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Transport of taurocholate by mutants of negatively charged amino acids, cysteines, and threonines of the rat liver sodium-dependent taurocholate cotransporting polypeptide Ntcp Daniel Za

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Transport of taurocholate by mutants of negatively charged amino acids, cysteines, and threonines of the rat liver sodium-dependent taurocholate cotransporting polypeptide Ntcp

Daniel Zahner, Uta Eckhardt and Ernst Petzinger

Institute of Pharmacology and Toxicology, Justus-Liebig-University Giessen, Germany

The relevance of functional amino acids for taurocholate

transport by the sodium-dependent taurocholate

cotrans-porting polypeptide Ntcp was determined by site-directed

mutagenesis cRNA from 28 single-points mutants of the rat

liver Ntcp clone was expressed in Xenopus laevis oocytes

Mutations were generated in five conserved negatively

charged amino acids (aspartates and glutamates) which were

present in nine members of the SBAT-family, in two

non-conserved negatively charged amino acids, in all eight

Ntcp-cysteines, and in two threonines from a protein kinase C

consensus region of the Ntcp C-terminus Functional amino

acids were Asp115, Glu257, and Cys266, which were found

to be essential for the maintenance of taurocholic acid

transport Asp115 is located in the large intracellular loop

III, whereas Glu257 and Cys266 are located in the large

extracellular loop VI Four mutations of threonines from the C-terminus of the Ntcp by alanines or tyrosines showed no effects on sodium-dependent taurocholate transport Intro-duction of the FLAGmotif into several transport negative point mutations demonstrated that all mutated proteins besides one were present within the cell membrane of the oocytes and provided proof that an insertion defect has not caused transport deficiency by these Ntcp mutants The latter was observed only with the transport negative mutant Asp24Asn In conclusion, loop amino acids are required for sodium-dependent substrate translocation by the Ntcp Keywords: bile acids; P-loop; glutamate; aspartate; mem-brane protein

The sodium-dependent taurocholate cotransporting

poly-peptide Ntcp from rat liver is the major basolateral bile acid

transporter of rat hepatocytes It was the first

sodium-dependent bile acid cotransporter (SBAT), that was

obtained by expression cloning in Xenopus laevis oocytes

[1] It exhibits 77.4% identity and 88.8% similarity on

amino acid level with the human transporter NTCP [2] The

proteins are coded by the Slc/SLC10 gene family in animals

and man SBATs are involved in the maintenance of the

enterohepatic circulation of bile acids and therefore also

participate in the homoeostatis of cholesterol Members of

SBATs are located either in apical membranes of ileum

enterocytes, kidney tubule cells and bile duct cells where

they perform bile acid reabsorption, or in the basolateral

membrane of hepatocytes where they initiate bile acid

secretion [1–9] SBATs constitute a subgroup of the

superfamily of sodium-dependent cotransporters with

about 35% homology among the clones from different

species, e.g from rat, mouse, rabbit, hamster, and human

[10] Their molecular mass is about 50 kDa and the

predicted structure which is derived from hydrophobicity analysis contains either seven or nine transmembrane domains; all SBATs are glycosylated at the extracellular N-terminus and contain a cytoplasmic C-terminus All carriers transport sodium ions together with an organic substrate, e.g a bile acid or an anionic sulfated or glucuroni-dated estrogen conjugate The stoichiometry of this process is electrogenic; two sodium ions are supposed to be trans-located with one taurocholate molecule by the rat Ntcp [11,43,44] Previous reports from Na+/H+proton exchanger [12], Na+/Ca2+exchanger [13], proton pumps [14], sodium-sensitive receptors [15] and sodium-coupled cotransporters [16–18] indicated that negatively charged amino acids in integral membrane channels or carrier proteins are binding sites for sodium ions or other cationic electrolytes Therefore,

an alignment of nine members of the SBAT-family for negatively charged amino acids was made which revealed five conserved glutamates and aspartates The construction of point mutations of all five conserved and two nonconserved negatively charged amino acids into their noncharged counterparts asparagine and glutamine revealed the func-tional importance of two of them for taurocholate transport

In previous studies, we had reported that SH-group reagents with wide varying lipid–water partition values reversibly blocked taurocholate uptake into isolated rat hepatocytes [19,20] We postulated that cysteines from intra-and extramembrane domains of the Ntcp are essential for the transport function of the sodium-dependent bile acid cotransporter Very recently a report on the human NTCP indicated that Cys266, which is located in the final extracellular loop (loop VI as predicted by the seven

Correspondence to E Petzinger, Institute of Pharmacology

and Toxicology, Justus-Liebig-University Giessen,

Frankfurter Str 107, D-35392 Giessen, Germany.

