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Proceedings of the National Academy of Sciences of the United States of America logoLink to Proceedings of the National Academy of Sciences of the United States of America
. 1999 May 25;96(11):6517–6522. doi: 10.1073/pnas.96.11.6517

Factors affecting counteraction by methylamines of urea effects on aldose reductase

Maurice B Burg †,, Eugenia M Peters , Kurt M Bohren §, Kenneth H Gabbay §
PMCID: PMC26914  PMID: 10339620

Abstract

The concentration of urea in renal medullary cells is high enough to affect enzymes seriously by reducing Vmax or raising Km, yet the cells survive and function. The usual explanation is that the methylamines found in the renal medulla, namely glycerophosphocholine and betaine, have actions opposite to those of urea and thus counteract its effects. However, urea and methylamines have the similar (not counteracting) effects of reducing both the Km and Vmax of aldose reductase (EC 1.1.1.21), an enzyme whose function is important in renal medullas. Therefore, we examined factors that might determine whether counteraction occurs, namely different combinations of assay conditions (pH and salt concentration), methylamines (glycerophosphocholine, betaine, and trimethylamine N-oxide), substrates (dl-glyceraldehyde and d-xylose), and a mutation in recombinant aldose reductase protein (C298A). We find that Vmax of both wild-type and C298A mutant generally is reduced by urea and/or the methylamines. However, the effects on Km are much more complex, varying widely with the combination of conditions. At one extreme, we find a reduction of Km of wild-type enzyme by urea and/or methylamines that is partially additive, whereas at the other extreme we find that urea raises Km for d-xylose of the C298A mutant, betaine lowers the Km, and the two counteract in a classical fashion so that at a 2:1 molar ratio of betaine to urea there is no net effect. We conclude that counteraction of urea effects on enzymes by methylamines can depend on ion concentration, pH, the specific methylamine and substrate, and identity of even a single amino acid in the enzyme.


High concentrations of urea are present in the tissues of marine elasmobranchs and in the mammalian renal medulla. Urea generally destabilizes biological macromolecules, altering their structure and function. Such effects are expected to be deleterious. However, the urea-rich tissues also contain high concentrations of certain methylamine compounds, principally trimethylamine N-oxide (TMAO) in elasmobranchs (1) and glycine betaine (betaine) and glycerophosphocholine (GPC) in mammalian renal medulla (2). These methylamines are believed to protect the cells from urea by stabilizing macromolecules and thus counteracting the actions of urea. The two effects are independently additive (1, 3). When the ratio of methylamines to urea is appropriate (often 1:2), their opposing effects are reported to counteract, preserving macromolecular structure and function. The theory of counteracting osmolytes is strongly supported by the occurrence of methylamines in organisms and tissues containing high concentrations of urea (4), by survival in tissue culture of cells containing high levels of both urea and betaine, compared with the poor survival of cells containing only one or the other (5), and by many observations on isolated macromolecules in vitro (4).

However, we recently found that three different methylamines, namely TMAO, betaine, and GPC, do not counteract inhibition by urea of the enzyme aldose reductase (EC 1.1.1.21) (6). In fact, the methylamines all substantially decrease Vmax of aldose reductase, similar to urea, and the effects of urea and the methylamines are partially additive rather than counteracting. This is especially surprising because aldose reductase normally functions in the presence of high urea concentration in the renal medulla. The enzyme catalyzes the production of large amounts of sorbitol from glucose, and the sorbitol protects renal medullary cells from the high concentration of salt that normally also is present. Thus, this enzyme, which has an important function in the renal medulla, is not protected from urea by methylamines, but rather is inhibited by both urea and the methylamines.

In addition to decreasing Vmax of aldose reductase, urea also decreases its Km, measured with dl-glyceraldehyde as substrate. This result is also surprising because urea generally increases enzyme Km (7), and we are unaware of any enzyme besides aldose reductase whose Km is reduced by urea. The methylamines have an effect on Km similar to that of urea. Thus, TMAO, betaine, and GPC all decrease the Km of aldose reductase for dl-glyceraldehyde (6).

