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UBE2A (Ubiquitin conjugating enzyme 2 A) gene and mental retardation: search for mutations and functional studies

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Author(s):
Rafaella Maria Pessutti Nascimento
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Instituto de Biociências (IBIOC/SB)
Defense date:
Examining board members:
Angela Maria Vianna Morgante; Luciana Amaral Haddad; Fernando Kok; Claudio Akio Masuda; Luis Eduardo Soares Netto
Advisor: Angela Maria Vianna Morgante
Abstract

We have previously described a nonsense mutation (c.382C8594;T) in the UBE2A gene, at Xq24, which encodes a ubiquitin conjugating enzyme (E2), as the cause of a new X-linked mental retardation syndrome. The predicted protein lacks the 25 C-terminal amino acid residues conserved in vertebrates and in Drosophila. This was the first description of a mutation in a ubiquitin conjugating enzyme gene causative of a human disease. In the present work, we focused on the UBE2A gene, its alternative transcripts and isoforms, and the effect of the c.382C8594;T mutation. We screened for UBE2A mutations 23 males presenting X-linked mental retardation (XLMR), previously mapped to the interval encompassing this gene, and one isolated case, who shared clinical features with our previously described patients. No mutations were detected in this selected series of patients suggesting that mutations in UBE2A is not a common cause of XLMR, similarly to the majority of the XLMR genes hereto described. Very recently four Xq24 microdeletions encompassing UBE2A and three missence mutations were found by other groups in mentally retarded males that shared several clinical features with our patients. Comparing these and our patients, a clinical picture emerges of mental retardation associated with severe speech impairment, present in all of them. Short stature, large mouth with downturned corners and thin lips, short and broad neck, low posterior hairline, widely spaced nipples, marked generalized hirsutism and seizures are common features. However, microcephaly was observed only in patients carrying UBE2A deletions, while carriers of missense or nonsense mutations showed macrocephaly. We evaluated the effect of the UBE2A c.382C8594;T mutation on transcription and translation. This mutation affects the last UBE2A exon and, as expected, does not lead to nonsense mediated RNA decay, demonstrated by the presence of UBE2A mRNA in leucocytes of an affected male. However, only a small amount of the mutated protein was detected in the patients cells, suggesting the loss of UBE2A function as the cause of the syndrome. The posttranslational degradation of the mutated protein could also disturb the cellular homeostasis, a gain of function that remained a possibility. The detrimental effect of the c.382C8594;T mutation was further supported by the presence of only the normal transcript in leucocytes of a heterozygous woman, who had completely skewed X inactivation, thus pointing to the selective advantage of lymphocytes carrying the normal allele on the active X chromosome. Our search in DNA and protein sequence databases suggested that the UBE2A gene produces three alternative transcripts all classified as protein coding. These three tanscripts contain the mutation site (c.382C8594;T). We showed that all three UBE2A transcripts are expressed in human leucocytes, adipocytes, placenta, cerebral cortex and hippocampus. We also detected an alternative transcript in murine, which corresponds to the human transcript 3. This alternative transcript was present in all murine tissues analyzed, including samples from a UBE2A knockout mouse. However, we failed to detect the proteins encoded by the alternative transcripts. This could result from low affinity of the used commercial antibody to the isoforms. Alternatively, a small amount of these proteins in the pool of cellular proteins, might have not been detected by Western blotting. We performed in vivo and in vitro assays to address the role of the alternative UBE2A isoforms, and to evaluate the effect of c.382C-T mutation on UBE2A function. Taking into account the high amino acid conservation between the human UBE2A and the Saccharomyces cerevisiae ortholog RAD6, we used a 916;rad6 yeast strain to verify whether UBE2A alternative and mutated isoforms were able to complement its UV-sensitivity phenotype, as previously demosntrated for UBE2A isoform 1. We also performed in vitro assays to evaluate their ubiquitination activity towards histone H2A, a known in vitro substrate of RAD6 and UBE2A. Only UBE2A isoform 1 could rescue the UV sensitivity phenotype of the knockout yeast strain. The expression of the alternative isoforms 2 and 3 was partially toxic to this yeast strain, and toxicity increased under heat shock conditions. However, these two isoforms do not seem to be stable in yeast cells: as in human tissues, we failed to detect UBE2A isoforms 2 and 3 in yeast cells expressing the corresponding transcripts. The mutant isoform was stable in yeast, but was unable to rescue the UV-sensitivity phenotype, its expression resulting in severe toxicity to the 916;rad6 strain. On the other hand, toxicity was not observed when the mutant UBE2A isoform was expressed in wild type yeast. These findings suggest that isoforms 2 and 3 do not have ubiquitin conjugating activity and, apparently, are degraded immediately after translation. The fact that toxicity is enhanced when these isoforms are expressed under heat shock conditions supports Degradation hypothesis. The degradation could also be due to the absence of a functional partner, in yeast, that could contribute to their stability. Since the alternative isoforms were not detected in the human tissues analyzed, the degradation might occur in human cells as well. E2 enzymes share a catalytic domain and variations among them consist of insertions or terminal extensions, never deletions. Both isoforms 2 and 3 would have deletions of the catalytic domain, suggesting that they are not functional. A regulatory role for these transcripts is a possibility. Our in vitro assays confirmed that UBE2A isoform 1 is capable of histone H2A ubiquitination. The assays for isoforms 2 and 3 were inconclusive, since their lack of ubiquitin conjugating activity could be caused by incorrect in vitro refolding, required because the proteins were obtained from bacterial inclusion bodies after heterologous expression. The mutated protein, however, was able to interact with the ubiquitin molecule, but failed to transfer it to histones, thus pointing to the importance of the C-terminal segment in this process. Our in vitro assays stongly suggested that UBE2A autoubiquitination occur, an activity previously considered a possible E2 regulatory mechanism. Since there is evidence that some E2s form functional dimers, we hypothesized that, due to their high amino acid conservation, UBE2A and its paralog UBE2B might form heterodimers in vivo, as a mutual regulating mechanism. Under this hypothesis, the degradation of the mutated protein could be UBE2B dependent. The reduced autoubiquitination capacity of the mutated isoform could impair its degradation, and require the participation or the paralog. This would explain why the mutated protein was stable in the 916;rad6 yeast strain, but not in the patient´s cells with a functional UBE2B. Following the same reasoning, in wild type yeast, the presence of RAD6 would explain the absence of the mutated protein and toxicity. The non-viability of the double (UBE2A and UBE2B) knockout cells prevented testing whether the mutated protein was stable in the absence of its paralog. However, proteasome inhibition in cultured cells from one of our patients resulted in accumulation of the mutated protein, confirming its degradion via the ubiquitin-proteasome pathway. In conclusion, the UBE2A c.382C8594;T mutation seems to lead to mental retardation in our patients due to loss of UBE2A function: the mutated isoform is unable to rescue the UV-sensitivity phenotype of 916;rad6 yeast or to ubiquitinate histones in vitro. In addition, patients carrying UBE2A deletions share clinical manifestations with our patients. On the other hand, the possibility remains of a clinical effect of the requirement of UBE2B for degrading the mutated UBE2A. Our data suggest reciprocal ubiquitination in addition to autoubiquitination as UBE2A and UBE2B regulatory mechanism that would explain the conservation of the two paralog genes in mammals. (AU)