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Tài liệu Báo cáo Y học: BIGH3 (TGFBI) Arg124 mutations influence the amyloid conversion of related peptides in vitro Implications in the BIGH3-linked corneal dystrophies pptx

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Demaille1, Bernard Calas3and A´ngel Argile´s1 1 Institut de Ge´ne´tique Humaine, CNRS UPR 1142, Montpellier, France; 2 Antigone Ophtalmologie, Montpellier, France; 3 Centre de Biochimie

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BIGH3 (TGFBI) Arg124 mutations influence the amyloid conversion

Implications in the BIGH3-linked corneal dystrophies

Clair-Florent Schmitt-Bernard1,2, Alain Chavanieu3, Gudrun Herrada3, Guy Subra3, Bernard Arnaud4, Jacques G Demaille1, Bernard Calas3and A´ngel Argile´s1

1 Institut de Ge´ne´tique Humaine, CNRS UPR 1142, Montpellier, France; 2 Antigone Ophtalmologie, Montpellier, France; 3 Centre de Biochimie Structurale, CNRS UMR 5048, Universite´ Montpellier, Montpellier, France;4Service d’Ophtalmologie, CMC Gui de Chauliac, Montpellier, France

Amyloid deposits with Arg124 mutated TGFBI protein

have been identified in autosomal dominant blinding corneal

dystrophies.We assessed in vitro the mechanisms

determin-ing TGFBI protein amyloid transformation involvdetermin-ing

mutations of Arg124.Eight peptides synthesized following

the TGFBI protein sequence, centered on codon Arg124

holding the previously reported amyloidogenic mutations

and the respective controls were studied.Cys124 and His124

mutated peptide preparations contained significantly higher

amounts of amyloid than the native peptide.Blocking the

SH group of Cys124 and deleting the first four NH2-terminal

amino acids including Val112-Val113 resulted in a decrease

in amyloid fibril formation while deletion of the nine

CONH2-terminal residues increased amyloid fibril

concen-tration.Fourrier transformed-infrared spectroscopy analysis

of the different peptide solutions showed an increase in

b-pleated sheet structures in those with enhanced amyloid yielding.We designed a peptide (BB1) likely to counteract the role of Val112-Val113 in amyloid fibril formation Incubation of Cys124 peptide with BB1 indeed resulted in a 35% inhibition of amyloid fibril formation

Our results are in keeping with the clinical observations of Arg124 mutation-linked amyloidosis and show the import-ance of Val112–Val113, disulfide and hydrogen bonding in increasing the b-pleated conformation and amyloid forma-tion.These findings shed new light on the molecular mech-anisms of TGFBI protein amyloidogenesis and encourage further research on the use of specifically designed peptides

as putative therapeutic agents for these disabling diseases Keywords: amyloidosis; keratoepithelin; lattice corneal dys-trophy; granular corneal dysdys-trophy; synthetic peptide

Hereditary corneal dystrophies are a cause of blindness

These dystrophies are characterized by a progressive

alteration of the particular structure of the cornea resulting

in loss of its transparency.Based upon their clinical

characteristics, hereditary corneal dystrophies form a

distinctive group of corneal diseases.Some of them involve

the corneal stroma where deposits begin to appear

during the first decades of life and severely impair visual

acuity in adulthood.Their therapy is restricted to

keratopl-asty and phototherapeutic keratectomy by Excimer laser

Unfortunately, the benefits of these therapies remain

transient as recurrence of the deposits is the rule

Genetic studies have recently confirmed that a group of

hereditary corneal dystrophies have a common molecular

mechanism: the involvement of the BIGH3 (TGFBI, transforming growth factor b-induced) gene [1].Specific BIGH3 mutations have been linked to particular forms of the disease in this group of dystrophies.Autosomal dominant BIGH3-linked corneal dystrophies may present amyloid deposits, granular deposits or a mixture of both (granular and amyloid)