The purpose of the present studies was to examine conditions under which counteraction might occur between the effects of urea and methylamines on aldose reductase in order better to define the possible determinants of counteraction. To this end we tested both recombinant wild-type aldose reductase and its C298A mutant, and we varied the substrate used as well as the conditions of the assay.

MATERIALS AND METHODS

Preparation of Recombinant Aldose Reductases.

Wild-type (8) and C298A (9) mutant human aldose reductase were overexpressed in Escherichia coli and purified as previously described (8). The enzymes, stored in running buffer (5 mM sodium phosphate, pH 7.4/7 mM 2-mercaptoethanol/0.1 mM EDTA) at 4°C for no more than one month, were diluted to working concentrations with the same buffer immediately before each assay.

Measurement of Aldose Reductase Activity.

Quartz cuvettes containing reaction mixture (complete, except for the substrate, which was either dl-glyceraldehyde (Sigma G 5001) or d-xylose (Sigma X 1500)) were prewarmed for 2 min to 37°C in the temperature-controlled six-cell positioner (model CPS-240A) of a Shimadzu UV-1601 recording spectrophotometer. Then, the substrate, contained in 10% of the final volume, was added with mixing, and oxidation of NADPH was followed at 340 nm at 15-s intervals for a total of 90 s. The reaction slopes, which were linear through 90 s (data not shown), were recorded and calculated automatically by the spectrophotometer in its kinetics mode. In the experiments with dl-glyceraldehyde as substrate, kinetics were determined by adding a different amount to each of the six cuvettes, yielding from 0.0 to 0.5 mM final concentration for the wild-type enzyme and 0.0 to 2.5 mM for the C298A mutant. In experiments with d-xylose as substrate, 0 to 30 mM final concentration was used for the wild-type enzyme and 0 to 400 mM for the C298A mutant. Unless otherwise stated, the reaction mixture contained (final concentrations): 10 milliunits/ml (wild-type) or 15 milliunits/ml (C298A) aldose reductase, 100 mM sodium phosphate buffer (pH 7.0), 0.1 mM NADPH, and the organic osmolytes specified.

Km and Vmax were calculated by Eadie–Hofstee analysis (10) of each set of 6 reactions that used the different concentrations of substrate. The Eadie–Hofstee plots (not shown) were linear (mean R2 = 0.95). Vmax is expressed as 340-nm absorbance units per minute (A/min).

Other Reagents.

TMAO (Sigma, T 0514), betaine (Sigma, B 2754), urea (ICN 821527), and GPC 1:1 cadmium chloride adduct (Sigma, G 8005) were used. Cadmium chloride was removed from the GPC before each experiment by shaking a dilute solution of the adduct for 1 hr with a mixed-bed ion-exchange resin (AG 501-X8; Bio-Rad). The GPC was then concentrated by lyophilizing the solution and dissolving the amorphous residue in a small volume of water. The final GPC concentration was originally confirmed both by direct analysis (11) and freezing point depression (μ Osmette; Precision Systems, Natick, MA), after which each new batch was checked by freezing point depression. Completeness of the removal of the cadmium was tested by flame atomic absorption spectroscopy (Jarrell Ash, Franklin, MA), using a cadmium lamp. No cadmium was detected (<2 μM cadmium in 70 mM GPC solution).

Statistics.

Each experiment includes simultaneous measurements with no additions (control), with added urea, with added cosolvent, and with both urea and cosolvent added together. Three or more separate reactions were run for each condition. Statistical significance was determined for each such experiment with the GraphPad instat program, using ANOVA (Student–Newman–Keuls multiple comparison test). P < 0.05 is considered significant. Results are presented as mean ± SEM (n = number of measurements). For convenience, the average of all results for control and added urea (which were repeated in each experiment) are combined in some tables. Nevertheless, the statistical significance of effects of the cosolvents was determined by comparing the values within each experiment, rather than by using the grouped means.

RESULTS

Both Urea and Methylamines Inhibit Human Recombinant Aldose Reductase.

