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Prepublished online as a Blood First Edition Paper on March 27, 2003; DOI 10.1182/blood-2002-11-3622.

Submitted December 2, 2002
Accepted March 21, 2003
A novel missense mutation in the -glutamylcysteine synthetase catalytic subunit gene causes both decreased enzymatic activity and glutathione production
David Hamilton, Jian Hui Wu, Moulay Alaoui-Jamali, and Gerald Batist*
Lady Davis Institute for Medical Research, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, PQ, Canada; The Center for Experimental Therapeutics in Cancer, Montreal, PQ, Canada; Department of Oncology, McGill University, Montreal, PQ, Canada
Department of Pharmacology and Therapeutics, McGill University, Montreal, PQ, Canada
Department of Medicine, McGill University, Montreal, PQ, Canada
* Corresponding author; email: gbatist{at}onc.jgh.mcgill.ca.
-glutamylcysteine synthetase ( -GCS) catalyzes the first and rate-limiting step in glutathione (GSH) biosynthesis; the ATP-dependant ligation of glutamate and cysteine. -GCS consists of a catalytic ( -GCSH) and modifier ( -GCSL) subunit. Hereditary deficiency of -GCS has been reported in a small number of patients and is associated with low erythrocyte levels of -GCS and GSH leading to haemolytic anemia. Here we report a novel -GCSH mutation, isolated from the cDNA of two related patients diagnosed with -GCS deficiency. Each was found to be homozygous for a C T missense mutation at nt379, encoding for a predicted Arg127Cys amino acid change. Computerized structure modelling identified that the mutated amino acid lies within a cleft on the protein surface of -GCSH, and the border of this cleft was shown to contain Cys-249, an evolutionarily conserved residue that has been proven to lie near the binding site of -GCSH. Transfection studies showed that the mutation is associated with decreased GSH production, and binding studies using purified recombinant protein showed that the mutant protein has markedly decreased enzymatic activity compared to wild type.

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