Abstract
Muscular dystrophy (MD) is the most common genetic lethal disorder in children. Mutations in dystrophin trigger the most common form of MD, Duchenne and its allelic variant Becker MD. Utrophin is the closest homologue and has been shown to compensate for the loss of dystrophin in human disease animal models. However, the structural and functional similarities and differences between utrophin and dystrophin are less understood. Both proteins interact with actin through their N-terminal actin-binding domain (N-ABD). In this study, we examined the thermodynamic stability and aggregation of utrophin N-ABD and compared with that of dystrophin. Our results show that utrophin N-ABD has spectroscopic properties similar to dystrophin N-ABD. However, utrophin N-ABD has decreased denaturant and thermal stability, unfolds faster, and is correspondingly more susceptible to proteolysis, which might account for its decreased in-vivo half-life compared to dystrophin. In addition, utrophin N-ABD aggregates to a lesser extent compared with dystrophin N-ABD, contrary to the general behavior of proteins in which decreased stability enhances protein aggregation. Despite these differences in stability and aggregation, both proteins exhibit deleterious effects of mutations. When utrophin N-ABD mutations analogous in position to the dystrophin disease-causing mutations were generated, they behaved similarly to dystrophin mutants in terms of decreased stability and the formation of cross-β aggregates, indicating a possible role for utrophin mutations in disease mechanisms.
Keywords: stability, unfolding, aggregation, disease, muscular dystrophy, dystrophin, utrophin, actin-binding domain, calponin-homology domain
INTRODUCTION
Muscular dystrophy (MD) is a severe, debilitating group of neuromuscular diseases 2. Duchenne (DMD) and Becker muscular dystrophies (BMD) account for more than half of all known MDs. These two diseases are caused by the loss of function of a vital muscle protein dystrophin 3 whose gene resides on the human X-chromosome. These dystrophin-related diseases physically weaken patients to a state of immobility, leading to death at an early age. Dystrophin stabilizes the muscle cell membrane against the mechanical forces associated with muscle stretch and contraction by connecting the actin filaments to the sarcolemmal transmembrane glycoprotein complex 4–6. Mutations in dystrophin result in its loss of function 7–12. Utrophin is a protein product of human chromosome 6 and is the closest autosomal homologue of dystrophin 13–16. Utrophin has been shown to compensate for the loss of functional dystrophin in human disease animal models 17–24. However, the underlying physical mechanisms and the structural and functional similarities and differences between utrophin and dystrophin are less understood.
Utrophin is confined specifically to the sarcolemma in fetal and regenerating muscle cells 25–28. After down-regulation at birth, it is found predominantly at the myotendinous and neuromuscular junctions in adult muscle cells to aid in optimal synapse transmission and to play a stabilizing role at these junctions 16,29–32. Similar to dystrophin, utrophin is a long, rod-shaped protein, and is made up of 3,433 amino acids (395 kDa). It has 60% sequence similarity, and contains four distinct domains that are similar to dystrophin 6: an N-terminal actin-binding domain (N-ABD) consisting of 261 residues, a central rod domain consisting of 22 spectrin repeats and 4 hinge regions, a cysteine-rich (CR) domain and a C-terminal (CT) domain. Utrophin interacts with actin using its N-ABD and the first 10 spectrin repeats in the central rod domain, and interacts with the sarcolemma glycoprotein complex using its CR and CT domains6,16.
Considerable effort in recent years has been focused on understanding the functional and biochemical differences between utrophin and dystrophin. Utrophin has been shown to interact with dystrophin-associated proteins 33–36, and binds to actin similar to dystrophin 35,37. However, clear marked differences exist between utrophin and dystrophin. Utrophin interacts with actin through a different contact surface compared with dystrophin 37, binds to lesser number of actin monomers 35,37, requires higher protein concentrations to protect actin filaments against depolymerization 37, differentially affects the structural dynamics of actin 38, and has a decreased in-vivo half-life 17,22,39,40. Some of these functional and biochemical differences between dystrophin and utrophin, in particular their in-vivo half-life, might originate from their differences in thermodynamic stability and unfolding. Dystrophin and utrophin are two large proteins containing more than 3,400 amino acids, and hence they are not amenable to many structural and biophysical methods that measure protein stability and unfolding. Moreover, it is not yet possible to obtain high yields of highly pure proteins necessary for biophysical studies. Therefore, we followed a reductionist approach of studying individual domains, commonly used in protein structure-function studies. In this study, we examined whether the N-ABDs of dystrophin and utrophin differ in terms of their stability and unfolding. N-ABDs are of particular interest because their crystal structures are known 41,42, and most disease-causing missense mutations that trigger MD occur in the N-ABD of dystrophin 43,44.
Studying the stability of N-ABDs is also relevant in terms of improving the stability and in-vivo half-life of the products of potential compensatory gene constructs such as utrophin itself, and mini- and micro-dystrophins and utrophins. Such constructs have been shown to compensate the loss of functional dystrophin in human disease mouse models 17,18,23,24,45–51, and hold a high promise for future therapeutics to treat MD patients 20,49,52–56. However, the products of these genes tend to have decreased stability, functionality, and decreased in-vivo half-life 17,22,39,40,57,58 compared to the full-length dystrophin. All these proteins contain in common the N-ABD with which the proteins interact with F-actin and the C-terminal domains with which the proteins interact with the glycoprotein complex. Therefore, one method of stabilizing the proteins might be to increase the stability of the component domains, for example, that of N-ABDs. For this purpose, we need to first understand the stability and unfolding of dystrophin and utrophin N-ABDs that share a high sequence and structure similarity.
In addition, studying the stability of the N-ABDs might shed light onto the structural diversity and plasticity of tandem-calponin-homology (CH) domains 59–64. Such a tandem array forms a major class of actin binding domains in muscle proteins. Individual CH domains share a high sequence and structural similarity, but differ in their mode of binding to actin. Such functional differences might originate from their differences in stability which might dictate the various dynamic conformations available for individual CH domains. This paper examines the stability differences between the N-ABDs of dystrophin and utrophin, which are tandem CH-domains and are known to bind to actin with different modes of contact 37,41,42,65.
MATERIALS AND METHODS
Protein expression and purification
N-ABDs of human utrophin (residues 1–261) and dystrophin (residues 1–246, C10S, C188S) cDNA were cloned into a pET28a (N-terminal His tag; Novagen) expression vector using NdeI and HindIII restriction sites and transformed into DH5α (Invitrogen) by the heat shock method. Three different mutants in utrophin N-ABD (L70R, A84D, and Y246N) were constructed using the Quick Mutagenesis protocol (Stratagene). Plasmid sequences of N-ABDs of dystrophin, utrophin, and its mutants were confirmed by DNA sequencing. These expression vectors were transformed into BL21-DE3 by the heat shock method. Cells were grown in 2 L Luria broth (LB) and protein expression was induced with 0.5 mM Isopropyl β-D-thiogalactopyranoside (IPTG) at a cell density corresponding to an optical density of 0.6 and incubated for 5 hrs at 37°C. Cell pellet was harvested and used for protein purification. For utrophin and dystrophin N-ABDs, the cell pellet was resuspended in 50 mM Tris, 200 mM NaCl, pH7.5, 1 mM phenylmethylsulfonyl fluoride (PMSF; protease inhibitor) buffer and sonicated with the samples kept on ice. Lysed suspension was centrifuged at 30,000 g at 4°C for 40 min. Clear supernatant was loaded onto a Ni Sepharose Fast Flow column (GE Lifesciences) and bound protein was eluted with an imidazole gradient. Purity of elutes was evaluated using reducing SDS-PAGE gel. Pure elutes were pooled and dialyzed against PBS buffer (0.1 M NaH2PO4, 0.15 M NaCl, pH 7). In the case of mutant purification, the post-sonication pellet containing inclusion bodies was washed twice with 50 mM Tris, 1 mM PMSF, 0.2 M NaCl, 0.5 % Triton X-100, pH 7.5 and with double-distilled water. The cell pellet was solubilized in 10 ml of solubilization buffer (8 M urea, 0.2 M NaCl, 50 mM Tris, pH 7.5), and incubated at room temperature for 30 min. Solubilized suspension was centrifuged at 30,000 g for 30 min at 15°C. Clear supernatant was used for the Ni-affinity column and eluted with the imidazole gradient in the above solubilization buffer. Purity of elutes was checked on reducing SDS-PAGE gel. Pure elutes were pooled and dialyzed against PBS buffer (0.1 M NaH2PO4, 0.15 M NaCl, pH 7). Mutant aggregates in the dialysate were washed with PBS and were used for further experiments.
For labeling utrophin N-ABD with 15N for heteronuclear NMR experiments, the cell pellet from 2 L LB culture (optical density ~ 2) was resuspended in 1 L sterile minimal media (48 mM Na2HPO4, 22 mM KH2PO4, 8.5 mM NaCl, 18.6 mM 15NH4Cl, 2 mM MgSO4, 0.1 mM CaCl2, 0.4 % glucose) and grown for 2 hrs at 37°C. Protein expression was induced with 0.5 mM IPTG and incubated for overnight. Labeled utrophin N-ABD was purified using Ni-affinity column chromatography.
Fluorescence and CD
Fluorescence spectra of native and unfolded states (in 8 M urea) of utrophin and dystrophin N-ABDs (1 μM each in PBS buffer) were recorded by exciting the samples at 280 nm (Fluoromax3, SPEX). CD spectra were recorded on an Applied Photophysics ChirascanPlus spectrometer.
Mean residue ellipticity (MRE) of the proteins were calculated from the CD values in millidegrees using the equation 66
(Eq. 1) |
NMR experiments
Labeled protein (150 μM) was used for recording 2D 15N/1H TROSY-HSQC spectra on a 900 MHz Varian NMR spectrometer (Rocky Mountain NMR Facility). Data was processed using NMR Pipe software 67. For T1 and T2 measurements, modified pulse sequences available with the Varian Biopack were used. τc was calculated using the equation,
where νN is the 15N resonance frequency.
