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(The FASEB Journal. 1999;13:2277-2283.)
© 1999 FASEB

Protein homocysteinylation: possible mechanism underlying pathological consequences of elevated homocysteine levels

HIERONIM JAKUBOWSKI1

Department of Microbiology and Molecular Genetics, UMDNJ-New Jersey Medical School, Newark, New Jersey, USA

1Correspondence: Department of Microbiology & Molecular Genetics, UMDNJ-New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103. E-mail: jakubows{at}umdnj.edu


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Homocysteine thiolactone, a cyclic thioester, is synthesized by certain aminoacyl-tRNA synthetases in editing or proofreading reactions that prevent translational incorporation of homocysteine into proteins. Although homocysteine thiolactone is expected to acylate amino groups in proteins, virtually nothing is known regarding reactivity of the thiolactone. Here it is shown that reactions of the thiolactone with protein lysine residues were robust under physiological conditions. In human serum incubated with homocysteine thiolactone, protein homocysteinylation was a major reaction that could be observed with as little as 10 nM thiolactone. Individual proteins were homocysteinylated at rates proportional to their lysine contents. Homocysteinylation led to protein damage, manifested as multimerization and precipitation of extensively modified proteins. Model enzymes, such as methionyl-tRNA synthetase and trypsin, were inactivated by homocysteinylation. Metabolic conversion of homocysteine to the thiolactone, protein homocysteinylation, and resulting protein damage may underlie involvement of Hcy in the pathology of vascular disease.—Jakubowski, H. Protein homocysteinylation: possible mechanism underlying pathological consequences of elevated homocysteine levels.


Key Words: homocysteine thiolactone • atherosclerosis


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
ELEVATED LEVELS OF homocysteine (Hcy) are an independent risk factor for cardiovascular disease in humans (reviewed in ref. 1 ). However, it is not known why Hcy is harmful. Among the possible aspects of Hcy metabolism that may account for detrimental effects of elevated Hcy levels, conversion to Hcy thiolactone as a result of an error-editing function of some aminoacyl-tRNA synthetases (AARS in Eq. 1 ) has been extensively studied (2 3 4 5 6 7) .

The mechanism of the conversion involves reaction of Hcy with ATP to form an AARS-bound homocysteinyl adenylate (Hcy~AMP). Subsequent rejection of the Hcy~AMP intermediate involves an intramolecular reaction in which the side-chain thiolate of Hcy displaces the AMP group from the carboxylate of the activated Hcy, forming Hcy thiolactone as a product (Eq. 2 ) (8 , 9) .

The energy of the anhydride bond of Hcy~AMP is conserved in an intramolecular thioester bond of Hcy thiolactone. Consequently, Hcy thiolactone is chemically reactive and is expected to easily acylate free amino groups, such as side chain lysine groups in proteins. Because the reactivity of the thiolactone may underlie the involvement of Hcy in the pathology of human vascular diseases (7) , detailed studies of reactions of Hcy thiolactone with proteins were undertaken and are reported here.


   MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Preparation of L-[35S]Hcy thiolactone
[35S]Hcy thiolactone (specific activity 10,000 Ci/mol) was prepared from [35S]methionine (Amersham) according to Baernstein (10) and purified by 2D thin-layer chromatography (TLC) on cellulose plates (20 x 10 cm; Kodak) (7) . The overall yield of the procedure was 65%. The preparation of L-[35S]Hcy thiolactone was at least 96% pure on analytical 2D TLC. Maximum levels of contamination with Met, Hcy, and homocystine were <1%, <0.8%, and <1%, respectively.

Proteins
Methionyl-tRNA synthetase (MetRS) was purified to homogeneity from an overproducing strain of Escherichia coli as described before (5) . Other pure proteins and sera were purchased from Sigma.

Reactions of homocysteine thiolactone with proteins
Unless otherwise stated, reactions were carried out at 37°C in mixtures containing L-[35S]Hcy thiolactone, 10 mg/ml protein, 0.1 M sodium phosphate buffer (pH 7.4), 0.2 mM EDTA. Phosphate buffer and EDTA were excluded when reactions of proteins in serum with Hcy thiolactone were studied; L-[35S]Hcy thiolactone (1% volume) was added directly to serum. Formation of homocysteinylated proteins was determined by precipitation with 5% trichloroacetic acid (TCA) and/or by TLC (7) . Both methods gave identical results. Homocysteinylated proteins were also analyzed by electrophoresis on native and denaturing polyacrylamide gels under non-reducing and reducing conditions according to standard protocols (11) .