Fax: + 49 641 99 38409, Tel.: + 49 641 99 38400,

E-mail: ernst.petzinger@vetmed.uni-giessen.de

Abbreviations: SBAT, sodium-dependent bile acid cotransporter;

TM, transmembrane.

(Received 19 December 2001, revised 19 December 2002,

accepted 14 January 2003)

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transmembrane domains model), is involved in taurocholate

transport of the human isoform [21] We therefore looked

for the role of each of the eight cysteines of the rat Ntcp for

taurocholate transport

Finally, threonines, within a protein kinase C consensus

region located in the C-terminus of the Ntcp protein were

analyzed with regard to their role in taurocholate transport

Such threonines might be prone to phosphorylation/

dephosphorylation reactions as it was shown that the Ntcp

is a serine/threonine phosphorylated phosphoprotein which

is dephosphorylated by cAMP [22] Upon phosphorylation

of serine/threonine by a protein kinase A, taurocholate

transport is increased but upon phosphorylation of the Ntcp

by protein kinase C, taurocholate uptake is reduced [23]

Threonines from the C-terminal consensus region were

therefore converted to either tyrosines or alanines to

abrogate any phosphorylation signal by PKC

Materials and methods

Site-directed mutagenesis, cloning procedures,

and DNA sequencing

The cDNA of the Ntcp was a kind gift of B Hagenbuch,

University Hospital, Dept Clinical Pharmacology, Zu¨rich

Point and deletion mutants of the rat liver Ntcp cDNA clone

prLNaBA [1] were generated by site-directed mutagenesis by

the use of the QuikChangeTMkit from Stratagene, La Jolla,

USA The primers were selected for each mutation according

to the manufacturer’s manual and were purchased from

MWG, Biotech AG, Ebersberg, Germany They are shown

in Table 1 Mutants were generated by PCR using 16 cycles

according to the manufacturer’s protocol in a Perkin-Elmer

GenAmp cycler 2400 (Perkin Elmer, U¨berlingen, Germany)

The template DNA prLNaBA was digested with DpnI Each

mutated plasmid was transformed into Epicurian Coli

XL1-Blue Supercompetent cells by heat pulse Bacterial cells were

transferred to LB-ampicillin agar plates and single colonies

were isolated and further cultivated to subconfluency in LB

medium Plasmid DNA was isolated according to the Qiagen

Midi kit instructions (Qiagen, Hilden, Germany) The insert

of 1663 bp length of each clone was upstream and

down-stream sequenced by a dye terminated method using the

ABI-Prism Dye Terminator Cycle Sequencing Ready

Reac-tion kit from Applied Biosystems Inc., Weiterstadt, Germany

in the DNA sequencer 373A from the same company

Alignments

An alignment of nine members of the SBAT-family, five

basolateral (Ntcp rat [1], Ntcp mouse1 and 2 [9], Ntcp rabbit

[24], and NTCP human [2]) and four apical (Isbt rat [6], Isbt

mouse [25], Isbt rabbit [26] and ISBT human [27]) was

performed, using the CLUSTAL W 1.6 program from the

Baylor College of Medicine Search Launcher (Houston,

USA) to identify conserved negatively charged amino acids

and cysteines

Tagging of Ntcp mutants by the FLAGmotif

To determine whether the wild-type and the mutant proteins

are expressed and located on the surface of the oocytes,

the cDNA was extended at the 3¢ end by the sequence GATTACAAGGATGACGACGATAAG coding for the FLAGpeptide Insertion of the sequence was carried out

by site-directed mutagenesis using the QuikChangeTM kit from Stratagene, La Jolla, USA The primers used for the PCR are depicted in Table 1 Here, 18 PCR-cycles were applied Location of the insertion was verified by SeqLab Laboratories, Go¨ttingen, Germany