Chemical denaturant melts
Utrophin and dystrophin N-ABDs (1 μM) in PBS buffer were used to monitor changes in the CD signal at 222 nm (ChirascanPlus spectrometer; Applied Photophysics, UK) and protein fluorescence with excitation at 280 nm (PTI QuantaMaster Fluorometer) with increasing urea (Nacalai Tesque, 35940-81) concentration. For this experiment, buffer samples with varying urea concentration were initially prepared and the protein was added from a stock solution. The samples were allowed to equilibrate for an hour. The data were normalized from 0 to 1 and fit to a 2-state model 68,69 using the SigmaPlot software (Systat Software Inc) to obtain the ΔG and m values. We confirmed that the samples have reached equilibrium within an hour by recording the denaturant melt of 1 μM dystrophin N-ABD equilibrated overnight and found no change in the ΔG and m values. To confirm the absence of a dimer (Kd = 4 μM) suspected from earlier published X-ray study on dystrophin N-ABD 42, we performed denaturant melts at two protein concentrations (1 and 10 μM) and found no change (Supplementary Figure).
Thermal melts
For utrophin and dystrophin N-ABDs (1 μM each in PBS buffer), changes in the far-UV CD signal at 222 nm (ChirascanPlus spectrometer, Applied Photophysics, UK) and protein fluorescence with excitation at 280 nm (PTI QuantaMaster Fluorometer) were monitored as a function of increasing temperature at a rate of 1°C/min. For mutants (~1 μM), the CD signal was recorded at 208 nm. The data were fit to a 2-state equilibrium unfolding model by using SigmaPlot software to determine the Tm values.
Stopped-flow
Unfolding kinetics of utrophin and dystrophin N-ABDs were monitored using an Applied Photophysics stopped-flow assembly attached to a ChirascanPlus spectrometer. Native N-ABDs (10 μM each) were diluted 10 times into PBS buffer containing varying concentrations of urea, and the changes in the CD signal at 222 nm and the total protein fluorescence with excitation at 280 nm were recorded. An average of 20 traces was fit to exponential functions using SigmaPlot to determine the rate constants. The equation used for fitting the kinetic data to a multi-exponential function was
(Eq. 2) |
where kn and an represent the rate constants and the corresponding signal amplitudes. In the above equation, n = 2 for two-exponential and n = 3 for three-exponential functions. The amplitude-weighted average rate constant was determined using the equation
(Eq. 3) |
For monitoring aggregation kinetics, unfolded N-ABDs (100 μM, PBS buffer, 8 M urea) were diluted 10 times into PBS buffer without denaturant using a stopped-flow mixer, and the changes in the right-angle light scattering with 450 nm excitation were monitored. An average of 10 traces was plotted using SigmaPlot. At the end of the reaction, the amount of refolded proteins were estimated by centrifuging the solutions at 30,000 g for 1 hr at 4°C to remove insoluble aggregates and using the molar extinction coefficients at 280 nm calculated using the ExPASy program (http://ca.expasy.org/) (46,075/(M.cm) and 38,960/(M.cm) for dystrophin and utrophin N-ABD respectively).
Protease assay
Proteins (30 μg in 20 μl) were digested with a non-specific protease proteinase K (PK) at 37°C. To obtain the extent of proteolysis of the two proteins, the concentration of PK was varied from 0 to 100 ng and the reaction was carried out for 30 min. To obtain the kinetics of proteolysis of the two proteins, we fixed the PK concentration at 10 ng and the reaction time was varied from 0 to 190 min. Digestion reaction was stopped by adding 20 μl of reducing SDS-PAGE loading buffer. Samples were denatured by heating for 5 min at 100°C, centrifuged at 20,000 g for 5 min, and the supernatant was loaded on the SDS-PAGE gel and stained with Coomassie Blue. The intensity of the individual bands was determined using the Quantity One software on Biorad Gel Doc XR+ instrument.
Dye-binding assays
Aggregates of utrophin N-ABD WT and mutants (2 μM aggregated protein) and 50 μM dye concentration were used for dye-binding studies. Thioflavin T fluorescence spectra were recorded using a Fluoromax3 fluorometer (SPEX) with 440 nm excitation. Congo red absorption spectra were recorded using an Agilent spectrophotometer.
RESULTS
Amino acid sequence and structural comparison of utrophin and dystrophin N-ABDs
Compared with full-length proteins which have 60% sequence similarity 6, N-ABDs show 82% sequence similarity (Fig. 1A) when aligned using the ClustalW2 program 70 (http://www.ebi.ac.uk/Tools/msa/clustalw2/). Earlier X-ray crystal structures 41,42 indicate that these domains contain two calponin-homology binding (CH) domains connected by an α-helix (Fig. 1B). When aligned using the MultiProt program 71 (http://bioinfo3d.cs.tau.ac.il/MultiProt/), clear differences can be seen between the two N-ABDs (Fig. 1C). The relative orientation of the two CH domains around the central α-helix is distinctly different for the two N-ABDs, although the two CH domains of utrophin are highly similar in structure to the corresponding CH domains from dystrophin (Fig. 1D).
Biophysical characterization of utrophin N-ABD
Similar to dystrophin N-ABD 43, we were able to obtain high yields of highly pure utrophin N-ABD by expressing it in E. coli and purifying it using the metal affinity method (Fig. 2A). Utrophin N-ABD consists of 261 residues, whereas dystrophin N-ABD has 246 residues; hence, utrophin N-ABD appears as a slightly higher molecular weight band on the SDS-PAGE gel (Fig. 2A). Utrophin N-ABD has similar spectroscopic characteristics to those of dystrophin N-ABD. The circular dichroism (CD) spectrum shows two negative bands at 208 and 222 nm characteristic of an α-helical structure (Fig. 2B), consistent with its crystal structure (Fig. 1B). In addition, the native fluorescence of utrophin N-ABD is blue shifted with respect to its unfolded state (U) (Fig. 2C), similar to dystrophin N-ABD. The native fluorescence emission maximum occurs at 334 nm and 338 nm for utrophin and dystrophin N-ABDs respectively, whereas the unfolded state fluorescence maximum occurs at 355 nm for both proteins. The blue shift in the tryptophan emission maximum of the native state indicates the burial of tryptophan residues from the solvent 72. For tryptophans that are exposed to solvent, this emission maximum occurs at around 355 nm, whereas for tryptophans buried in the protein interior, the emission maximum occurs at around 325 nm. The observed blue shift of 21 nm for utrophin N-ABD upon folding indicates that at least some of the six conserved tryptophan residues are significantly buried in the protein interior, implying that the protein has a well-folded structure.
Two-dimensional 15N-1H HSQC NMR spectrum (Fig. 2D) is consistent with the above spectroscopic observations that the utrophin N-ABD has a well-folded structure in solution. The crosspeaks between amide nitrogens and hydrogens are well-resolved on both 15N and especially 1H chemical shift scale indicating that the individual nuclear spins experience distinct structural environments in the protein, characteristic of a well-defined protein structure. For an unfolded or molten-globule-like protein, amide crosspeaks will be in general clustered in a single chemical shift region, in particular along the 1H chemical shift scale. In addition, the average tumbling time or the rotational correlation time (τc) calculated from the longitudinal (T1) and transverse (T 2) relaxation rates of individual amides indicate that the protein is a monomer in solution (Fig. 2E). For a spherical protein with a similar chain length to that of utrophin N-ABD, the expected correlation time is 17 ns 73, whereas the experimentally measured correlation time was 19 ns. The slightly higher τc observed suggests that the protein might be somewhat nonspherical. These NMR results in addition to CD and fluorescence confirm that the utrophin N-ABD is a well-folded monomer in solution, in agreement with the earlier structural and functional studies 31,34,41,65. Similar results were observed for dystrophin N-ABD 43, which indicate that it is also a monomer in solution.
Utrophin N-ABD is less stable than dystrophin N-ABD
Despite having high sequence and structural similarity to dystrophin N-ABD (Fig. 1), utrophin N-ABD has a decreased thermodynamic stability (Figs. 3A–D). When protein unfolding was measured using the chemical denaturant urea which destabilizes the native protein structure, utrophin N-ABD unfolded at lower urea concentrations than did dystrophin N-ABD (Figs. 3A & 3B). When CD at 222 nm was used to monitor the unfolding of the secondary structure (α-helices) of the protein (Fig. 3A), utrophin N-ABD consistently melted at 1.3 M [urea] units lower than that of dystrophin N-ABD. Fitting the melting curves to a 2-state equation 68,69 resulted in ΔG = 5.44 ± 0.30 kcal/mol and m = −1.22 ± 0.06 kcal/mol/M [urea] for utrophin N-ABD, and ΔG = 9.81 ± 0.55 kcal/mol and m = −1.68 ± 0.10 kcal/mol/M [urea] for dystrophin N-ABD (Table 1). These free energy values indicate that utrophin N-ABD is less stable than dystrophin by 4.4 kcal/mol. In addition, utrophin N-ABD has a lesser m-value compared to dystrophin N-ABD. The m-value in denaturant melts is a measure of the amount of accessible surface area exposed upon unfolding 74, which indicates that utrophin N-ABD might be less compact compared to dystrophin N-ABD.
Table 1.
