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Proc. Natl. Acad. Sci. USA Vol. 83, pp. 24-27, January 1986 Hemoglobin Long Island is caused by a single mutation (adenine to cytosine) resulting in a failure to cleave amino-terminal (globin/initiation codon/methionine cleavage/ processing) JOSEF T. PRCHAL*t, DANIEL P. CASHMANt, AND Y. W. KANt tHoward Hughes Institute and Department of Medicine, University of California, San Francisco, CA 94143; and *Hemoglobin and Red Cell Laboratory and Division of Hematology, University of Alabama at Birmingham, Birmingham, AL 35294 Communicated by Helen M. Ranney, August 26, 1985

ABSTRACT Hemoglobin Long Island has two separate trout cells (11). It is removed from the nascent polypeptide abnormalities of /3-globin structure: an extension of chain by posttranslational modification in most nonsecreted the NH2 terminus by a methionine residue and a -to- prokaryotic and eukaryotic (12). Exceptions to this substitution at the normal second position. The NH2- rule are found in various prokaryotic and eukaryotic proteins terminal methionine residue, the product of an (13) and, also perhaps relevant to this report, in some AUG initiation codon, is present only transiently in nascent ruminant p-globins such as bovine f3- and A-related y-globin proteins. Because of the general biological implications of this (14, 15) as well as in other ruminants-i.e., sheep and goat abnormality, we investigated the of the genetic defect of (16). this mutant. We determined the sequence of the relevant portion of the f8-globin mRNA by means of dideoxynucleotide MATERIALS AND METHODS chain termination ofthe complementary DNA (cDNA) in which an oligonucleotide complementary to codons 10-17 was used as Subjects and Reticulocyte RNA Preparation. The mutant a primer for reverse transcriptase. A histidine-to-proline hemoglobin was discovered because ofits interference with the substitution was confirmed in the mutant mRNA by identifying detection of glycosylated hemoglobin in the propositus who is an adenine-to-cytosine in the second codon. How- a diabetic, and the same mutant was also subsequently found in ever, we were unable to find any other abnormality at either the his nondiabetic mother. No apparent deleterious effect was AUG initiation codon or in the 56 bases upstream from the associated with the Hb Long Island in either the propositus or adenine-to-cytosine transversion (encompassing most of the 5' his mother. Heparinized blood from the propositus and his untranslated region of the mutant (3-globin mRNA). Thus, it mother (both heterozygous for Hb Long Island) and from a appears that this single lesion probably interferes with the control subject undergoing an exchange transfusion for pro- poorly understood methionine-cleaving mechanism that mod- longed sickle-cell crisis served as the source of globin mRNA. ulates most of prokaryotic and eukaryotic proteins. Erythrocytes were selectively lysed by exposure to 0.1444 M NH4Cl/0.001 M NH4HCO3 solution, and crude RNA was We have recently described a hemoglobin mutant, hemoglo- precipitated by acid titration. RNA was further purified by bin Long Island (1), that is characterized by two separate phenol/chloroform, 50:50 (vol/vol) extraction and ethanol pre- abnormalities in the primary amino acid structure of the cipitation (17). Neither ofthe two subjects with Hb Long Island P3-globin chain: (i) an extension of the NH2 terminus by a had evidence of shortened erythrocyte survival; thus, only 30 methionine residue and (ii) the substitution of a proline for a tkg (mother) and 34 tkg (propositus) of total reticulocyte RNA histidine at the second amino acid position. A similar mutant were obtained from each 100 ml peripheral blood. has also been described in France as hemoglobin Marseille Oligonucleotide Primer Synthesis. The deoxyoligonucleo- (2). Although more than 400 hemoglobin mutants have been tide primer was 24 nucleotides long and was complementary described (3), this P-globin is ofinterest for two reasons: first, to P-globin codons 10-17. It was constructed on a DNA