Using dl-glyceraldehyde as substrate, we previously found that a high concentration of urea or betaine inhibits aldose reductase activity in homogenates of renal medullary epithelial cells (PAP-HT25) (12) and that urea, betaine, TMAO, or GPC inhibits the activity of recombinant rat aldose reductase (6). In the latter study no counteraction between urea and the methylamines was apparent. This finding is confirmed in the present study of recombinant human aldose reductase (Table 1). When dl-glyceraldehyde is used as substrate, urea and the individual methylamines each reduce Vmax, and the effects of combinations of urea and the methylamines are partially additive. There is one apparent difference, however, between the earlier studies and the present ones. TMAO decreases Vmax only by 8% (Table 1), which is much less than the 53% decrease previously observed (6). The results with d-xylose as substrate are similar to those with dl-glyceraldehyde (Table 1), except that the effect of TMAO is even smaller and is not statistically significant. The following experiments were designed to investigate why effects of TMAO were smaller or absent in the present study compared with a substantial effect in the previous study (8).

Table 1.

Vmax of wild-type aldose reductase

Substrate Urea (1.0 M) Methylamine (0.5 M) Vmax,* % of control
dl-Glyceraldehyde None (control) 100.0 (9)
+ None 43.4  ±  1.2 (9)
TMAO 91.6  ±  0.5 (3)
+ TMAO 39.1  ±  0.5 (3)
Betaine 40.3  ±  1.2 (3)
+ Betaine 27.3  ±  0.2 (3)
GPC 35.7  ±  0.1 (3)
+ GPC 21.4  ±  1.4 (3)
d-Xylose None 100.0 (9)
+ None 48.4  ±  1.0 (9)
TMAO 98.0  ±  0.6 (3)
+ TMAO 43.6  ±  0.6 (3)
Betaine 39.6  ±  0.2 (3)
+ Betaine 28.3  ±  0.6 (3)
GPC 35.5  ±  0.5 (3)
+ GPC 29.5  ±  0.5 (3)
*

Controls contained no urea or cosolvent. All experimental values are significantly less than control (P < 0.05), except for TMAO with d-xylose and no urea. Number of measurements is given in parentheses. 

Buffer Composition Affects the Action of TMAO on Aldose Reductase.

We used d-xylose, rather than dl-glyceraldehyde, as substrate in most of the present studies because it had previously been used extensively with recombinant human aldose reductase (8) and offered the opportunity to test the generality of the previous findings with dl-glyceraldehyde. The strikingly different effects of TMAO led us to reexamine the conditions used in the two studies. In addition to the difference in enzyme preparations (recombinant rat versus human aldose reductase), the buffers also differ. Following the assays customary in different laboratories, 0.01 M potassium phosphate buffer, pH 6.0, had been used with the rat enzyme and 0.10 M sodium phosphate buffer, pH 7.0, was used in the present studies of the human enzyme.

When 0.01 M potassium phosphate buffer, pH 6.0, is used with human aldose reductase, 0.5 M TMAO inhibits Vmax by 46% (Table 2), which is essentially the same result as previously with the rat enzyme (53% decrease) under the same conditions. Therefore, the difference in effect of TMAO is attributable due to the difference between the buffers, not between the enzymes. Both the salt used in the buffer and the pH contribute to the effect. Increasing pH from 6.0 to 7.0 increases the Vmax in the presence of 0.5 M TMAO from 54% to 76% of control, and changing the salt from 0.01 M potassium phosphate to 0.10 M sodium phosphate increases the Vmax further to 92% of control (Table 2). Changing the buffer conditions evidently affects the results with TMAO more than with the other methylamines, but it is not clear why this occurs (Table 2). In any event, the various cosolvents tested (urea alone, betaine or GPC alone, and combinations of betaine or GPC plus urea) all evidently inhibit aldose reductase activity regardless of the particular buffer and species of the recombinant enzyme (Table 1 and ref. 6).

Table 2.

