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In order to determine the functional consequences of these mutations, we expressed wild-type and mutant GALE proteins in 293T cells.. In this study we generated expression plasmids conta

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epimerase (GALE) associated with galactosemia in Korean patients using mammalian GALE-null cells

You-Lim Bang1,*, Trang T T Nguyen1,*, Tram T B Trinh1,*, Yun J Kim1, Junghan Song2 and Young-Han Song1

1 Ilsong Institute of Life Science, Hallym University, Anyang, Korea

2 Department of Laboratory Medicine, Seoul National University Bundang Hospital, Gyeonggi-do, Korea

Galactose is metabolized by three enzymes:

galactokin-ase, galactose 1-phosphate uridyltransferase and

UDP-galactose-4-epimerase (GALE; EC 5.1.3.2) [1] Defects

in any of these enzymes lead to the autosomal

reces-sive disorder, galactosemia [2] The majority of

patients with GALE-deficiency galactosemia

(MIM 230350) are identified as having a clinically

benign ‘peripheral’ condition These patients show

defective GALE activity only in circulating red and

white blood cells, and the condition is relatively

com-mon in African Americans [3] and in Japanese [4] The

clinically severe ‘generalized’ form of GALE-deficiency,

galactosemia, is extremely rare and enzyme activity is

defective in all tissues examined These patients show growth retardation and developmental delay [5] ‘Inter-mediate GALE deficiency’ has also been applied to patients who exhibit partial impairment of GALE activity in nonperipheral cells, such as lymphoblasts [6] The molecular mechanisms that distinguish these subtypes of GALE-deficiency galactosemia have not been identified

GALE is a member of the short-chain dehydroge-nase⁄ reductase superfamily It is widely distributed in nature and has been isolated and characterized in several species [7–9] The 3D structure of Escherichia coli [10], Trypanosoma brucei [11], Saccharomyces

Keywords

galactosemia; mutation; protein aggregation;

UDP-galactose-4-epimerase; unstable

protein

Correspondence

Y.-H Song, Ilsong Institute of Life Science,

Hallym University, 1605-4 Gwanyang-dong,

Dongan-gu, Anyang, Gyeonggi-do 431 060,

Korea

Fax: +82 31 388 3427

Tel: +82 31 380 1897

E-mail: ysong@hallym.ac.kr

*These authors contributed equally to this

work

(Received 15 December 2008, revised 19

January 2009, accepted 21 January 2009)

doi:10.1111/j.1742-4658.2009.06922.x

Galactosemia is caused by defects in the galactose metabolic pathway, which consists of three enzymes, including UDP-galactose-4-epimerase (GALE) We previously reported nine mutations in Korean patients with epimerase-deficiency galactosemia In order to determine the functional consequences of these mutations, we expressed wild-type and mutant GALE proteins in 293T cells GALEE165K and GALEW336X proteins were unstable, had reduced half-life, formed aggregates and were partly degraded by the proteasome complex When expressed in GALE-null ldlD cells GALEE165K, GALER239W, GALEG302D and GALEW336X had no detectable enzyme activity, although substantial amounts of protein were detected in western blots The relative activities of other mutants were lower than that of wild-type In addition, unlike wild-type, GALER239W and GALEG302D were not able to rescue galactose-sensitive cell prolifera-tion when stably expressed in ldlD cells The four inactive mutant proteins did not show defects in dimerization or affect the activity of other mutant alleles identified in patients Our observations show that altered protein stability is due to misfolding and that loss or reduction of enzyme activity

is responsible for the molecular defects underlying GALE-deficiency galactosemia

Abbreviations

BrdU, bromodeoxyuridine; CHO, Chinese hamster ovary; EGFP, enhanced green fluorescent protein; GALE, UDP-galactose 4¢-epimerase; UDP-galNAc, UDP-N-acetylgalactosamine; UDP-glcNAc, UDP-N-acetylglucosamine.