Immunofluorescence microscopy

X laevis oocytes, prepared and maintained in culture as described [28], were injected with 2.5 ng cRNA coding for the wild-type and mutant Ntcp-protein, both elongated by the FLAG sequence After 2 days of expression, the vitelline membrane was removed by hand and the oocytes were fixed in a solution of 80% methanol/20% dimethyl-sulfoxide Oocytes were washed in decreasing concentra-tions of methanol in phosphate-buffered saline (NaCl/Pi, 0.9%, pH 7.4) and were incubated with the mAb M2-anti-FLAG(Sigma-Aldrich, Taufkirchen, Germany) After a second washing step with NaCl/Pibuffer the oocytes were fixed with 3.7% formaldehyde in NaCl/Pi and incubated with Alexa Fluor 488 goat anti-mouse IgG conjugate (Molecular Probes, Leiden, Netherlands) They were again washed with NaCl/Pi and embedded in Technovit 7100 (Heraeus Kulzer, Wehrheim, Germany) Sections, 5-lm thick, were cut and proteins were detected by reflective fluorescence microscopy at 488 nm (Leitz Diaplan UV Microscope, Wetzlar, Germany)

Heterologous expression of Ntcp-cRNA inX laevis oocytes

Mutated and nonmutated plasmids were linearized by PvuI (MBI Fermentas, Vilnius, Lithuania) Capped mRNA was transcribed in vitro using T7 RNA polymerase (Promega, Madison, USA) in the presence of capping analog

m7G(5¢)ppp(5¢)G from Pharmacia, Freiburg, Germany Unincorporated nucleotides were removed with a Sephadex G-50 spin column (Boehringer, Mannheim, Germany) cRNAs were recovered by ethanol precipitation and resuspended in double distilled water for oocyte injection

X laevisoocytes were prepared and maintained in culture

as described [28] They were microinjected with 2.5 ng of Ntcp/mutant cRNA per oocyte in standard experiments In a series of saturation experiments, 0.46–6.9 ng cRNA per oocyte were injected For expression, oocytes were incubated for 2 days at 18C in modified Barth solution For uptake measurements, 10–15 oocytes were incubated at 25C in a medium containing 5 lM [3H]taurocholate (NEN Life Science Products, Boston, MA, USA; specific activity 2–3.47 CiÆmmol)1), 10 mMHepes/Tris pH 7.5, 2 mMKCl,

1 mM CaCl2, 1 mM MgCl2 and either 100 mM NaCl or

100 mM choline chloride in order to calculate the Ntcp-mediated sodium-dependent taurocholate uptake Hill coefficient analysis of the sodium-coupled taurocholate uptake by wild-type Ntcp and two Ntcp mutants with mutated negatively charged amino acids (Asp115Asn and Glu257Gln) was deduced from [3H]taurocholate uptake experiments in the same Hepes/Tris buffer, however, with sodium chloride concentrations of zero, 30, 50, 100, 150 and

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Table 1 Primers used for generating the indicated Ntcp-mutations by QuikChangeTM.