Effect of buffer composition on kinetics of wild-type aldose reductase with dl-glyceraldehyde as substrate (n = 3)

Buffer Urea (1.0 M) TMAO (0.5 M) Vmax,* % of control Km,* % of control
0.01 M KPO4, pH 6.0 100.0 100.0a
+ 26.3  ±  0.2 23.7  ±  1.5
+ 54.4  ±  0.3 29.2  ±  1.0
+ + 19.8  ±  0.3 9.5  ±  0.3
0.01 M KPO4, pH 7.0 100.0 100.0b
+ 43.6  ±  0.6 45.5  ±  1.7
+ 76.3  ±  0.8 58.1  ±  1.2
+ + 36.7  ±  0.2 26.4  ±  0.1
0.10 M NaPO4, pH 7.0 100.0 100.0c
+ 46.0  ±  1.7 52.7  ±  2.8
+ 91.6  ±  0.6 81.7  ±  5.7
+ + 39.1  ±  0.5 40.4  ±  0.9
*

All experimental values are significantly less (P < 0.05) than the controls, which contained no urea or TMAO. Control values (no urea or TMAO) for Km are a, 0.371 mM; b, 0.087 mM; and c, 0.141 mM. 

Urea and Methylamines Reduce the Km of Human Aldose Reductase for dl-Glyceraldehyde and d-Xylose.

We previously observed that urea, betaine, TMAO, and GPC greatly reduce the Km of recombinant rat aldose reductase for dl-glyceraldehyde (6). In the present studies we confirm this finding, using recombinant human aldose reductase (Table 3 and Figs. 13). However, the effect of TMAO is smaller in the present study than previously. As already explained for Vmax, the difference in the buffers used in the two studies is responsible. TMAO reduces the Km of human aldose reductase much more when the buffer is 0.01 M potassium phosphate, pH 6.0, than when it is 0.10 M sodium phosphate, pH 7.0 (Table 2). On the other hand, the effects of urea, betaine, and GPC are similar with the two buffers, as seen by comparing the results in Table 3 to the previous ones (6).

Table 3.

Km of wild-type aldose reductase with dl-glyceraldehyde as substrate

Urea (1.0 M) Methylamine (0.5 M) Km,* mM
None (control) 0.157  ±  0.016 (9)
+ None 0.075  ±  0.002 (9)
TMAO 0.116  ±  0.001 (3)
+ TMAO 0.057  ±  0.001 (3)
Betaine 0.057  ±  0.002 (3)
+ Betaine 0.041  ±  0.000 (3)
GPC 0.090  ±  0.001 (3)
+ GPC 0.049  ±  0.006 (3)
*

Controls contain no urea or cosolvent. All experimental values are significantly less than the controls that were run simultaneously with them (P < 0.05). 

Figure 1.

Figure 1

Effect of urea and TMAO on Km of human aldose reductase for d-xylose (n = 3). ∗, Significantly different from control (P < 0.05). Additional significant differences with wild-type are TMAO versus urea and TMAO versus urea + TMAO. With C298A mutant, all other differences are also significant. Mean control values of Km are wild-type, 6.9 mM, and C298A, 228 mM.

Figure 3.

Figure 3

Effect of urea and GPC on Km of human aldose reductase for d-xylose (n = 3). ∗, Significantly different from control (P < 0.05). Additional significant differences with the C298A mutant are urea versus GPC and GPC versus urea + GPC. Mean control values of Km are wild-type, 7.8 mM, and C298A, 191 mM.

The purpose of the remaining studies was further to examine this effect on Km by testing the effect of the cosolvents on the recombinant C298A mutant of human aldose reductase.

Urea and Methylamines Inhibit the Activity of the C298A Mutant of Human Aldose Reductase.

The C298A mutant of human aldose reductase has a high enzyme activity. V/Et of C298A is 8.7 times that of wild type (9). Nevertheless, the effects of urea and the methylamines on enzyme activity are qualitatively similar, comparing the wild type and mutant. Thus, betaine, GPC, or urea alone, and betaine or GPC combined with urea, all reduce Vmax of both C298A (Table 4) and wild-type aldose reductase (Table 1). The relative degrees of inhibition differ from condition to condition, but there is no general trend. One notable difference, however, is that with d-xylose as substrate TMAO decreases the Vmax of C298A, but not of the wild type.

Table 4.