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cerevisiae [12] and human [13] GALE has been

determined by high-resolution X-ray crystallography

GALE from all species examined to date, with the

exception of the bacterium, Aeromonas hydrophila

functions as a dimer [14] Since the cloning of

human GALE in 1995 [15], 22 mutations have been

identified in the GALE coding sequences of

GALE-deficiency galactosemia patients (Fig S1A) [5,6,16–

21] To understand the functional consequences of

the mutations, biochemical studies have been carried

out by expressing wild-type and mutant human

GALE in bacteria or in yeast null for the GALE

homologue, gal10p Among the 12 mutants

charac-terized to date, the most severe defects in GALE

protein were observed with mutants G90E, V94M

and L183P Mutants G90E and V94M show a

reduc-tion in turnover number by factors of 800 and 30,

respectively [22], and are unable to restore

galactose-sensitive growth when expressed in epimerase-null

yeast [18] Even though the turnover number of

mutant L183P is lower than that of wild-type GALE

by a factor of three [22], the relative abundance of

this mutant protein was greatly reduced in bacteria

[22] and yeast [23], thereby decreasing the relative

enzymatic activity to 4% of wild-type protein [23]

Mutants N34S, P293L and G319E show the mildest

defects in turnover number (reduced by factors of

1.1, 1.8 and 1.2, respectively) [22] The remainder of

the mutant alleles characterized to date do not show

substantial defects in the restoration of

galactose-sensitive growth in yeast [21,24] and show a mild

reduction in turnover number (decrease by a factor

of 2.4–7.2) [22] None of the mutant human GALE

tested to date show defects in dimerization [21,22]

and mutant alleles N34S and L183P are dominant

negative with respect to each other [23] These results

suggest that not all mutant alleles found in

patients cause functional defects and underscore the

importance of functional studies on the mutant

proteins

We previously described nine GALE mutations in

Korean patients with GALE-deficient galactosemia

[20] These GALE mutations were novel with the

exception of R335H, which had been shown earlier to

cause mild defects in enzyme activity [19,22] In this

study we generated expression plasmids containing

wild-type and mutant GALE cDNA from Korean

galactosemia patients and expressed the constructs in

293T or GALE null ldlD cells [25] to examine the

functional consequences of the mutations Our study

showed that GALEE165K, GALER239W, GALEG302D

and GALEW336Xexhibited no detectable enzyme

activ-ity, and GALEE165K and GALEW336X formed protein

aggregates and showed greatly reduced stability More-over, unlike wild-type proteins, the two stable inactive mutants, GALER239W and GALEG302D, were unable

to rescue defects in galactose-sensitive cell prolifera-tion, confirming that these mutants are not functional

in vivoeither

Results

Protein stability

To investigate the functional properties of the mutant GALE proteins, full-length wild-type or mutant GALE cDNAs were cloned into expression plasmids containing N-terminal myc or FLAG epitopes When transiently expressed in 293T cells, steady-state levels of myc– GALEE165Kand myc–GALEW336Xproteins were signifi-cantly reduced compared with wild-type, even though the transfection efficiencies, based on the expression level of cotransfected enhanced green fluorescent protein (EGFP), were comparable (Fig 1A) The steady-state levels of FLAG-tagged GALEE165K and GALEW336X were similarly reduced (data not shown)

The steady-state protein level can be decreased by mutations because of reductions in either RNA or pro-tein stability In order to distinguish between the two possibilities, we performed semi-quantitative RT-PCR using GALE transgene-specific primers and EGFP as both an internal control and control for transfection efficiency The amount of PCR product increased upon addition of threefold more cDNA template, confirming that a plateau was not reached under these PCR con-ditions The levels of GALEE165K and GALEW336X transcripts were not significantly different from that of wild-type, suggesting that these mutations did not alter RNA stability (Fig 1B)

We tested the stability of the mutant proteins by determining protein half-life using cycloheximide Wild-type GALE produced stable protein with a half-life of > 8 h Unlike that of wild-type, the half-half-life of GALEE165Kand GALEW336Xproteins decreased to 2.0 and 2.1 h, respectively (Fig 1C) In order to determine whether the mutant proteins are degraded by the proteasome complex, we investigated the effect of the proteasome inhibitor, MG132 on protein half-life