Edman degradation
Automated Edman degradation was carried out by Dr. R. Donnelly on a model 491 ProciseTM Applied Biosystems protein sequencer in the New Jersey Medical School Molecular Resource Facility.


   RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Serum proteins can be efficiently homocysteinylated by Hcy thiolactone
Incubation of human serum with [35S]Hcy thiolactone resulted in disappearance of the thiolactone with a half-life of ~1 h (Fig. 1A ), ~25-fold faster than the rate of non-enzymatic hydrolysis of the thiolactone (7) . At the end of incubation at 3 h, most of the thiolactone was incorporated covalently into protein. Addition of dithiothreitol (DTT) to [35S]Hcy thiolactone-modified serum resulted in a release of ~50% of the incorporated 35S as free [35S]Hcy. The DTT-resistant fraction of 35S-protein adduct was also resistant to treatments with 0.1 M NaOH, 1 M hydroxylamine, or rabbit esterase (all of which destroy ester bonds). To confirm that DTT treatment releases all Hcy from protein-S-S-Hcy disulfide adducts, [35S]Hcy (2–300 µM) was incubated with human serum to form protein-S-[35S]Hcy adducts. All [35S]Hcy became protein-bound after 2 h at 37°C as determined by TCA precipitation and TLC analyses. DTT treatment of these adducts rendered all radioactivity TCA-soluble; only free [35S]Hcy was observed after TLC analysis of the DTT-treated adducts (not shown). These results indicate that Hcy thiolactone undergoes two major reactions in serum: 1) one reaction involves acylation of amino groups in proteins; 2) the other reaction involves enzymatic hydrolysis (7 , 12) to give Hcy, which then attaches to proteins by forming a protein-S-S-Hcy disulfide.



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Figure 1. Homocysteinylation of human serum proteins. Human sera were incubated with 2.6 µM (A) or 0.01–1,000 µM (B) [35S]Hcy thiolactone at 37°C. At time intervals, aliquots were treated with 5 mM DTT. The DTT-treated samples were either TCA precipitated or subjected to TLC on cellulose plates to separate homocysteinylated proteins (which remain at the origin of TLC plates) from Hcy (Rf = 0.4) and Hcy thiolactone (Rf = 0.6). [35S]Homocysteinylated proteins were quantitated by scintillation counting. TCA precipitation and TLC analyses gave similar degrees of homocysteinylation. A) Time courses of the formation of Hcy-protein (•), Hcy ({square}), and the disappearance of Hcy thiolactone ({circ}). B) Relationship between concentration of Hcy thiolactone and the degree of protein homocysteinylation for sera from two different subjects (•, {square}) after a 3-h incubation.

As shown in Figure 1B , homocysteinylation of human serum proteins was observed at thiolactone concentrations as low as 10 nM and was directly proportional to concentrations of Hcy thiolactone up to 1 mM.

DTT-resistant 35S-protein adducts were obtained with serum samples from 10 different human donors and with a range of [35S]Hcy thiolactone concentrations from 10 nM to 5 mM (Table 1 ). Kinetics of protein homocysteinylation and thiolactone hydrolysis in bovine and horse sera (not shown) were similar to those observed in human serum shown in Figure 1A . However, in rabbit and mouse sera Hcy thiolactone disappeared with a half-life of 15 min (Table 1) , some fourfold faster than in human serum. Only ~10% of the initially present [35S]Hcy thiolactone was incorporated into rabbit or mouse serum proteins (Table 1) .


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Table 1. Half lives of Hcy thiolactone, relative rates of protein homocysteinylation, and thiolactone hydrolysis in human and animal seraa

Individual proteins present in serum can be homocysteinylated
To determine which proteins in serum can be homocysteinylated, sera were incubated for 2 h with [35S]thiolactone and subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) under reducing conditions (1% 2-mercaptoethanol). As shown in Figure 2 , many proteins present in human and rabbit sera were radiolabeled. It appears that each protein was radiolabeled roughly in proportion to its abundance in serum: Coomassie blue-stained serum protein gels (not shown) and their corresponding autoradiographs (Fig. 2) showed identical patterns and similar relative intensities of protein bands. Bands of major serum proteins, albumin, {gamma}-globulin, fibrinogen, transferrin, and {alpha}2-macroglobulin, were the most heavily 35S-labeled. These proteins were identified by their co-migration with authentic standards of individual pure proteins.



