic energy of the backbone dipole moments

(N-H, C=O) as a result of interaction with

neighbor-ing peptide groups, and by the solvation free energy of

the backbone dipole moments [37,49,50] The u and w

values of the ‘coil library’ of high-resolution protein

structures, which represent residues outside the

second-ary structure, adopt b, aR, aLand polyproline II

back-bone conformations [51] With regard to the

electrostatic screening model [46,51], the b conformer

is energetically more favorable than either of the two a

conformers of a residue in the gas phase The

antipar-allel orientation of the backbone dipole moments

stabilizes the b conformer, whereas the parallel

orien-tation of dipole moments destabilizes the aR

conformer However, the parallel arrangement of

dipole moments has advantages in polar solvents as a

result of favorable interactions with the solvent

There-fore, the solvation of backbone atoms is much larger

for a conformers than for b conformers Interaction

with solvent thus compensates for the destabilization

of the a conformation as a result of peptide dipole

moments Alternation of the screening of backbone

electrostatic interactions by side chains causes different

conformational preferences of residues in aqueous

solution Moreover, the additional modulation of

screening by changing the local environment and

inter-and⁄ or intramolecular interactions may have a

signifi-cant influence on the preferential conformations of a

single amino acid residue Therefore, even small

varia-tions in pH, temperature and ionic strength may have

sufficient potential to induce changes in the conforma-tional propensities of amino acid residues to form sec-ondary structure, as well as their ability to aggregate Computer simulations of protein aggregation indi-cate that the hydrophobic effect plays an important role in promoting the aggregation process [52] Molec-ular dynamics simulations of small peptides show that b-sheet aggregates are stabilized by backbone hydro-gen bonds, as well as by specific side-chain interac-tions, such as hydrophobic stacking of polar side chains and formation of salt bridges [53,54] Coulom-bic interactions also play an important role in protein aggregation [54–57] Synthetic amyloidogenic peptides polymerize into fibrils only when the net charge is ± 1 [54], whereas a neutral or higher effective charge pre-vents fibril formation These results were explained on the assumption that nonspecific, amorphous aggrega-tion and fibril formaaggrega-tion represent competing events When the structure of the side chains permits, poly-peptides in the b-pleated sheet conformation can self-assemble into 1D, crystal-like structures involving a very large number of b-sheets The capacity of unlim-ited interchain hydrogen bonding in the absence of structural restraints is considered to drive the assembly

of susceptible proteins into amyloid fibrils [19] The structure of amyloid fibrils reflects the aggregation of strands of b-pleated sheet polypeptides into a long cross-b assembly, with the strands oriented perpendicu-lar to the fibril axis The dominant forces driving the association of b-sheet formations are dipole–dipole interactions and the dehydration propensity of pre-formed intrasheet hydrogen bonds [58]

Factors influencing the propensity to aggregate

The degree of conformational stability of the protein native state plays an important but not always decisive [59,60] role in the process of aggregation A partially-unfolded conformation favors specific intermolecular interactions, including electrostatic attraction, hydro-gen bonding and hydrophobic contacts, which result in oligomerization and fibrillation [14,61–64] In general, amyloid formation in vitro can be achieved by destabi-lizing the native state of the protein under conditions

in which noncovalent interactions still remain favor-able [65–67] However, a local conformational change before aggregation is not a necessary step in the fibril formation of every protein For some proteins, it was shown that the native structure is preserved in the fibrils [68,69] Even all-a [70] or mixed a⁄ b proteins can transform into amyloid fibrils It has also been observed that the ability of a protein to undergo an

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a to b conformational change is facilitated by amino

acid regions that adopt an a-helical conformation

within the native structure, at the same time as having

a higher statistical propensity for the b-structure [71]

Mutations and changes in environmental conditions

both affect the aggregation reaction [72–76] A protein

may assemble into amyloid fibrils with multiple distinct

morphologies in response to a change in amino acid

sequence [74] or upon a change in aggregation

condi-tions [23,24,76], as well as under the same growth

con-dition [22,77,78] A study of b-lactoglobulin has shown

that charge repulsion makes amyloid fibrils more

regu-lar, whereas a lower charge, caused by a pH change in

the direction of the pI and⁄ or screening electrostatic

interactions by salt, results in shorter fibrillar rods that

pack into spheres [56]

