Homozygous Agxt ⁄ mice show severe hyperoxaluria, Keywords hyperoxaluria; kidney; liver; mouse model; subcellular fractions Correspondence E.. To improve our understanding of the metabol
Trang 1mouse model for primary hyperoxaluria type I
Juan R Herna´ndez-Fernaud1 and Eduardo Salido2
1 Max Planck Institute for Biochemistry, Department of Proteomics and Signal Transduction, Klopferspitz, Martinsried, Germany
2 Hospital Universitario Canarias, Center Biomedical Research on Rare Diseases (CIBERER) and Institute of Biomedical Technologies (ITB), Tenerife, Spain
Introduction
Primary hyperoxaluria type I (PHI) is a rare autosomal
recessive disease caused by mutations in the
alanine-gly-oxylate aminotransferase gene (AGXT)
Alanine-glyoxy-late aminotransferase (AGT) (or alanine-glyoxyAlanine-glyoxy-late
aminotransferase 1, AGT1), the protein encoded by
AGXT, plays an important physiological role in
glyoxy-late detoxification by converting it into glycine The
enzyme is present in peroxisomes and⁄ or mitochondria
in different mammalian species, with peroxisomal AGT
being mainly responsible for the detoxification of
glyco-late-derived glyoxylate, and mitochondrial AGT playing
a major role in the metabolism of
hydroxyproline-derived glyoxylate [1] In humans, insufficient AGT
activity in peroxisomes leads to increased cytosolic
conversion of glyoxylate to oxalate Excessive renal excretion of oxalate causes calcium oxalate deposition (nephrocalcinosis and urolithiasis) and eventual loss of renal function After renal failure, calcium oxalate depo-sition becomes widespread and life-threatening unless liver and kidney transplantation are performed With a better understanding of glyoxylate metabolism, sub-strate depletion may potentially be a useful intervention
in patients with PHI [2]
In order to further analyze the mechanisms of PHI disease, and to explore new therapeutic approaches, we have developed an Agxt knockout (AgxtKO) mouse that reproduces some key features of PHI [3] Homozygous Agxt) ⁄ )mice show severe hyperoxaluria,
Keywords
hyperoxaluria; kidney; liver; mouse model;
subcellular fractions
Correspondence
E C Salido, Hospital Universitario Canarias,
Center Biomedical Research on Rare
Diseases (CIBERER) and Institute of
Biomedical Technologies (ITB), Tenerife
38320, Spain
Fax: +34 922 647 112
Tel: +34 922 319 338
E-mail: esalido@ull.es
(Received 29 July 2010, revised 3
September 2010, accepted 10 September
2010)
doi:10.1111/j.1742-4658.2010.07882.x
Mutations in the alanine-glyoxylate aminotransferase gene (AGXT) are responsible for primary hyperoxaluria type I, a rare disease characterized
by excessive hepatic oxalate production that leads to renal failure A deeper understanding of the changes in the metabolic pathways secondary to the lack of AGXT expression is needed in order to explore substrate depletion
as a therapeutic strategy to limit oxalate production in primary hyperoxal-uria type I We have developed an Agxt knockout (AgxtKO) mouse that reproduces some key features of primary hyperoxaluria type I To improve our understanding of the metabolic adjustments subsequent to AGXT defi-ciency, we performed a proteomic analysis of the changes in expression lev-els of various subcellular fractions of liver and kidney metabolism linked
to the lack of AGXT In this article, we report specific changes in the liver and kidney proteome of AgxtKO mice that point to significant variations
in gluconeogenesis, glycolysis and fatty acid pathways
Abbreviations
AGT1, alanine-glyoxylate aminotransferase 1; AGT2, alanine-glyoxylate aminotransferase 2; AGXT, alanine-glyoxylate aminotransferase gene; Agxt) ⁄ ), alanine-glyoxylate aminotransferase homozygous knockout; ML, mitochondrial ⁄ lysosomal; PHI, primary hyperoxaluria type I; SPT, serine-pyruvate aminotransferase; 2-DE, two-dimensional electrophoresis.