Equilibrium/Kinetic parameter | Utr N-ABD | Dys N-ABD |
---|---|---|
Urea Melt (Figs. 3A & B) | ||
CD (Fig. 3A) | ||
ΔG (kcal/mol) | 5.44 ± 0.30 | 9.81 ± 0.55 |
m (kcal/mol/M [urea]) | −1.22 ± 0.06 | −1.68 ± 0.10 |
Fluorescence (Fig. 3B) | ||
ΔG (kcal/mol) | 7.79 ± 0.25 | 12.84 ± 0.77 |
m (kcal/mol/M [urea]) | −1.80 ± 0.06 | −2.23 ± 0.13 |
Thermal melt (Figs. 3C & D) | ||
Tm (K) (CD; Fig. 3C) | 332.1 ± 0.3 | 334.0 ± 0.1 |
Tm (K) (Fluorescence; Fig. 3D) | 333.3 ± 0.1 | 335.4 ± 0.1 |
Unfolding kinetics (Fig. 4) | ||
CD (Figs. 4A–C) | ||
kn (/s) (Relative amplitudes) (8M urea) | 15.34 ± 0.60 (43.8%) 0.30 ± 0.02 (56.2%) |
2.81 ± 0.11 (44.1%) 0.13 ± 0.01 (55.9%) |
<k> (/s) (8M urea) | 0.53 | 0.22 |
mu (kcal.ln(/s)/mol/M [urea]) | 0.31 ± 0.03 0.11 ± 0.01 |
0.28 ± 0.03 0.12 ± 0.02 |
Fluorescence (Figs. 4D–F) | ||
kn (/s) (Relative amplitudes) (8M urea) | 10.38 ± 0.63 (12.7%) 0.36 ± 0.01 (87.3%) |
32.84 ± 2.98 (8.6%) 1.65 ± 0.18 (12.0%) 0.16 ± 0.004 (79.4%) |
<k> (/s) (8M urea) | 0.41 | 0.20 |
mu (kcal.ln(/s)/mol/M [urea]) | 0.24 ± 0.03 0.14 ± 0.02 |
0.06 ± 0.18 −0.07 ± 0.04 0.15 ± 0.02 |
Proteinase K assay (Fig. 5) | ||
PK50 (ng) (Figs. 5B & D) | 11.9 ± 1.3 | 23.7 ± 2.6 |
kproteolysis (/min/10 ng [PK]; Figs. 5F & H) | 0.010 ± 0.002 | 0.005 ± 0.001 |
Similar results were obtained when protein fluorescence was used to monitor the unfolding (Fig. 3B), which is often considered as a probe to measure unfolding of the tertiary structure of a protein. Utrophin N-ABD consistently unfolded at 1.5 M [urea] units lower than dystrophin N-ABD. The ΔG and m-values obtained by fitting these curves to a 2-state equation 68,69 were ΔG = 7.79 ± 0.25 kcal/mol and m = −1.80 ± 0.06 kcal/mol/M [urea] for utrophin N-ABD, and ΔG = 12.84 ± 0.77 kcal/mol and m = −2.23 ± 0.13 kcal/mol/M [urea] for dystrophin N-ABD respectively (Table 1). These values indicate that the utrophin N-ABD is less stable than dystrophin N-ABD by 5.1 kcal/mol when measured by fluorescence, and the m-values indicate that utrophin N-ABD is less compact compared to dystrophin N-ABD. These results qualitatively agree with the above conclusions drawn from CD measurements (Fig. 3A). However, the ΔG and m values obtained from CD and fluorescence measurements do not match, indicating that the two proteins do not follow a 2-state unfolding mechanism. If a protein is a 2-state folder, i.e., there exists only native (N) and unfolded (U) states with no partially unfolded intermediates, we expect to observe the same ΔG and m values irrespective of the probe used to monitor unfolding. The disagreement between the ΔG and m values measured by CD and fluorescence indicates that partially unfolded intermediates do exist between the N and U states and populate at equilibrium. Since the ΔG and m-values measured by fluorescence are higher than those measured by CD, they might represent a close approximation of the true ΔG and m values of the system.
Denaturant m values can be used to estimate the compactness of protein structure. As described above, the m-value is proportional to the accessible surface area 74. X-ray crystal structures of the two N-ABDs (Fig. 1B) were used to calculate the accessible surface area of the native states (using the program Accelrys Discovery Studio Visualizer) as 13,311 Å2and 13,145 Å2 for utrophin and dystrophin N-ABDs respectively. Using the empirical equation, urea m-value (cal/mol/M [urea]) = 374 + 0.11 (ΔASA) 74, we calculated the m-values as −1.84 kcal/mol/M [urea] and −1.82 kcal/mol/M [urea] for utrophin and dystrophin N-ABDs respectively. This estimated m-value for utrophin N-ABD closely matches with the −1.80 kcal/mol/M [urea] determined from urea melt measured by fluorescence (Table 1), indicating that the conformation of utrophin N-ABD in solution might be similar to that in the X-ray structure (Fig. 1B). However, the measured m-value (−2.23 kcal/mol/M [urea]) is much higher than the estimated m-value (−1.82 kcal/mol/M [urea]) for dystrophin N-ABD, implying that the solution state structure of dystrophin N-ABD might be much more compact (by about 41%) than that in the X-ray crystal structure.
Temperature melts are commonly used in literature rather than chemical denaturant melts to measure the thermodynamic stability of dystrophin and utrophin variants 43,44,57,75–77, because the thermal melts require less protein (one protein sample) compared to the multiple protein samples (prepared at different chemical denaturant concentrations) required for denaturant melts. However, the results obtained from thermal melts have to be analyzed with caution because these melts are not reversible, and should be interpreted on a qualitative rather than on a quantitative scale. With temperature as the destabilizing agent and either CD (Fig. 3C) or fluorescence (Fig. 3D) as the optical signal, utrophin N-ABD melted with a midpoint temperature (Tm) of 2°C less than that of dystrophin N-ABD (Table 1), indicating that utrophin N-ABD is less stable than dystrophin N-ABD even at higher temperatures.
To confirm the absence of a dimeric form with a Kd of 4 μM suspected in earlier studies on dystrophin N-ABD 42, we measured denaturant melts at two different protein concentrations (Supplementary Figure). The melt recorded at 10 μM protein concentration exactly overlapped with that recorded at 1 μM protein concentration, indicating the absence of dimer under our experimental conditions. Consistently, all our experiments were performed at native protein concentrations below 10 μM, except protein NMR (Figs. 2D & E).
Utrophin N-ABD unfolds faster than dystrophin N-ABD
The unfolding of N-ABDs was initiated by diluting the native proteins (10 μM) in the absence of denaturant into a high denaturant buffer (8M urea) by 10 times using a stopped-flow mixer. The kinetics was followed by measuring changes in the CD signal at 222 nm to monitor the unfolding of the secondary structure (α-helices) of proteins (Figs. 4A & B). These unfolding curves do not follow single exponential kinetics and were fitted to two exponential function (Eq. 2) to obtain the unfolding rates. When monitored by CD, utrophin N-ABD unfolded with two unfolding rate constants of 15.34 ± 0.60/s and 0.30 ± 0.02/s (relative amplitudes of 43.8% and 56.2% respectively) (Fig. 4B and Table 1), whereas dystrophin N-ABD unfolded with the rate constants of 2.81 ± 0.11/s and 0.13 ± 0.01/s (relative amplitudes 44.1% and 55.9%) (Fig. 4A and Table 1). Comparing the individual rate constants having similar amplitude, it is clear that the secondary structure of utrophin N-ABD unfolds faster than that of dystrophin N-ABD. The unfolding experiment was repeated at varying urea concentrations, and the changes in the unfolding rate constants with urea concentration (unfolding chevron plot) was plotted in Fig. 4C. The measured rate constants indicate that utrophin N-ABD consistently unfolded at a much faster rate compared to dystrophin N-ABD at all urea concentrations.
When the same unfolding was monitored by protein fluorescence under identical conditions (Figs. 4D & E), the unfolding kinetics of dystrophin and utrophin N-ABDs follow multi-exponential kinetics, similar to when measured by CD (Figs. 4A–C). At 8 M urea, utrophin N-ABD unfolds with two rate constants 10.38 ± 0.63/s and 0.36 ± 0.01/s (relative amplitudes of 12.7% and 87.3% respectively) (Fig. 4E and Table 1), whereas dystrophin N-ABD unfolds with three rate constants 32.84 ± 2.98/s, 1.65 ± 0.18/s, and 0.16 ± 0.01/s (relative amplitudes of 8.6%, 12.0% and 79.4% respectively) (Fig. 4D and Table 1). Comparing the rate constant with maximum amplitude (0.36/s vs. 0.16/s) or the amplitude weighted average rate constant (0.41/s and 0.20/s for utrophin and dystrophin N-ABDs respectively; Eq. 3 and Table 1), utrophin N-ABD unfolded faster than dystrophin N-ABD by at least 2 times. The same phenomenon was observed when the experiment was performed at varying denaturant concentrations. At all urea concentrations, utrophin N-ABD unfolded faster than dystrophin N-ABD (Fig. 4F; compare red circles with black circles). The slowest rate constant is always of the maximum amplitude in both N-ABDs when measured by fluorescence and its amplitude qualitatively appears similar to an unfolding melt (Fig. 3B). Hence, this rate constant might correspond to the population growth kinetics of the unfolded state with increase in the denaturant concentration. Since dystrophin N-ABD shows a 3-exponential unfolding kinetics, there exists at least two partially unfolded intermediates between the native and unfolded states. For any kinetic system containing n species, the maximum number of rate constants that can be observed will be n-1 78. Similarly the two unfolding rate constants for utrophin N-ABD indicate that there exist at least one intermediate between the N and U states.