Analysis of naturally occurring b-sheet proteins and

mixed a⁄ b proteins has identified a number of

struc-tural motifs that interrupt self-assembly of the edge

strands into the intermolecular b-pleated sheet For

example, charged side chains within the hydrophobic

region of the edge strand and proline residues both

limit interactions with other b-pleated sheet edge

strands [79] It has been suggested that the edge

strands have evolved as guards against uncontrolled

propagation of the b-pleated sheet conformation that

would otherwise interfere with productive protein

fold-ing [79]

Partial proteolysis often results in amyloidogenic

fragments Algorithms have been developed to predict

the location of amyloidogenic fragments in the

poly-peptide sequence [80–82] In globular proteins, such

amyloidogenic parts are usually surrounded by

resi-dues that have a low aggregation propensity, the

so-called ‘amyloid-breakers’ [82], and inhibit amyloid

propagation

The software used to calculate the propensity of a

protein to aggregate is based on either sequence or

structural data, thus taking into consideration the

known data, including intrinsic and external factors

[83–85] The universe of proteins capable of forming

amyloid-like fibrils has been named the ‘amylome’ [86]

The major determinants qualifying a protein to belong

to the amylome can be summarized as: (a) the

forma-tion of a ‘steric zipper’ consisting of two

self-comple-mentary b-sheets that form the spine of an amyloid

fibril and (b) sufficient ‘conformational freedom’ of the

self-complementary segment to interact with other

molecules Although self-complementary segments are

found in almost all proteins, the size of the amylome is

limited, suggesting that chaperoning effects have

evolved to prevent self-complementary segments from

interacting with each other [86]

Mechanisms of amyloid fibril formation The models reported before the year 2000 have been described in older reviews [63,64,87] and some excellent reviews have been written subsequently [2,4,88–90] On the basis of the main features of the models, we have classified them into three groups (Table 1): (a) templat-ing and nucleation; (b) linear, colloid-like assembly of spherical oligomers; and (c) domain-swapping

For some of the case proteins relevant to the focus

of this review on domain-swapping, descriptions of the mechanisms are provided, whereas, for most of the other cases, the original publications are cited On the basis of our research on cystatins, which are capable

of domain-swapping, and on a literature survey of a number of other amyloidogenic proteins that initially form dimers, we emphasize domain-swapping as a pos-sible mechanism underlying amyloid fibril formation (see below) We also describe several factors that are

Table 1 Models for the mechanism of amyloid fibril formation Templating (A) and nucleation (B) Examples a

A MDC model [92] (Fig 1B) Prion, stefin B at pH 7

(from monomer)

B NDP model [99] (Fig 1C) Amyloid-b peptide

protein Sup35

C ‘Polar zipper’ model [93–96] Huntingtin, ataxin-3 Linear colloid-like assembly of spherical oligomers examples

kinase

B DA model [107] (Fig 1D) Tau 40 protein

[88,108] (Fig 1E)

a-Synuclein

D Isodesmic (linear) polymerization [104,185]

b2-Microglobulin stefin B at

pH 3 (from globular oligomer)

domain-swapping [120,186]

Cystatin C

B Off-pathway model [137] with domain-swapped

oligomers [123]

and propagated domain-swapping (Fig 1G)

Stefin B at pH 5 (from dimers)

B Off-pathway model [137] with domain-swapped oligomers [121,122,163] and likely propagated domain-swapping

Stefin A

a All human proteins, with a representative case example.

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decisive for folding, misfolding, domain-swapping and

amyloid fibril formation

Templating and nucleation models

Templating models comprise the templated assembly

(TA) and the monomer-directed conversion (MDC)

models These models were originally proposed for the

prion protein transformations [91,92] The TA and

DSC models are presented in Fig 1A,B

The ‘Polar zipper’ model proposed by Perutz et al

[93] can also be classified as a templating model This

model applies to amyloid forming proteins whose

b-sheets are stabilized by hydrogen bonds between

polar side chains, such as those between glutamine and

asparagine [94,95] Molecular modeling has shown that

such polar residues link b-strands together into

b-sheets by a network of hydrogen bonds between the

main-chain amides and the polar side chains The

glu-tamine- and asparagine-rich regions are commonly

found in the N-termini of both mammalian and yeast

prion proteins [96] and several other proteins with

polyglutamine expansions such as huntingtin and

ataxin-3

The nucleation-based models [97–99] comprise the

nucleated polymerization (NP) model [97], the

nucle-ated conformational conversion (NCC) model [98] and

the nucleation-dependent polymerization (NDP) model

[99]; for a review, see Kelly [87]