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Figure 2. Individual proteins present in serum can be homocysteinylated. Human sera from three donors (lanes 1–3 and 5–7) and rabbit serum (lanes 4 and 8) were incubated with 10 (lanes 1–4) or 100 µM (lanes 5–8) [35S]Hcy thiolactone for 4 h at 37°C and subjected to SDS-PAGE on 4–20% gels under reducing conditions. After electrophoresis, the gel was stained with Coomassie Blue, dried, and autoradiographed using Kodak BioMax MR X-ray film. The patterns of Coomassie blue-stained protein bands and 35S-labeled bands were identical. An autoradiograph of the gel is shown.

Kinetics of protein homocysteinylation
Measurements of homocysteinylation rates showed that total protein in human serum was modified only 30% faster than an equivalent concentration of pure human albumin, which in turn was homocysteinylated about as fast as an equivalent concentration of free lysine. This suggests that protein homocysteinylation in human serum is due to a non-enzymatic reaction.

Second-order rate constants for homocysteinylation of individual proteins (Table 2 ) indicate that reactions of Hcy thiolactone with proteins are robust and go to completion within a few hours under physiological conditions of pH and temperature. It appears that a major determinant of the reactivity of most proteins is their lysine content. For example, Hcy thiolactone reacts with poly-lysine two to three orders of magnitude faster than with most proteins. For proteins that vary in size from 104 to 698 amino acid (AA) residues, there is a very good correlation (with a correlation coefficient of 0.97) between protein lysine contents and their reactivities with the thiolactone (Fig. 3 ). A weaker correlation (with a correlation coefficient of 0.75) is observed between the size of proteins and their reactivities toward the thiolactone (not shown). However, larger proteins such as fibrinogen (3588 AA residues), low-density lipoprotein (LDL; ~5000 AA residues), and {alpha}2-macroglobulin (5896 AA residues) are homocysteinylated much less efficiently than expected from either their lysine contents or sizes. Apparently, a major fraction of lysine residues of these proteins is not accessible to solvent.


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Table 2. Second-order rate constants, k, for reactions of Hcy thiolactone with proteins and other compoundsa



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Figure 3. Relationship between lysine contents of proteins and second-order rate constants of their modification by Hcy thiolactone. Second-order rate constants at 25°C (Table 2) are plotted as a function of a number of lysine residues per mole for the following proteins: trypsin, RNase A, DNase I, cytochrome c, myoglobin, MetRS, hemoglobin, albumin, and transferrin.

Homocysteinylation leads to loss of function and denaturation
Effects of homocysteinylation on protein function were examined. Two model enzymes, MetRS and trypsin, were homocysteinylated to different degrees with the thiolactone and their enzymatic activities were determined. There was a progressive loss of enzymatic activity with increasing degree of homocysteinylation (Fig. 4 ). MetRS was fully inactivated when eight to nine Hcy residues were incorporated per molecule of the enzyme (corresponding to ~33% lysine residues modified). Trypsin was fully inactivated when 11–12 Hcy residues were incorporated per molecule of the protein (~88% lysine residues modified).



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Figure 4. Homocysteinylation results in inactivation of MetRS and trypsin. MetRS or trypsin (10 mg/ml) were modified with [35S]Hcy thiolactone to different extents and their enzymatic activities determined. Enzymatic activity of MetRS was assayed by its ability to aminoacylate tRNAfMet with [35S]methionine (5) . Enzymatic activity of trypsin was determined by its ability to hydrolyze N{alpha}-benzoyl-L-arginine ethyl ester (13) . Residual enzymatic activities of MetRS ({blacksquare}) and trypsin (•) are plotted as a function of a number of Hcy molecules incorporated per molecule of protein.

Structural effects of homocysteinylation were assessed by analyzing behavior of modified proteins on native and denaturing polyacrylamide gels. Extensively homocysteinylated albumin, {gamma}-globulin, fibrinogen, transferrin, and {alpha}2-macroglobulin migrated faster than the corresponding less extensively modified proteins on native PAGE gels (Fig. 5 ). This is consistent with an increase in negative charge of the modified proteins after homocysteinylation of lysine residues. Because the {varepsilon}-amino group of lysine (pK=10.5) is much more basic than the {alpha}-amino group of Hcy in {varepsilon}N(Hcy)lysine (pK=7.1) the positive charge of lysine residues is lost after homocysteinylation. In addition to increased electrophoretic mobility, denaturation of the homocysteinylated proteins was also observed: a fraction of each homocysteinylated protein remained in the wells and did not enter the gel (lanes 7–12 in Fig. 5 ). The denatured homocysteinylated proteins were also observed in the wells of SDS-PAGE gels (not shown).