Utrophin N-ABD is more prone to proteolysis than dystrophin N-ABD
A nonspecific protease proteinase K (PK) was used to examine the proteolytic susceptibility of the two proteins. In the first experiment (Figs. 5A & C), the two N-ABDs were subjected to proteolysis at increasing concentration of PK for 30 min at 37°C. The band intensity corresponding to the native utrophin N-ABD decreased with increasing protease concentration at a faster rate compared with that of dystrophin N-ABD (comparing the intensities of the bands inside the black boxes in Figs. 5A & C; plotted in Figs. 5B & 5D respectively), indicating that utrophin N-ABD is more prone to proteolysis than dystrophin N-ABD. The data were fitted to a single exponential function to estimate the effective protease concentration that gave 50% degradation (PK50) 79 under the conditions used (Table 1). The PK50 values were 11.9 ± 1.3 ng and 23.7 ± 2.6 ng for utrophin and dystrophin N-ABDs respectively, which indicate that utrophin N-ABD requires less protease concentration for its proteolysis compared to dystrophin N-ABD. In the second set of experiments (Figs. 5E & G), the two proteins were subjected to proteolysis for varying amounts of time at a fixed concentration (10 ng) of PK. With the increase in reaction time, utrophin N-ABD band intensity decreased at a faster rate when compared with dystrophin N-ABD (Figs. 5F & 5H). The rate constants obtained by fitting these kinetic data to a single exponential function were 0.010 ± 0.002/min and 0.005 ± 0.001/min for utrophin and dystrophin N-ABDs respectively. These rate constants indicate that utrophin N-ABD is more prone to proteolysis compared to dystrophin N-ABD, consistent with the conclusions drawn earlier (Figs. 5A–D).
The proteolysis pattern also differs between the two N-ABDs. At longer digestion times or at higher protease concentrations, dystrophin N-ABD proteolyses into two smaller fragments (Figs. 5A & 5E) whereas a major fraction of the utrophin N-ABD fragments exists as a larger molecular weight fragment (Figs. 5C & 5G), which indicates inherent differences in the stabilities of the local protein regions 80 between the two N-ABDs.
Utrophin N-ABD aggregates less than dystrophin N-ABD
No aggregation was seen for native utrophin N-ABD at room temperature, similar to dystrophin N-ABD 43. Therefore, to monitor the aggregation propensity of these two proteins, we unfolded the proteins using 8 M urea (100 μM protein concentration) and initiated the aggregation reaction by diluting the denaturant 10 times in a stopped-flow mixer. The kinetics was monitored by following the changes in right-angle light scattering at 450 nm where the proteins do not absorb. The increase in light scattering intensity is proportional to the amount of protein aggregated. Dystrophin N-ABD aggregates at a much faster rate compared to utrophin N-ABD (Fig. 6A). Both proteins showed typical nucleation – propagation kinetics, with a longer lag time for utrophin N-ABD compared to dystrophin N-ABD. These lag times which correspond to the formation of initial aggregation nuclei indicate that the utrophin N-ABD has a lesser tendency to aggregate compared to dystrophin N-ABD. At the end of the reaction, utrophin N-ABD refolded by about 24%, whereas dystrophin N-ABD refolded by only 4% (Fig. 6B). These aggregation experiments indicate that utrophin N-ABD aggregates to a lesser extent than does dystrophin N-ABD despite having a lower stability.
Since the above aggregation reaction was initiated from the unfolded states, the aggregation propensities of the two proteins might be dictated by the inherent properties of the amino acid sequence rather than their thermodynamic stability. To exclude such possibility, we used various computational programs 81,82 that predict the aggregation propensity of a protein based on its amino acid sequence and found that there is no difference in the aggregation propensity of the two polypeptide chains (Supplementary Table), which is consistent with their high sequence similarity (82%) (Fig. 1A).
Utrophin N-ABD mutants have decreased stability similar to that of dystrophin disease-causing mutants
To determine whether utrophin mutations behave similar to disease-causing mutations in dystrophin, we introduced three missense mutations L70R, A184D, and Y246N at analogous positions to those of the dystrophin mutations, L54R, A168D, and Y231N. Like dystrophin mutants 43, utrophin mutants aggregate significantly. When expressed in E. coli, the three mutants were found only in inclusion bodies, in contrast to the wild-type (WT) utrophin N-ABD which was predominantly expressed as a soluble protein (Fig. 7A). The three mutants were purified by solubilizing inclusion bodies in 8 M urea and using Ni-affinity chromatography (Fig. 7B). When the denaturant concentration was diluted, the mutants aggregate by 99%. This behavior is similar to that of the disease-causing dystrophin mutations 43. We used thioflavin T and congo red dyes to probe the structure of these aggregates, which are two commonly used dyes that are known to bind to amyloid-like cross-β structure 83,84. An increase in thioflavin T fluorescence and a red shift in congo red absorption spectrum are two signatures of the cross-β structure in the protein aggregate. Upon adding thioflavin T to preformed mutant aggregates, the dye fluorescence intensity increased by on average 16 times compared with that in the buffer (Fig. 7C). This increase is much higher than that observed for aggregates of the WT protein, indicating that the mutations enhance the cross-β nature of the aggregates. Upon adding congo red to preformed mutant aggregates, the dye absorption spectrum was red shifted on average by 70 nm (Fig. 7D). Similar to thioflavin T fluorescence, the observed red shift for mutant aggregates is much higher than that observed for the WT protein aggregates. These two dye binding assays indicate that the predominant structure in utrophin N-ABD mutant aggregates is very similar to the cross-β structure observed earlier for dystrophin N-ABD aggregates 43.
Because most of the mutant proteins were expressed as inclusion bodies and purified under denaturing conditions (8 M urea), it was difficult to obtain high quantities of soluble proteins after refolding that were necessary to carry out urea melts. Hence, we used thermal melts to measure the differences in their stability. We first confirmed that the urea unfolding and refolding of the WT protein is reversible. The CD spectrum of the refolded WT exactly overlaps with that of the freshly purified WT (Fig. 8A Top Panel). Also, refolded WT melted with the same Tm as that of the freshly purified WT (Fig. 8B Top Panel). These observations indicate that the utrophin N-ABD reaches the same authentic native conformation after refolding from its denatured state at 8 M urea. In the case of refolded mutants, L70R and A184D did not show a well-defined negative CD band at 222 nm compared with the WT protein (Fig. 8A), indicating a decrease in their α-helical content. The third mutant Y246N showed clear negative CD bands at 222 nm and 208 nm, similar to the WT utrophin, suggesting that Y246N has a similar structure to the WT protein. We were unable to calculate the mean residue ellipticity for mutants, as the soluble protein concentrations we could obtain were less than 1 μM which were difficult to accurately quantitate using either absorbance at 280 nm or micro-BCA assay. However, we could use the ratio of CD at 222 nm to 208 nm to qualitatively determine the loss of native α-helical structure. The ratios were 0.80, 0.75, and 0.93 for L70R, A184D, and Y246N mutants respectively, whereas it was 0.94 for the WT protein. These values reconfirm that L70R and A184D have decreased α-helical content whereas Y246N has an α-helical content similar to that of the WT protein. The behavior of all three utrophin mutants is very similar to that observed earlier for analogous mutations in dystrophin N-ABD 43, where L54R and A168D mutants have decreased α-helicity whereas the Y231N mutant has a similar native structure as that of the WT protein. In terms of thermal melts, the two mutants L70R and A184D did not show a clear cooperative sigmoidal melt with the increase in solution temperature (Fig. 8B). The lack of a cooperative unfolding indicates the absence of a stable structure and that the proteins probably exist in a ‘molten-globule’-like conformation. In contrast, the Y246N mutant showed a clear cooperative temperature melt indicating the presence of a stable structure. However, its Tm is 7°C less than that observed for the WT utrophin N-ABD indicating decreased stability of the mutant. These results indicate that the utrophin mutants behave similar to dystrophin disease-causing mutants in terms of protein stability 43.
DISCUSSION
Utrophin expression is upregulated in MD patients and in dystrophin-deficient mdx mice; however, it does not prevent the progressive muscle degeneration 16,27,32,85–88. Deletion of utrophin in the mdx mouse that lacks dystrophin, the so called dystrophin-utrophin double knockout dko mice, results in very severe symptoms of MD similar to those of human DMD patients 89,90. This suggests that in mice and probably to some extent in humans, utrophin does have some protective effect on muscle integrity. Expression of the utrophin gene in muscles rescued the dko mice from MD symptoms and premature death 18,49. Additional over-expression of utrophin using gene transfer methods rescued mdx mice from MD 17,46,48. These ground-breaking animal experiments indicated that utrophin and dystrophin might play synergistic roles in-vivo and that utrophin can compensate for the loss of dystrophin. Therefore, a number of therapies have been proposed to increase utrophin levels in muscles to treat MD patients 21,24,91. The main advantage of using utrophin is its minimal immunological response because it is expressed at low levels even in those MD patients who completely lack dystrophin 20,21,27,48,88,92. Despite the animal experiments and proposed therapies, a complete understanding of how utrophin is similar to or different from dystrophin in terms of protein structure and related biophysical properties is lacking, and such an understanding will aid in designing better and more stable compensatory gene products for therapeutic use.
Decreased in-vivo half-life of utrophin may result from its decreased stability
In recent studies, utrophin has been shown to interact with dystrophin-associated proteins which include the sarcolemmal glycoprotein complex 33–36 and binds to actin with a similar binding affinity to that of dystrophin 37, thus linking actin to the sarcolemma 35. However, when dystrophin and utrophin DNAs were expressed in animal models using gene transfer methods, dystrophin expression lasted longer compared with that of utrophin, indicating that utrophin has a shorter half-life 17,22,39,40. One reason behind this difference may be because of the decreased stability (Fig. 3) and faster unfolding (Fig. 4) of utrophin compared to dystrophin. Decreased stability increases the non-functional unfolded state population at equilibrium. Increased unfolding rate increases the transient population of the unfolded state compared with the native state. Increased unfolded state population results in increased protein degradation by proteasome and other proteases resulting in depletion of the functional protein concentration, because the extent of proteolysis depends on the stability of the substrate protein 80,93–96. Accordingly, less stable utrophin N-ABD is more prone to proteolysis compared with dystrophin N-ABD (Fig. 5). A recently published study on the full-length proteins 57 agrees with these inferences drawn based on the stability differences of N-ABDs. In addition, a few other studies suggest the role of proteasome and proteases in controlling the levels of dystrophin and utrophin in-vivo 97–99. Based on these results, one possible method of designing stable utrophin constructs to compensate the functional dystrophin loss seen in MD patients might be through increasing the stability of N-ABDs by introducing stabilizing mutations, which might increase the in-vivo half-life of utrophin.