An example of the NP model is that used by

Loma-kin et al [100] to describe fibril formation by the

amy-loid-b peptide The model predicts that the lag phase,

which disappears upon seeding, decreases exponentially

as the protein concentration increases; however in a

recent, very reproducible study of the kinetics of Ab

assembly, this was found not to be the case [101] The

NP model predicts micelle formation above a critical

protein concentration, where fibrils nucleate on

heter-ologous seeds In this model, fibrils grow by

irrevers-ible binding of monomers to the fibril ends

The NDP model (Fig 1C) predicts that the lag

phase arises from the fact that the dissociation rate is

initially greater than the association rate This is

reversed after a critical nucleus size is reached In this

model, the lag phase is also predicted to show a high

concentration dependence and to disappear on seeding

[102]

The NCC model of Serio et al [98] is applicable

when little or no concentration dependence is observed

for both the nucleation and assembly rates In this

model, a steady rate is ensured by an almost constant

concentration of the assembly competent oligomers

[98,103] In the NCC model, the rate-determining step

is a conformational change that occurs in the nucleus

of preformed oligomers, rather than oligomer growth itself The concentration of soluble oligomers does not increase with higher soluble protein concentration as a result of the formation of assembly-ineligible com-plexes An example of NCC mechanism of amyloid assembly is provided by the yeast prion protein Sup35 [103]

Linear colloid-like assembly of spherical oligomers

Model of ‘critical oligomers’ (CO)

In the kinetics of yeast phosphoglycerate kinase fibril-lation studied by Modler et al [104], two steps were observed during the formation of amyloid ‘CO’ were formed in the first step, whereas, in the second step, a linear growth of oligomers into protofibrils was observed The kinetics of both steps were found to be irreversible Phosphoglycerate kinase was converted into protofibrils, starting with a partially-unfolded intermediate [105,106] According to this model [104], the acquisition of a b-sheet structure and fibril growth are coupled events subsequent to a generalized diffu-sion-collision process

Dipole assembly (DA) model

Xu et al [107] proposed a similar two-step model, which they termed the ‘DA’ model In the first step, nucleation units (i.e globular oligomers resembling

‘spheres’ or ‘granules’) form in a process driven by the surface chemical potential The oligomeric and spheri-cal nucleation units reach a uniform size as a result of the electrostatic repulsion between these species and the monomers Xu et al [107] proposed that nucle-ation units aggregate linearly as a result of their intrin-sic dipole moment Their growth is governed by charge-dipole and dipole–dipole interactions (Fig 1D)

Double-concerted fibrillation (DCF) model Bhak et al [88,108] proposed the ‘DCF’ model as an alternative to the prevailing nucleation-dependent fibrillation models [97–99] In this model (Fig 1E), amyloid fibril formation also occurs in two steps: (a) association of the monomers into oligomeric units (globular oligomers; also termed ‘granules’ or ‘spher-oids’) and (b) linear growth of the oligomeric units into protofibrils in the absence of a template [108] According to this model, the major driving force for fibril formation is a structural rearrangement within the oligomeric granules achieved by shear stress

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k1 k−OPk2 kI kG

Dimer

Rearrangement

Protofibril Off-path oligomer

A

B

C

D

E

F

G

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Domain-swapping as a mechanism of

amyloid-fibril formation

Here, we feel we need to explain more of our main

model proteins: cystatins and stefins Given their

example, we illustrate the principle of

domain-swap-ping and how this can underlie the process of

amyloid-fibril formation

Cystatins and stefins: an example of

domain-swapping proteins forming amyloids

Cystatins and stefins are a large family of cysteine

pro-teinase inhibitors, examples of which have been linked

to amyloid diseases and degenerative conditions These

small globular proteins (11–13 kDa), albeit

evolution-ary distinct [109], are structurally and functionally

analogous and those studied so far show evidence of

3D domain-swapping both in vitro and in vivo

Human cystatin C is a member of the cystatin II

family of cysteine cathepsin inhibitors [110] but may

have additional functions It is a well known

amyloi-dogenic protein whose mutations cause hereditary

cyst-atin C amyloid angiopathy [111] Recently, it was

reported that cystatin C induces autophagy [112] in a

cathepsin-independent manner and, in this way,

con-tributes to neuroprotection It is also known that the

cystatin C A⁄ A allele, which leads to impaired

secre-tion of the protein and intracellular accumulasecre-tion,

influences negatively the outcome of late-onset

Alzhei-mer’s disease and frontotemporal lobar degeneration

[113,114]