the extension of the NH2 terminus and, second, of more synthesizer (Applied Biosystems, model 380A, Foster City, general biological significance, the fact that it is a mutant CA) utilizing the phosporamidite (18, 19) method with con- nonsecreted vertebrate protein in which the NH2-terminal trolled-pore-glass solid-phase support and was further puri- methionine, coded by the AUG initiation codon, is preserved fied on an HPLC (IBM, model LC 9533, San Jose, CA) in the protein structure. equipped with a C4 reverse-phase column. Its composition To establish the molecular lesion responsible for this was as follows: dCACCTTGCCCCACAGGGCAGTAAC (5' mutation, we have directly sequenced mRNA from the to 3' orientation). normal and mutant P-globin mRNA of two subjects cDNA Synthesis. The following conditions were established heterozygous for Hb Long Island. The knowledge of the to be optimal for full-length transcription of p-globin cDNA. exact nature of the mutation associated with Hb Long Island 360 pmol of oligonucleotide was mixed with 5 ,ug of total is of interest since the protein abnormality could be caused reticulocyte RNA, heated for 3 min at 98°C, rapidly cooled, by: (i) a general abnormality ofthe poorly defined methionine suspended in annealing buffer [0.4 M NaCl, Pipes (40 mM, cleavage pathway, (ii) two separate mutations, or (iii) a single pH 6.4), 80% (vol/vol) formamide] for 3 hr at 300C, and RNA mutation that interferes with the cleavage of the initial NH2 was ethanol precipitated. Each reaction mixture consisted of terminus. This NH2-terminal methionine has been found to RNA (0.2 ,ug in 2-,u aliquots) suspended in a solution of be transiently present in nascent bacterial polypeptides (4), RNasin (0.2 unit/ml; Promega Biotec, Madison, WI), acti- human tumor cells in ascites fluid (5), globins (6-10), and nomycin D, and reverse transcriptase buffer (see below). This RNA solution was incubated in a total volume of 5 ,ul containing 800 units of avian myeloblastosis virus reverse The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact. tTo whom reprint requests should be addressed. 24 Biochemistry: Prchal et al. Proc. Natl. Acad. Sci. USA 83 (1986) 25 transcriptase per ml, Tris HCl (100 mM, pH 8.3), 10 mM propositus heterozygous for Hb Long Island, one with CAC MgCl2, 50 mM KCl, 10 mM dithiothreitol, actinomycin D (40 coding for histidine in the second B-globin codon position and jug/ml), and various amounts of deoxynucleotides with the other with a CCC codon corresponding to proline. Also in approximately 1% of the dCTP labeled with 32p. this gel the adenine-to-thymine substitution at codon 6 resulting ,t-Globin mRNA Sequencing. Nucleotide sequences of the in a -to- substitution (sickle-cell mutation) is desired 13-globin anticodon region of interest in the mutant seen clearly in the control reticulocyte RNA obtained from a and control sickle-cell samples were determined by the patient with sickle-cell disease (Fig. 1). No other abnormality dideoxy method (20). The following concentrations were was seen in this analysis. Results ofthe 12% and 8% acrylamide found to be optimal for the sequencing reactions: gels confirmed the adenine-to-cytosine transversion. Separate deoxynucleotides (dCTP, 1.1 ,uM; dATP, dGTP, and dTTP, sequencing of RNA from the propositus' mother revealed the 26 AuM) and dideoxynucleotides (ddCTP, 0.4 ,uM; ddATP, 40 identical abnormality to that of the propositus. ,M; ddGTP, 8 ,uM; ddTTP, 20 ,uM). After 60 min at 37°C, each reaction was stopped by adding 4 ,ul of a solution containing 0.03% xylene cyanol FF, 0.03% bromphenol blue, DISCUSSION EDTA (10 mM, pH 8.3), 90%o (vol/vol) formamide and heated To our knowledge this is the first described naturally occur- at 65°C for 15 min. These mixtures were then rapidly cooled ring protein mutant characterized by NH2-terminal methio- and applied in 3-,ul aliquots to acrylamide gels containing 7 M nine extension. The analysis of the mRNA sequence of the urea. To increase the resolution of the various mRNA /3-globin mutant, Hb Long Island, confirmed the histidine- regions, 