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Volume 17, Number 23,
Issue of December 1, 1997
Altered Trafficking of Mutant Connexin32
Suzanne M. Deschênes,
Jessica
L. Walcott,
Tamara L. Wexler,
Steven S. Scherer, and
Kenneth H. Fischbeck
Department of Neurology, University of Pennsylvania Medical Center,
Philadelphia, Pennsylvania 19104
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
We examined the cellular localization of nine different connexin32
(Cx32) mutants associated with X-linked Charcot-Marie-Tooth disease
(CMTX) in communication-incompetent mammalian cells. Cx32 mRNA was
made, but little or no protein was detected in one class of mutants. In
another class of mutants, Cx32 protein was detectable in the cytoplasm
and at the cell surface, where it appeared as plaques and punctate
staining. Cx32 immunoreactivity in a third class of mutants was
restricted to the cytoplasm, where it often colocalized with the Golgi
apparatus. Our studies suggest that CMTX mutations have a predominant
effect on the trafficking of Cx32 protein, resulting in a potentially
toxic cytoplasmic accumulation of Cx32 in these cells. These results
and evidence of cytoplasmic accumulation of other mutated myelin
proteins suggest that diseases affecting myelinating cells may share a
common pathophysiology.
Key words:
Cx32;
gap junctions;
X-linked Charcot-Marie-Tooth
disease;
protein trafficking;
Golgi apparatus;
myelin;
Schwann cells;
neuropathy
INTRODUCTION
X-linked Charcot-Marie-Tooth
disease (CMTX) is a form of hereditary motor and sensory neuropathy
with clinical features that include progressive weakness and atrophy of
distal limb muscles, loss of reflexes, sensory loss, and reduced nerve
conduction velocity. In males affected with CMTX, the first clinical
signs of the disease arise in late childhood or adolescence and lead to
moderate disability by the third decade of life, whereas heterozygous
women may be more mildly affected or asymptomatic (for review, see
Deschênes et al., 1996 ).
CMTX is caused by mutations in the gene for connexin32 (Cx32; also
known as gap junction gene 1), a member of the family of gap
junction proteins. Gap junctions are clusters of intercellular channels
in plasma membranes that allow the passage of ions and small molecules
between closely apposed cells (for review, see Bruzzone et al., 1996 ;
Goodenough et al., 1996 ). Cx32 is expressed in many cell types
(Bruzzone et al., 1996 ), including myelinating Schwann cells of
peripheral nerve, where it localizes to noncompact myelin at the
paranodal region and Schmidt-Lanterman incisures (Bergoffen et al.,
1993 ; Scherer et al., 1995 ). In these structures, Cx32 is thought to
form reflexive gap junctions between layers of the Schwann cell
membrane (Bergoffen et al., 1993 ). The restriction of the CMTX
phenotype to the peripheral nervous system implies that myelinating
Schwann cells are particularly susceptible to Cx32 mutations.
Myelinating cells are also the targets of mutations in other myelin
genes (Suter and Snipes, 1995 ; Scherer, 1997 ). For example, mutations
in peripheral myelin protein 22 kDa (PMP-22) and myelin protein zero
(P0) directly affect Schwann cells and are
associated with inherited demyelinating neuropathies, such as CMT types
1A and 1B, hereditary neuropathy with liability to pressure palsies, and Dejerine-Sottas disease. Missense mutations in proteolipid protein
(PLP) may kill oligodendrocytes, the myelin-producing cells of the CNS,
and result in Pelizaeus-Merzbacher disease (PMD) (Nave and
Boespflug-Tanguy, 1996 ). It is not yet known whether myelin gene
mutants adversely affect myelinating Schwann cells via the same
mechanisms.