Human stefins are representative of the cystatin I

family of the cysteine protease inhibitors [110] Human

stefins A and B (sometimes referred to as cystatins A and B), together with some cathepsins, were identified in the core of amyloid plaques of various origins [115] Human stefin B (i.e cystatin B gene) mutations cause progressive myoclonus epilepsy of type 1-EPM1 [116,117], with signs

of cerebellar neurodegeneration [118] and oxidative stress [119]

The structures of cystatin domain-swapped dimers have been solved, both by X-ray crystallography (human cystatin C) [120] and by heteronuclear NMR (human stefin A and chicken cystatin) [121,122] The domain-swapped dimer of stefin A (Fig 2A) is made

of strand 1, the a-helix and strand 2 from one mono-mer, and strands 3–5 from the other monomer [120,122] Similar to other cystatins, stefin B is prone

to form domain-swapped dimers (Fig 2B) The 3D structure of its tetramer [123] is composed of two domain-swapped dimer units The two domain-swapped dimers interact through loop-swapping, also termed ‘hand-shaking’ [123]

Folding mechanisms and oligomer formation by domain-swapping

Folding studies are usually focused on unraveling the conformational changes occurring within the mono-meric protein under conditions often referred to as

‘physiological’, generally comprising pH 7.0 and room temperature It is clear that different folding conditions must be examined when the focus switches to what is occurring in the early steps of amyloid-fibril formation For many systems, including the stefins [124–126], amyloid-fibrils form at nonphysiological pHs and in the presence of further additives, such as metal ions or

Fig 1 Schematic representations of the chosen mechanisms (A) The TA model [98] In the TA model, in a rapid pre-equilibrium step, the soluble state (S) molecules that are initially in a random coil conformation bind to a pre-assembled (A) state nucleus This binding induces the rate-determining structural change from the random coil to the b-pleated sheet structure as the molecule is added to the growing end of the fibril [91] (B) The MDC model [98] In the MDC model, a pre-existing monomer in the A-state conformation, analogous to the conforma-tion adopted in the fibrils, binds to the soluble S-state monomer and converts it to an A-state dimer [92] in a rate-determining step The dimer then dissociates, and the constituent A-state monomers add to the growing end of the fibril (C) The NDP model [88] We consider that the final structure labeled as ‘amyloid’ represents protofibrils rather than fibrils The NDP model also predicts a lag phase that arises from the fact that the dissociation rate is initially greater than the association rate (D) The DA model [107] In the first step, nucleation units (globular oligomers) form in a process driven by the surface chemical potential In the second step, the nucleation units aggregate linearly as

a result of their intrinsic dipole moment [107] (E) The DCF model [88] We consider that the final structure labeled as ‘amyloid’ represents protofibrils rather than fibrils In this step, the interactive surfaces of the monomers shift from intra-oligomeric to interoligomeric With the application of shear stress or organic solvents, oligomeric granules become distorted [108,187] and fibril growth takes place almost instanta-neously (F) The general OFF model [167] In this model, denatured monomers M u are refolded into either stable monomer M or dimer D (the latter could be domain-swapped) or a less stable dimeric intermediate I (which again could be a partially-unfolded domain-swapped dimer) The initial steps are practically irreversible, and are followed by cooperative assembly of the fibril prone dimeric intermediates, I, into

a nucleus, N, from which thin filaments, f, originate Filaments grow linearly by repeated addition of I, and fibrils, F, form by lateral associa-tion of the filaments F also elongate by end-to-end associaassocia-tion [167] (G) Off-pathway oligomers model, branching at domain-swapped dimer, as derived for stefin B [137] Andrej Vilfan (Jozˇef Stefan Institute, Ljubljana) prepared the artwork The growth phase shows an anom-alous dependence on protein concentration, which is explained by off-pathway oligomer formation with a rate-limiting escape rate [137].

