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Blood, 15 May 2001, Vol. 97, No. 10, pp. 2972-2978
CLINICAL OBSERVATIONS, INTERVENTIONS, AND THERAPEUTIC TRIALS
Highly heterogeneous nature of -aminolevulinate dehydratase
(ALAD) deficiencies in ALAD porphyria
Motoyoshi Maruno,
Kazumichi Furuyama,
Reiko Akagi,
Yutaka Horie,
Kuniaki Meguro,
Luba Garbaczewski,
Nicholas Chiorazzi,
Manfred O. Doss,
Alexandre Hassoun,
Rudolf Mercelis,
Luc Verstraeten,
Pauline Harper,
Ylva Floderus,
Stig Thunell, and
Shigeru Sassa
From Rockefeller University, New York, NY; Okayama
Prefectural University, Okayama, Japan; Cornell University-Northshore
Hospital, Long Island, NY; Phillips University, Marburg,
Germany; Universite Catholique de Louvain, Bruxelles, Belgium;
University Hospital of Antwerp, Belgium; and Huddinge University
Hospital, Huddinge, Sweden.
The properties of 9 -aminolevulinate dehydratase (ALAD) mutants
from patients with ALAD porphyria (ADP) were examined by bacterial
expression of their complementary DNAs and by enzymologic and
immunologic assays. ALADs were expressed as
glutathione-S-transferase (GST) fusion proteins in
Escherichia coli and purified by glutathione-affinity column chromatography. The GST-ALAD fusion proteins were recognized by
anti-ALAD antibodies and were enzymatically active as ALAD. The
enzymatic activities of 3 ALAD mutants, K59N, A274T, and V153M, were
69.9%, 19.3%, and 41.0% of that of the wild-type ALAD, respectively, whereas 6 mutants, G133R, K59N/G133R, F12L, R240W, V275M, and delTC,
showed little activity (< 8%). These variations generally reflect
the phenotype of ALAD in vivo in patients with ADP and indicate that
GST-ALAD fusion protein is indeed useful for predicting of the
phenotype of ALAD mutants. The location of F12L mutation in the
enzyme's molecular structure indicates that its disturbance of the
quaternary contact of the ALAD dimer appears to have a significant
influence on the enzymatic activity. Mouse monoclonal antibodies to
human ALAD were developed that specifically recognized a carboxy
terminal portion of ALAD, or other regions in the enzyme. This study
represents the first complete analysis of 9 mutants of ALAD identified
in ADP and indicates the highly heterogeneous nature of mutations in
this disorder.

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