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Blood, 1 December 2001, Vol. 98, No. 12, pp. 3179-3185
PLENARY PAPER
Functional consequences of naturally occurring mutations in human
uroporphyrinogen decarboxylase
John D. Phillips,
Tiffany
L. Parker,
Heidi L. Schubert,
Frank G. Whitby,
Christopher P. Hill, and
James P. Kushner
From the Departments of Medicine and Biochemistry,
University of Utah School of Medicine, Salt Lake City.
Functional consequences of 12 mutations 10 missense, 1 splicing
defect, and 1 frameshift mutation were characterized in the uroporphyrinogen decarboxylase (URO-D) gene found in Utah
pedigrees with familial porphyria cutanea tarda (F-PCT). All but one
mutation altered a restriction site in the URO-D gene,
permitting identification of affected relatives using a combination of
polymerase chain reaction and restriction enzyme digestion. In a
bacterial expression system, 3 of the missense mutants were found in
inclusion bodies, but 7 were expressed as soluble proteins. Enzymatic
activity of soluble, recombinant mutant URO-D genes
ranged from 29% to 94% of normal. URO-D mRNA
levels in Epstein-Barr-virus transformed cells derived from patients
were normal (with the exception of the frameshift mutation) even though
protein levels were lower than normal, suggesting that missense
mutations generally cause unstable URO-Ds in vivo. The
crystal structures of 3 mutant URO-Ds were solved, and the structural
consequences of the mutations were defined. All missense mutations
reported here and by others were mapped to the crystal structure of
URO-D, and structural effects were predicted. These studies define
structural and functional consequences of URO-D mutations occurring in
patients with F-PCT.

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