The BIGH3 gene encodes for a 683 amino-acid protein inducible by TGFb, the TGFBI protein also known as big-h3.It is a prominent constituent of the cornea, skin, and matrix of many connective tissues [2].It is a secreted protein with an amino-terminal secretory sequence, a carboxy-terminal Arg-Gly-Asp sequence and four homologous domains of 140 amino acids [2].The TGFBI protein, as other homologous proteins, may interfere in the cell adhesion process.The Arg-Gly-Asp sequence is known to act as a ligand recognition site for integrins.The particular integrins with binding capacities for the corneal TGFBI protein remain to be fully identified.Kim et al.[3] have recently shown that alpha3-beta1 integrins bind to TGFBI Two major sites for mutation have been recognized in the BIGH3 gene as inducing four distinct hereditary corneal dystrophies.These mutation sites are located at codon Arg124 and codon Arg555 [4].Other mutations in the BIGH3 gene have been occasionally reported [5–11] Mutations in Arg555 are responsible for corneal dystrophy

of Bowman’s layer type 2 (CDB2, Thiel-Behnke corneal

Correspondence to C.-F Schmitt-Bernard, IGH CNRS UPR 1142,

141, rue de la Cardonille, F-34396 Montpellier cedex 5, France.

Fax: + 33 4 67 42 39 73, Tel.: + 33 4 67 42 09 83,

E-mail: cf.schmitt-bernard@antigone-ophtalmologie.fr

Abbreviations: BIGH3, beta-induced gene-human 3; big-h3, BIGH3

gene product; TGFBI, transforming growth factor beta-induced gene;

TGFb, transforming growth factor beta; LCD, lattice corneal

dys-trophy; CDB, corneal dystrophy of Bowman’s layer; GCD, granular

corneal dystrophy; ThT, thioflavin T.

(Received 5 March 2002, revised 6 August 2002,

accepted 23 August 2002)

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dystrophy, mutation Arg555Gln) and Granular corneal

dystrophy type 1 (GCD1, mutation Arg555Trp).Codon

Arg124 seems to be particularly critical in corneal

dystro-phies as four different phenotypes are associated with four

different mutations of this residue.These mutations are:

Arg124Cys (R124C) [1] in lattice corneal dystrophy type 1

(LCD1) characterized by amyloid deposits, Arg124Ser

(R124S) [12] in a phenotypic variant of granular corneal

dystrophy type 1 (GCD1), Arg124His (R124H) [1] in

granular corneal dystrophy type 2 (GCD2, Avellino

dystrophy) a mixed type of amyloid and granular deposits,

and Arg124Leu (R124L) [13] in corneal dystrophy of

Bowman’s layer type 1 (CDB1, GCD3, Reis-Bu¨cklers

corneal dystrophy) a phenotypic variant of GCD1

charac-terized by superficial granular deposits.The biochemical

mechanisms responsible for the alteration of protein

behav-ior following mutations at codon Arg124 remain unknown

We have recently described an effective in vitro system to

produce amyloid fibrils from TGFBI protein 110)131

derived peptides [14].In the present report, we used our

in vitro system to elucidate the mechanisms involved in

amyloidogenesis.We analyzed the in vitro behavior of

several peptides holding the TGFBI protein codon 124,

whose sequences were selected according to previous genetic

reports of corneal dystrophies linked to TGFBI protein

Arg124 mutations.Following our results, that are in

accordance with the clinical observations of Arg124

muta-tion linked amyloidosis, we designed a short peptide (BB1)

with predicted capacity to inhibit amyloid fibril formation

and tested its inhibitory effect on amyloid fibril formation

from codon 124 mutated peptides in vitro

E X P E R I M E N T A L P R O C E D U R E S

Synthesis and purification of peptides

Eight peptides derived from the TGFBI protein were

synthesized (Table 1): four 22 amino-acid long peptides

comprising codon 124 in its native (R110)131) and mutated

forms (C110)131, H110)131, S110)131); two 18

amino-acid long peptides (R114)131, C114)131) missing amino

acids 110–113 (Leu-Gly-Val-Val); one 13 amino-acid long

peptide (big-h3 110)122) excluding codons 123 and 124 at

the CONH2-terminal end; and one peptide homologous to

C110)131 in which the SH group was blocked by using

Fmoc-L-cystein acetamidomethyl (Acm) to prevent

disul-fide bonding (C110)131Acm).The mutated peptides were

synthesized following previous reports demonstrating the

presence of C, H, and S in the corresponding clinical

forms of corneal dystrophies (LCD1, GCD2 and GCD1, respectively)