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Figure 5. Native PAGE of homocysteinylated human proteins. Proteins (10 mg/ml) were modified with 40 µM (lanes 1–6) or 10 mM (lanes 7–12) [35S]Hcy thiolactone and subjected to electrophoresis on 4% polyacrylamide gel in 0.1 M Na-phosphate, pH 7.4. The following human proteins were analyzed: serum albumin (lanes 1, 7), {gamma}-globulin (lanes 2, 8), fibrinogen (lanes 3, 9), transferrin (lanes 4, 10), {alpha}2-macroglobulin (lanes 5, 11), and total serum proteins (lanes 6, 12). After electrophoresis, the gel was stained with Coomassie blue, dried, and autoradiographed. The patterns of Coomassie blue-stained protein bands and 35S-labeled bands were similar. An autoradiograph of the gel is shown.

Homocysteinylation results in incorporation of additional -SH groups into proteins. Spontaneous oxidation of these thiols could lead to formation of intermolecular disulfide bonds and formation of protein multimers. Indeed, homocysteinylation of cytochrome c with increasing concentrations of thiolactone resulted in formation of cytochrome c dimers, trimers, tetramers, etc. (Fig. 6 ). These multimers disappeared when modified cytochrome c was treated with 2-mercaptoethanol before loading onto SDS-PAGE gel (not shown).



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Figure 6. Homocysteinylation leads to protein multimerization. Bovine cytochrome c (10 mg/ml) was modified for 24 h at 25°C with 30 µM (lane 1), 600 µM (lane 2), and 2.5 mM (lane 3) [35S]Hcy thiolactone. The samples were denatured in the absence of 2-mercaptoethanol and subjected to SDS-PAGE on 4–20% gel in SDS-Tris-glycine buffer, pH 8.8. An autoradiogram of the gel is shown. The patterns of 35S-labeled bands were identical to the pattern of red cytochrome c bands (not shown). Unmodified cytochrome c migrated as a single band (not shown). Numbers from 1 to 7 next to the bands indicate cytochrome c monomers, dimers, trimers, etc., respectively, as determined by comparison with migration of protein molecular mass standards.

To determine a relationship between the degree of homocysteinylation and protein denaturation, solubility of the modified proteins was studied. For each of the tested proteins there was a threshold of homocysteinylation after which proteins began to precipitate (Fig. 7 ). Some proteins were more affected by homocysteinylation than others. For example, trypsin (Fig. 7A ) and RNase A (Fig. 7B ) began to precipitate when only ~1 mole Hcy was incorporated per mole protein. Hemoglobin (Fig. 7B ) also began to precipitate at a similar low level of homocysteinylation; however, whereas further increase in homocysteinylation led to a precipitous loss of solubility of trypsin and RNase A, there was a less extensive gradual loss of solubility of hemoglobin. When the degree of homocysteinylation exceeded 5 mol Hcy/mol protein, myoglobin and cytochrome c (Fig. 7B ) began to precipitate. With the maximum number of 14 mol Hcy/mol protein (74% lysines modified), cytochrome c was still 50% soluble. Some proteins, such as fibrinogen, albumin, {gamma}-globulin (Fig. 7A ), and transferrin (Fig. 7B ), remain fully soluble with as many as 20 mol Hcy incorporated/mol protein but eventually began to precipitate at higher levels of homocysteinylation.



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Figure 7. Relationships between protein homocysteinylation and solubility. Proteins were modified to indicated extents by incubation with 0.04–20 mM [35S]Hcy thiolactone at 25°C for 24 h. Incorporation of [35S]Hcy into total protein was determined by precipitation with 5% TCA. Insoluble [35S]Hcy proteins were removed by microcentrifugation at 10,000 rpm for 10 min and amounts of soluble [35S]Hcy-proteins in supernatants were determined by TCA precipitation. Relationships between protein solubilities and their Hcy contents are shown for the following proteins: (A) fibrinogen ({blacksquare}), albumin ({square}), {gamma}-globulin (•), and trypsin ({diamondsuit}); (B), transferrin ({blacksquare}), hemoglobin ({square}), myoglobin (•), cytochrome c ({diamond}), and RNase A ({diamondsuit}).