8%, 12%, and 20% acrylamide gels were used and to-proline substitution (1) resulting from an adenine-to- analyzed by autoradiography. cytosine transversion. The RNA sequence immediately ad- jacent to the AUG initiation codon was normal, as was the RESULTS more upstream region of the untranslated portion of 83-globin mRNA (21). Although the mutant protein consisted of two An essentially full-length cDNA transcript (better than 95% separate amino acid abnormalities (1), no other nucleic acid complete) was obtained at concentrations of deoxynucleotides mutation was found. greater than 50 ,uM. This transcript of the translated and 5' We have determined the nature of the mutation leading to untranslated regions of 8-globin mRNA consisted of 107 bases two separate amino acid abnormalities in the P-globin mutant (data not shown). Even when concentrations of deoxynucleo- of Hb Long Island by direct, rapid sequencing ofthe mRNA. tides optimal for sequencing were used, most of the in vitro This method bypasses the customary, time-consuming DNA synthesized cDNA was completely transcribed. Sequence anal- cloning and sequencing methods. RNA sequencing of homo- ysis of the reticulocyte mRNA derived from the carriers of Hb geneous viral RNA by the dideoxynucleotide termination Long Island showed that both the CAC and CCC sequences method has been accomplished (23). Eukaryotic mRNA were present at codon number two (Fig. 1). This confirmed the [poly(A)-rich RNA] has also been sequenced by this method histidine-to-proline substitution (1) in this position (Fig. 1). By using a cDNA restriction fragment as a primer for the reverse using an 8% gel we were also able to define the sequence of 56 transcriptase reaction in a homozygous patient for a mutant bases upstream from the adenine-to-cytosine transversion. In globin (24). In this study we successfully employed mRNA both the control and the propositus' reticulocyte RNA these sequencing (on a preparation of unseparated total reticulo- sequences were normal (21, 22). These results indicate that two cyte RNA), using experimentally determined stringent con- separate species of 8-globin mRNA are present in the ditions to anneal a synthetic oligonucleotide primer to a

Patient Control A C G T A C G T

T A A C .0.;.._ G _ G-T * 3 ~A G 4.__

_ ~~~ 3 G ~~~(C) mCA

\A C G A

FIG. 1. Sequence analyses of Hb Long Island 3-globin mRNA and a control. Reaction mixtures contained ddATP (lanes A), ddCTP (lanes C), ddGTP (lanes G), or ddTTP (lanes T). The derived sequences are those complementary to coding sequences (anticodons). In this particular gel, cytidine (C) corresponding to a base in codon 4 was not clearly seen; however, it was confirmed to be normal in the lower concentration acrylamide gels (12% and 8%). An autoradiograph is shown. 26 Biochemistry: Prchal et al. Proc. Natl. Acad. Sci. USA 83 (1986) specific mRNA. Thus, the synthetic oligonucleotide can be served NH2-terminal methionine in (3-globin ofHb Long Island targeted to determine the sequence of an mRNA of interest has any effect on the processing and/or cellular compartmen- in a preparation oftotal RNA, even in a heterozygous-patient. talization of this mutant protein. Recently, Tsunusawa et al. In addition, we have shown that sufficient RNA for this (13) have reported mutationally altered forms of the iso-1-cy- approach can be obtained from a subject without reticulocy- tochrome c in a yeast and investigated the NH2-terminal tosis. processing of these mutants as well as in those proteins with Of the three possible defects, alluded to previously, that retained NH2-terminial methionine reported in the literature. could lead to the extension of the /3-globin NH2 terminus by They concluded that the nature of the penultimate amino acid methionine observed in Hb Long Island, the defect of residue is a primary determinant of ultimate methionine cleav- methionine aminopeptidase is the least likely candidate. Such age. Normal bovine and goat /3-globins have the retained a lesion would be expected to be associated with multiple NH2-terminal methionine