Chemicals Trifluoroacetic acid and acetonitrile (HPLC grade) were purchased from SDS (Peypin, France).All compounds used for solid-phase peptide synthesis (solvents, resins and protected amino acids) were from PE Biosystem (Framingham, USA)

Peptide synthesis Peptide synthesis was carried out at a 0.2-mmol scale using a continuous flow apparatus (PE Biosystem, Pioneer, Framingham, USA) starting from Fmoc-PAL-PEG-PS resins.The coupling reaction was performed with 0.5Mof HATU in presence of 1M of DIEA.Protected group removal and final cleavage were carried out with trifluoro-acetic acid/H2O/EDT/phenol [14] and crude peptides were purified by reverse-phase HPLC on a C18 semipreparative column.Electrospray ionization mass spectra were in complete agreement with the proposed structure

In vitro processing of the peptides The peptides were processed as previously described [14] Briefly, 0.1 lmol of each peptide was diluted in 250 lL of 1/15Mphosphate-buffered solution (pH 7.4) The solutions were placed in the dialysis well of a Fast Dialyzer Interbiotech (Interchim S.A., Montluc¸on, France) mounted with a dialysis membrane of 1000 Dalton cut-off.The sample solutions were dialyzed at 4C for 72 h against 1/15

Mphosphate-buffered solution (pH 7.4) The dialysate was exchanged every 24 h with a fresh buffered solution Spontaneous fibril formation was assessed by the dilution

of 0.5 lmol of each peptide in 50 lL of distilled water and studied on day 1, day 3, day 7, and day 15

Congo red stain Pellets obtained by centrifugation of the protein solution at

105g, for 1 h at 4C were resuspended in 40 lL of distilled water.The samples were spread onto glass microscope slides with gelatin.The smears were air-dried, fixed with 95% ethanol for 5 min and stained with Congo red (Sigma-Aldrich Chemicals, Inc).The presence of amyloid fibrils was confirmed by viewing the typical apple-green birefringence under plane polarized light using a Zeiss microscope (Carl Zeiss, Go¨ttingen, Germany)

Thioflavine T fluorescence analysis The studies were performed essentially as described in previous reports [16].This technique has been proved to be adequate in amyloid quantification in other in vitro systems [17].Thioflavine T (ThT) was purchased from Sigma-Aldrich Chemicals, Inc.(St Quentin Fallavier, France).The peptide solution was dialyzed against 1/15 M phosphate-buffered solution at pH 7.4 and ultracentrifugated at 105g, for 1 h, at 4C.The pellets were resuspended in 50 mM

glycine-NaOH pH 8.5 containing 100 lM ThT in an assay volume of 500 lL, and processed immediately

Table 1 Synthetic peptides designed for the study.

Peptide H 2 N-sequence-CONH 2

R110 )131 LGVVGSTTTQLYTDRTEKLRPE

R114 )131 GSTTTQLYTDRTEKLRPE

C110 )131 LGVVGSTTTQLYTDCTEKLRPE

C114 )131 GSTTTQLYTDCTEKLRPE

C110 )131Acm LGVVGSTTTQLYTDCTEKLRPE

Acm H110 )131 LGVVGSTTTQLYTDHTEKLRPE

S110 )131 LGVVGSTTTQLYTDSTEKLRPE

big-h3 110 )122 LGVVGSTTTQLYT

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Fluorescence spectroscopy was performed on a

Quanta-Master System Spectrofluophotometer (Photon Technology

International, Monmouth Junction, NJ, USA) at 25C as

described by Naiki et al.[16] with excitation at

lambda-ex¼ 450 nm and emission spectra at lambda-em ¼

482 nm

Electron transmission microscopy

The samples were applied to a formvar carbon-film-coated

copper grid and then negatively stained with 1% uranyl

acetate for 60 s.The specimens were viewed on a Hitashi

H-7000 electron microscope (Hitashi LTD, Tokyo, Japan)

with an acceleration voltage of 75 kV

Fourier-Transform Infrared Spectroscopy (FT-IR)