Desired mutation Primer name Sequence

Asp24Asn – F Ggccaccgggccacaaacaaggcgcttagcatc

– R Gatgctaagcgccttgtttgtggcccggtggcc

Cys44Ala – F Gctctcactgggcgccaccatggaattcagc

– R Gctgaattccatggtggcgcccagtgagagc

Cys44Trp – F Catgctctcactgggctggaccatggaattcagc

– R gctgaattccatggtccagcccagtgagagcatg

Glu47Gln – F ctgggctgcaccatgcaattcagcaagatcaag

– R cttgatcttgctgaattgcatggtgcagcccag

Glu89Gln – F cacctgagcaacattcaagctctggccatcctc

– R gaggatggccagagcttgaatgttgctcaggtg

Cys96Ala – F ctggccatcctcatcgctggctgctctcccggg

– R cccgggagagcagccagcgatgaggatggccag

Cys96Trp – F ctggccatcctcatctggggctgctctcccggg

– R cccgggagagcagccccagatgaggatggccag

Cys98Ala – F catcctcatctgtggcgcctctcccggggggaac

– R gttccccccgggagaggcgccacagatgaggatg

Cys98Trp – F catcctcatctgtggctggtctcccggggggaac

– R gttccccccgggagaccagccacagatgaggatg

Asp115Asn – F ctggccatgaaggggaacatgaacctcagcatc

– R gatgctgaggttcatgttccccttcatggccag

Cys125Ala – F catcgtgatgaccaccgcctccagcttcagtgcc

– R ggcactgaagctggaggcggtggtcatcacgatg

Cys125Del – F catcgtgatgaccacctccagcttcagtgcc

– R ggcactgaagctggaggtggtcatcacgatg

Asp147Asn – F gcaaaggcatctacaatggagaccttaaggacaagg

– R ccttgtccttaaggtctccattgtagatgcctttgc

Cys170Ala – F gttctcattcctgccaccatagggatcgtcc

– R ggacgatccctatggtggcaggaatgagaac

Cys170Trp – F catagttctcattccttggaccatagggatcgtc

– R gacgatccctatggtccaaggaatgagaactatg

Cys250Ala – F caactcaatccaagcgccagacgcaccatcagc

– R gctgatggtgcgtctggcgcttggattgagttg

Cys250Del – F ccaactcaatccaagcagacgcaccatcagc

– R gctgatggtgcgtctgcttggattgagttgg

Asp257Asn – F gctgcagacgcaccatcagcatgcaaacaggattcc

– R ggaatcctgtttgcatgctgatggtgcgtctgcagc

Cys266Ala – F ccaaaacattcaactcgcttctaccatcctcaatgtg

– R cacattgaggatggtagaagcgagttgaatgttttgg

Cys266Del – F ggattccaaaacattcaactctctaccatcctcaatgtgacc

– R ggtcacattgaggatggtagagagttgaatgttttggaatcc

Asp277Asn – F cctcaatgtgaccttcccccctcaagtcattgggcc

– R ggcccaatgacttgaggggggaaggtcacattgagg

Cys306Ala – F catcattatcttccgggcctatgagaaaatcaagcctcc

– R ggaggcttgattttctcataggcccggaagataatgatg

Cys306Trp – F catcattatcttccggtggtatgagaaaatcaagcctcc

– R ggaggcttgattttctcataccaccggaagataatgatg

Cys306Del – F catcattatcttccggtatgagaaaatcaagcctc

– R gaggcttgattttctcataccggaagataatgatg

Thr317Ala – F gcctccaaaggaccaagcaaaaattacctacaaagc

– R gctttgtaggtaatttttgcttggtcctttggaggc

Thr317Tyr – F atcaagcctccaaaggaccaatacaaaattacctacaaagctgctg

– R cagcagctttgtaggtaattttgtattggtcctttggaggcttgat

Thr320Ala – F ggaccaaacaaaaattgcctacaaagctgctgcaac

– R gttgcagcagctttgtaggcaatttttgtttggtcc

Thr320Tyr – F ccaaaggaccaaacaaaaatttactacaaagctgctgcaactgagg

– R cctcagttgcagcagctttgtagtaaatttttgtttggtcctttgg

FLAG(R)-insert – F Ggtcagatggcaaatgattacaaggatgacgacgataagtagaatgtgaaacttcgaagc

– R Gcttcgaagtttcacattctacttatcgtcgtcatccttgtaatcatttgccatctgacc

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200 mM The buffers of zero, 25, 50, and 100 mMNaCl were

substituted with the corresponding choline chloride

concen-tration (0/100, 25/75, 50/50, 100/0 NaCl/choline chloride)

The oocyte-associated radioactivity was determined in a

liquid scintillation counter (Wallac 1407, Wallac Inc., Turku,

Finland)

Results

Search for conserved negatively charged amino acids,

cysteines and C-terminal threonines

by sequence identity

An alignment of the amino acid sequence of nine SBAT

proteins, namely five basolateral Ntcp-proteins together

with four apical Isbt-proteins, revealed that the following

glutamates, aspartates, and cysteines in the rat Ntcp are

conserved in all of the nine family members: Cys44, Cys98,

Cys125, and Cys266 as well as Glu47, Asp115, Asp147,

Glu257, and Glu277 The threonines Thr317 and Thr320

are only found in the rat liver Ntcp (Fig 1)

Mutations of negatively charged amino acids residues

The predicted seven transmembrane (TM) structure of rat

liver Ntcp according to [1] and all introduced mutations are

depicted in Fig 2 The organic anion transporting

SBATs are cotransporters with sodium ions as the driving

ion gradient Therefore, in addition to substrate binding

sites, regions for cation binding are also required Earlier

reports have indicated the importance of negatively

charged amino acids for sodium-coupled substrate

cotrans-port or exchange [12,13,16–18] Mutations of all conserved

and two nonconserved negatively charged amino acids to

the noncharged counterparts, i.e Asp to Asn and Glu

to Gln, revealed that the aspartates Asp24 and Asp115 as

well as Glu257 are required for taurocholate transport

(Fig 3)