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organic solvents that are proposed to mimic the effects

of biological surfaces The most extensively studied

example of a cystatin amyloid is that of stefin B, which

is triggered by mildly acidic conditions and a low

con-centration of TFE [127] It is notable that stefin B

forms long unbranched amyloid fibrils from a

native-like intermediate [124,125] These conditions often

cor-respond to conditions that favor oligomeric states

[123,124,126]

Proteins in which folding intermediates are

popu-lated, such as cystatin C and stefin B [128,129], are

more likely to form oligomers of the domain-swapped

type than those folding in a two-state (N-U) manner

A number of conformational changes to the cystatin

molecule (as a representative of globular proteins)

undergoing oligomerization and, by extension, amyloid

formation will be considered below, including the role

of 3D domain-swapping and proline isomerization

The energetics of domain-swapping

Intramolecular and intermolecular forces do not differ

The only parameters favoring the monomeric state are

thus entropic However, the edge strands usually

pro-tect a monomer from direct interaction with another

monomer [79], whereas the internal strands do not

possess such built-in protection Under denaturing

conditions, the internal strands become exposed and

they can shift from intra- to intermolecular

arrange-ments There also is considerable backbone strain in

the loop between strands 2 and 3 in the monomer

structure of stefin A [122] because this is required for

its proteinase inhibitory activity The driving force for

dimerization may thus be the alleviation of this strain

as loop 1 extends on formation of the dimer [122]

Whether kinetic or thermodynamic factors govern the oligomer formation remains to be clarified [130]

In certain proteins, metastable states can exist site

by site because the kinetic barriers are too high to allow the energetic minimum to be reached in a rea-sonable time [131] However, when barriers are crossed (e.g by raising the temperature or pressure, by lower-ing the pH or addlower-ing denaturant), the thermodynami-cally most stable state [i.e the lower oligomer (dimer), then higher oligomers and, finally, fibrils] can be attained

Because the temperature dependences of fibrillation and domain-swapping are the same (i.e activation energy of approximately 100 kcalÆmol)1), it was con-cluded that domain-swapping may be the rate-deter-mining step [132] Domain-swapping demands almost complete unfolding before the two chains can rearrange and swap strands [132] Domain-swapped dimers have been observed for both the mammalian prion protein [133] and the cystatins [120–122], and, for a number of amyloidogenic proteins, it is observed that the process

of fibrillogenesis starts with dimerization [134] The height of the first barrier to fibrillation observed for the stefins is distinct from that measured in the case of

a synuclein [13] and also HET prion [135], where

a smaller activation energy of 22 kcalÆmol)1 was observed The value of 100 kcalÆmol)1 is close to the energies needed for unfolding, whereas the value of

25 kcalÆmol)1is characteristic for Pro cis–trans isomeri-zation Because native a-synuclein is not folded, whereas stefin B is a globular protein, different interme-diates may be rate-determining for fibrillation Theoret-ical studies [136] point to a role for hydrophobicity in the nucleation barriers

Fig 2 Involvement of domain-swapping in amyloid fibril formation of cystatins (A) Stefin A monomer (Protein Data Bank code: 1dvc) and domain-swapped dimer as found in the structure of the tetramer (Protein Data Bank code: 1N9J); (B) stefin B monomer (Protein Data Bank code: 1stf) and domain-swapped dimer (Protein Data Bank code: 2oct); and (C) proposed mechanism of the building up of amyloid fibrils obtained on the basis of stefin B H ⁄ D exchange and heteronuclear NMR Adapted from Morgan et al [163].

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Thus, we have shown that domain-swapping of

ste-fins demands almost complete unfolding, with a high

activation energy of approximately 100 kcalÆmol)1

pre-ceding stefin A domain-swapped dimerization [121] It

has been shown for RNAse A that dimerization is not

always energy demanding, as indicated by the presence

of a variety of different domain-swapped and

non-swapped dimers [130] However, for stefins, a high

activation energy (as observed for domain-swapped

dimerization) is also a prerequisite for the initiation of

amyloid fibril growth [137] which, together with a

prominent role of the dimers accumulating in the lag

phase [126,127], supports the hypothesis that the

domain-swapped dimers are directly or indirectly

involved in the amyloid fibril formation of stefins This

is consistent with the case of the homologous cystatin

C, where the prevention of domain-swapped

dimeriza-tion also prevents amyloid fibril formadimeriza-tion [138]