The secondary structure of the peptides was studied with

FT-IR spectroscopy of the amide I region performed in

both H2O pH 7 4 and D2O at 25C immediately after

their dilution, and 24 h after their suspension in H2O

[18,19].D2O was used to prevent intermolecular and

intramolecular hydrogen bond formation.Infrared

spec-tra were collected on a Perkin-Elmer spectrum-one IR

spectroscope (PE Applied Biosystems, Foster City, CA,

USA).Absorbance was plotted against the wave number

The spectrograms were Fourier-deconvoluted and the

secondary structure was determined by Gaussian

curve-fitting.The calculation of each fraction of the total band

area over the curve was performed with an overlap

method after baseline correction.Anti-parallel b-pleated

structures were quantified at 1625 cm)1 wave number

and antiparallel b-aggregates were determined at

1685 cm)1

Beta-breaker methods

Two peptides, five amino-acid long, were synthesized as

described above.Their sequences were decided on the

grounds of the results of the amyloid fibril experiments.BB1

was designed to interfere with the Val112–Val113 of the

C110)131 peptide and consisted of H2N-LPVVD-CONH2

An unspecific peptide BB2 (H2N-LPFFD-CONH2) was

used as control for comparison to evaluate the effect of BB1

1 lM of each peptide was incubated with 0.05 lM of

C110)131 in an assay volume of 50 lL, at 37 C.Separate

experiments were performed and independently processed

on day 1, day 3, day 7, and day 14 by Thioflavine T

fluorescence analysis in order to determine the amount of

amyloid fibril formation

R E S U L T S

Role of amino-acid 124

Congo red stained smears of peptides R110)131,

C110)131, H110)131, and S110)131 dialyzed against a

phosphate-buffered solution 1/15M pH 7.4 displayed

significant amounts of birefringent material.Transmission

electron microscopy showed the fibrillar pattern of this

material confirming the amyloid nature.The yield of

amyloid was clearly different depending on the considered

peptide (Fig.1).Large quantities of amyloid were found

with C110)131 and H110)131 peptides, while amyloid was scarcer with S110)131, and R110)131

The amount of amyloid was quantitatively determined using ThT spectrofluorometry as it can be expressed as the fluorescence emission spectra at lambda-em¼ 482 nm following excitation at lambda-ex¼ 450 nm in comparison

Fig 1 Dialysis-based amyloid fibril formation Left hand side show the Congo red staining and right hand-side panels show polarized light microscopy of the same samples.The slides included correspond to (A) material obtained from dialysis of the C110–131 peptide (B) material obtained from dialysis of the H110–131 peptide (C) material obtained from dialysis of the S110–131 peptide (D) material obtained from dialysis of the R110–131 peptide (E) material obtained from dialysis of the C114–131 peptide and (F) material obtained from dialysis of the big-h3 110–122 peptide.This morphological analysis showed more dichroic material in solutions containing big-h3 110–122 and C110–131 peptides than in those containing H110–131, S110–131, R110–131, and C114–131 peptides.

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to the baseline, which corresponds to ThT

auto-fluores-cence.ThT fluorescence was the highest for C110)131, and

diminished significantly for each of the following peptides

H110)131, S110)131, and R110)131, respectively (Fig.2)

No amyloid material was observed with the same

peptides suspended in distilled water without NaCl/Pi

dialysis at 2 and 24 h.A discrete red/green dichroism was

noticeable by day 3 on smears with the C110)131 peptide,

while R110)131, H110)131, and S110)131 remained

negative.Spontaneous amyloid formation was only

ob-served with prolonged incubation periods.ThT fluorescence

showed increasing emission spectra until day 15 (Fig.3).By

this time point, ThT emission spectra were significantly

higher for C110)131, and H110)131, compared to that of

S110)131 and R110)131.Therefore, the results of both

spontaneous and dialysis-based precipitations showed the importance of the residue 124 in determining its tendency to precipitate into amyloid fibrils