Trang 2and males develop calcium oxalate crystalluria and
cal-culi in the urine bladder, although no deposits in the
renal parenchyma (nephrocalcinosis) are observed
unless the animals are subjected to metabolic overload
To better characterize this model, and provide
evidence useful in substrate depletion strategies, we
report in this article a proteomic analysis of the
changes in expression levels of various enzymes of liver
and kidney metabolism linked to the lack of AGT
Results
We first attempted to detect differences in protein
expression between hyperoxaluric and control mice at
the whole-organ proteome level, using either liver
or kidney samples This approach yielded insufficient
protein spots and lower reproducibility than that based
on subcellular fractionation, and was not pursued fur-ther However, for each subcellular fraction studied, more than 300 protein spots were detected in each two-dimensional electrophoresis (2-DE) gel For each frac-tion, three 2-DE silver- and Coomassie-stained gels were integrated and analyzed, and high reproducibility was achieved (Fig 1) By image analysis, using the relative spot volume parameter, the comparison between gels of wild-type and knockout kidney proteomes revealed 22 spots whose protein levels were significantly different between groups (P < 0.01), with three exclusive of knockout mice Twenty of these differentially expressed proteins were correctly matched to protein candidates
in the database (Table 1) according to their peptide mass fingerprints analyzed by MALDI-TOF MS
Fig 1 Comparison of 2-DE patterns among
different extraction methods and cell
fractions (A, B) Total extraction protein
method of kidney and liver organs,
respectively (C, D, E)
Mitochondrial-lysosomal, peroxisomal and cytosolic
fractions of kidney (F, G, H)
Mitochondrial-lysosomal, peroxisomal and cytosolic
fractions of liver Total protein (300 lg) was
subjected to 2-DE (first dimension: glass
capillaries; pH 3–10; 12 cm; second
) Proteins were visualized by
silver staining.
Trang 3Database search and functional exploration of these
proteins revealed that they were associated with
dif-ferent metabolic aspects, such as oxidoreductase
activ-ity, glycolysis, glycine, glyoxylate, fatty acid and
pyruvate metabolism Hydroxyacid oxidase 3 was
two-fold more abundant in knockout mice than in
controls In contrast, d-amino acid oxidase 1 was
2.3-fold downregulated in hyperoxaluric mice Enolase 1
and malic enzyme were upregulated Furthermore,
acyl-coenzyme A dehydrogenase, mercaptopyruvate
sulfotransferase and abhydrolase domain protein were
only detected in knockout mouse kidneys (Table 1,
Fig 2A)
In liver fractions, 18 spots were identified with protein
levels significantly different between the groups
(P < 0.01), and two were exclusively detected in
knock-out mice In 14 of the 18 spots, MALDI peptide mass
fingerprints allowed the identification of the
correspond-ing proteins in the database (Table 2) Database search
and functional exploration of these proteins revealed
that they were associated with gluconeogenesis and
glycolysis In this sense, fructose bisphosphatase was
2.4-fold upregulated in knockout mice However,
alde-hyde dehydrogenase, carbonic anhydrase, enolase and
malic enzyme were downregulated (Table 2, Fig 2B) In
cytosolic fractions, the fumarylacetoacetate hydrolase
and peroxiredoxin 6 appeared, with shifted pI from
approximately 6.9 to 7 and 6 to 5.5, respectively
Western blot analysis was used to confirm the main
differences in expression found in 2-DE gels, provided
that antibodies were available
The results are summarized in Fig 3A In AgxtKO
mice, kidney enolase was clearly overexpressed, as were
liver fructose bisphosphatase and catalase, whereas
liver enolase and carbonic anhydrase 3 were
downregu-lated Comparable amounts of b-actin were present in
AgxtKO and wild-type cytosolic fractions, and the
absence of AGT1 protein in AgxtKO samples was also
confirmed by western blot
The changes in expression levels observed in these
few proteins are in agreement with 2-DE results, which
is consistent with the reliability of our comparative
proteomic study
To assess the tissue specificity of the liver and
kid-ney response, we also performed western blot analysis
of skeletal muscle proteins We observed high
variabil-ity and could not reproduce the detected differences in