followed by (14, 16), support- protein abnormalities and would probably be physiologically ing the prediction of Tsunusawa et al. (13). Additionally, the detrimental. Moreover, analysis of the primary a-globin sequencing data at the gene level (36, 37) of these ruminant structure failed to reveal an extra methionine residue (1), ,/3globin genes indicate that the NH2-terminal methionine is effectively excluding this mechanism. indeed the product of the AUG initiation codon. However, Hb Results of protein analysis of purified 3-globin from the Long Island, having valine preceded by methionine, does not propositus (1) are compatible with the possibility that two comply with the above formulated rules (13). An alternative separate mutations might be responsible for the protein mechanism to explain the failure of NH2-terminal methionine abnormality. These analyses revealed that the 8T-1 processing in this human globin mutant will have to beprovided. of Hb Long Island consists of equal proportions of two , only one with an abnormal chromatography pat- The authors are grateful to the propositus and his mother for tern. Further, on amino acid analysis, this unique BT-1 repeated donations of blood for the study and for the interest of the peptide always has an extra methionine residue as well as a propositus throughout the investigations. The authors thank also proline-to-histidine substitution. However, the current study Judy Chang for helpful advice, and Peter Walter and Bernard Morley for critical reading of the manuscript. J.T.P. is the recipient of the rules out the possibility oftwo separate mutations accounting American Cancer Society Scholarship Award SG-137 6-33879 for for the protein abnormality. sabbatical support. Thus, we conclude that a single genetic mutation accounts for Hb Long Island. It is likely that a single base substitution 1. Barwick, R. C., Jones, R. T., Head, C. G., Shih, M. F. C., (adenine-to-cytosine in 83 position 5) results either in a Prchal, J. T. & Shih, D. T. B. (1985) Proc. Natl. Acad. 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(1970) Nature (London) 227, 672- the second amino acid position (without an extension by 676. NH2-terminal methionine) (25) which could indicate that the 7. Housman, D., Jacobs-Lorena, M., Rajbhandary, U. L. & NH2-terminal methionine is processed differently in different Lodish, H. F. (1970) Nature (London) 227, 913-918. species. However, in addition to proline, a number of other 8. Shafritz, D. A. & Anderson, W. F. (1970) Nature (London) amino to 227, 918-920. acid differences are present in caiman compared 9. Wilson, D. B. & Dintzis, H. M. (1970) Proc. Natl. Acad. Sci. human ,B-globin (22). Further light on the mechanism of the USA 66, 1282-1289. interference of Hb Long Island on processing of the NH2- 10. Yoshida, A., Watanabe, S. & Morris, J. (1970) Proc. Natl. terminal methionine may be shed by examining in vitro Acad. Sci. USA 67, 1600-1607. cell-free protein expression systems. However, the results of 11. Wigle, D. T. & Dixon, G. H. (1970) Nature (London) 227, in vitro translation can be difficult to interpret, and an 676-680. incomplete processing of NH2-terminal methionine has been 12. Emr, S. D., Hall, M. N. & Silhavy, T. J. (1980) J. Cell Biol. observed in other proteins (26). 86, 701-711. This failure of processing of the NH2-terminal methionine, 13. Tsunusawa, S., Stewart, J. W. & Sherman, F. (1985) J. Biol. the product of the initiation codon, illustrates our poor under- Chem. 260, 5382-5391. standing of this biologically prevalent phenomenon (4, 5, 14. Schroeder, W. A., Shelton, J. R., Shelton, J. B., Robberson, 27-29). In those proteins that are secreted or membrane bound, B. & Babin, D. R. (1967) Arch. Biochem. Biophys. 120, this methionine constitutes the NH2-terminal amino acid of a 124-135. peptide ='20 residues in length (30) apparently essential for both 15. Babin, D. R., Schroeder, W. A., Shelton, J. R., Shelton, J. B. protein secretion (31) and for the incorporation of proteins in & Robberson, B. 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