Vmax of C298A mutant human aldose reductase

Substrate Urea (1.0 M) Methylamine (0.5 M) Vmax,* % of control
dl-Glyceraldehyde None (control) 100.0 (6)
+ None 68.5  ±  2.4 (6)
Betaine 62.9  ±  0.5 (3)
+ Betaine 49.0  ±  0.7 (3)
GPC 17.8  ±  0.3 (3)
+ GPC 23.2  ±  0.3 (3)
None (control) 100.0 (11)
d-Xylose + None 85.4  ±  2.3 (11)
TMAO 76.6  ±  0.8 (3)
+ TMAO 69.4  ±  1.8 (3)
Betaine 71.4  ±  0.4 (3)
+ Betaine 60.5  ±  0.8 (3)
GPC 26.5  ±  0.8 (3)
+ GPC 42.6  ±  2.3 (3)
*

Controls contained no urea or cosolvent. All experimental values are significantly less than control (P < 0.05). 

Effects of Urea and Methylamines on Km Differ Greatly Between the C298A Mutant and Wild-Type Aldose Reductase.

The Km of the C298A mutant is considerably higher than that of the wild type (9). In the present studies the mean values with dl-glyceraldehyde as substrate are wild type, 0.157 ± 0.005 mM, and C298A, 1.03 ± 0.06 mM, and with d-xylose as substrate the values are wild type, 8.1 ± 0.3 mM, and C298A, 218.3 ± 7.6 mM.

Urea elevates the Km of many enzymes (1, 7). The reduction of the Km of wild-type aldose reductase by urea observed in the present and previous studies (6) is exceptional in this regard. However, with d-xylose as substrate, the effect of urea on Km of the C298A mutant aldose reductase resembles its effect on most other enzymes and is strikingly different from its effect on wild-type aldose reductase. Thus, with d-xylose as substrate, urea raises the Km of the C298A mutant, rather than lowering Km as with the wild-type enzyme (Figs. 13).

With dl-glyceraldehyde as substrate, urea has little (Fig. 4) to no (Fig. 5) effect on Km of the C298A mutant. In contrast, urea decreases the Km for dl-glyceraldehyde of the wild-type enzyme by approximately 50% (Figs. 4 and 5).

Figure 4.

Figure 4

Effect of urea and betaine on Km of human aldose reductase for dl-glyceraldehyde (n = 3). ∗, Significantly different from control (P < 0.05). All other differences are also significant with wild type. With C298A, mutant urea versus betaine and urea versus urea + betaine are significantly different. Mean control values of Km are wild type, 0.15 mM, and C298A, 1.12 mM.

Figure 5.

Figure 5

Effect of urea and GPC on Km of human aldose reductase for dl-glyceraldehyde (n = 3). ∗, Significantly different from control (P < 0.05). Additional significant differences with wild type are urea versus urea + GPC and GPC versus urea + GPC. Additional significant differences with C298A are urea versus GPC and urea versus urea + GPC. Mean control values of Km are wild type, 0.17 mM, and C298A, 0.94 mM.

Betaine Counteracts Elevation by Urea of the Km for d-Xylose of the C298A Mutant.

Betaine at 0.5 M decreases the Km for d-xylose of the C298A by approximately the same amount as 1.0 M urea increases the Km (Fig. 2). When the two are added simultaneously in a 1:2 molar ratio, their effects counteract, and the Km remains at the control level. Counteraction with approximately a 1:2 ratio of methylamine to urea is believed to be especially significant because a similar ratio is found in tissues exposed to high urea (1). The present result with aldose reductase is surprising because counteraction is not apparent for the wild-type enzyme, which normally functions in the renal medulla where the urea concentration is high, but counteraction is apparent for the unnatural mutant.

Figure 2.

Figure 2

Effect of urea and betaine on Km of human aldose reductase for d-xylose. ∗, Significantly different from control (P < 0.05). Additional significant differences with wild-type (n = 3) are urea versus betaine and urea versus urea + betaine. With C298A mutant (n = 5), all other differences are also significant. Mean control values of Km are wild-type, 9.4 mM, and C298A, 229 mM.