In the presence of MG132, the half-lives of GALEE165K and GALEW336X were increased signi-ficantly up to 8.7 and 6.7 h, respectively, but MG132 treatment does not appear to restore the steady-state protein level to that of wild-type (Fig 1D) These results suggest that GALEE165K and GALEW336X are unstable proteins which are degraded to some extent by the proteasome complex

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Subcellular localization

We performed indirect immunofluorescence to

deter-mine whether the subcellular localization of GALE is

altered by the mutations Wild-type GALE showed a

pattern of diffuse cytoplasmic immunoreactivity when expressed in 293T cells (Fig 2A) Mutant proteins showed a distribution pattern similar to wild-type (data not shown), with the exception of GALEE165K

A

B

C

D

Fig 1 GALE E165K and GALE W336X proteins have shorter half-lives and are degraded by proteasome complex (A, B) Empty vector ( )), wild-type (WT) or mutant myc–GALE expression plasmids were co-transfected into 293T cells with EGFP expression construct as a control for transfection efficiency Forty hours after transfection, cell lysates or total RNA were prepared and western analysis (A) or RT-PCR (B), respectively, were carried out (A) Myc–GALE and EGFP were detected using antibodies against myc and GFP by western analysis (B) Equal amount of total RNA prepared from transfected cells was reverse transcribed and 1 or 3 lL of cDNA was used to amplify EGFP and myc–GALE (C) In order to determine the half-life of myc–GALE wt , myc–GALE E165K and myc–GALE W336X proteins, 293T cells transiently transfected with each myc–GALE expression plasmid were equally divided among the wells of a six-well plate and treated with 50 lgÆmL)1 cycloheximide (CHX) At the indicated time intervals, the cells were harvested and analyzed by western blotting The amount of extract from cells expressing mutant GALE was increased to reach a detectable level of protein Tubulin serves as a loading control The relative amount

of mutant protein was calculated based on the ratio of the band intensities of myc-GALE to tubulin in the western blot and indicated below the blot with 100 set as the zero time point The relative levels of myc–GALE protein at each time point were plotted using a complete linear least squares curve-fit algorithm, and the time point at which GALE levels decreased to 50% of their original value was determined and reported as the half-life (D) In parallel experiments, cells were treated with 25 l M of the proteosome inhibitor, MG132, 1 h prior to and for the duration of cycloheximide treatment.

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aggregates The appearance of the aggregates varied

and presented as a single, large perinuclear sphere,

sev-eral smaller spheres or perinuclear aggregates with

additional, multiple foci throughout the cytoplasm

(Fig 2A) In some cells, the mutant proteins were also

observed in the cytoplasm, as seen for the wild-type

protein Similar staining patterns were observed in

other human cell lines, including hepatoma Hep3B

cells and fibroblast 2fTGH cells (data not shown),

sug-gesting that mislocalization of the mutant proteins was

not cell-type-specific Aggresomes are structures

formed in the presence of misfolded proteins and

con-tain components of the protein degradation and

refold-ing machinery, includrefold-ing proteasome complexes and

members of the Hsc70 and Hsp70 families of proteins

[26,27] Because the morphological appearance of

aggresomes is similar to the aggregates seen in cells expressing mutant GALE, we investigated whether Hsc70 is recruited to the GALEE165Kand GALEW336X aggregates Unlike cells expressing wild-type GALE, cells transfected with GALEE165K and GALEW336X showed Hsc70 redistribution and Hsc70 colocalized with the GALE proteins, suggesting that these mutant proteins indeed become incorporated into aggresomes