Role of proline cis–trans isomerization as a

gate-keeper against oligomerization

Studies on stefin B and b2-microglobulin have shown a

link between oligomerization and cis to trans proline

isomerization The critical prolines are usually

positioned in the loops that have to extend in the

domain-swapping process, as also was the case with

aA crystallin [139]

RNAse A forms a C-terminal domain-swapped

dimer in which the b-strand consisting of residues 114–

124 (among them Pro114) is exchanged Dimerization

of RNAse A occurs under extreme conditions of acid,

organic solvents or temperatures [140] This is

reminis-cent of stefin A domain-swapping [121] and implies a

high-energy barrier The crystal structures of the

RNAse A monomer and C-terminal dimer reveal that

Pro114 is trans in the dimer and cis in the monomer

[130]

Another example is provided by domain-swapping

in p13suc1, which occurs in the unfolded state and is

controlled by conserved proline residues [141] The

monomer–dimer equilibrium is controlled by two

con-served prolines in the hinge loop that connects the

exchanging domains They exploit the backbone strain

to specifically direct dimer formation, at the same time

as preventing higher-order oligomerization

Further-more, an excellent correlation between

domain-swap-ping and aggregation has been observed, which again

suggests a common mechanism

In the structure of the monomeric stefin B in

com-plex with papain [142], the Pro103I is found to be

trans, whereas, in the tetrameric structure, the

homolo-gous residue Pro74 is cis Hence, in the stefin B

tetra-mer, the proline residue in the loops undergoing the exchange [123] has to isomerize from trans to cis Accordingly, in amyloid fibril formation of the wild-type stefin B, the Pro74 cis isomeric state was found to

be critically important Its mutation to Ser prolonged the lag phase by up to ten-fold at room temperature and almost stopped fibril growth [143] Furthermore, it was shown that the prolyl peptidyl cis–trans isomerase, cyclophilin A, profoundly delayed the fibrillation rate

of the wild-type protein [143] The potentially impor-tant role of proline isomerization in stefin B oligomeri-zation and fibril formation is also reflected in the activation energy of approximately 27 kcalÆmol)1 for the fibril elongation phase [137], which is in the range

of proline isomerization reactions

Pro32 is cis in the native structure of b2 -microglobu-lin For this protein, cis to trans isomerism acts as the

‘gate-keeper’ for the transition to an intermediate con-formation serving as a direct precursor of fibril forma-tion [144–146] The Pro32 trans to cis isomerizaforma-tion is facilitated by complexation with Cu2+, which is an important metal influencing amyloid formation in the brain [145,147,148] Interestingly, stefin B also binds

Cu2+ in an oligomer-dependent manner [149], indicat-ing similar underlyindicat-ing processes

Domain versus loop-swapping

In the process of 3D domain-swapping, as originally proposed by Bennett et al [150] and Liu et al [151], two protein chains of partially open monomers exchange the whole parts of their chains from the hinge loop to the termini, and fold back to two mono-meric domains The extended surface of the ‘hinge loop’ is the only region of the protein that adopts a different conformation in the domain-swapped dimer from that in the monomer [120,122] By contrast, in the process of loop-swapping, as seen in the tetramer

of stefin B, which is a dimer of domain-swapped dimers [123], swapping of additional internal parts of the chain occurs from residues 72–80 It is therefore possible that an analogous mechanism of domain exchange is also present in the higher-order oligomers

In the ‘hand-shake’ of the loops observed by stefin B tetramer [123], the loop position from residues Ser72

to Leu80 is enabled by Pro74 and Pro79 The adopted loop position differs in the tetramer from that in the monomer and domain-swapped dimer The monomer and domain-swapped dimers of stefins A and B are illustrated in Fig 2

Pro74 is widely conserved in stefins and cystatins, and is found in trans isomeric state in all of the reported structures [120,122,142,152,153] Only in the