The negatively charged Glu257 is exposed in an

extracellular loop of the Ntcp and could represent the

sodium ion sensor of sodium-coupled taurocholate

trans-port via Ntcp In order to find out whether and to what

extent this amino acid affects sodium ion dependency of

taurocholate uptake, transport studies were performed in

the presence of varying amounts of extracellular sodium

chloride and Hill analysis was applied (Fig 4) For

comparison the transport-negative Asp115Asn mutant

was investigated in the same manner As a result, the

negative charge in Glu257 is an essential prerequisite for

sodium-dependent taurocholate uptake The Hill

coeffi-cient of this cotransport by wild-type Ntcp is about 2–2.59

[43,44] but dropped to 0.32 (measured at 25–200 mM

NaCl) if Glu257 was converted to Gln (Fig 4) Increase

of the sodium gradient by applying concentrations up to

200 mM NaCl to the outside did not alter the abolished

transport of taurocholate significantly, although at 200 mM

NaCl taurocholate transport slightly increased In contrast,

significant sodium cooperativity was found, however, at a

much lower level, in Ntcp mutant Asp115Asn The Hill

number was 1.15 for the Asp115Asn mutant (Fig 4) which

corresponds to a sodium stoichiometry of one sodium ion

per taurocholate molecule

As taurocholate transport via the carrier mutants Glu257Gln and Asp115Asn was almost nil (2 and 15% of wild-type Ntcp, respectively), tests were carried out to determine whether insufficient expression of the injected cRNA caused this lack of transport Therefore, up to three times the amount of the cRNA compared to the standard amount was injected into oocytes, i.e 6.9 ng instead of 2.3 ng cRNA No improvement of taurocholate transport was observed (Fig 5)

Tests were then performed to determine whether the absence of transport was caused by a sorting defect of these mutant proteins For this reason, the FLAG motif was

Fig 1 Alignment of nine members of the SBAT family Ntcp mouse1, mml1; Ntcp mouse2, mml2; Ntcp rat, rnl; Ntcp rabbit, oclm; NTCP human, hsl; Isbt rat, rni; Isbt mouse, mmi; Isbt rabbit, oci; Isbt human, hsi; conserved cysteines, c; conserved acidic amino acids, a.

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cloned into each transport-negative mutant clone With this

technique, insertion of the mutants Asp115Asn and

Glu257Gln within the cell membrane of X laevis oocytes

was observed by use of antibodies raised against the

FLAG peptide, and applied to permeabilized oocytes

(Fig 6) An exception was observed, the transport-negative

mutant Asp24Asn, which did not appear in the membrane

(Fig 6), indicating that Asp24 from the extracellular

N-terminus is not essential for transport but for appropriate

cell sorting of the Ntcp protein

Cysteine mutants

Each of the eight cysteines, four in transmembrane

domains, three in cytoplasmic or extracellular loops, and

one at the beginning of the C-terminal tail was altered by site-directed mutagenesis The three cysteines from the nontransmembrane domains and the one from the C-terminus were substituted by alanine or were omitted

to attain deletion mutants All deletion mutants, namely Cys125Del, Cys250Del, Cys266Del, and Cys306Del were transport-negative (Fig 7), indicating that each cysteine per se is required If their alanine counterparts were expressed in X laevis oocytes, all except one showed restored transport activity Only the Cys266Ala mutant remained transport-negative We conclude that Cys266 is the only cysteine of the rat liver Ntcp which appears to

be directly involved in taurocholate uptake into the oocytes

To show whether or not mutant Cys266Ala was present in the cell surface of X laevis oocytes, the corres-ponding cDNA clone was also tagged by the FLAG motif and cRNA from this construct was again injected into oocytes Immunofluorescence pictures confirm that the mutant Cys266Ala protein is present in the cell membrane in a similar amount as the wild-type Ntcp protein (Fig 6)