liver and kidney samples (Fig 3B)
Discussion
We have analyzed the changes in protein expression
within the liver and kidney of Agxt) ⁄ ) deficient mice
compared with wild-type controls by 2-DE separation and MS The analysis of specific subcellular fractions was necessary to obtain highly informative and repro-ducible 2-DE gels The modified fractionation protocol adopted has been used previously in proteomic studies [4], but does not result in highly pure fractions, which
is likely to be the reason for some inconsistencies between the fraction in which we detected a differen-tially expressed protein and their accepted subcellular localization For instance, we detected d-amino acid oxidase in the mitochondrial⁄ lysosomal (ML) fraction
of kidney, whereas its accepted localization is either cytosolic or peroxisomal Most likely, our ML fraction contained peroxisomes that cosedimented during the procedure used Similarly, liver catalase was detected
in our cytosolic fraction, indicating that peroxisomes and⁄ or peroxisomal proteins were still present in the supernatant after the 7300 g centrifugation Under standard purification procedures, peroxisomal proteins are known to contaminate other subcellular fractions because of peroxisomal fragility With this limitation, our fractionation method was mainly useful as a sim-ple way to reduce the comsim-plexity of the proteome, facilitating the differential expression analysis between wild-type and AgxtKO mice
Agxt) ⁄ ) mice have impaired glyoxylate detoxifica-tion, with subsequent oxalate overproduction by the liver and increased urinary oxalate excretion, similar to patients with PHI [3] However, significant differences between mouse and human glyoxylate and glucose metabolism must be considered Although human AGT1, the product of the AGXT gene, is predomi-nantly localized in the peroxisome, the mouse Agxt1 gene is transcribed into two different mRNA species, coding for mitochondrial and peroxisomal variants [5] Indeed, rodent AGT1 is also known as serine-pyruvate aminotransferase (SPT) because the mitochondrial form participates in gluconeogenesis from serine, whereas the conversion of glyoxylate to glycine takes place largely in peroxisomes No alterations of glucose metabolism have been described in patients with PHI
In AgxtKO mice, we detected an increase in liver fructose-1,6-bisphosphatase, an enzyme involved in the hydrolysis of fructose-1,6-bisphosphate, which plays an important regulatory role in gluconeogenesis [6] In the same hepatic fractions, a decrease in cytosolic malic enzyme 1 was observed, pointing to a reduction in NADPH available for fatty acid biosynthesis Taken together, these results seem to be indicative of an adap-tation in favor of liver gluconeogenesis in response to the lack of AGT1 Other downregulated enzymes, such as aldehyde dehydrogenase 2, enolase 1, UDP-glucose pyrophosphorylase 2 and fumarylacetoacetate
Trang 4Group number
Theorical MW
Matched peptide Sequence coverage
Mascot score Missed cleavage
a The
Trang 5hydrolase, appear to support this observation These
results are consistent with our previous observation
that AgxtKO mice did not seem to show a deficit in
gluconeogenesis despite the absence of the AGXT1
gene product [3] There is also a significant level of
another aminotransferase, AGT2, in mouse liver [7],
although kinetic studies [8] indicate that its
alanine-glyoxylate aminotransferase activity is not favored
over aminobutyrate-pyruvate, b-alanine-pyruvate and
dimethylarginine-pyruvate aminotransferase activities
In the rat, gluconeogenesis from l-serine takes place
mainly through l-serine dehydratase, whereas the flux
through SPT⁄ AGT in gluconeogenesis from serine has
been shown to be significant only after the liver
mito-chondrial form of the AGT1 enzyme had been induced
by glucagon [9] However, the peroxisomal form of
SPT⁄ AGT predominates during constitutive expression
of rat and mouse AGXT genes, and the gluconeogenic flux from serine also takes place in this organelle to some extent [10] Amino acid metabolism is considered
to be a major contributor to endogenous oxalate syn-thesis, justifying the study of changes in liver enzymes