Utrophin may aggregate less than dystrophin
It has recently been shown that a possible physical mechanism by which missense mutations in dystrophin trigger the disease is by inducing protein aggregation 43,44. In contrast, utrophin possesses significant advantage over dystrophin in terms of protein aggregation. Starting from an unfolded state (analogous to a newly synthesized peptide by the ribosome machinery), utrophin N-ABD aggregates to a lesser extent despite having a decreased stability compared with dystrophin N-ABD (Fig. 6). This behavior contradicts the general presumption in protein literature that less stable proteins aggregate to a higher extent 100–102. We confirmed that the aggregation of the two proteins is not dictated by the primary structure of the polypeptide chains.
One possible explanation for this behavior is that while refolding, dystrophin N-ABD might misfold to a larger extent compared to utrophin N-ABD. The higher denaturant m-value for dystrophin N-ABD indicates that it is more compact than utrophin N-ABD (Figs. 3A, 3B, and Table 1), which might arise from the strength of the inter-CH-domain interactions in the two proteins. In such a case, there will be a higher chance for incorrect docking of the two CH domains during the folding of dystrophin N-ABD, which might result in increased aggregation of dystrophin N-ABD compared to utrophin N-ABD.
Possible role of utrophin deficiency in disease mechanisms
Utrophin is the closest homologue of dystrophin, and is believed to function in a similar way to dystrophin 6,35. Having high sequence, structural and functional similarity, it is highly likely that mutations in utrophin behave similar to dystrophin mutations. It has been recently shown that disease-causing mutations in dystrophin decrease its stability and lead to its aggregation 43,44, resulting in decreased dystrophin levels seen in MD patients 103,104. Our results presented here indicate that the utrophin mutations behave similar to dystrophin mutations in terms of instability and aggregation, and therefore might lead to decreased utrophin concentration in-vivo. Since utrophin expression is quite low in skeletal muscles in the presence of dystrophin, decreased utrophin levels might not trigger MD. In the absence of dystrophin, utrophin expression is upregulated 105, and hence any factors that diminish the utrophin concentration might lead to the increased severity of disease progression. Utrophin, being a large protein containing 3,433 residues and its gene containing 900 Kb 106, there will be a higher chance for the occurrence of sporadic mutations in-vivo compared to proteins of smaller size, and any such mutations that decrease its stability might make utrophin less effective in compensating the dystrophin loss. Alternatively, utrophin mutations might affect muscle development in the fetus and/or affect synapse transmission at myotendinous and neuromuscular junctions where utrophin plays a critical role. In support, utrophin deficiency and its mutations have recently been implicated in diseases such as myasthenia gravis, myelinopathies, cancer, and with those associated with the central nervous system 107–112. Given the observation that utrophin is naturally upregulated in DMD and mdx, it is likely to have a significant protective effect. Mutations in utrophin that increase the instability of the protein could therefore be significant and detrimental modifiers in DMD. Mutations in potential modifier genes such as utrophin, which to date are unmapped, could contribute to the variation in phenotype and disease progression seen in DMD patients.
Inter-CH-domain interactions might control the stability and aggregation of tandem-repeat CH domains
Dystrophin and utrophin N-ABDs contain two CH domains linked by an α-helix (Fig. 1B). Available X-ray crystal structures indicate that the orientation of CH domains around the central α-helix might differ between the two proteins (Fig. 1C), although the structures of individual CH domains are identical (Fig. 1D). Results from the denaturant melts (Figs. 3A & 3B, and Table 1) indicate that utrophin N-ABD is less stable (lower ΔG) and has less buried surface area (lower m-value) compared to dystrophin N-ABD, which might indicate that the utrophin N-ABD has weaker inter-domain interactions. Consistently, recent results on the solution conformation of utrophin N-ABD indicates that it is an open, extended conformation where the two CH domains are far apart 64. As discussed above, stronger inter-CH-domain interactions in dystrophin N-ABD might explain why dystrophin N-ABD aggregates to a higher extent compared to utrophin N-ABD because of the possibility of incorrect docking of the two CH domains during folding. These observations suggest that the stability, unfolding, and the aggregation behavior of tandem-CH-domains might be controlled by the inter-domain interactions between the two CH domains.
Supplementary Material
Acknowledgments
We gratefully acknowledge the help from the Rocky Mountain 900 MHz NMR Facility (Funded by the NIH instrumentation Grant P41GM068928) and Biophysics Core, University of Colorado Anschutz Medical Campus in carrying out this work. We thank Javier Cabello-Villegas, Philip Reigan, Ruth Nussinov, Deborah Wuttke for helpful discussions, and Walter Englander and John Carpenter for their critical reading of the manuscript. This work was funded by the American Heart Association (to KMGM), a Jane and Charlie Butcher grant in Genomics and Biotechnology (to KMGM), the ALSAM Foundation through the Skaggs Scholars Program (to KMGM), and the Medical Research Council (to SJW).
Abbreviations
- ABD
actin-binding domain
- BMD
Becker MD
- CD
circular dichroism
- CH domain
calponin-homology domain
- Cm
midpoint denaturant concentration in chemical denaturant melt
- DMD
Duchenne MD
- Dys
dystrophin
- ΔG
Gibb’s free energy
- HSQC
heteronuclear single quantum coherence
- Kd
dimer dissociation constant
- m-value
the slope of ΔG variation with denaturant concentration
- MD
muscular dystrophy
- MRE
mean residue ellipticity
- N
native state
- N-ABD
N-terminal actin-binding domain
- NMR
nuclear magnetic resonance
- PK
proteinase K
- Tm
midpoint temperature in thermal melt
- U
unfolded state
- Utr
utrophin
- WT
wild-type
Footnotes
Results from this study were presented at the 24th Annual Symposium of the Protein Society, San Diego, CA, USA, August 2010 1.
References
- 1.Mallela K, Singh S, Molas J, Cabello-Villegas J, Kongari N. Protein stability, folding, and aggregation of the N-terminal actin binding domains of dystrophin and utrophin. Protein Sci. 2010;19(S1):180. [Google Scholar]
- 2.Emery AEH. The muscular dystrophies. Lancet. 2002;359:687–695. doi: 10.1016/S0140-6736(02)07815-7. [DOI] [PubMed] [Google Scholar]
- 3.Hoffman EP, Brown J, Robert H, Kunkel LM. Dystrophin: The protein product of the Duchenne Muscular Dystrophy locus. Cell. 1987;51:919–928. doi: 10.1016/0092-8674(87)90579-4. [DOI] [PubMed] [Google Scholar]
- 4.Winder SJ. Dystrophin and utrophin: The missing Links! FEBS Lett. 1995;369:27–33. doi: 10.1016/0014-5793(95)00398-s. [DOI] [PubMed] [Google Scholar]
- 5.Roberts RG. Protein family review: Dystrophins and dystrobrevins. Genome Biology. 2001;2:reviews3006.3001–3006.3007. doi: 10.1186/gb-2001-2-4-reviews3006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Ervasti JM. Dystrophin, its interactions with other proteins, and implications. Biochim Biophys Acta. 2007;1772:108–117. doi: 10.1016/j.bbadis.2006.05.010. [DOI] [PubMed] [Google Scholar]
- 7.Roberts RG, Borrow M, Bentley DR. Point mutations in the dystrophin gene. Proc Natl Acad Sci. 1992;89:2331–2335. doi: 10.1073/pnas.89.6.2331. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Roberts RG, Gardner RJ, Bobrow M. Searching for the 1 in 2,400,000: A review of dystrophin gene point mutations. Hum Mutat. 1994;4:1–11. doi: 10.1002/humu.1380040102. [DOI] [PubMed] [Google Scholar]
- 9.Prior TW, Bartolo C, Pearl DK, Papp AC, Snyder PJ, Sedra MS, Burghes AHM, Mendell JR. Spectrum of small mutations in the dystrophin coding region. Am J Hum Genet. 1995;57:22–33. [PMC free article] [PubMed] [Google Scholar]
- 10.Sitnik R, Campiotto S, Vainzof M, Pavanello RC, Takata RI, Zatz M, Passos-Bueno MR. Novel point mutations in the dystrophin gene. Human Mutation. 1997;10:217–222. doi: 10.1002/(SICI)1098-1004(1997)10:3<217::AID-HUMU7>3.0.CO;2-F. [DOI] [PubMed] [Google Scholar]
- 11.Muntoni F, Torelli S, Ferlini A. Dystrophin and mutations: One gene, several proteins, multiple phenotypes. The Lancet Neurology. 2003;2:731–740. doi: 10.1016/s1474-4422(03)00585-4. [DOI] [PubMed] [Google Scholar]