Eight further cysteine mutations were generated regard-ing the four intramembrane cysteines (Fig 7) Exchanges by alanine or tryptophane were generated With the exception

of Cys306 each tryptophane mutant was either transport negative (Cys98Trp, Cys170Trp, Cys96Trp) or showed decreased uptake (Cys44Trp) However, if these intramem-brane cysteines were substituted by alanines, taurocholate transport was fully regained This indicates that none of the transmembrane cysteines appears to be directly involved in the transport process An exception was the tryptophane substitution of Cys306 This Cys306Trp mutant transported taurocholate more effectively (more than 1.5-fold) than wild-type Ntcp Cys306, however, is located at the beginning

of the C-terminal tail of Ntcp (Fig 7)

Fig 3 Mutations of negatively charged conserved amino acids alters

taurocholate transport via Ntcp Uptake of [3H]taurocholate by

X laevis oocytes two days after microinjection of 50 nL containing

2.5 ng cRNA which was transcribed from wild-type or mutant Ntcp

clones Uptake is given in percentage of wild-type uptake after 30 min

of exposure to 5 l M [3H]taurocholate.

Fig 2 Topology model of rat Ntcp based on hydropathy analysis of the amino acid sequence (according to [1]) Transmembrane domains are symbolized as blocks of amino acids Mutated amino acids are highlighted in gray The resulting mutants are shown in boxes, with deletions indicated (del).

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Threonine mutants

The threonines Thr317 and Thr320 are located within the

protein kinase C consensus regions LysXXThrLys and

LysXThrXLys of the Ntcp [29] Therefore, both threonines

were substituted by either tyrosine or alanine None of these

mutations significantly altered taurocholate uptake The

transport rate of each mutant was between 80 and 100% of

the wild-type Ntcp (Fig 6)

Discussion

Hepatobiliary transport of the major bile acid taurocholate

in humans and rats begins by uptake across the

baso-lateral membrane of hepatocytes via the high affinity,

Fig 5 The relationship between the amount of injected cRNA and taurocholate uptake into

X laevis oocytes via Ntcp and Ntcp mutants Uptake of [ 3 H]taurocholate by cRNA-injected oocytes after exposure to 5 l M [3 H]taurocho-late for 30 min The amount of cRNA of transport-negative mutants was increased 14-fold; the standard amount of cRNA which was injected for comparison of transport by mutated vs wild-type Ntcp was 2.5 ngÆ oocyte)1.

Fig 4 Sodium dependency of taurocholate uptake by Ntcp mutants Uptake of 5 l M

[ 3 H]taurocholate was measured during 30 min after injection of 2.5 ng cRNA subscribed from wild-type and mutant Ntcp-clones into oocytes The oocytes were incubated in the presence of increasing sodium chloride con-centrations The results obtained by the clones Asp115Asn and Glu257Gln are also given in a Hill plot.

Fig 6 Detection of the presence of Ntcp proteins in the cell membrane

of X laevis oocytes by the reporter FLAG motif The FLAG encoded amino acid sequence was detected by sandwich immuno-fluorescence labeling with monoclonal anti-FLAG Ig and subse-quent labeling with Alexa Fluor 488 goat anti-mouse IgG conjugate

in permeabilized and fixed oocytes after two days of cRNA expression With the exception of Asp24Asn mutated Ntcp, each mutated protein was detected in the cell membrane of oocytes Negative control was oocytes that were injected with water From top left to right: upper, Asp24Asn; Cys266Del; middle, Glu257Gln; Cys266Ala; lower, Asp115Asn; water-injected oocyte (negative control); large picture, wild-type Ntcp (positive control).

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sodium-dependent and liver-specific basolateral bile acid

carriers NTCP (humans) and Ntcp (rats) Subsequent to

uptake the bile acid is released into the bile canaliculus by the

bile salt export pump BSEP, an ATP-driven ABC-cassette protein related to mdr1 [30,31] Disturbances of the hepatocellular part of the enterohepatic circulation of bile

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acids causes intrahepatic cholestasis [32–35] Whereas

nat-urally occurring mutations in the BSEP have been described,

causing the rare Byler syndrome in children [36], naturally

occuring mutations of the NTCP-gene locus have not yet

been observed Our study with the rat Ntcp indicates,

however, that several amino acids may be essential for

hepatocellular taurocholate uptake because mutations in

these amino acids caused lack of transport; the amino acids

in question are Asp115, Glu257, and Cys266 All of these are

conserved in SBATs and are found also in the human NTCP

protein Functional mutations of these amino acids in the

human NTCP gene locus would cause hypercholanaemia

but would result in low intrahepatic bile salt levels and

therefore little if any hepatocellular injury This syndrome

has been already described in two children, however,

without mutations of the NTCP gene and therefore

remained unexplained [37] The clinical picture of

nonfunc-tional NTCP carriers would differ from patients with

cholestasis where blockade of bile acid secretion at the

canalicula pole of hepatocytes leads to elevated intracellular

(and extracellular) bile acid concentration and therefore

causes severe liver injury It should be noted that in such

cases of cholestasis, Ntcp expression as a protecting

mechanism decreases dramatically [38], but in the cases of

benign hypercholanemia, Ntcp expression was normal [37]