To date, >90 different mutations in >120 CMTX families have been
described (Scherer et al., 1997 ); their distribution throughout the
coding region of Cx32 suggests that every domain of the protein is
important for its normal function in peripheral nerve. Studies in
Xenopus oocytes (Bruzzone et al., 1994 ; Rabadan-Diehl et
al., 1994 ) and in HeLa cells (Omori et al., 1996 ) have shown that some Cx32 mutants associated with CMTX are nonfunctional and may also exert
dominant-negative effects on other connexins coexpressed in the same
cell, whereas other mutants remain functional in these systems. Here,
we report the effects of nine CMTX mutations on the trafficking and
cellular localization of Cx32 stably expressed in a subclone of rat
pheochromocytoma (PC12J) cells, a communication-incompetent mammalian
cell line. We have defined three distinct effects of these CMTX
mutations on Cx32 protein trafficking, suggesting that different
defects in membrane protein transport in myelinating Schwann cells may
have similar consequences.
MATERIALS AND METHODS
Cx32 mutations. The following abbreviations are used
for Cx32 mutations studied in this paper: Gly12Ser (G12S), Arg15Gln
(R15Q), Val63Ile (V63I), Val139Met (V139M), Arg142Trp (R142W), 175 frameshift (175fs), Glu186Lys (E186K), Glu208Lys (E208K), and
Arg220stop codon (R220Stop). The CMTX families bearing these mutations
have been described elsewhere [V139M (Heimler et al., 1978 ); G12S
(Fryns and Van den Berghe, 1980 ); 175fs (Rozear et al., 1987 ); R142W and E186K (Bergoffen et al., 1993 ); and R15Q, V63I, E208K, and R220Stop
(Fairweather et al., 1994 )]. Table 1
summarizes the phenotypes of these families; the severity of the
clinical phenotype was based on a review of medical records and the
published literature. Fifty percent of females at risk for inheriting
the disease allele (symptomatic at-risk females, column 3) are expected
to be symptomatic in families in which CMTX is dominant. The family
with the 175fs mutation has the most severe phenotype, with affected
men losing ambulation and many heterozygous women having symptoms
nearly as severe as those of the men. Families with the G12S, R142W, E186K, and E208K mutations have moderate to severe symptoms, with reduced nerve conduction velocities in both males and heterozygous females. In families with the R15Q, V63I, V139M, and R220Stop mutations, the phenotype is mild to moderate in both men and women.
Table 1.
Comparison of CMTX phenotype with intracellular
localization of Cx32
| Mutation |
NCV
(m/sec)a |
Symptomatic at-risk
female heterozygotes |
Phenotypeb |
Cellular
localization of Cx32
|
|
| G12S |
Moderate (F) to
marked (M) reductions |
1
/10 |
Severe |
Cytoplasm
|
| R15Q |
20 (M); 30 (F) |
0 /3 |
Moderate |
Plasma membrane
|
| V63I |
41 (M) |
2 /7 |
Mild |
Plasma membrane and cytoplasm
|
| V139M |
28-32 (M) |
9 /15 |
Moderate |
Plasma membrane and
cytoplasm |
| R142W |
27-35 (M) |
2 /5 |
Moderate to
severe |
Cytoplasm |
| 175fs |
26-39 (M); 37-64 (F) |
9
/29 |
Severe |
No detectable protein |
| E186K |
39-40 (M); 35-48
(F) |
1 /12 |
Moderate |
Cytoplasm |
| E208K |
Not known |
1
/3 |
Moderate to severe |
Cytoplasm |
| R220Stop |
48-50 (M) |
2
/2 |
Moderate |
Plasma membrane and cytoplasm |
|
Moderate indicates significant weakness and atrophy of
distal muscles in all limbs, high stepping gait, and early onset, but not a serious impediment to a normal lifestyle in men and high-arched feet and mild weakness and atrophy in distal legs in women.