With other methylamines (TMAO in Fig. 1 and GPC in Fig. 3) and substrate (dl-glyceraldehyde in Figs. 4 and 5), the results also differ between the wild type and C298A mutant, but exact counteraction does not occur with the mutant. Thus, with d-xylose as substrate, TMAO partially counteracts the increase in Km caused by urea (Fig. 1), but GPC does not (Fig. 3). With dl-glyceraldehyde as substrate and wild-type enzyme, the decreases in Km caused by urea and GPC or betaine are partially additive, whereas this is not the case with the C298A mutant (Figs. 4 and 5)—i.e., with the C298A mutant the result with urea plus methylamine is intermediate between the result with either alone.

DISCUSSION

Why do urea and methylamines have similar and partially additive effects on Km of aldose reductase in contrast to their counteracting effects on Km of many other enzymes?

The importance of keeping the Km of each enzyme within a narrow range to maintain optimal rates and regulation of catalysis has been emphasized, and the significance of counteraction between urea and methylamines for conservation of Km values has been stressed in this regard (1). However, we found previously (6) and confirm here that urea or methylamines individually lower the Km of wild-type aldose reductase, and that their effects are not counteractive, but are partially additive. In an attempt to understand what is special about aldose reductase, we first briefly review the chemical basis of counteraction and then the catalytic mechanism of aldose reductase.

The mechanism of counteraction is clearest with respect to protein thermal denaturation (3). Urea decreases stability of RNase T1, as manifest by a decrease in the temperature (Tm) at which unfolding of the protein occurs. Urea enhances unfolding of proteins by binding strongly to the unfolded form. A methylamine, TMAO, has the opposite effect of increasing stability, as manifest by higher Tm. TMAO is preferentially excluded from the protein, enhancing hydration of the protein and promoting folding. The two actions are independent and additive, so that at a molar ratio of urea to TMAO of approximately 2:1 there is no net effect—i.e., there is counteraction.

Thus, cosolvents such as methylamines and urea alter protein folding by affecting hydration of the exposed surface of the protein. Methylamines generally increase hydration, driving proteins into more compact configurations, and urea generally has the opposite effect. Gross alterations in the folding of a protein may also affect enzymatic activity, but that is an improbable explanation for changes such as those observed in the present studies. Thus, even if a methylamine favors compaction of an enzyme and urea has the opposite effect, the methylamine need not always oppose the effect of urea on enzyme activity (13). More subtle effects of altered hydration of the enzyme proteins may be involved. These could include allosteric changes and altered hydration at the catalytic site, depending on the structure and catalytic mechanism of the particular enzyme. For example, a high concentration of polyethylene glycol (Mr ≥ 2000) reduces the Km of hexokinase for glucose. The interpretation, based on knowledge of the molecular structure and catalytic mechanism of hexokinase, is that osmotic dehydration alters conformational changes associated with catalysis (14). Such analysis has also become feasible for aldose reductase with progress in analyzing its molecular structure and mechanism of catalysis (15). In what follows we review these findings for a clue to the atypical responses of aldose reductase to urea and methylamines.

Kinetic analysis (15) has revealed that the mechanism of carbonyl reduction by aldose reductase is complex:

graphic file with name M1.gif
graphic file with name M2.gif

where E is aldose reductase. *E indicates kinetically significant conformational changes of the two binary E⋅nucleotide complexes and corresponds to the movement of a crystallographically identified nucleotide-clamping loop involved in nucleotide (NADP+) exchange (16). In that study (15) the complete set of rate constants was determined for the substrate d-xylose, leading to the conclusion that the Michaelis constant, Km, includes contributions from numerous steps in the reaction scheme (15). Thus, Km is not simply the binding affinity of the substrate for the *E⋅NADPH complex, as it might be in a less complicated reaction, and changes in Km do not necessarily reflect only changes in affinity of the enzyme for the substrate. The Km for d-xylose is controlled to a large degree not only by the on-rate for aldehyde binding (*E⋅NADPH → *E⋅NADPH⋅RCHO), but also by the rate constant for hydride transfer (*E⋅NADPH⋅RCHO → *E⋅NADPH⋅RCH2OH), and the conformational change that controls NADP+ exchange (*E⋅NADP+ → E⋅NADP+). Accordingly, the explanation for the decrease in Km caused by urea and the methylamines in the present study could involve alterations in one or more of these processes.