In the latter syndrome, taurocholate uptake and also bile

acid-dependent bile formation is not expected to cease as bile

acid uptake by liver-type organic anion transporting

poly-peptides OATP 8 and OATP-C continues

All mutations from transport-negative mutants were

located in loop structures of the rat Ntcp; two of them,

Glu257 and Cys266, were located in loop VI, the final

extracellular loop (Fig 2) This region also appears to have

key properties for taurocholate transport in other SBATs,

as it was already reported that a naturally occuring point

mutation of Thr262 in the human intestinal Na+/bile acid

cotransporter ISBT abolished reabsorption of bile acids and

caused primary bile acid malabsorption in patients [38] This

conserved threonine is located in loop VI of ISBT and Ntcp

and is next to Glu257 in the rat Ntcp, which we report here,

is also required for hepatic taurocholate transport

The negatively charged Glu257 is probably a binding site

for extracellular sodium ions The driving force for substrate

transport via all SBATs is the sodium gradient across the cell

membrane Two sodium ions are supposed to be

translo-cated together with one bile acid molecule via ileal Na+-bile

acid cotransporters such as human ASBT [46] or the rat liver

Ntcp [11] Therefore, sodium-driven taurocholate transport

is electrogenic [40,46] This 2 : 1 stoichiometry was altered in the mutant Glu257Gln as revealed by Hill analysis A Hill number of almost zero was calculated indicating that this mutant is unable to translocate sodium ions together with taurocholate Therefore we assume that Glu257 is the extracellular sodium sensor for sodium taurocholate co-transport As taurocholate uptake with this Ntcp protein was almost nil (residual 2% transport compared with wild-type Ntcp), the long established importance of the sodium ion for the translocation step of monoanionic bile acids was reaffirmed The cationic sodium ions are likely to interact with negatively charged amino acid residues at the outer surface of the Ntcp protein, but then need to be translocated through pore-forming transmembrane helices to the cyto-plasmic regions of the protein It has been shown that extracellular loops, containing charged amino acids, can slide between TM domains into the membrane, forming P-loops [40] P-loops allow the introduction of charged molecules into inner parts of the cell membrane from where these can be overtaken by further binding sites originating from the cytoplasmic region of the protein It is tempting to

Fig 7 Taurocholate uptake into X laevis oocytes after injection of cRNA of wild-type and mutated Ntcp Uptake of [3H]taurocholate

in X laevis oocytes which were injected with 2.5 ng wild-type or mutant cRNA and incu-bated for two days as described in Materials and methods The diagram depicts relative uptake in percentage of uptake by wild-type Ntcp (100%) after 30 min incubation with

5 l M [ 3 H]taurocholate.

Fig 8 P-loop model of rat Ntcp depicting Glu257 and Asp115 as putative binding sites for sodium ions The extracellular loop 6 between

TM VI and VII contains a sodium substrate-binding region for tauro-cholate during sodium ion–taurotauro-cholate cotransport.

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hypothesize that if such a translocation mechanism is active

in the Na+/bile acid cotransporter Ntcp, extracellular

Glu257 and cytoplasmic Asp115 may constitute an

appro-priate pair of binding sites for sodium ions allowing ion

translocation across the cell membrane The cytoplasmic

Asp115 may detract the two sodium ions delivered by

extracellular Glu257 via P-loop formation (Fig 8)

Consis-tent with this suggested model is the observation that charge

modification in the putative cytoplasmic sodium sensor

Asp115 through its conversion into Asn decreased

sodium-dependent taurocholate uptake to 15% of wild-type Ntcp,

probably because the sodium stoichiometry of 2 : 1 declined

to 1 : 1 (Fig 4)