GALE activity towards UDP-galactose

To determine the functional consequences of the muta-tions, we expressed wild-type and mutant GALE in the GALE-null cell line, ldlD, derived from Chinese hamster ovary (CHO) cells [25,28] As shown previ-ously, ldlD cells did not exhibit any GALE activity (data not shown), whereas cells expressing myc- or FLAG-tagged wild-type GALE were able to catalyze the conversion of UDP-galactose into UDP-glucose Enzyme activities of myc-tagged GALEE165K, GALER239W, GALEG302Dand GALEW336Xwere unde-tectable even though substantial amounts of the proteins were detected (Fig 3) Results were the same for FLAG-tagged constructs (data not shown) It is interesting to note that the steady-state levels of GALEE165K and GALEW336X proteins in ldlD cell

E165K E165K

E165K

GALE

B

A

wt

E165K

W336X

Fig 2 GALE E165K and GALE W336X proteins form aggresomes in

the cell (A) Wild-type and mutant myc–GALE proteins were

expressed in 293T cell and immunohistochemistry was carried out

to visualize GALE proteins using mouse anti-myc mAb and

rhoda-mine-conjugated anti-mouse IgG (red) Nuclei are stained with DAPI

(blue) (B) 293T cells were transfected with FLAG–GALE and

stained for FLAG–GALE (red) and Hsc70 (green).

n = 3

80 100 120

40 60

0 20

A25V R40C D69E

E165K R239W G302D W336X R169W R335H

myc-GALE Tubulin

Fig 3 Relative enzymatic activities of wild-type and mutant GALE proteins expressed in ldlD cells Cell lysates prepared from ldlD cells transiently transfected with wild-type and mutant myc–GALE were analyzed for enzyme activity using UDP-galactose as sub-strate Enzyme activity was normalized against the relative protein abundance calculated from the intensities of myc–GALE and tubulin bands in the western blot A representative blot is shown Values represent the mean and standard deviation of relative enzyme activities, with wild-type activity set as 100% At least three trans-fections were carried out for each point Asterisks signify no detectable enzyme activity.

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lysates appear similar to that of wild-type, unlike what

we observed in 293T cells (compare Figs 1A and 3)

This is likely to be caused by differences in the time of

harvest and the methods used to extract proteins (see

Materials and methods for detail), because mutant

protein levels were dramatically decreased when ldlD

cell lysates were prepared similar to 293T cells (data

not shown) The relative enzyme activities of the other

mutants were also affected and decreased to 24–71%

of the wild-type level (Fig 3) Thus, the enzyme

activi-ties of the E165K, R239W, G302D and W336X

mutant proteins were not detectable, whereas the

remainder of the mutants showed only mild defects

Restoration of galactose-sensitive proliferation

defects of ldlD cells

GALE-null ldlD cells show defects in cell proliferation

when grown in the presence of galactose [28] This

sen-sitivity to galactose can be rescued by expressing

wild-type GALE and the degree of rescue is dependent on

the level of GALE enzyme activity In order to test

whether the four inactive mutants can restore galactose

sensitivity, we generated stable cell lines expressing

myc-tagged wild-type and mutant proteins Although a

similar number of colonies was analyzed for each

mutant, we were not able to generate ldlD cell lines

that stably expressed GALEE165K or GALEW336X All

stable cell lines used in this assay showed proliferation

rates in the absence of galactose similar to that of ldlD

cells A bromodeoxyuridine (BrdU) incorporation

assay was performed in the presence and absence of

0.25 mm galactose The level of BrdU incorporated

into each cell line treated with galactose was

normal-ized relative to BrdU incorporation in the absence of

galactose, which was set to 100% (Fig 4) Similar to

the previous report, wild-type CHO and ldlD cells

incorporated 119% and 21% of the level of BrdU in

the presence of 0.25 mm galactose In the ldlD(myc–

GALE) wild-type lines, BrdU incorporation was

restored to 116% (wt #3), 88% (wt #11) and 52%

(wt #8); and the level restored was dependent on the

relative enzyme activity (29.0, 5.2 and 0.9, respectively)

and protein level (17.9, 1.0 and 0.2, respectively)

