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Molecular Mechanism of Z ?1-Antitrypsin Deficiency.


ABSTRACT: The Z mutation (E342K) of ?1-antitrypsin (?1-AT), carried by 4% of Northern Europeans, predisposes to early onset of emphysema due to decreased functional ?1-AT in the lung and to liver cirrhosis due to accumulation of polymers in hepatocytes. However, it remains unclear why the Z mutation causes intracellular polymerization of nascent Z ?1-AT and why 15% of the expressed Z ?1-AT is secreted into circulation as functional, but polymerogenic, monomers. Here, we solve the crystal structure of the Z-monomer and have engineered replacements to assess the conformational role of residue Glu-342 in ?1-AT. The results reveal that Z ?1-AT has a labile strand 5 of the central ?-sheet A (s5A) with a consequent equilibrium between a native inhibitory conformation, as in its crystal structure here, and an aberrant conformation with s5A only partially incorporated into the central ?-sheet. This aberrant conformation, induced by the loss of interactions from the Glu-342 side chain, explains why Z ?1-AT is prone to polymerization and readily binds to a 6-mer peptide, and it supports that annealing of s5A into the central ?-sheet is a crucial step in the serpins' metastable conformational formation. The demonstration that the aberrant conformation can be rectified through stabilization of the labile s5A by binding of a small molecule opens a potential therapeutic approach for Z ?1-AT deficiency.

SUBMITTER: Huang X 

PROVIDER: S-EPMC4957051 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature

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Molecular Mechanism of Z α1-Antitrypsin Deficiency.

Huang Xin X   Zheng Ying Y   Zhang Fei F   Wei Zhenquan Z   Wang Yugang Y   Carrell Robin W RW   Read Randy J RJ   Chen Guo-Qiang GQ   Zhou Aiwu A  

The Journal of biological chemistry 20160531 30


The Z mutation (E342K) of α1-antitrypsin (α1-AT), carried by 4% of Northern Europeans, predisposes to early onset of emphysema due to decreased functional α1-AT in the lung and to liver cirrhosis due to accumulation of polymers in hepatocytes. However, it remains unclear why the Z mutation causes intracellular polymerization of nascent Z α1-AT and why 15% of the expressed Z α1-AT is secreted into circulation as functional, but polymerogenic, monomers. Here, we solve the crystal structure of the  ...[more]

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