Homocysteine can be recovered from homocysteinylated proteins
To exclude the possibility that Hcy thiolactone undergoes some unexpected reaction with proteins, as opposed to expected direct acylation of protein lysine residues, attempts were made to determine whether Hcy can be recovered from homocysteinylated proteins. For these experiments, samples of serum as well as purified human serum albumin, homocysteinylated with either unlabeled or 35S-labeled Hcy thiolactone, were used.

In one series of experiments, [35S]homocysteinylated serum proteins (containing 40 µM covalently incorporated Hcy) from which low-molecular-weight thiols were removed by repeated treatments with DTT and precipitations with ethanol, were subjected to acid hydrolysis with HCl/propionic acid in the presence of 3-mercaptopropionate. After hydrolysis (4 h, 80°C), Hcy was recovered as thiolactone, with 80% yield. When acid hydrolysis was carried out in the absence of 3-mercaptopropionate, homocystine was recovered.

A similar sample of homocysteinylated serum proteins, containing 50 µM covalently incorporated non-radiolabeled Hcy and depleted of low-molecular-weight thiols, was treated with 4-vinylpyridine to protect the -SH group of Hcy. Subsequent Edman degradation on an amino acid sequencer yielded S-(4-ethylpyridine) derivative of phenylthiohydantoin-Hcy (PTH-Hcy) in the first cycle, as expected. A sample of homocysteinylated human serum albumin, containing 3 mol Hcy/mol protein, was alkylated with iodoacetate to protect the -SH group of Hcy. The resulting S-(carboxymethyl) derivative of PTH-Hcy was recovered in the first cycle of Edman degradation, eluting at a position of glutamic acid, as expected. Another major product was PTH-Asp, corresponding to the amino-terminal aspartate of human albumin. Quantitation of chromatographic peaks corresponding to these two products showed that the amount of Hcy was three times greater than the amount of Asp. This result suggests that the amino-terminal Asp is not a major site of homocysteinylation in human albumin; if it were, the amino-terminal Asp would not be recovered.


   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
The data presented in this study establish that 1) proteins can be easily homocysteinylated with Hcy thiolactone under physiological conditions; 2) side chain amino groups of lysine residues are the major sites of homocysteinylation in proteins; 3) homocysteinylation leads to protein damage. These data support a hypothesis that metabolic conversion of Hcy to the thiolactone, homocysteinylation of proteins, and the resulting protein damage underlie involvement of Hcy in the pathology of human vascular disease, as outlined below.

Because Hcy forms as a byproduct of methylation reactions in human cells, metabolic conversion of Hcy to the thiolactone is inadvertent and occurs to a lesser or greater extent depending on specific genetic and metabolic conditions. The extent of thiolactone synthesis depends on relative levels of Hcy and Met, the levels of expression and activity of MetRS, methionine synthase, and cystathionine ß-synthase (2 3 4 5 6 7) . Because the activity of major Hcy-metabolizing enzymes requires cofactors such as vitamin B12 and folate (methionine synthase) as well as vitamin B6 (cystathionine ß-synthase), the extent of thiolactone synthesis also depends on the levels of these vitamins. Mutations in genes encoding methionine synthase (3) and cystathionine ß-synthase (3 , 7) lead to enhanced metabolic conversion of Hcy to the thiolactone. In the extreme cases when the function of Hcy-metabolizing enzymes is abolished, all Hcy is converted to the thiolactone (3 , 6 ; H. Jakubowski, unpublished data). These effects on Hcy thiolactone synthesis occur in all cell types investigated, from bacterial to human (2 3 4 5 6 7) .

Regarding human cells, cystathionine ß-synthase-deficient fibroblasts produce more Hcy thiolactone than unaffected cells. Inhibition of methionine synthase by an antifolate drug, aminopterin, leads to enhanced synthesis of Hcy thiolactone in normal human fibroblasts as well. Human umbilical vein endothelial cells limited for vitamin B12 and folate synthesize micromolar concentrations of Hcy thiolactone (H. Jakubowski, unpublished data). Concentrations of the thiolactone in tissue cultures are about one-tenth the concentration of Hcy (7) .