in the context of primary hyperoxaluria It could be speculated that our finding of enhanced liver gluconeo-genesis in the PHI mouse model is an adaptation to the lack of serine flux through AGT, and modifications that potentiate neoglucogenesis might be beneficial in primary hyperoxaluria, reducing the oxalate contribu-tion from amino acid metabolism These modificacontribu-tions might be seen as a form of substrate depletion How-ever, the above-mentioned differences in AGT subcel-lular localization between humans and laboratory
Fig 2 Metabolic kidney (A) and liver (B) enzymes upregulated (+) and downregulated
in knockout mice Acads, acyl-coenzyme A dehydrogenase, short chain; Aco1,
aminotransferase knockout; Aldh2, aldehyde dehydrogenase 2; Car3, carbonic
oxidase 1; Eno1, enolase 1, a non-neuron; Fah, fumarylacetoacetate hydrolase; Fbp1, fructose bisphosphatase 1; Hao3, hydroxyacid oxidase 3; Me1, malic enzyme 1, NADP(+)-dependent; Mpst, mercaptopyruvate sulfotransferase; Pgam1, phosphoglycerate mutase 1; Prdx6, peroxiredoxin 6; Ugp2, UDP-glucose pyrophosphorylase 2.
Trang 6Group number
Theorical MW
Matched peptide Sequence coverage
Mascot score Missed cleavage
Trang 7rodents pose a major limitation to our study and the
inferences that can be based on our findings Further
studies of the sources of endogenous oxalate synthesis
in humans are needed
The phenotypic features of Agxt) ⁄ )mice are
proba-bly the direct consequence of impaired glyoxylate
detoxification, with subsequent oxalate overproduction
by the liver and increased urinary oxalate excretion
As AGT1 is not expressed at significant levels in the
kidney, the changes observed in the kidney proteome
could be a consequence of variations in filtered
metab-olites, such as oxalate, present at high levels in
AgxtKO mice Nephrocalcinosis is essentially absent in
Agxt) ⁄ ) mice, despite high urinary oxalate excretion,
unless glyoxylate precursors are administered Thus,
the response in the kidney proteome to AGT1 deficit is
unlikely to be secondary to serious tissue damage The
increase in kidney enolase points to an enhanced
gly-colysis, whereas higher levels of hydroxyacid oxidase 3
could represent adjustments in medium-chain
hydroxy-fatty acid metabolism The overexpression of enolase 1
and malic enzyme 1 supports the induction of fatty
acid metabolism The reduction in d-amino acid
oxi-dase 1 expression in the kidney proteome is interesting,
in view of the contribution of this enzyme to
glyoxy-late production from glycine Thus, it could be
specu-lated that a decrease in d-amino acid oxidase 1
expression might be aimed at reducing the glyoxylate
overload in the kidney of AgxtKO mice
In conclusion, changes in the proteome contents of hyperoxaluric liver and kidney subcellular fractions should improve our understanding of the metabolic adjustments subsequent to AGXT deficiency, and might provide relevant clues for future developments
of substrate depletion approaches in the treatment of primary hyperoxaluria
Experimental procedures
Animals
Mice were bred and maintained in a pathogen-free facility, with free access to standard chow (A04, SAFE, Augy,
genotyped as reported previously [3] All the experiments were performed in accordance with Spanish and European law regarding the use of animals in research (European Community Council Directive of 24 November 1986,
by our Institutional Committee on Ethics in Animal Experi-mentation (CEBA-HUC) Mice were sacrificed by cervical dislocation, performed by trained personnel, in accordance with CEBA-HUC-approved protocols Immediately after brain death, laparotomy and bilateral thoracotomy were performed and the organs were harvested, making sure that the animals did not suffer at any stage of the procedure Tissues from eight, 3-month-old male mice allocated to
0
1
2
3
4
5
6
7
8
9
Eno1-K Fbp1-L
Eno1-M
Eno1-M FC
0
1
2
3
A
B
Fig 3 (A) Western blot analyses of enolase
hydroxy-pyruvate reductase (Grhpr-K) from kidney and fructose bisphosphatase (Fbp1-L), carbonic anhydrase 3 (Car3-L), catalase (Cat-L), enolase (Eno1-L), alanine-glyoxylate aminotransferase (Agt-L), actin (Actin-L) and
reductase (Grhpr-L) from liver (B) Western blot analyses of enolase (Eno1-M), fructose bisphosphatase (Fbp1-M), carbonic anhydr-ase 3 (Car3-M) and catalanhydr-ase (Cat-M) from muscle The analyses are in
cytosolic (FC) fractions Densitometry of western blot bands was performed and units of selected proteins were calculated.
