The interplay between genotype, metabolic state and cofactor treatment governs phenylalanine hydroxylase function and drug response
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The interplay between genotype, metabolic state and cofactor treatment governs phenylalanine hydroxylase function and drug response. / Staudigl, Michael; Gersting, Søren W; Danecka, Marta K; Messing, Dunja D; Woidy, Mathias; Pinkas, Daniel; Kemter, Kristina F; Blau, Nenad; Muntau, Ania C.
In: HUM MOL GENET, Vol. 20, No. 13, 01.07.2011, p. 2628-41.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The interplay between genotype, metabolic state and cofactor treatment governs phenylalanine hydroxylase function and drug response
AU - Staudigl, Michael
AU - Gersting, Søren W
AU - Danecka, Marta K
AU - Messing, Dunja D
AU - Woidy, Mathias
AU - Pinkas, Daniel
AU - Kemter, Kristina F
AU - Blau, Nenad
AU - Muntau, Ania C
PY - 2011/7/1
Y1 - 2011/7/1
N2 - The discovery of a pharmacological treatment for phenylketonuria (PKU) raised new questions about function and dysfunction of phenylalanine hydroxylase (PAH), the enzyme deficient in this disease. To investigate the interdependence of the genotype, the metabolic state (phenylalanine substrate) and treatment (BH(4) cofactor) in the context of enzyme function in vitro and in vivo, we (i) used a fluorescence-based method for fast enzyme kinetic analyses at an expanded range of phenylalanine and BH(4) concentrations, (ii) depicted PAH function as activity landscapes, (iii) retraced the analyses in eukaryotic cells, and (iv) translated this into the human system by analyzing the outcome of oral BH(4) loading tests. PAH activity landscapes uncovered the optimal working range of recombinant wild-type PAH and provided new insights into PAH kinetics. They demonstrated how mutations might alter enzyme function in the space of varying substrate and cofactor concentrations. Experiments in eukaryotic cells revealed that the availability of the active PAH enzyme depends on the phenylalanine-to-BH(4) ratio. Finally, evaluation of data from BH(4) loading tests indicated that the patient's genotype influences the impact of the metabolic state on drug response. The results allowed for visualization and a better understanding of PAH function in the physiological and pathological state as well as in the therapeutic context of cofactor treatment. Moreover, our data underscore the need for more personalized procedures to safely identify and treat patients with BH(4)-responsive PAH deficiency.
AB - The discovery of a pharmacological treatment for phenylketonuria (PKU) raised new questions about function and dysfunction of phenylalanine hydroxylase (PAH), the enzyme deficient in this disease. To investigate the interdependence of the genotype, the metabolic state (phenylalanine substrate) and treatment (BH(4) cofactor) in the context of enzyme function in vitro and in vivo, we (i) used a fluorescence-based method for fast enzyme kinetic analyses at an expanded range of phenylalanine and BH(4) concentrations, (ii) depicted PAH function as activity landscapes, (iii) retraced the analyses in eukaryotic cells, and (iv) translated this into the human system by analyzing the outcome of oral BH(4) loading tests. PAH activity landscapes uncovered the optimal working range of recombinant wild-type PAH and provided new insights into PAH kinetics. They demonstrated how mutations might alter enzyme function in the space of varying substrate and cofactor concentrations. Experiments in eukaryotic cells revealed that the availability of the active PAH enzyme depends on the phenylalanine-to-BH(4) ratio. Finally, evaluation of data from BH(4) loading tests indicated that the patient's genotype influences the impact of the metabolic state on drug response. The results allowed for visualization and a better understanding of PAH function in the physiological and pathological state as well as in the therapeutic context of cofactor treatment. Moreover, our data underscore the need for more personalized procedures to safely identify and treat patients with BH(4)-responsive PAH deficiency.
KW - Biopterin
KW - Coenzymes
KW - Enzyme Activation
KW - Genotype
KW - HEK293 Cells
KW - Humans
KW - Kinetics
KW - Molecular Chaperones
KW - Mutation
KW - Phenylalanine
KW - Phenylalanine Hydroxylase
KW - Phenylketonurias
U2 - 10.1093/hmg/ddr165
DO - 10.1093/hmg/ddr165
M3 - SCORING: Journal article
C2 - 21527427
VL - 20
SP - 2628
EP - 2641
JO - HUM MOL GENET
JF - HUM MOL GENET
SN - 0964-6906
IS - 13
ER -