Hcy thiolactone easily reacts with proteins under physiological conditions. In tissue cultures of human fibroblasts cellular proteins become homocysteinylated (7) . Recent experiments with cultured human endothelial cells show that both cellular and extracellular proteins become extensively homocysteinylated under conditions of vitamin B12 and folate limitation. The concentration of homocysteinylated proteins can reach up to 40 µM within 48 h under these conditions (H. Jakubowski, unpublished data). In in vitro experiments with human serum spiked with [35S]Hcy thiolactone, the thiolactone disappeared with a half-life of ~1 h, and each serum protein became homocysteinylated. Protein homocysteinylation in human serum occurs at as low as 10 nM thiolactone and increases directly in proportion to the increase in the thiolactone concentration, up to millimolar range. Thus, regardless of how small or large quantities of Hcy thiolactone are made, the thiolactone modifies proteins. If conditions favoring synthesis of Hcy thiolactone, such as elevated levels of Hcy, are maintained, there will be a concomitant increase in the degree of protein homocysteinylation.

Chemical reactivities of homocysteinylated proteins as well as kinetics of protein homocysteinylation reported here suggest that side chain amino groups of lysine residues are the major sites of homocysteinylation in most proteins. For example, Hcy thiolactone reacts with most proteins at rates similar to the rate of the reaction with an equivalent concentration of lysine or {alpha}-N-acetyl-lysine (Table 2) . This explains why protein homocysteinylation correlates better with protein lysine content than with protein size (Fig. 3) . Homocysteinylated proteins do not release Hcy on treatments with agents that hydrolyze ester bonds. However, Hcy is released from homocysteinylated proteins by acid hydrolysis or Edman degradation. The possibility that side chains of histidine and arginine could also be modified is unlikely because free arginine or {alpha}-N-acetyl-histidine do not appreciably react with Hcy thiolactone (not shown).

Homocysteinylation can lead to protein damage. As demonstrated here, homocysteinylation of 33% of lysine residues in MetRS and 88% lysine residues in trypsin resulted in complete loss of their enzymatic activities. Homocysteinylated proteins were prone to multimerization and underwent gross structural changes that led to their denaturation. Homocysteine thiolactone may also inactivate enzymes by other mechanisms. For example, lysine oxidase, an important enzyme responsible for posttranslational collagen modification essential for the biogenesis of connective tissue matrices, is inactivated by Hcy thiolactone, which derivatizes the active site tyrosinequinone cofactor (14) .

In addition to a loss of function, protein homocysteinylation can also generate modified proteins that are physiologically detrimental in other ways. For example, homocysteinylated LDL has been recently shown to elicit immune response in rabbits (15) . Rabbit antiserum against an Hcy-LDL adduct was also shown to react with adducts of Hcy and other proteins, such as bovine serum albumin, hemoglobin, and serum proteins. This antigen specificity suggests that the rabbit antiserum reacts with Hcy-Lys-epitopes (15) .

How can protein damage lead to cell injury, a hallmark of atherosclerosis? One plausible scenario is that homocysteinylated proteins on the surface of vascular vessels will be recognized by macrophages either directly or indirectly. Macrophages will attempt to phagocytize damaged proteins on the surface of endothelial cells, which would lead to destruction of endothelial cells and damage to vascular wall. Alternatively, homocysteinylated endothelial cells will attract anti-Hcy-protein antibodies and form antigen-antibody complexes on the surface of vascular vessel. Endothelial cells coated with antibody will be recognized and then bound by macrophages through their Fc receptors. After binding, the endothelial cells will be ingested and destroyed, which will result in injury to the vascular surface. If the agent responsible for the injury (homocysteinylated proteins) is present continuously, attempts to repair the damaged vascular wall will eventually lead to an atherosclerotic plaque.

Protein homocysteinylation is a novel example of protein damage that may explain the involvement of Hcy in the pathology of human vascular diseases. However, other protein modifications by drugs or cellular metabolites have been implicated in other human diseases. For example, acetylation of proteins by aspirin is thought to be an underlying cause of aspirin intolerance (16) . Peniciloylation of proteins by the antibiotic penicillin is involved in penicillin allergy (17) . Modification of proteins by glucose is believed to underlie the pathogenesis of diabetes (18) and Alzheimer’s disease (19) . Proteins modified by products of lipid oxidation are implicated in the etiology of atherosclerosis (20) . A common aspect of these modification reactions is the involvement of protein lysine residues as sites of modifications.


   ACKNOWLEDGMENTS
 
I thank R. Donnelly for carrying out the Edman degradation of homocysteinylated proteins. This work was supported by a grant from the National Science Foundation.


   FOOTNOTES
 
Received for publication March 19, 1999. Revised for publication July 20, 1999.


   REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 

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