- 12.Aaartsma-Rus A, van Deutekom JCT, Fokkema IF, van Ommen G-JB, Den Dennen JT. Entries in the Leiden Duchenne muscular dystrophy mutation database: An overview of mutation types and paradoxical cases that confirm the reading-frame rule. Muscle Nerve. 2006;34:135–144. doi: 10.1002/mus.20586. [DOI] [PubMed] [Google Scholar]
- 13.Love DR, Hill DF, Dickson G, Spurr NK, Byth BC, Marsden RF, Walsh FS, Edwards YH, Davies KE. An autosomal transcript in skeletal muscle with homology to dystrophin. Nature. 1989;339:55–58. doi: 10.1038/339055a0. [DOI] [PubMed] [Google Scholar]
- 14.Khurana TS, Hoffman EP, Kunkel L. Identification of a chromosome 6-encoded dystrophin-related protein. J Biol Chem. 1990;265:16717–16720. [PubMed] [Google Scholar]
- 15.Tinsley JM, Blake DJ, Roche A, Fairbrother U, Riss J, Byth BC, Knight AE, Kendrick-Jones J, Suthers GK, Love DR, Edwards YH, Davies KE. Primary structure of dystrophin-related protein. Nature. 1992;360:591–593. doi: 10.1038/360591a0. [DOI] [PubMed] [Google Scholar]
- 16.Blake DJ, Weir A, Newey SE, Davies KE. Function and genetics of dystrophin and dystrophin-related proteins in muscle. Physiol Rev. 2002;82:291–329. doi: 10.1152/physrev.00028.2001. [DOI] [PubMed] [Google Scholar]
- 17.Tinsley J, Deconinck N, Fisher R, Kahn D, Phelps S, Gillis J-M, Davies K. Expression of full-length utrophin prevents muscular dystrophy in mdx mice. Nature Med. 1998;4:1441–1444. doi: 10.1038/4033. [DOI] [PubMed] [Google Scholar]
- 18.Rafael JA, Tinsley JM, Potter AC, Deconinck AE, Davies KE. Skeletal muscle-specific expression of a utrophin transgene rescues utrophin-dystrophin deficient mice. Nature Genet. 1998;19:79–82. doi: 10.1038/ng0598-79. [DOI] [PubMed] [Google Scholar]
- 19.Chamberlain JS. Gene therapy of muscular dystrophy. Hum Mol Genet. 2002;11:2355–2362. doi: 10.1093/hmg/11.20.2355. [DOI] [PubMed] [Google Scholar]
- 20.van Deutekom JCT, van Ommen G-JB. Advances in Duchenne muscular dystrophy gene therapy. Nature Rev Genetics. 2003;4:774–783. doi: 10.1038/nrg1180. [DOI] [PubMed] [Google Scholar]
- 21.Miura P, Jasmin BJ. Utrophin upregulation for treating Duchenne or Becker muscular dystrophy: How close are we? TRENDS Mol Med. 2006;12:122–129. doi: 10.1016/j.molmed.2006.01.002. [DOI] [PubMed] [Google Scholar]
- 22.Deol JR, Danialou G, Larochelle N, Bourget M, Moon J-S, Liu A-B, Gilbert R, Petrof BJ, Nalbantoglu J, Karpati G. Successful compensation for dystrophin deficiency by a helper-dependent adenovirus expressing full-length utrophin. Mol Therapy. 2007;15:1767–1774. doi: 10.1038/sj.mt.6300260. [DOI] [PubMed] [Google Scholar]
- 23.Odom GL, Gregorevic P, Allen JM, Finn E, Chamberlain JS. Microutrophin delivery through rAAV6 increases lifespan and improves muscle function in dystrophic dystrophin/utrophin-deficient mice. Mol Therapy. 2008;16:1539–1545. doi: 10.1038/mt.2008.149. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Sonnemann KJ, Heun-Johnson H, Turner AJ, Baltgalvis KA, Lowe DA, Ervasti JM. Functional substitution by TAT-utrophin in dystrophin-deficient mice. PLoS Medicine. 2009;6:e1000083. doi: 10.1371/journal.pmed.1000083. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Khurana TS, Watkins SC, Chafey P, Chelly J, Tome FMS, Fardeau M, Kaplan J-C, Kunkel LM. Immunolocalization and developmental expression of dystrophin related protein in skeletal muscle. Neuromusc Disorder. 1991;1:185–194. doi: 10.1016/0960-8966(91)90023-l. [DOI] [PubMed] [Google Scholar]
- 26.Love DR, Morris GE, Ellis JM, Fairbrother U, Marsden RF, Bloomfield JF, Edwards YH, Slater CP, Parry DJ, Davies KE. Tissue distribution of the dystrophin-related gene product and expression in the mdx and dy mouse. Proc Natl Acad Sci USA. 1991;88:3243–3247. doi: 10.1073/pnas.88.8.3243. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Helliwell TR, Man NT, Morris GE, Davies KE. The dystrophin-related protein, utrophin, is expressed on the sarcolemma of regenerating human skeletal muscle fibers in dystrophies and inflammatory myopathies. Neuromusc Disorder. 1992;2:177–184. doi: 10.1016/0960-8966(92)90004-p. [DOI] [PubMed] [Google Scholar]
- 28.Blake DJ, Tinsley JM, Davies KE. Utrophin: A structural and functional comparison to dystrophin. Brain Pathol. 1996;6:37–47. doi: 10.1111/j.1750-3639.1996.tb00781.x. [DOI] [PubMed] [Google Scholar]
- 29.Ohlendieck K, Ervasti JM, Matsumura K, Kahl SD, Leveille CJ, Campbell KP. Dystrophin-related protein is localized to neuromuscular junctions of adult skeletal muscle. Neuron. 1991;7:499–508. doi: 10.1016/0896-6273(91)90301-f. [DOI] [PubMed] [Google Scholar]
- 30.Gramolini AO, Jasmin BJ. Duchenne muscular dystrophy and the neuromuscular junction: the utrophin link. BioEssays. 1997;19:747–750. doi: 10.1002/bies.950190903. [DOI] [PubMed] [Google Scholar]
- 31.Moores CA, Kendrick-Jones J. Biochemical characterization of the actin-binding properties of utrophin. Cell Motility and the Cytoskeleton. 2000;46:116–128. doi: 10.1002/1097-0169(200006)46:2<116::AID-CM4>3.0.CO;2-L. [DOI] [PubMed] [Google Scholar]
- 32.Pons F, Augier N, Léger JOC, Robert A, Tomé FMS, Fardeau M, Voit T, Nicholson LVB, Mornet D, Léger JJ. A homologue of dystrophin is expressed at the neuromuscular junctions of normal individuals and DMD patients, and of normal and mdx mice: Immunological evidence. FEBS Lett. 1991;282:161–165. doi: 10.1016/0014-5793(91)80468-i. [DOI] [PubMed] [Google Scholar]
- 33.Matsumura K, Ervasti JM, Ohlendieck K, Kahl SD, Campbell KP. Association of dystrophin-related protein with dystrophin-associated proteins in mdx mouse muscle. Nature. 1992;360:588–591. doi: 10.1038/360588a0. [DOI] [PubMed] [Google Scholar]
- 34.Winder SJ, Hemmings L, Maciver SK, Bolton SJ, Tinsley JM, Davies KE, Critchley DR, Kendrick-Jones J. Utrophin actin binding domain: Analysis of actin binding and cellular targeting. J Cell Sci. 1995;108:63–71. doi: 10.1242/jcs.108.1.63. [DOI] [PubMed] [Google Scholar]
- 35.Rybakova IN, Patel JR, Davies KE, Yurchenco PD, Ervasti JM. Utrophin binds laterally along actin filaments and can couple costameric actin with sarcolemma when overexpressed in dystrophin-deficient muscle. Mol Biol Cell. 2002;13:1512–1521. doi: 10.1091/mbc.01-09-0446. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Ishikawa-Sakurai M, Yoshida M, Imamura M, Davies KE, Ozawa E. ZZ domain is essentially required for the physiological binding of dystrophin and utrophin to β-dystroglycan. Hum Mol Genet. 2004;13:693–702. doi: 10.1093/hmg/ddh087. [DOI] [PubMed] [Google Scholar]
- 37.Rybakova IN, Humston JL, Sonnemann KJ, Ervasti JM. Dystrophin and utrophin bind actin through distinct modes of contact. J Biol Chem. 2006;281:9996–10001. doi: 10.1074/jbc.M513121200. [DOI] [PubMed] [Google Scholar]
- 38.Prochniewicz E, Henderson D, Ervasti JM, Thomas DD. Dystrophin and utrophin have distinct effects on the structural dynamics of actin. Proc Natl Acad Sci USA. 2009;106:7822–7827. doi: 10.1073/pnas.0812007106. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Squire S, Raymackers JM, Vandebrouck C, Potter A, Tinsley J, Fisher R, Gillis JM, Davies KE. Prevention of pathology in mdx mice by expression of utrophin: analysis using an inducible transgenic expression system. Hum Mol Genet. 2002;11:3333–3344. doi: 10.1093/hmg/11.26.3333. [DOI] [PubMed] [Google Scholar]
- 40.Ahmad A, Brinson M, Hodges BL, Chamberlain JS, Amalfitano A. Mdx mice inducibly expressing dystrophin provide insights into the potential of gene therapy for Duchenne muscular dystrophy. Hum Mol Genet. 2000;9:2507–2515. doi: 10.1093/hmg/9.17.2507. [DOI] [PubMed] [Google Scholar]
- 41.Keep NH, Winder SJ, Moores CA, Walke S, Norwood FLM, Kendrick-Jones J. Crystal structure of the actin-binding region of utrophin reveals a head-to-tail dimer. Structure. 1999;7:1539–1546. doi: 10.1016/s0969-2126(00)88344-6. [DOI] [PubMed] [Google Scholar]
- 42.Norwood FL, Sutherland-Smith AJ, Keep NH, Kendrick-Jones J. The structure of the N-terminal actin-binding domain of human dystrophin and how mutations in this domain may cause Duchenne or Becker muscular dystrophy. Structure. 2000;8:481–491. doi: 10.1016/s0969-2126(00)00132-5. [DOI] [PubMed] [Google Scholar]