Because the relative enzyme activity of wt #11 was

5.2-fold higher than that of CHO cells and the level of

BrdU incorporation was restored to 88%, we selected

two independent stable lines for GALER239W and

GALEG302D, which expressed a similar or higher

(0.8-to 2.0-fold) level of mutant GALE expression

com-pared with wt #11 There was no detectable enzyme

activity in extracts of cells stably expressing either of

the two mutants and BrdU incorporation upon

galac-tose treatment decreased to 21–33% of control values, confirming that the GALER239W and GALEG302D proteins are non-functional in vivo as well

Dimerization and the dominant-negative effect

In order to test whether the loss of enzyme activity of the four mutants is due to defects in dimer formation,

we performed an immunoprecipitation assay We transfected FLAG- and myc-tagged wild-type GALE alone or together into ldlD cells and

immunoprecipitat-ed the protein with myc antibody When increasing amounts of lysate from cells transfected only with FLAG–GALE were immunoprecipitated, no GALE bands were detected on western blots probed with anti-body against FLAG or myc (Fig 5A) By contrast, FLAG–GALE was detected in the anti-myc immuno-precipitates of cell lysates expressing both myc–GALE and FLAG–GALE in a dose-dependent manner (Fig 5A), confirming that dimerization of the GALE proteins had taken place Similarly, GALEE165K, GALER239W, GALEG302D and GALEW336X were able

80.0 100.0 120.0 140.0

0.0 20.0 40.0 60.0

CHO ldlD wt

#3

wt

#1 1

wt

#8 R239W

#15 R239W

#5 G302D

#10 G302D

#13

Tubulin

myc-GALE

1.0 0.2 1.7 2.0 0.8 17.9 1.6

RP A REA (CHO:1) 29.0 5.2 0.9 0 0 0 0

Fig 4 GALE R239W and GALE G302D are not able to restore galac-tose-sensitive cell proliferation when stably expressed in ldlD cells.

Stable ldlD cells expressing varying amounts of myc–GALEwt, myc–GALE R239W and myc–GALE G302D were generated Relative proliferation of these cells in the presence and absence of 0.25 m M galactose was determined by measuring BrdU incorporation The level of BrdU incorporation into each cell line cultured in the absence of galactose was set to 100% and the corresponding results from galactose treated cells were calculated accordingly.

Relative protein abundance (RPA) was calculated based on the ratio

of intensity of the myc–GALE to tubulin bands in the western blot and normalized by setting the amount of GALE in ldlD(myc–GALE)

wt #11 as 1.0 The western blot for determining the protein level in extracts derived from each cell line is shown The relative enzyme activity (REA) was determined and normalized by setting the enzyme activity of CHO cell lysates as 1.0.

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to form homodimers (Fig 5B), suggesting that these

mutant proteins exist as dimers, even though their

enzymatic activity is severely compromised The four

mutant proteins were able to form heterodimers with

the alleles found in the patient (Fig 5C) Because

GALEN34S and GALEL183P are dominant-negative

with respect to each other [23], we investigated whether

the four inactive mutants have a similar effect When

tested in ldlD cells, we could not observe such effect

(Fig S2)

Discussion

Previously, we identified nine mutations in Korean

patients with GALE-deficiency galactosemia [20] Our

results on the functional consequences of these

muta-tions reveal that they could be categorized into three

groups The first group includes E165K and W336X,

which had no detectable GALE activity, formed

protein aggregates and were degraded by proteasome

complex The second group, consisting of R239W and

G302D, also exhibited no detectable enzymatic

activ-ity, although the stability of the proteins was

unaf-fected The remaining mutants showed mild defects in

enzyme activity with apparently wild-type protein

stability In this study, we utilized GALE null ldlD

cells to test enzyme activity and in vivo function of

GALE mutants The ability to rescue defects in cell

proliferation of galactose-treated ldlD cells correlated with the defects in enzyme activity Interestingly, stable cells expressing mutants showing mild defects in enzyme activity behaved in a manner similar to the original CHO cells (data not shown), suggesting that the mild defects did not affect this phenotype This is consistent with previous results in yeast showing a steep threshold relationship between growth rate in galactose and GALE activity [29]