Severe indicates marked weakness and atrophy of distal
muscles in all limbs, sensory loss, and significant impediments to
mobility that necessitate canes and wheelchairs in men and high-arched
feet and sensory disturbances in women.
a
NCV (nerve conduction velocity) is based on
studies in one or more affected individuals [M (male); F (female)];
normal NCV is >50 m/sec (Nicholson and Nash, 1993 ).
b
Mild indicates weakness and
atrophy of distal muscles in all limbs but no difficulty walking in men
and thin ankles and high-arched feet in women.
|
|
Cx32 mutants 175fs, R142W, and E186K were cloned previously by
Bruzzone et al. (1994) . The coding regions were excised from the
BglII site of pSP64T (Bruzzone et al., 1994 ) and cloned into the BamHI site of pREP9 (Invitrogen, San Diego, CA). The
coding regions of wild-type Cx32 and CMTX mutants G12S, R15Q, V63I,
V139M, E208K, and R220Stop were amplified from the genomic DNA of an unaffected man and male CMTX patients, respectively, by PCR (one cycle
of 94°C for 10 min; 30 cycles of 94°C for 1 min, 59°C for 1 min,
and 72°C for 50 sec) with Vent polymerase (New England Biolabs,
Beverly, MA) in a PTC-100 thermal controller (MJ Research, Watertown,
MA). The reaction buffer included the following reagents at their final
concentrations: 400 µM dNTPs, 1 µM primers,
20% Luria-Bertani medium (Cease et al., 1994 ), 10% DMSO, and 0.5 U of Vent polymerase. The two pairs of PCR primers with restriction sites
that were used to amplify a segment containing the translational start
site and stop codon are listed as follows: for mutants G12S and V139M,
sense Cx321.Bam
5 -CGC GGCAGG AACTGGACAGGT-3 and antisense Cx32A1.Eco
5 -CCG ATGGCAGGTTGCCTGGTATG-3 , and for all
other mutants, sense
Cx32F.Kpn 5 -CGG GGCAGG AACTGGACAGG-3 and antisense Cx32R.Bam
5 -GGC ATGGCAGGTTGCCTGGTATG-3 . The PCR products were
electrophoresed on agarose gels, excised, purified by Geneclean (BIO
101, Vista, CA), and digested with BamHI and EcoRI (G12S and V139M) or KpnI and
BamHI (all other mutants). The G12S and V139M inserts were
ligated into the BamHI and EcoRI sites of pBS S/K
and later excised from pBS S/K with NotI and XhoI
for cloning into the same sites in pREP9. All other mutant inserts were
ligated into the KpnI and BamHI sites of pREP9.
The constructs were sequenced on both strands at least twice by
automated sequencing (University of Pennsylvania Department of Genetics DNA Sequencing Facility) to verify the sequence.
Cell culture and stable transfection. The subclone of rat
pheochromocytoma cells (PC12J; a gift of Dr. David Spray, Albert Einstein College of Medicine, Bronx, NY) that was used in this study
expresses no endogenous Cx32 protein or mRNA (see Fig.
2A,C,E) and very low amounts of Cx37 protein (data
not shown). These cells are not electrically coupled, as determined by
dual whole-cell patch-clamp analysis (D. Spray, personal
communication). The cells were cultured in RPMI 1640 supplemented with
10% horse serum, 5% fetal bovine serum, and penicillin and
streptomycin in a 37°C, 5% CO2 incubator. PC12J cells
were stably transfected with 5-35 µg of plasmid DNA and Lipofectin
reagent (Life Technologies, Gaithersburg, MD) according to the
manufacturer's protocol. For all transfections but those with G12S and
V139M mutants, 35-55 independent clones were picked and expanded 2-3
weeks after selection in 400 µg/ml G418 (Life Technologies).
For the G12S and V139M mutants, transfected cells were maintained in
selective medium rather than isolating clones by limiting dilution. To
test the effect of reduced growth temperatures on the expression of
Cx32 protein, we also grew a subset of clones at 23-25°C on a bench
top or in a 5% CO2 incubator.
Fig. 2.