Whereas negatively charged residues are not suspected

to interact with the anionic organic substrates of SBATs

cysteines are It has already been shown that Cys266 is

essential for taurocholate transport by the human NTCP

protein [21] Here we report that the same amino acid in

the corresponding position is also required for

taurocho-late transport by the rat Ntcp This cysteine appears to be

directly involved in taurocholate transport as it is the only

one which remained transport-negative when substituted

by alanine However, this is in contrast to the report by

Halle´n et al 2000 [21], showing that mutant Cys266Ala of

the human NTCP still transported taurocholate without

any marked change in Km and Vmax These authors

obtained evidence for a separate function of that cysteine

by indirect means with SH-group reagents The reason for

this discrepancy is unclear, but might be due to the

different expression systems used for detection (Xenopus

oocytes in this report vs HEK293 cells in Halle´n’s report)

or to different local interactions of this cysteine within

loop VI of the different Ntcps It should be noted that

loop VI of the human NTCP contains four cysteines

whereas in the rat Ntcp only two cysteines (Cys250,

Cys266) are present

Other cysteines (seven out of eight) of the Ntcp may

have indirect effects on taurocholate transport Such effects

were analyzed by cysteine deletion mutants and

trypto-phane substitutions Indirect effects could be space-holding

properties of these cysteines tested by deletion mutants and

lipophilic binding properties other than by SH-groups

tested by tryptophane The deletion mutants of the

cysteines from loops III and VI (Cys125, Cys250 and

Cys266) (Fig 2) were transport-negative Replacement by

alanine, however, restored uptake in the case of Cys125

and Cys250 Therefore, these cysteines appear to have

space holder functions for the loops With respect to the

Cys250Ala mutant of the rat Ntcp, our finding is in full

agreement with the results observed with the human

NTCP, where taurocholate transport by the Cys250Ala

mutant was also not altered [21] Because seven out of

eight cysteine/alanine substitutions were transport-positive

(with the exception of Cys266Ala), we conclude that no

disulfide bonding between cysteines within a monomeric

Ntcp protein has occurred

Among the cysteine/tryptophane substitutions,

Cys306Trp was exceptional in that taurocholate transport

was not abolished but was even enhanced to 150% of

wild-type transport Cys306 is located at the border of TM7 to

the cytoplasmic C-terminus Cysteines in that position

might serve as an anchor for a palmitoyl/isoprenyl residue

which fixes the protein to the plasma membrane If this is true for the Ntcp protein, this could explain why the hydrophobic amino acid tryptophane fully substituted Cys306 only in that protein position and why in contrast

to all other tryptophane substitutions, taurocholate trans-port was not abolished but was even enhanced by this mutation

Cys306 marks the border to a 56 amino acid tail which stretches to the end of the final amino acid, Asn362, of the Ntcp C-terminus It was already shown that this C-terminal tail is not required for transport properties [41]

A truncated rat liver Ntcp protein lacking all amino acids beyond Cys306 transported taurocholate with a Km identical to that of wild-type Ntcp Similarly, a trans-port-positive Ntcp splicing variant which was shortened by

45 amino acids from the end of the C-terminus was cloned from mice [9] Thus the C-terminal tail appears to be unnecessary for taurocholate uptake However, it was required for appropriate basolateral sorting of the protein, because mutations of Tyr307 (following next to Cys306) and Tyr321 (following next to Thr320) accumulated within the cytosol but were absent from the cell membrane [42] Apart from sorting signal motifs, other regulatory func-tions might be phosphorylation/dephosphorylation reac-tions For this reason, two threonines, Thr317 and Thr320, within a protein kinase C-consensus region were mutated

to alanines but also to tyrosines None of these mutations showed any effects on taurocholate transport into X laevis oocytes Our results would not disprove such phosphory-lation reactions being present in mammalian cells, but the localization of receptive serine/threonine residues for a particular protein kinase are unlikely to be expected within that protein kinase C-consensus region, as even the alanine substitutions were without any effect on taurocholate transport

Acknowledgments

The authors wish to acknowledge the receipt of the Ntcp-containing plasmid prLNaBA from Dr Bruno Hagenbuch, Zurich Support of this project was given by Drs Frank and Marita Langewische who helped

to initiate the study by constructing cysteine mutants Technical help was provided by Mrs Elisabeth Ju¨ngst-Carter and Steffi Weghenkel.

Dr Bruce Boschek has provided critical liguistical advice in preparing the manuscript.

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