Analysis of the secondary structure of both R110)131 (Fig.4A) and C110)131 (Fig.4B) in H2O revealed a switch

in the IR spectrograms from an antiparallel b-pleated sheet (1625 cm)1) to b-aggregation (1685 cm)1) when comparing the baseline preparations to those at 24 h.Further, comparison of C110)131 to R110)131 showed that the former had approximately 30% more b-sheet conformation than R110)131 both at baseline and by 24 h

Role of the Cys–Cys disulfide bonds The role of disulfide bonding was examined by comparing amyloid formation of C110)131 to that of the same peptide with blocked sulfated radicals of Cys, the C110)131Acm peptide.Blocking the Cys residues resulted in a 50% decrease in ThT signal, suggesting that the increased tendency to form amyloid fibrils observed for C110)131 peptide is, at least in part, due to disulfide bonding (Fig.5B).Blocking Cys–Cys disulfide bonding resulted in

a similar decrease in amyloid fibril formation than trunca-ting the NH2-terminals sequence of the C110)131 peptide (peptide C114)131) suggesting both these elements are of equal importance for the formation of amyloid from the C110)131 peptide

Role of the NH2-terminal sequence The role of the NH2-terminal sequence of the 124 centered peptides included in this study was analyzed by comparing the 110–131 peptides to the 114–131 counterparts.The ThT emission spectrum from R110)131 was significantly higher than that of the same peptide without 110Leu-Gly-Val-Val113 (R114)131) (Fig.5A).A similar decrease in amyloid fibril formation was observed when comparing C110)131

to its corresponding peptide lacking the NH2-terminal 110Leu-Gly-Val-Val113 (C114)131) (these results are illus-trated morphologically in Fig.1, and quantitatively in Fig.5B)

On FT-IR spectroscopy, C114)131 appeared to have less b-sheet component than C110)131 (6% and 23%, respect-ively) confirming that the NH2-terminal sequence of C110)131 participates in the b-conformation of the peptide (Figs 4D and 6).These results were observed both in D2O

as well as in H2O

Role of the CONH2-terminal sequence The participation of the CONH2-terminal sequence of the TGFBI protein derived peptides on amyloid precipitation was assessed by comparing the 22 amino-acid-long peptide centered on codon 124 (big-h3 110)131) to its counterpart missing residues 123–131 (big-h3 110)122).The amount of amyloid material obtained with big-h3 110)122 peptide was significantly higher than that obtained with the full length big-h3 110)131 peptide.This was clearly supported by morphological studies (Fig.1E) and confirmed by quanti-tative analysis (Fig.2) These differences were observed from dialysis as well as from spontaneous amyloid fibril formation studies, and were confirmed by FT-IR spectros-copy studies (Figs 4C and 6) big-h3 110)122 displayed a

Fig 2 ThT fluorescence profiles of synthetic peptides in solution after

dialysis The excitation wavelength was fixed at lambda-ex ¼ 450 nm.

ThT fluorescence was maximal for a lambda-em wavelength of 482 nm

and this value was used as the reference for the quantitative

meas-urements of the amount of amyloid material contained in each peptide

solution.ThT alone was included as for the auto-fluorescence control.

big-h3 110 )122 and C110)131 produced the most amyloid material.

Lesser amounts of amyloid were obtained with H110 )131, S110)131,

and R110 )131 solutions, respectively.

Fig 3 ThT fluorescence kinetic analysis of spontaneous amyloid

preci-pitation big-h3 110 )122 appears to have the highest amyloidogenic

properties when compared with the big-h3 110 )131 peptides.C110)131

and H110 )131 show significant amyloid fibril formation from day 1 to

day 15 in contrast to S110 )131 and R110)131.Log scale Y axis.