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high- resolution structure of the stefin B tetramer is it

in the cis isomeric state [123] The dimer to tetramer

transition is associated with a rotation of domains,

which appears mandatory for the 90 repositioning of

the exchanged loops From the superposition of stefin

B monomers and stefin A and cystatin C

domain-swapped dimers onto the tetramer structure, it is

evi-dent that the Ser72-Leu80 loops and the N-terminal

trunks have to adopt different conformation in the

tet-ramer to prevent clashes [154] The adopted

conforma-tion of the Ser72-Leu80 loop and the N-terminal trunk

is made possible only by the proline in the cis

confor-mation

Indirectly, we have confirmed that proline

isomeriza-tion is at the root of the slow conformaisomeriza-tional change

coupled to tetramerization by measuring the

tempera-ture dependence of the kinetics [123] The value for the

activation energy of 28 ± 3 kcalÆmol)1 observed for

the P79S mutant tetramer formation is consistent with

the contribution of one proline isomerization event,

most likely the conversion of Pro74 from trans to cis

In the case of recombinant stefin B, in which both P74

and P79 are present, the activation energy is higher

(i.e 36 kcalÆmol)1), suggesting that Pro79 also

contrib-utes to the loop rigidity, and its conformation would

be strictly trans

These findings are consistent with those of Sanders

et al.[155] On the basis of thermodynamic and kinetic

data, they concluded that oligomerization of the

chicken cystatin occurred in the pre-exponential phase

of the fibril growth They describe that cystatin first

undergoes a bimolecular transition to a

domain-swapped dimer via a predominantly unfolded

transi-tion state, followed by a unimolecular transitransi-tion to a

tetramer via a predominantly folded transition state

[155]

Models for amyloid fibril formation based on

domain-swapping

‘Run-away’ and ‘propagated domain-swapping’ models

The domain-swapped oligomer can act either as a seed

for fibril elongation (propagated domain-swapping) or

as an end product (off-pathway domain-swapped

dimers, tetramers) [156] The process of

domain-swap-ping is rate-limiting for the initiation of amyloid fibril

formation, as reflected by a high energetic barrier

[121,150] In principle, any protein is capable of

oligo-merization by 3D domain-swapping [157] Ogihara

et al [158] designed a sequence of RNAse A that

underwent a reciprocated swap and another that ended

in a propagated swap (Table 1)

Under partially denaturing conditions, the protein molecule partially opens and, when stabilizing condi-tions are restored, the partially-unfolded monomers can swap domains When the exchange of secondary structure elements is not reciprocated but propagated along multiple polypeptide chains, this can result in higher-order assemblies [159] Guo and Eisenberg [160] proposed the term ‘run-away domain-swapping’ mech-anism for such a process of continuous domain-swap-ping

In their study of T7 endonuclease, Guo and Eisen-berg [160] define ‘run-away domain-swapping’ as a mechanism in which each protein molecule swaps a domain into the neighboring molecule along the grow-ing fibril By designgrow-ing disulfide bonds that form only

at the domain-swapped dimer interface, they were able

to show that the resulting covalently-linked fibrils con-tained domain-swapped dimers If these were locked in

a close-ended dimeric form by making internal disul-fide bonds, they were unable to form fibrils A study

by Liu et al [161] indicates that the b-sheet spine in amyloid fibrils of b2-microglobulin could be made from amyloidogenic peptide sequences of the hinge regions of domain-swapped dimers, which also build the prefibrillar, curvelinear oligomers For the example

of aA crystallin, Laganowsky and Eisenberg [139] have shown even more plasticity in the way that the N- or C- terminal parts can swap from one molecule to another

Wahlbom et al [162] used the term ‘propagated domain-swapping’ to describe a similar process of con-tinuous domain-swapping in the formation of cystatin

C prefibrillar oligomers and fibrils They showed annu-lar oligomers with an outer diameter of 13 nm at the beginning of fibril formation, which transformed to mature fibrils of 10 nm in width From their study, it

is not shown clear at which state the disulfide bond stabilizes the domain-swap

On the basis of the H⁄ D exchange study of Morgan

et al [163], we suggest that, in the case of stefins, and

in addition to initial domain-swapping to produce the domain-swapped dimer, there could be further exchange of loops We propose that such additional loop-swapping could occur between the loop extending from the only a-helix to strand 2 of one domain-swapped dimer with another acting as one ‘click’, and between loops from strands 4–5 as another ‘click’, in a similar process to that taking place in the tetramer Alternatively, whole a-helices and N-terminals could swap Clearly, a 3D structure of a higher oligomer in the range of 12–16 mers is mandatory to provide insight into such exchange events

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