Galactosyltransferase Gene Led to the Deficiency of Gb3 Biosynthesis
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A single base insertion of the 4-α- galactosyltransferase gene led to the deficiency of Gb3 biosynthesis M.TANAKA,N.YAMASHITA,J.TAKAHASHI,F.HIRAYAMA,Y.TANI, AND H. SHIBATA cDNAs for α 1,4 galactosyltransferase (A4GALT) have been Lactosylceramide (CDH) is the common precursor isolated. To explore the molecular basis of the p phenotype in for glycosphingolipids (GSLs), which are components Japanese donors, we analyzed the A4GALT gene sequences of normal and p phenotype samples. The coding region in the of the plasma membranes and intracellular membranes A4GALT gene for DNA sequencing was amplified by PCR of all vertebrate cells. Different series of GSLs are amplification. A4GALT expression vectors for individual mutants 3 were constructed by PCR amplification of the coding region using formed depending on which sugars are added to CDH. primers and subsequent subcloning into an expression vector. The Pk (Gb3/CD77) and P (Gb4) are high-incidence expression of Gb3/CD77 antigen on the cell surface was evaluated antigens expressed on RBCs, platelets, lymphocytes, by flow cytometry and by immunochemical techniques. All 4 individuals with the p phenotype were found to have a single base fibroblasts, and uroepithelial cells. Individuals with insertion (A4GALT/insC) at the same nucleotide position. Neither the p phenotype lack Gb3, Gb4, and P1 antigens, the transfectant cells with a mutant gene (A4GALT/insC) of donor presumably as a result of a defective enzyme, 1,4- origin or those with a synthesized mutant gene (A4GALT/insC-Mu) α expressed Gb3 antigen indicating that the presence of galactosyltransferase (A4GALT) that is responsible for A4GALT/insC diminished the A4GALT enzyme activity. In addition, the synthesis of Gb3 from CDH5,6 (Fig. 1). Naturally an allele-specific PCR (ASP) system was developed in which donors occurring antibodies are formed against the missing of the p phenotype with A4GALT/insC can be unambiguously discriminated from normal donors. Based on the finding that a carbohydrate structures and can cause hemolytic single base insertion (A4GALT/insC) diminishes A4GALT activity,an transfusion reactions.4 ASP assay was developed to detect individuals with this particular cDNAs for A4GALT have been isolated.3,7,8 Five p phenotype. Immunohematology 2006;22:23–29. mutations of the A4GALT gene,T>A at nucleotide 548 Key Words: P blood group system,p phenotype,α 1,4- (M183K), G>A at 560 (G187D), C>T at 752 (P251L), galactosyltransferase C>T at 290 (S97L), and G>A at 783 (W261Stop), were reported to destroy enzyme activity, leading to the p The Globoside blood group system comprises the P phenotype. Silent and missense mutations, G>A at antigen and the Globoside blood group collection nucleotide 903 (P301P), G>A at 987 (T329T), and A>G includes the Pk and LKE antigens.1 The P blood group at 109 (M37V), with no effect on A4GALT activity,were system contains the P1 antigen.1 Five phenotypes (P ,P , 1 2 3,9 k k also found. In addition, Koda et al. found a novel one- P2 ,P1 , and p) are possible, depending on the presence or absence of the three antigens (P1, P, and Pk).2 The base insertion at positions 1026 to 1029 (A4GALT/ insC, p[1026insC]) in two Japanese p individuals and a presence of all three antigens results in the P1 CTT deletion at nucleotides 237 to 239 in one Japanese phenotype, but absence of the P1 antigen causes the P2 phenotype. If both P1 and P antigens are absent, the p individual.10 In this study, we independently k phenotype P2 arises. Absence of P antigen but presence identified the same A4GALT/insC genes that Koda et al. k k of P1 and P antigens results in the P1 phenotype. found in four Japanese p individuals and Absence of all three antigens results in the p phenotype. unambiguously showed that A4GALT/insC is Individuals with RBCs of the p phenotype are very rare.2 responsible for diminishing A4GALT activity. IMMUNOHEMATOLOGY, VOLUME 22, NUMBER 1, 2006 23 M.TANAKA ET AL. PCR amplification and DNA sequencing The coding region in the A4GALT gene was amplified for DNA sequencing using original oligonucleotide primers (GALT01, GW-GALT11, and GW-GALT12), as shown in Figure 2. For direct sequencing, PCR amplification was performed with initial denaturing at 95°C for 9 minutes followed by 30 cycles at 94°C for 1 minute, 58°C or 62°C (for primer combinations GALT01/ GW-GALT11 and GALT01/ GW- GALT12, respectively) for 30 seconds, and 72°C for 1 minute. The PCR products were excised from 1.1% agarose gels (Cambrex, East Rutherford, NJ) stained with ethidium bromide, and purified using Spin Columns (Bio-Rad, Hercules, CA). A cycle sequencing kit (BigDye Terminator v3.1 Cycle Sequencing Kit, Applied Biosystems, Foster City, CA) and a genetic analyzer (ABI PRISM 3100 Genetic Analyzer, Applied