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higher beta-content on FT-IR spectrograms than its

full-length counterpart, both in D2O and H2O

Kinetic studies also showed a higher propensity of

big-h3 110)122 to form amyloid fibrils when compared to the

full-length peptide (big-h3 110)131).Accelerated amyloid

fibril formation was observed in experiments with

spon-taneous amyloid precipitation, without dialysis.None of

the TGFBI protein110)131 peptides analyzed (C110)131,

H110)131, S110)131 and R110)131) displayed any significant amount of amyloid fibrils by 24 h.By contrast, big-h3 110)122 peptide displayed a faint red/green biref-ringence on Congo red smears by 2 h, and by 24 h a large amount of dichroic material was observed (Fig.7A) The amyloid nature of the big-h3 110)122 deposits was confirmed by electron microscopy showing bundles of 8–10 nm wide filaments (Fig.7B)

Fig 4 Secondary structure determination of the peptides by FT-IR spectroscopy in H 2 O The peptides included are the following: R110 )131 (A), C110 )131 (B), big-h3 110)122 (C) as well C110)131 and C114)131 (D).Anti-parallel b-pleated structures were quantified at 1625 cm )1 wave number and antiparallel b-aggregates were determined at 1685 cm)1wave number.A significant depression in the spectrogram can be observed at

1685 cm)1wavenumber by 24 h in R110 )131 (A) and C110)131 (B) peptide solutions (arrows) demonstrating their tendency to form b-aggregates Calculation of the ratio between the total surface area and the surface area at 1625 cm)1and 1685 cm)1shows that C110 )131 contains approximately 30% more b-structures than R110 )131 both at baseline and at 24 h indicating the higher tendency of C110)131 to adopt a b-pleated conformation.(C) big-h3 110 )122 (the peptide missing the eight residues of the CONH 2 -terminal end) displayed a strong formation of antiparallel b-sheet conformation at 24 h confirming its high propensity to adopt a b-pleated conformation when compared to the other peptides analyzed (arrow) (profound depression at 1625 cm)1wavenumber in the solid line plot corresponding to the peptide solution at 24 h).(D) Comparison of C114 )131 (missing the hydrophobic Val112–Val113) and C110)131 peptides at 24 h.It can be observed that C114)131 has significantly less b-pleated structures than C110 )131 (1625 cm )1 and 1685 cm)1wavenumber differences arrows).

Fig 5 ThT fluorescence quantitative analysis comparing big-h3 110 )131 and big-h3 114)131 peptides after dialysis R114)131 and C114)131 produce less amyloid than R110 )131 (A) and C110)131 (B), respectively, proving the NH 2 -terminal sequence is involved in the amyloid conversion

of both the big-h3 110 )131 peptides.A similar difference is apparent between C110)131 and C110)131 Acm suggesting that disulfide bonding also accounts for amyloid formation.

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ThT analysis confirmed the high propensity of

big-h3 110)122 to form amyloid spontaneously as it displayed

the highest ThT signal from day 1 to day 15 and had the

fastest aggregation kinetics (Fig.3) The higher

amyloi-dogenicity of big-h3 110)122 when compared to its

full-length counterpart was also evident from dialysis-induced

amyloid fibril formation (Figs 2E and 3 illustrate this point

by Congo red stained smears and ThT fluorescence studies,

respectively)

Role of hydrogen bonds

The role of hydrogen bonds in amyloidogenesis was

analyzed by comparing FT-IR spectrograms in H2O and

in D2O, known to prevent hydrogen bond formation.The

FT-IR spectrogram of C110)131 in D2O displayed

signi-ficantly less b-pleated sheet structures than the same peptide

analyzed in H2O (Figs 4B and 6).A similar decrease in

b-pleated sheet structures in D2O was observed with

R110)131 and C114)131 peptides (Fig.6) Comparing

the spectrograms of the different peptides in D2O showed

that big-h3 110)122 had the highest percentage of b-sheet

content (34%), while R110)131, C110)131, and C114)131

had 15%, 23% and 6%, respectively

These data strongly suggest that hindering hydrogen

bond formation decreases the b-pleated sheet structures of

the peptides, thereby limiting amyloid fibril formation

Effect of the b-pleated sheet inhibitor

on amyloid fibril formation ‘in vitro’