Mutation of a single amino acid (C298A) in recombinant human aldose reductase increases the Km for d-xylose by 37-fold and also increases Vmax (9). The increase in Km is mainly caused by increase in the rate constant for *E⋅NADP+ → E⋅NADP+, resulting in relaxation of a tight binary E⋅nucleotide complex to a more weakly bound complex. We used the C298A mutant in the present studies to determine whether C298A might be important for the fall in Km that unexpectedly was caused by urea and thus for the lack of counteraction. The results support that possibility. Urea increases the Km of C298A for d-xylose (Figs. 13)), which is similar to the effect of urea on many other enzymes, and is in striking contrast to the lowering of Km of wild-type aldose reductase by urea (Figs. 15). With dl-glyceraldehyde as substrate, urea neither raises nor lowers Km (Figs. 4 and 5). The effects of the methylamines on Km of C298A are similar to their effects on the wild-type enzyme (Figs. 15) and are consistent with the lowering of Km by methylamines observed with many other enzymes (4). We conclude that C298A is involved in the decrease in Km of wild-type aldose reductase that is caused by urea, but not the decrease in Km caused by methylamines.

Counteraction involves additivity of the independent effects of urea and methylamines, which may result (when their effects are opposite in direction) in no net change in the Km. That may occur at a ratio of urea to methylamines close to 2:1 (3, 4). Betaine counteracts the effect of urea on the Km of C298A for xylose in this classical fashion (Fig. 2), which is in striking contrast to the lack of counteraction with the wild-type enzyme (Fig. 2). Thus, with xylose as substrate, conversion of a single amino acid (C298A) alters the effect of urea so that it elevates, rather than decreases, Km of aldose reductase, and sets the stage for counteraction by betaine.

On the other hand, with this mutant enzyme we do not observe classical counteraction with dl-glyceraldehyde as substrate or with the methylamines other than betaine. In some cases the result with urea plus methylamine is intermediate between the effects of either alone, but the combination does not restore the control value. Thus, with dl-glyceraldehyde as substrate (Fig. 5), betaine lowers the Km of C298A, but urea alone does not change it, and the result with betaine plus urea is intermediate between those values. Similarly, with d-xylose as substrate TMAO has little effect on Km (at least with the buffers used; see Results), whereas urea raises it, and the combined effect of urea plus TMAO is also intermediate between the effect of either alone. The result with GPC is somewhat different (Fig. 3). Although urea significantly elevates Km for d-xylose and GPC lowers it, their effects are not additive, and Km does not differ between urea alone and urea plus GPC. Thus, we observe counteraction between the effects of urea and some methylamines on Km of the C298A mutant of aldose reductase, but not of wild-type aldose reductase.

C298 is part of the active site of aldose reductase, and during the catalytic cycle is involved in conformational changes that stabilize the *E⋅NADP+ complex. That allows wild-type aldose reductase to maintain a relatively low Km (but also with a relatively low reaction rate). The C298A mutation greatly increases both Km and Vmax, presumably by removing this constraint. Urea might further stabilize the *E⋅NADP+ complex in the wild-type enzyme, reducing both Km and Vmax, but fail to have this effect on the mutant lacking C298. This explanation implies that urea stabilizes the *E⋅NADP+ complex in a relatively specific manner that is not counteracted by methylamines.

Perspective: The present phenomenological studies add to previous evidence that, although urea and methylamines may have opposite and counteracting actions on activities of some enzymes in vitro, the phenomenon is not general. That raises at least two questions:

(i) What are the atomic determinants of actions of urea and methylamines on particular enzyme activities? Although we have considerable insight into the mechanism by which urea and methylamines affect protein folding, that information does not readily translate into understanding of effects on enzyme activity.

(ii) What determines counteraction in living cells? We find the evidence that counteracting effects of urea and methylamines support the survival and function of organisms (4) and cells (5) to be convincing. However, if the effects of urea are counteracted by methylamines on some but not on other enzyme activities in living cells, questions arise as to which activities are affected in this fashion and which are not. Also, which effects are important for cell function and survival and why?

ABBREVIATIONS

TMAO

trimethylamine N-oxide

GPC

glycerophosphocholine

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