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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Biol+Chem
2014 ; 289
(44
): 30578-30589
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Identification of a point mutation impairing the binding between aquaporin-4 and
neuromyelitis optica autoantibodies
#MMPMID25239624
Pisani F
; Mola MG
; Simone L
; Rosito S
; Alberga D
; Mangiatordi GF
; Lattanzi G
; Nicolotti O
; Frigeri A
; Svelto M
; Nicchia GP
J Biol Chem
2014[Oct]; 289
(44
): 30578-30589
PMID25239624
show ga
Neuromyelitis optica (NMO) is characterized by the presence of pathogenic
autoantibodies (NMO-IgGs) against supra-molecular assemblies of aquaporin-4
(AQP4), known as orthogonal array of particles (OAPs). NMO-IgGs have a polyclonal
origin and recognize different conformational epitopes involving extracellular
AQP4 loops A, C, and E. Here we hypothesize a pivotal role for AQP4 transmembrane
regions (TMs) in epitope assembly. On the basis of multialignment analysis,
mutagenesis, NMO-IgG binding, and cytotoxicity assay, we have disclosed the key
role of aspartate 69 (Asp(69)) of TM2 for NMO-IgG epitope assembly. Mutation of
Asp(69) to histidine severely impairs NMO-IgG binding for 85.7% of the NMO
patient sera analyzed here. Although Blue Native-PAGE, total internal reflection
fluorescence microscopy, and water transport assays indicate that the OAP Asp(69)
mutant is similar in structure and function to the wild type, molecular dynamic
simulations have revealed that the D(69)H mutation has the effect of altering the
structural rearrangements of extracellular loop A. In conclusion, Asp(69) is
crucial for the spatial control of loop A, the particular molecular conformation
of which enables the assembly of NMO-IgG epitopes. These findings provide
additional clues for new strategies for NMO treatment and a wealth of information
to better approach NMO pathogenesis.