- 43.Singh SM, Kongari N, Cabello-Villegas J, Mallela KMG. Missense mutations in dystrophin that trigger muscular dystrophy decrease protein stability and lead to cross-β aggregates. Proc Natl Acad Sci USA. 2010;107:15069–15074. doi: 10.1073/pnas.1008818107. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Henderson DM, Lee A, Ervasti JM. Disease-causing missense mutations in actin binding domain 1 of dystrophin induce thermodynamic instability and protein aggregation. Proc Natl Acad Sci USA. 2010;107:9632–9637. doi: 10.1073/pnas.1001517107. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Phelps SF, Hauser MA, Cole NM, Rafael JA, Hinkle RT, Faulkner JA, Chamberlain JS. Expression of full-length and truncated dystrophin mini-genes in transgenic mdx mice. Hum Mol Genet. 1995;4:1251–1258. doi: 10.1093/hmg/4.8.1251. [DOI] [PubMed] [Google Scholar]
- 46.Tinsley JM, Potter AC, Phelps SR, Fisher R, Trickett JI, Davies KE. Amelioration of the dystrophin phenotype of mdx mice using a truncated utrophin transgene. Nature. 1996:349–353. doi: 10.1038/384349a0. [DOI] [PubMed] [Google Scholar]
- 47.Deconinck N, Tinsley J, Backer FD, Fisher R, Kahn D, Phelps S, Davies K, Gillis J-M. Expression of truncated utrophin leads to major functional improvements in dystrophin-deficient muscles of mice. Nature Med. 1997;3:1216–1221. doi: 10.1038/nm1197-1216. [DOI] [PubMed] [Google Scholar]
- 48.Gilbert R, Nalbantoglu J, Petrof BJ, Ebihara S, Guibinga GH, Tinsley JM, Kamen A, Massie B, Davies KE, Karpati G. Adenovirus-mediated utrophin gene transfer mitigates the dystrophin phenotype of mdx mouse muscles. Hum Gene Ther. 1999;10:1299–1310. doi: 10.1089/10430349950017987. [DOI] [PubMed] [Google Scholar]
- 49.Wakefield PM, Tinsley JM, Wood MJA, Gilbert R, Karpati G, Davies KE. Prevention of the dystrophic phenotype in dystrophin/utrophin-deficient muscle following adenovirus-mediated transfer of a utrophin minigene. Gene Therapy. 2000;7:201–204. doi: 10.1038/sj.gt.3301066. [DOI] [PubMed] [Google Scholar]
- 50.Wang B, Li J, Xiao X. Adeno-associated virus vector carrying human minidystrophin genes effectively ameliorates muscular dystrophy in mdx mouse model. Proc Natl Acad Sci USA. 2000;97:13714–13719. doi: 10.1073/pnas.240335297. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Gregorevic P, Allen JM, Minami E, Blankenship MJ, Haraguchi M, Meuse L, Finn E, Adams ME, Froehner SC, Murry CE, Chamberlain JS. rAAV6-microdystrophin preserves muscle function and extends lifespan in severely dystrophic mice. Nature Med. 2006;12:787–789. doi: 10.1038/nm1439. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Scott JM, Li S, harper SQ. Viral vectors for gene transfer of micro-, mini-, or full-length dystrophin. Neuromuscular Disorders. 2002;12:s23–s29. doi: 10.1016/s0960-8966(02)00078-0. [DOI] [PubMed] [Google Scholar]
- 53.Gregorevic P, Chamberlain JS. Gene therapy for muscular dystrophy - a review of promising progress. Expert Opin Biol Ther. 2003;3:803–814. doi: 10.1517/14712598.3.5.803. [DOI] [PubMed] [Google Scholar]
- 54.Foster K, Foster H, Dickson JG. Gene therapy progress and prospects: Duchenne muscular dystrophy. Gene Therapy. 2006;13:1677–1685. doi: 10.1038/sj.gt.3302877. [DOI] [PubMed] [Google Scholar]
- 55.Muir LA, Chamberlain JS. Emerging strategies for cell and gene therapy of the muscular dystrophies. Expert Rev Mol Med. 2009;11:e18. doi: 10.1017/S1462399409001100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Fairclough RJ, Bareja A, Davies KE. Progress in therapy for Duchenne muscular dystrophy. Exp Physiol. 2011 doi: 10.1113/expphysiol.2010.053025. [DOI] [PubMed] [Google Scholar]
- 57.Henderson DM, Belanto JJ, Li B, Heun-Johnson H, Ervasti JM. Internal deletion compromises the stability of dystrophin. Hum Mol Genet. 2011;20:2955–2963. doi: 10.1093/hmg/ddr199. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Le Rumeur E, Winder SJ, Hubert J-F. Dystrophin: More than just the sum of its parts. Biochim Biophys Acta. 2010;1804:1713–1722. doi: 10.1016/j.bbapap.2010.05.001. [DOI] [PubMed] [Google Scholar]
- 59.Orlova A, Rybakova IN, Prochniewicz E, Thomas DD, Ervasti JM, Egelman EH. Binding of dystrophin’s tandem calponin homology domain to F-actin is modulated by actin’s structure. Biophys J. 2001;80:1926. doi: 10.1016/S0006-3495(01)76162-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Gimona M, Djinovic-Carugo K, Kranewitter WJ, Winder SJ. Functional Plasticity of CH domains. FEBS Lett. 2002;513:98–106. doi: 10.1016/s0014-5793(01)03240-9. [DOI] [PubMed] [Google Scholar]
- 61.Galkin VE, Orlova A, VanLoock MS, Egelman EH. Do the utrophin tandem calponin homology domains bind F-actin in a compact or extended conformation? J Mol Biol. 2003;331:967–972. doi: 10.1016/s0022-2836(03)00842-8. [DOI] [PubMed] [Google Scholar]
- 62.Lehman W, Craig R, Kendrick-Jones J, Sutherland-Smith A. An open or closed case for the conformation of calponin homology domains on F-actin? J Muscle Res Cell Motility. 2004;25:351–358. doi: 10.1007/s10974-004-0690-7. [DOI] [PubMed] [Google Scholar]
- 63.Galkin VE, Orlova A, Salmazo A, Djinovic-Carugo K, Egelman EH. Opening of tandem calponin homology domains regulated their affinity for F-actin. Nature Struct Mol Biol. 2010;17:614–616. doi: 10.1038/nsmb.1789. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Lin AY, Prochniewicz E, James ZM, Svensson B, Thomas DD. Large-scale opening of utrophin’s tandem calponin homology (CH) domains upon actin binding by an induced-fit mechanism. Proc Natl Acad Sci USA. 2011;108:12729–12733. doi: 10.1073/pnas.1106453108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Sutherland-Smith AJ, Moores CA, Norwood FLM, Hatch V, Craig R, Kendrick-Jones J, Lehman W. An atomic model for actin binding by the CH domains and spectrin-repeat modules of utrophin and dystrophin. J Mol Biol. 2003;329:15–33. doi: 10.1016/s0022-2836(03)00422-4. [DOI] [PubMed] [Google Scholar]
- 66.Greenfield NJ. Using circular dichroism spectra to estimate protein secondary structure. Nature Protocols. 2006;6:2876– 2890. doi: 10.1038/nprot.2006.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 67.Delaglio F, Grzesiek S, Vuister GW, Zhu G, Pfeifer J, Bax A. NMRPipe: a multidimensional spectral processing system based on UNIX pipes. J Biomol NMR. 1995;6:277–293. doi: 10.1007/BF00197809. [DOI] [PubMed] [Google Scholar]
- 68.Santoro MM, Bolen DW. Unfolding free energy changes determined by the linear extrapolation method. 1. Unfolding of phenylmethanesulfonyl alpha-chymotrypsin using different denaturants. Biochemistry. 1988;27:8063–8068. doi: 10.1021/bi00421a014. [DOI] [PubMed] [Google Scholar]
- 69.Santoro MM, Bolen DW. A test of the linear extrapolation of unfolding free energy changes over an extended denaturant concentration range. Biochemistry. 1992;31:4901–4907. doi: 10.1021/bi00135a022. [DOI] [PubMed] [Google Scholar]
- 70.Chenna R, Sugawara H, Koike T, Lopez R, Gibson TJ, Higgins DG, Thompson JD. Multiple sequence alignment with the Clustal series of programs. Nucl Acids Res. 2003;31:3497–3500. doi: 10.1093/nar/gkg500. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 71.Shatsky M, Nussinov R, Wolfson HJ. A method for simultaneous alignment of multiple protein structures. Proteins: Struct Func & Bioinform. 2004;56:143–156. doi: 10.1002/prot.10628. [DOI] [PubMed] [Google Scholar]
- 72.Lakowicz JR. Principles of Fluorescence Spectroscopy. New York: Springer Science; 2006. [Google Scholar]
- 73.Daragan VA, Mayo KH. Motional model analyses of protein and peptide dynamics using 13 C and 15N NMR relaxation. Prog NMR Spectroscopy. 1997;31:63–105. [Google Scholar]
- 74.Myers JK, Pace CN, Scholtz JM. Denaturant m values and heat capacity changes: relation to changes in accessible surface areas of protein unfolding. Protein Science. 1995;4(10):2138–2148. doi: 10.1002/pro.5560041020. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 75.Kahana E, Flood G, Gratzer WB. Physical properties of dystrophin rod domain. Cell Motility and the Cytoskeleton. 1997;36:246–252. doi: 10.1002/(SICI)1097-0169(1997)36:3<246::AID-CM5>3.0.CO;2-5. [DOI] [PubMed] [Google Scholar]
- 76.Ruszczak C, Mirza A, Menhart N. Differential stabilities of alternative exon-skipped rod motifs of dystrophin. Biochim Biophys Acta. 2009;1794:921–928. doi: 10.1016/j.bbapap.2009.02.016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 77.Legardinier S, Legrand B, Raguénès-Nicol C, Bondon A, Hardy S, Tascon C, Rumeur EL, Hubert J-F. A two-amino acid mutation encountered in Duchenne muscular dystrophy decreases stability of the rod domain 23 (R23) spectrin-like repeat of dystrophin. J Biol Chem. 2009;284:8822–8832. doi: 10.1074/jbc.M805846200. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 78.Krishna MMG, Englander SW. A unified mechanism for protein folding: Predetermined pathways with optional errors. Protein Sci. 2007;16:449–464. doi: 10.1110/ps.062655907. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 79.Mirza A, Sagathevan M, Sahni N, Choi L, Menhart N. A biophysical map of the dystrophin rod. Biochim Biophys Acta. 2010;1804:1796–1809. doi: 10.1016/j.bbapap.2010.03.009. [DOI] [PubMed] [Google Scholar]