W336X is the only nonsense mutation that has been identified in GALE-deficiency galactosemia patients It

is well known that mRNAs harboring premature ter-mination codons are rapidly degraded by the RNA surveillance mechanism known as nonsense-mediated mRNA decay [30] In mammalian cells, premature stop codons generally need to be at least 55 nucleotides upstream of the last intron in order to trigger mRNA decay [30] Because the W336X mutation generates a premature stop codon in the last exon, it is not likely

to induce nonsense-mediated mRNA decay In addi-tion, we could not detect changes in the mRNA stabil-ity caused by this mutation when the mutant protein was expressed from cDNA (Fig 1B)

When newly synthesized proteins are misfolded for a number of reasons, including missense mutation or lack

of oligomeric assembly partners, they aggregate to form

an aggresomal particle and are targeted for degradation

by the ubiquitin–proteasome system [26] The overall

A

B

C

Fig 5 Capacity of type and four mutant GALE proteins with undetectable enzyme activity to dimerize (A) FLAG- and myc-tagged wild-type GALE expression plasmids were transfected individually or in combination into ldlD cells and immunoprecipitation was carried out with myc antibody using detergent-soluble cell lysates containing the amount of protein indicated Immunoprecipitates (IP) were analyzed by wes-tern blotting (IB) with FLAG antibody, stripped, and reprobed with myc antibody (B) In order to determine if the four mutant proteins are able to form homo-dimers, FLAG- and myc-tagged GALE constructs were co-transfected and analyzed as in (A) (C) FLAG–GALE was trans-fected into stable ldlD lines expressing myc-GALE as indicated and immunoprecipitation was performed and analyzed as in (A).

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structure of aggresomes appears to vary depending on

the nature of the aggregating protein and the cell type: a

single sphere of diameter 1–3 lm or an extended

ribbon-shaped structure [26] It has been shown that the

machinery for protein refolding and degradation,

including such components as Hsc70, Hsp70, Hsp40

family of proteins and proteasomes are recruited to the

aggresome to eliminate the aggregated material [31]

Aggregated proteins that can not be refolded by the

chaperone system or degraded by the proteasomes are

efficiently removed by autophagy [26] The subcellular

distribution, co-localization with Hsc70 and

proteo-some-dependent degradation of GALEE165K and

GALEW336X proteins support the theory that these

mutant proteins are misfolded, form aggresomes and

are degraded by the proteasome complex Substitution

of the negatively charged amino acid, glutamate, with

the positively charged lysine (E165K) and deletion of

the 13 C-terminal amino acids (W336X) probably

dis-rupted normal protein folding Because previous reports

indicate that some protein aggregates have a toxic ‘gain

of function’ activity, it will be interesting to explore

whether aggregation of these GALE mutant proteins

results in pathological symptoms that are related to

tox-icity and independent of the symptoms caused by the

absence of GALE activity Consistent with this

possibil-ity, we were not able to generate stable cell lines

express-ing E165K and W336X mutant proteins, even though

the possibility of very low steady-state levels of protein

cannot be ruled out Further studies are required to

pursue this question

Unlike enzymes isolated from E coli and yeast,

mammalian GALE enzymes can convert

UDP-N-acet-ylgalactosamine (UDP-galNAc) to

UDP-N-acetylglu-cosamine (UDP-glcNAc), and are known to require

exogenous NAD+ [9] We did not test the GALE

mutations for enzyme activity on UDP-galNAc

Previ-ous reports show that GALEG90E and GALEV94M are

defective on both substrates [18] suggesting the

possi-bility that the above four mutants might have impaired

activity on UDP-galNAc It has been reported that

purified GALEN34S requires more than a fourfold

higher concentration of NAD+ to achieve

half-maxi-mal activity compared with the wild-type enzyme [23]

This result explains the observation that GALEN34S

present in crude yeast extracts demonstrated only 70%

of wild-type activity when assayed at 4 mm NAD+,

whereas less-pronounced differences were observed

when a higher concentration of NAD+was used [23]