The BB1 peptide, specifically designed to hinder amyloid

formation, was incubated with C110)131.The presence of

the BB1 peptide resulted in a 35% reduction in the yielding

of amyloid fibrils in vitro throughout the complete length of

the experiment (Fig.8).Conversely, the BB2 peptide did not

interfere with C110)131 amyloid fibril formation.The BB2

ThT fluorescence curve matched the C110)131 ThT

fluorescence curve from day 1 to day 14.Therefore, BB1

peptide was able to inhibit amyloid fibril formation, and this

inhibition was specific as BB2 control peptide did not

modify amyloid yielding

D I S C U S S I O N

We previously presented an effective dialysis-based in vitro system to study the formation of amyloid fibrils from TGFBI protein-related synthetic peptides [14].Based on this system, we have now assessed the influence of the structure

of mutant TGFBI protein related peptides centered on codon 124 on amyloid formation.From our data it becomes apparent that (a) the particular amino-acid occupying the position 124, (b) the presence of Val–Val at positions 112–113, and (c) the existence of disulfide and hydrogen bonding, are of utmost importance in determining the tendency of TGFBI protein related peptides to adopt a b-pleated sheet configuration and to form amyloid.The CONH2-terminus of the peptides analyzed has an inhibitory

Fig 6 Secondary structure determination of the peptides by FT-IR spectroscopy in D 2 O Spectrograms of solutions containing the same peptides included in Fig.4 were analyzed in D 2 O (known to prevent intra- and intermolecular hydrogen bonds).Note the absence of inflexion of the curves both at 1625 and 1685 cm)1wavenumber, when compared to the same peptides analyzed in H 2 O, showing that hycdrogen bonding participates in the b-pleated conformation of the peptides.The relative areas of the peaks around these wavenumbers expressed as percentage of the total area over the curve were clearly diminished for all the peptides (see the text).

Fig 7 Spontaneous amyloid fibril formation (A) Congo red staining and polarized light of big-h3 110 )122 after 24 h of suspension in distilled water showing a large amount of amyloid material (· 125).(B) Electron micrograph of the negatively stained material from big-h3 110 )122 spontaneous precipita-tion on day 1 displaying bundles of 8–10 nm wide fibrillar structure undistinguishable from amyloid fibrils (· 60 000, bar ¼ 50 nm).

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effect on amyloid formation.Although the behavior of a

synthetic peptide in vitro is not identical to that of the

complete protein in vivo, our findings are in perfect

agreement with the phenotype–genotype associations

observed in clinical reports and identify some important

factors determining the appearance of amyloidosis.Our

system also allowed us to test a small peptide specifically

designed to prevent amyloid fibril formation from the

TGFBI protein related peptides.The results of these

experiments were very encouraging

Concerning the importance of codon 124, our data

clearly show that of all the peptides analyzed C110)131 is

the peptide with the greatest tendency to form amyloid

fibrils.The amount of amyloid material produced was the

highest and kinetic studies showed that it was the fastest to

precipitate into amyloid fibrils.On the contrary, the

mutated S110)131 and the native R110)131 proved to

have the least tendency to form amyloid fibrils as shown by

ThT fluorescence analysis, while H110)131 presented an

intermediate degree of amyloid fibril formation

Cysteine has the capacity to form disulfide bonds.As

disulfide bonding of the protein may participate in the

appearance of aggregates and predispose to the formation

of amyloid fibrils, we explored the consequences of

preventing disulfide bonding on amyloid transformation

Blocking the Cys residues decreased amyloid formation by

approximately 50%, demonstrating that Cys–Cys bond

formation does facilitate amyloid precipitation, but is not

the only factor responsible for the amyloidogenicity of

C110)131 peptide.The participation of other factors in

amyloidogenesis, unrelated to disulfide bonding, is further

supported by the appearance of amyloid fibrils with

H110)131, and to a lesser extent with the other peptides

studied

Amyloid deposits are characteristically

insoluble.Hydro-phobicity is an important feature in the formation of

b-pleated insoluble aggregates [20,21].The NH2-terminal

sequence of the peptides included comprises two valine

residues at positions 112 and 113.Our studies with the

peptides lacking the residues 110–113 (excluding the two

valine amino acids), showed a decrease in the formation of

amyloid fibrils, suggesting the importance of the

hydropho-bic NH2-end of the peptides.In the same way, removing the

CONH-terminus of the peptides resulted in increased

amyloid fibril formation.This increase may be due to a direct inhibitory effect of this nine-amino-acid sequence, or

to disequilibrium in the hydrophobic-hydrophilic balance of the truncated peptide.Based on the importance of the two Val residues in amyloid fibril formation we designed BB1, to interfere hydrophobic interactions.The positive results obtained with BB1 further confirm the importance of Val112-Val113 hydrophobic sequence in amyloid fibril formation from TGFBI protein derived peptides