- 80.Park C, Marqusee S. Probing the high energy states in proteins by proteolysis. J Mol Biol. 2004;343:1467–1476. doi: 10.1016/j.jmb.2004.08.085. [DOI] [PubMed] [Google Scholar]
- 81.Singh SM, Cabello-Villegas J, Hutchings RL, Mallela KMG. Role of partial protein unfolding in alcohol-induced protein aggregation. Proteins: Struct Func & Bioinform. 2010;78:2625–2637. doi: 10.1002/prot.22778. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 82.Belli M, Ramazzotti M, Chiti F. Prediction of amyloid aggregation in vivo. EMBO Reports. 2011;12:657–663. doi: 10.1038/embor.2011.116. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 83.Levine H., III Thioflavine T interaction with synthetic Alzheimer’s disease {beta}-amyloid peptides: Detection of amyloid aggregation in solution. Protein Sci. 1993;2:404–410. doi: 10.1002/pro.5560020312. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 84.Klunk WE, Pettegrew JW, Abraham DJ. Quantitative evaluation of congo red binding to amyloid-like proteins with a beta-pleated sheet conformation. J Histochem Cytochem. 1989;37:1273–1281. doi: 10.1177/37.8.2666510. [DOI] [PubMed] [Google Scholar]
- 85.Rafael JA, Townsend ER, Squire SE, Potter AC, Chamberlain JS, Davies KE. Dystrophin and utrophin influence fiber type composition and post-synaptic membrane structure. Hum Mol Genet. 2000;9:1357–1367. doi: 10.1093/hmg/9.9.1357. [DOI] [PubMed] [Google Scholar]
- 86.Pastoret C, Sebille A. Mdx mice show progressive weakness and muscle deterioration with age. J Neurol Sci. 1995;129:97–105. doi: 10.1016/0022-510x(94)00276-t. [DOI] [PubMed] [Google Scholar]
- 87.Tanabe Y, Esaki K, Nomura T. Skeletal muscle pathology in X chromosome-linked muscular dystrophy (mdx) mouse. Acta Neuropathol. 1986;69:91–95. doi: 10.1007/BF00687043. [DOI] [PubMed] [Google Scholar]
- 88.Karpati G, Carpenter S, Morris GE, Davies KE, Guerin C, Holland P. Localization and quantitation of the chromosome 6-encoded dystrophin-related protein in normal and pathological human muscle. J Neuropathol Exp Neurol. 1993;52:119–128. doi: 10.1097/00005072-199303000-00004. [DOI] [PubMed] [Google Scholar]
- 89.Deconinck AE, Rafael JA, Skinner JA, Brown SC, Potter AC, Metzinger L, Watt DJ, Dickson JG, Tinsley JM, Davies KE. Utrophin-dystrophin-deficient mice as a model for Duchenne muscular dystrophy. Cell. 1997;90:717–727. doi: 10.1016/s0092-8674(00)80532-2. [DOI] [PubMed] [Google Scholar]
- 90.Grady RM, Teng HB, Nichol MC, Cunningham JC, Wilkinson RS, Sanes JR. Skeletal and cardiac myopathies in mice lacking utrophin and dystrophin: a model for Duchenne muscular dystrophy. Cell. 1997;90:729–738. doi: 10.1016/s0092-8674(00)80533-4. [DOI] [PubMed] [Google Scholar]
- 91.Odom GL, Gregorevic P, Chamberlain JS. Viral-mediated gene therapy for the muscular dystrophies: Successes, limitations, and recent advances. Biochim Biophys Acta. 2007;1772:243–262. doi: 10.1016/j.bbadis.2006.09.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 92.Ebihara S, Guibinga G-H, Gilbert R, Nalbantoglu J, Massie B, Karpati G, Petrof BJ. Differential effects of dystrophin and utrophin gene transfer in immunocompetent muscular dystrophy (mdx) mice. Physiol Genomics. 2000;3:133–144. doi: 10.1152/physiolgenomics.2000.3.3.133. [DOI] [PubMed] [Google Scholar]
- 93.Parsell DA, Sauer RT. The structural stability of a protein is an important determinant of its proteolytic susceptibility in Escherichia coli. J Biol Chem. 1989;264:7590–7595. [PubMed] [Google Scholar]
- 94.Wang L, Kallenbach NR. Proteolysis as a measure of the free energy difference between cytochrome c and its derivatives. Protein Sci. 1998;7:2460–2464. doi: 10.1002/pro.5560071124. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 95.Kim M-S, Song J, Park C. Determining protein stability in cell lysates by pulse proteolysis and Western blotting. Protein Sci. 2009;18:1051–1059. doi: 10.1002/pro.115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 96.Ruschak AM, Religa TL, Breuer S, Witt S, Kay LE. The proteasome antechamber maintains substrates in the unfolded state. Nature. 2010;467:868–871. doi: 10.1038/nature09444. [DOI] [PubMed] [Google Scholar]
- 97.Cotton P, Poussard S, Mornet D, Brustis JJ, Mohammadpour M, Leger J, Ducastaing A. In vitro digestion of dystrophin by calcium-dependent proteases, calpains I and II. Biochimie. 1992;74:565–570. doi: 10.1016/0300-9084(92)90156-9. [DOI] [PubMed] [Google Scholar]
- 98.Courdier-Fruh I, Briguet A. Utrophin is a calpain substrate in muscle cells. Muscle Nerve. 2006;33:753–759. doi: 10.1002/mus.20549. [DOI] [PubMed] [Google Scholar]
- 99.Badorff C, Lee G-H, Lamphear BJ, Martone ME, Campbell KP, Rhoads RE, Knowlton KU. Enteroviral protease 2A cleaves dystrophin: Evidence of cytoskeletal disruption in an acquired cardiomyopathy. Nature Med. 1999;5:320–326. doi: 10.1038/6543. [DOI] [PubMed] [Google Scholar]
- 100.Chi EY, Krishnan S, Randolph TW, Carpenter JF. Physical stability of proteins in aqueous solution: Mechanism and driving forces in nonnative protein aggregation. Pharmaceutical Res. 2003;20:1325–1336. doi: 10.1023/a:1025771421906. [DOI] [PubMed] [Google Scholar]
- 101.Mayer S, Rüdiger S, Ang HC, Joerger AC, Fersht AR. Correlation of levels of folded recombinant p53 in Escherichia coli with thermodynamic stability in vitro. J Mol Biol. 2007;372:268–276. doi: 10.1016/j.jmb.2007.06.044. [DOI] [PubMed] [Google Scholar]
- 102.Espargaró A, Castillo V, de Groot NS, Ventura S. The in vivo and in vitro aggregation properties of globular proteins correlate with their conformational stability: The SH3 case. J Mol Biol. 2008;378:1116–1131. doi: 10.1016/j.jmb.2008.03.020. [DOI] [PubMed] [Google Scholar]
- 103.Prior TW, Papp AC, Snyder PJ, Burghes AHM, Bartolo C, Sedra MS, Western LM, Mendell JR. A missense mutation in the dystrophin gene in a Duchenne muscular dystrophy patient. Nature Genet. 1993;4:357–360. doi: 10.1038/ng0893-357. [DOI] [PubMed] [Google Scholar]
- 104.Hamed SA, Sutherland-Smith AJ, Gorospe JRM, Kendrick-Jones J, Hoffman EP. DNA sequence analysis for structure/function and mutation studies in Becker muscular dystrophy. Clin Genet. 2005;68:69–79. doi: 10.1111/j.1399-0004.2005.00455.x. [DOI] [PubMed] [Google Scholar]
- 105.Fisher R, Tinsley JM, Phelps SR, Squire SE, Townsend ER, Martin JE, Davies KE. Non-toxic ubiquitous over-expression of utrophin in the mdx mouse. Neuromusc Disorder. 2001;11:713–721. doi: 10.1016/s0960-8966(01)00220-6. [DOI] [PubMed] [Google Scholar]
- 106.Pearce M, Blake DJ, Tinsley JM, Byth BC, Campbell L, Monaco AP, Davies KE. The utrophin and dystrophin genes share similarities in genomic structure. Hum Mol Genet. 1993;2:1765–1772. doi: 10.1093/hmg/2.11.1765. [DOI] [PubMed] [Google Scholar]
- 107.Ito H, Yoshimura T, Satoh A, Takino H, Tsujihata M, Nagataki S. Immunohistochemical study of utrophin and dystrophin at the motor end-plate in myasthenia gravis. Acta Neuropathol. 1996;92:14–18. doi: 10.1007/s004010050483. [DOI] [PubMed] [Google Scholar]
- 108.Sieb JP, Kraner S, Rauch M, Steinlein OK. Immature end-plates and utrophin deficiency in congenital myasthemic syndrome caused by ε-AChR subunit truncating mutations. Hum Genet. 2000;107:160–164. doi: 10.1007/s004390000359. [DOI] [PubMed] [Google Scholar]
- 109.Barghorn A, Speel EJM, Farspour B, Saremaslani P, Schmid S, Perren A, Roth J, Heitz PU, Komminoth P. Putative tumor suppressor loci at 6q22 and 6q23-q24 are involved in the malignant progression of sporadic endocrine pancreatic tumors. Am J Pathol. 2001;158:1903–1911. doi: 10.1016/S0002-9440(10)64658-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 110.Nagarajan R, Le N, Mahoney H, Araki T, Milbrandt J. Deciphering peripheral nerve myelination by using Schwann cell expression profiling. Proc Natl Acad Sci USA. 2002;99:8998–9003. doi: 10.1073/pnas.132080999. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 111.Knuesel I, Riban V, Zuellig RA, Schaub MC, Grady RM, Sanes JR, Fritschy J-M. Increased vulnerability to kainate-induced seizures in utrophin-knockout mice. Eur J Neurosci. 2002;15:1474–1484. doi: 10.1046/j.1460-9568.2002.01980.x. [DOI] [PubMed] [Google Scholar]
- 112.Li Y, Huang J, Zhao Y-L, He J, Wang W, Davies KE, Nosé V, Xiao S. UTRN on chromosome 6q24 is mutated in multiple tumors. Oncogene. 2007;26:6220–6228. doi: 10.1038/sj.onc.1210432. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.