Biosystems) were used for direct DNA sequencing with capillary electrophoresis. Fig. 1. Pathways for the biosynthesis of Pk (Gb3) and P (Gb4) antigens. CDH is the common precursor consisting of lipid and carbohydrate. Pk (Gb3) and P (Gb4) belong to the Globoside blood group collection and the Globoside blood group system, respectively. GSLs are components of the plasma membrane and intracellular membranes of all vertebrate cells. GSLs are synthesized by sequential actions of glycosyltransferases. Gb3 is synthesized by A4GALT from LacCer. Gb3 has been characterized on RBCs as the Pk antigen of the Globoside blood group collection. Gb4 is synthesized by 1,3-N-acetylglucosaminyl- transferase from Gb3 and has been characterized on RBCs as the P antigen. The p phenotype lacks A4GALT, which causes the Fig. 2. Genomic structure of exon 3 of the A4GALT gene and four sets deficiency of Gb3 biosynthesis. of primers used for PCR. Primers (GALT01/GW-GALT11 and GALT01/GW-GALT12) were used for PCR amplification for sequencing and primers (GW-GALT01/GW-GALT11 and GW- Materials and Methods GALT01/GW-GALT12) were used for PCR amplification for expression. Primers (Ins01, Ins02, and Ins11) were used for the Blood samples and DNA preparation amplification of ASP. Four p phenotype and 50 normal blood samples were obtained from Japanese volunteer donors. DNAs Construction of expression vectors were prepared from the samples by QIAamp DNA A4GALT expression vectors for the A4GALT gene Blood Kit (Qiagen, Chatsworth, CA) and dissolved in derived from normal (A4GALT/WT) or p phenotype H2O to a concentration of 100 ng/L. (A4GALT/insC) individuals were constructed by PCR amplification of the coding region using the primers Blood group serology (GW-GALT01 and GW-GALT11) for pcDNA Gateway The RBC phenotypes were determined by standard directional TOPO expression kits (Invitrogen, Carlsbad, serologic techniques with our inhouse collections of CA), as shown in Figure 2, and subsequent insertion of antisera and test RBCs. the PCR products into the pcDNA3.2/V5/GW/D-TOPO 24 IMMUNOHEMATOLOGY, VOLUME 22, NUMBER 1, 2006 A4GALT/insC led to deficiency of G3b biosynthesis vector (Invitrogen). The A4GALT/insC-Mu vector was Japanese donors and from four Japanese p phenotype constructed as follows: First, the coding region in a donors determined using serologic methods. Primers normal A4GALT gene was amplified using the primers (Ins01, Ins02, and Ins11) for A4GALT genes and (GW-GALT01 and GW-GALT12), as shown in Figure 2. primers for β-actin (internal control) were used for ASP The products were then subcloned into the pKF18K amplification. PCR amplification was performed with vector and a mutation with one nucleotide insertion C initial denaturing at 95°C for 9 minutes followed by 30 at positions 1026 to 1029 in A4GALT/WT was induced cycles at 94°C for 1 minute, 62°C for 30 seconds, and by Site-Direct Mutagenesis (TaKaRa, Shiga, Japan). 72°C for 1 minute. PCR products were excised from 1.1% agarose gels (Cambrex, East Rutherford, NJ) Transfection and expression stained with ethidium bromide. Namalwa cells (Pk– cells) were purchased from a cell bank (The Japan Health Sciences Foundation, Results Tokyo, Japan). Cells were harvested after 7 days’ Mutation in the A4GALT gene of Japanese p culture with 10% FCS in RPMI-1640 medium. The phenotype donors A4GALT expression vectors were transfected into the The results of direct sequencing revealed that all harvested Namalwa cells by electroporation using four Japanese donors with p phenotype in our center GenePulser (Bio-Rad). After 48 hours in culture, the showed a single C insertion at positions 1026 to 1029 transfectants were harvested and cultured with 10% in the A4GALT gene (A4GALT/insC, Fig. 3 right). No FCS in RPMI-1640 medium containing neomycin (750 other reported mutations, deletions, and insertions, or µg/mL) for use in further analysis. missense mutations presented in Table 1 were found. The A4GALT/insC alleles were therefore speculated to Flowcytometric analysis have caused a reading frameshift and loss of the stop The Gb3 antigen expression on the surface of the codon, resulting in a loss of enzyme activity. transfected cells was evaluated by FACS Calibur (Becton Dickinson, Franklin Lakes, NJ) using monoclonal anti-CD77/Gb3 antibody (MCA579, Serotec, Oxford, UK) and FITC-labeled anti-rat IgM. Thin-layer chromatography and immunostaining assay Glycolipids extracted from the transfectant cells were used for thin-layer chromatography (TLC) after lysis and chloroform-methanol (2:1) treatment.6 Twenty µg of glycolipids was applied to a TLC plate (Merck,Whitehouse Station, NJ) which was developed for 1 hour using a solvent system of chloroform, methanol, and water (65:35:8). The TLC plate was stained with 0.5% orcin (SIGMA,St.Louis,MO) in H2SO4 and baked at 120°C in an oven. TLC immunostaining was performed using anti-CD77/Gb3.