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. 2019 Jul 23;28(20):3339–3354. doi: 10.1093/hmg/ddz177

Table 2.

Structural and functional alterations in disease-causing hE3 variants studied

Substitution Affected region Former functional studies Present crystallograpic study
Residual enzymatic activity (% of control) Source Genotype in patient Reference Major structural alterations
E3 PDHc KGDHc BCKDHc
P453L Active site 6 F P453L/K37E (44) Extensively perturbed active site including catalytic residues.
4–9 RP (12)
ND RP in yeast cell (72)
G194C NAD+/NADH-binding domain 7–21M,
8–34F
11–12M,
20F
12–19M M, F G194C/G194C (3032,34) Altered charge equilibrium and induced dynamics near the nicotinamide-binding site.
8–20 M Y35X*/G194C (30)
10–30 69 44 58 F G194C/I12T (26)
47–100 29 61 RP (10,12,36,50)
G426E Interface domain 44 22 43 F I40fs*/G426E (51)
R460G 1.5L, 14F 26L, 11F 20F L, F Y35X*/R460G (52) Perturbed H+/H2O channel forming residues (to various degrees)
10–91 RP (12,3638,73)
R447G 20 63 0 56 F R447G/R447G (54)
54–92 RP (36,37)
I445M ND 97 F I445M/I445M (56)

*Numbering reflects the immature protein sequence containing the 35 amino acid mitochondrial leader sequence.

Enzymatic activities were measured under different assay conditions.

% of lower limit of control range.

Abbreviations:

ND = not detectable

F = fibroblasts

RP = recombinant protein

M = muscle homogenate

L = lymphocytes

fs = frame shift