Finally, hydrogen bonding also seems to participate substantially in the formation of amyloid fibrils as demon-strated by our studies on the secondary structure of the peptides, both in H2O (allowing hydrogen bonding) and

D2O (preventing from hydrogen bonding) with less b-pleated structures under the milieu preventing hydrogen bonding

Recent clinical reports are challenging some of the classically accepted axioms on corneal dystrophy.Diseased corneas of mixed granular corneal dystrophy type 2 (GCD2), associated with the R124H mutation, contain substantial amounts of amyloid deposits when carefully studied [22].More surprisingly, granular corneal dystro-phies of early and late onset, with pure granular deposits on clinical examination, have also been found to contain amyloid deposits in the cornea when assessed by electron transmission microscopy [23].In that report, amyloid deposits were only identified in 1 out of the 2 affected family members [24].Therefore, amyloid fibrils may be present in the deposits of supposedly pure granular dystro-phies while undetected clinically or with Congo red staining and light microscopy.The results reported in our study are

in keeping with these recent clinical reports, as they demonstrate the capacity of forming amyloid fibrils in vitro for all the peptides assessed, including the native form, when the peptide solution was allowed to interact for longer incubation periods

As well as the precise factors we demonstrate to participate in amyloid fibril formation, other factors may also contribute in TGFBI protein amyloidogenesis.The first

is the putative alteration in the degradation of the TGFBI protein that would allow amyloid fibril formation.It has been recently proven that corneas of patients affected by LCD1, GCD1, and GCD2 have an abnormal pattern of TGFBI protein content compared with normal corneas, suggesting the existence of an abnormal degradation of the protein [22,24].The second is the putative participation of local factors on the appearance of the disease.The TGFBI protein, in addition to the cornea, is abundantly expressed

in the skin.However, the clinical manifestations of BIGH3 related dystrophies are restricted to the cornea and we failed

to find amyloid deposits in the skin in LCD1, even when carefully checked using electron microscopy [5].Further, it has been established that cultured fibroblasts bearing the R124C mutation do not produce amyloid spontaneously [22].Therefore, the involvement of the cornea may be the consequence of specific constitutive and/or physiological factors of this tissue that would enhance amyloid formation,

as the presence of the same protein precursor in other tissues does not result in amyloid deposits.These factors may include interactions with other constitutive molecules (glycosaminglycans, [25]), and/or the particular physiology

of the cornea, which acts as a semipermeable membrane allowing ion and water transfers as in our in vitro system

Fig 8 Effect of the BB1 and BB2 peptides on amyloid fibril formation.

Amyloid fibril formation from C110 )131 peptide was significantly

reduced in the mix containing BB1 (LPVVD) (35% when compared

with the control curve of C110 )131 in the absence of BB1).The mix

with the nonspecific BB2 peptide (LPFFD) displays a ThT

fluores-cence curve matching the C110 )131 control curve thus showing no

interference of BB2 with C110 )131 amyloid fibril formation.

Trang 8

These local factors may also explain the corneal

involve-ment in other forms of amyloidosis [26]

In summary, autosomal dominant corneal diseases linked

to mutations in the BIGH3 gene are a prominent cause of

corneal blindness in adulthood.Conventional therapies

remain unsatisfactory due to the high rate and short delay of

recurrence after penetrating keratoplasty.Our findings

explain at the molecular level the disparities observed

among the different types of BIGH3 R124 mutation-linked

corneal dystrophies and suggest that designing specific

peptides able to inhibit the b-pleated conformational

organization of TGFBI protein related peptides is an

obvious route to successful therapy.The results of the first

molecule with this type of capacity are reported

A C K N O W L E D G E M E N T S

We want to thank Thierry Durroux (CCIPE, Montpellier, France) for

providing the Fluorescence spectrometer, Florence Trebillac (CRIC,

Montpellier, France) for her help in electron transmission microscopy,

and Dr Peter G.Kerr for his help in correcting this manuscript.

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