We used 5 mm NAD+ in the enzyme activity assay

and it remains to be determined if any of the

muta-tions found in Korean galactosemia patients also show

increased dependence on exogenous NAD+

The results from this and previous reports identified seven amino acid residues with severe defects in enzyme activity and⁄ or protein stability (Fig S1A) When GALE sequences from eight species were aligned, approximately one third of the amino acids were strictly conserved in all species (Fig S1B) Of 20 amino acids that have been characterized, none of the mutations with mild defects are associated with these conserved amino acid residues, with the exception of N34S By contrast, all seven GALE mutants showing severe defects were identical in amino acid sequence among species (Fig S1B), underscoring the importance

of these amino acids in proper folding and catalytic activity of the protein The importance of Arg239 and Gly302 is further supported by existing evidence based

on X-ray crystallography data that these amino acids occur in a region which undergoes major conforma-tional change upon substrate binding [13] Moreover, Arg239 is one of the key amino acid residues that forms electrostatic interactions with the phosphoryl oxygens of the UDP-glucose [13]

In this report, we studied the functional conse-quences of nine mutations in Korean patients with epimerase-deficiency galactosemia We found that mutants E165K and W336X produced proteins with greatly reduced protein stability, probably due to misfolding, and they formed aggregates that were degraded by proteasomes In addition, these proteins also lacked enzyme activity By contrast, mutants R239W and G302D generated proteins with normal protein stability but lacking detectable enzyme activity These proteins also failed to rescue galactose-sensitive cell proliferation of ldlD cells We utilized ldlD cells and provided evidence that these cells will serve as an important system for future studies on the function of GALE Further studies are warranted to test whether previously identified unstable GALE alleles could form protein aggregates and if these aggregations are toxic

Materials and methods

Plasmids and cell culture Wild-type human GALE cDNA was kindly provided by

J L Fridovich-Keil (Emory University, Atlanta, GA, USA) Mutant GALE cDNAs were generated using the QuickChange Site-Directed Mutagenesis Kit (Stratagene,

La Jolla, CA, USA) and were cloned into pCDNA3 (Invi-trogen, Carlsbad, CA, USA) or pCMV-Tag2A (Stratagene)

to produce GALE containing N-terminal myc or FLAG epitope, respectively All expression constructs were con-firmed by sequencing the entire coding region 293T, CHO-K1 cells (gift of M Krieger, Massachusetts Institute of

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Technology, Cambridge, MA, USA) and the ldlD cell line

(ATCC, Manassas, VA, USA) were maintained as

previ-ously described [28]