A representative western blot band for each protein of each experimental group is shown Relative molecular weights were 47,
74, 29, 60, 45, 40 and 36 kDa for Eno1, Fbp1, Car3, Cat, Agt, Actin and Grhpr, respectively.
Trang 8Agxt) ⁄ ) (hyperoxaluric) and from homozygous wild-type
thor-oughly rinsed in ice-cold saline before freezing
Sample preparation
Tissues for whole-protein extraction were frozen and
crushed in liquid nitrogen The powder was lyophilized and
extraction buffer with 8 m urea, 4% Chaps, 40 mm Tris,
65 mm 1,4-dithioerythritol, 0.05% SDS and 2%
ampho-lytes Next, the sample was centrifuged at 13 000 g for
Subcellular fractionation by differential centrifugation was
performed as described previously [4] The tissue was
contain-ing 250 mm sucrose, 10 mm Tris⁄ HCl, pH 7.5, and 1 mm
EDTA The cells were ruptured by 20 strokes in a glass
homogenizer, and the lysate was centrifuged at 200 g for
10 min to sediment the nuclei The supernatant was
centrifuged again at 2000 g for 10 min to sediment a
mitochondria-containing pellet that was homogenized in
1 mL of isotonic buffer and centrifuged at 7300 g for 10 min
to obtain a crude mitochondrial pellet The 2000 g
superna-tant was centrifuged at 7300 g for 10 min to obtain a crude
peroxisomal fraction The peroxisome pellet was
homoge-nized and centrifuged once again, and the supernatant was
centrifuged for 60 min at 7300 g to remove additional
organ-elles from the cytosolic fraction Proteins in the cytosolic
once and air dried Organelle and protein pellets were
solubilized in the extraction buffer and centrifuged at
determined by the Bradford method with BSA as the
pro-tein standard
2-DE
Isoelectric focusing was performed using glass capillary
tubes (inside diameter, 1.5 mm; length, 12 cm) For
separa-tion in the pH 5–8 range, capillary tubes were filled with
solution containing 3% acrylamide, 7 m urea, 0.6% Triton
X-100, 0.75% ampholytes pH 5–8, 0.22% ampholytes
N,N,N¢,N¢-tetramethylethylenediamine and 0.08%
ammo-nium persulfate For separation in the pH 3–10 range,
0.75% ampholytes pH 3–10 and 0.22% ampholytes pH 5–8
300 lg of total protein were applied to the basic end of the
tube gel Cathodic and anodic buffers were 20 mm NaOH
consisted of 1 h at 100 and 1 h at 300 V, followed by
17.5 h at 1000 V and 30 min at 2000 V Next, the capillar-ies were equilibrated for 15 min in reducing buffer
SDS and 1% dithiothreitol, followed by a blocking step in similar buffer containing 2.5% iodoacetamide instead of dithiothreitol for another 15 min The capillary gels were
0.5% low-melting agarose containing a trace of
for 15 min and then at 50 mA per gel until the blue front reached the bottom For external calibrations, molec-ular mass markers (Sigma, St Louis, MO, USA) were loaded onto the second dimension The protein spots were visualized by staining with either Coomassie blue R-250 for preparative gels [11] or silver nitrate for analyti-cal gels [12]
Image capture and analysis
Gels were scanned using a UMAX scanner (Amersham Biosciences, Barcelona, Spain) and the images were
Geneva, Switzerland), including spot detection, quantifica-tion, normalizaquantifica-tion, data analysis and statistics Compara-tive analysis of protein spots was performed by matching corresponding spots across different gels Each of the matched protein spots was rechecked manually Intensity volumes of individual spots were normalized with the total intensity volume of all spots present in each gel before per-forming differential expression analysis The Kolmogorov– Smirnov test was used to assess the statistical significance
of the differences between the normalized intensity volumes
expressed proteins were excised and subjected to subsequent identification by MS
MALDI-TOF MS
Protein spots were manually excised from Coomassie-stained gels, and tryptic in-gel digestion and desalting steps were performed using 96-well ZipPlates (Millipore, Bedford,
MA, USA) according to the manufacturer’s instructions The resulting peptides were mixed with 1 lL of
Anchor-chip plates as described by the manufacturer (Bruker Daltonics, Bremen, Germany) Peptide mass fingerprint spectra were measured on an Autoflex MALDI-TOF mass spectrometer (Bruker-Daltonics) in a positive ion reflection mode at an accelerating voltage of 20 kV, and spectra in the 900–3200 Da range were recorded For one main spec-trum, 30 subspectra with 30 shots per subspectrum were accumulated A pepmix calibration kit (Bruker-Daltonics) was used for calibration and the standard mass deviation
Trang 9was < 10 ppm The peak lists were created with flex
fol-lows: SNAP peak detection algorithm; signal-to-noise ratio,
10; quality factor threshold, 30; maximal 100 peaks per
spot The peptide mass fingerprints were rechecked
manu-ally Peptide mass fingerprint data were submitted to the
MASCOT search engine for protein identification using the
Mascot database The search parameters were set according
to the following criteria: Mus musculus for taxonomy;
carb-amidomethyl (C) for fixed modifications; oxidation (M) for
variable modifications; and ±100 ppm for peptide ion mass
tolerance
Western blot
Subcellular fractions from six mice were obtained as
described above Protein concentration was measured using
the Bradford method, and 50 lg of protein were analyzed
by immunoblotting [13] with anti-AGT affinity-purified
rab-bit serum, anti-carbonic anhydrase 3 (1:1000 dilution) goat
serum or anti-fructose-1,6-bisphosphatase (1:1000) rabbit
(ABCAM, Cambridge, UK) and anti-catalase (1:5000
dilu-tion) mouse IgG1 (Sigma-Aldrich, St Louis, MO, USA)
Peroxidase-conjugated anti-rabbit IgG, anti-mouse IgG or
anti-goat IgG (Jackson Immunoresearch, West Grove, PA,
USA) was used as secondary antibody and the
chemilumi-nescence substrate was obtained from Pierce (Rockford, IL,
USA) Controls to ensure that equal amounts of protein
were loaded per lane involved Coomassie staining of
parallel gels, and reprobing the membranes with mouse
anti-b-actin (1 : 10 000; Sigma) and rabbit anti-glyoxylate
against recombinant protein) antibodies Inmunoreactive
specific bands were quantified using a UMAX scanner
(GeneBio) The signal was normalized against each
group to obtain the protein changes as expression
ratios
Acknowledgements
We are grateful to Cristina Paz for excellent technical
help The study was supported by grant 2007-62343
(Spanish Ministry of Science)
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