RT-PCR

293T cells grown in 60 mm dishes were transfected with

4 lg myc–GALE expression construct together with 0.3 lg

EGFP expression plasmid, pEGFP-C1 (Clontech, Palo

Alto, CA, USA) using the calcium phosphate method

Forty hours after transfection, total RNA was isolated and

equal amount of RNA (4 lg) was reverse transcribed using

SuperScript II reverse transcriptase (Invitrogen) and

0.5 mm oligo(dT)12–18as primer One or three microliters of

cDNA products were amplified with Taq DNA polymerase

in the presence of primers specific for the GALE transgene

and EGFP

Stability of GALE proteins

Forty hours after transfection 293T cells were harvested in

lysis buffer [50 mm Tris, pH 7.4, 0.5% Nonidet P-40,

150 mm NaCl, 1 mm EDTA and Complete Protease

Inhibi-tor Cocktail Tablet (Roche Applied Science, Mannheim,

Germany)] After centrifugation, the supernatant was

resolved by SDS⁄ PAGE and myc–GALE and EGFP

pro-teins were detected by western analysis using antibody

against myc (9E10; Santa Cruz Biotechnology, Santa Cruz,

CA, USA) and antibody against GFP (Santa Cruz) To

determine protein half-life, 293T cells grown in 100 mm

dishes were transfected with 10 lg wild-type or mutant

myc–GALE expression plasmid On the following day, cells

were evenly divided among the wells of a six-well plate and

allowed to incubate overnight Wells were treated with

50 lgÆmL)1cycloheximide (Sigma, St Louis, MO, USA) for

the durations indicated in the text In parallel experiments,

cells were treated with the 25 lm proteasome inhibitor,

MG132 (Calbiochem, San Diego, CA, USA) 1 h prior to

and for the duration of cycloheximide treatment The myc–

GALE protein levels were determined by western analysis

and tubulin levels were determined as a loading control

Immunofluorescence microscopy

293T cells grown on coverslips were transfected with myc–

GALE or FLAG–GALE, fixed with 4% paraformaldehyde

in NaCl⁄ Pifor 20 min, and permeabilized with 1% Nonidet

P-40⁄ 10 mm glycine for 5 min Cells on coverslips were

blocked in 3% BSA for 30 min Myc–GALE-transfected

cells were treated with anti-myc mAb followed by

rhoda-mine-conjugated goat anti-mouse IgG (Jackson

Immuno-Research Laboratories Inc, West Grove, PA, USA) GALE

and Hsc70 were detected in FLAG–GALE-transfected cells

using rabbit FLAG antibody and mouse Hsc70 antibody

followed by rhodamine-conjugated goat anti-rabbit IgG

and FITC-conjugated goat anti-mouse IgG Nuclei were stained with 10 lgÆmL)1 DAPI and observed by confocal fluorescence microscopy using a Zeiss 510 laser-scanning microscopy (Carl Zeiss, Jena, Germany)

GALE enzyme assay ldlD cells grown in 100 mm dishes were transfected with

5 lg GALE expression plasmid using 15 lL Lipofecta-min 2000 (Invitrogen) according to the manufacturer’s instructions and harvested 24 h later Cell pellets resus-pended in distilled water were sonicated and centrifuged The supernatant was used for the enzyme assay and wes-tern analysis to determine relative protein abundance GALE enzyme activity was determined using UDP-galac-tose as previously described [20,32] The relative protein abundance in each lysate was calculated by measuring the intensity of the individual GALE and tubulin bands in the western blot using Scion Image (Scion Corporation, Frederick, MD, USA)

Generation of stable cell lines and BrdU incorporation assays

In order to test the galactose sensitive proliferation of the cells, stable ldlD cell lines were generated and BrdU incor-poration assays were performed as described previously [28]

Dimerization

To determine whether the mutant GALE proteins are able to form homo- and heterodimers, we transfected sta-ble cell lines expressing wild-type or mutant myc–GALE allele with the FLAG–GALE expression constructs In the case of mutant myc–GALE, in which the expression level was low in the stable lines, we co-transfected both myc- and FLAG-tagged hGALE into ldlD cells Twenty-four hours after transfection, ldlD cells were harvested with lysis buffer (50 mm Tris, pH 7.4, 0.5% Nonidet P-40,

150 mm NaCl, 1 mm EDTA and Complete Protease Inhibitor Cocktail Tablet) and centrifuged The superna-tant was used for immunoprecipitation with myc antibody and precipitated protein was analyzed by western blotting Membranes were probed with anti-FLAG mAb, stripped, and re-probed with horseradish peroxidase-conjugated myc antibody Alternatively, the membranes were probed with rabbit FLAG antibody, stripped, and re-probed with anti-myc mAb

Acknowledgements

We wish to thank J L Fridovich-Keil of Emory University for providing the hGALE cDNA

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con-structs This study was supported by a grant from the

Seoul National University Research Fund (JS)

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Supporting information

The following supplementary material is available: Fig S1 Summary of the functional consequences of human GALE mutations

Fig S2 Allelic interaction between the mutant alleles identified in Korean galactosemia patients

This supplementary material can be found in the online version of this article

Please note: Wiley-Blackwell is not responsible for the content or functionality of any supplementary materials supplied by the authors Any queries (other than missing material) should be directed to the corresponding author for the article

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