Analysis of Cx32 expression in PC12J cells stably
transfected with normal and mutated Cx32 cDNAs. A, As
negative controls for B, immunoblots of the parental
cells (P; lane 1) and two clones transfected with the vector alone (V; lanes
2-3, clones pREP9.6.1 and pREP9.6.4) were hybridized with a
polyclonal antiserum (Lola) that recognizes an epitope in the
cytoplasmic loop of Cx32. The bands seen across all
lanes in A and B,
including a high molecular weight band (asterisk), are
proteins nonspecifically detected by Lola. B,
Immunoblots of three clones transfected with 175fs (lanes 1-3, clones 5117.6.1, 5117.4.9, and 5117.4.3)
were hybridized with Lola. C, Immunoblots of three
clones expressing various amounts of R220Stop protein
(lanes 1-3), the parental cells (P;
lane 4), and two clones transfected with the
vector alone (V; lanes 5-6) were
performed with a mouse monoclonal antibody against the cytoplasmic loop
(M12.13). An arrow indicates truncated Cx32. The two
bands seen across all lanes (asterisks)
are proteins nonspecifically detected by the M12.13 antibody.
D, Immunoblots of rat liver (+; lane 1) and representative clones transfected with
wild-type Cx32 (WT; lane 2, clone
517.4.7), R15Q (lanes 3-4, clones 15.23 and 15.57), V63I (lanes 5-6, clones
63.36 and 63.55), R142W (lanes 7-8,
clones 116.41 and 116.38), E186K (lanes
9-10, clones 412.5 and 414.10), and E208K
(lanes 11-12, clones 208.47 and 208.49) were performed
with a mouse monoclonal antibody that also recognizes the C terminal
(7C6.C7). Dashes indicate the positions of molecular weight markers of 46 and 30 kDa, respectively. E,
Northern blots of four clones transfected with 175fs
(lanes 1-4, 5117.2.3, 5117.4.9, 5117.2.10, and
5117.4.3), one clone expressing wild-type Cx32 (WT;
lane 5, 517.4.7), and the parental cells
(P; lane 6) were performed using a
full-length, wild-type human Cx32 cDNA probe. The Cx32 transcripts are
of the expected size (~1.3 kb). The same blots were stripped and
rehybridized with a full-length rat GAPDH cDNA probe to assess the
relative quantity of RNA in each lane. The
dashes indicate the positions of 18S rRNA (~2.4 kb).
For immunoblots, the single and double
arrowheads represent the positions of the monomeric and dimeric
forms of rat liver Cx32 on the same gels. The migration of rat liver
Cx32 is slower because the homogenate was prepared in a different lysis
buffer relative to that used for the cell lysates (see Materials and
Methods).
[View Larger Version of this Image (42K GIF file)]
Northern blotting. RNA was isolated from confluent cultures
of cells growing in 10 cm dishes using RNAzol B reagent (Tel-Test, Friends-wood, TX) according to the manufacturer's directions. Ten
microgram samples of total RNA were electrophoresed in 1% agarose gels
containing 6.6% (v/v) formaldehyde and transferred and cross-linked as
described previously (Scherer et al., 1995 ). Blots were prehybridized,
hybridized, and washed using standard techniques (Sambrook, 1989), with
a final wash in 2× SSC at 65°C. A full-length human Cx32 cDNA probe
was prepared by isolating the 893 bp insert from the wild-type Cx32
construct described above. A full-length cDNA probe of rat
glyceraldehyde 3-phosphate dehydrogenase (GAPDH) (Fort et al., 1985 )
was similarly prepared by restriction endonuclease digestion. Both
inserts were electrophoresed on agarose gels, excised, purified by
Geneclean (BIO 101), and labeled with 32P by random primer
extension using the Rediprime kit (Amersham, Arlington Heights,
IL).
Immunoblotting. Cells were grown to confluence in 100 mm
plates and harvested in cold Dulbecco's PBS lacking calcium and
magnesium ions (Life Technologies). The cell pellet was either stored
at 80°C or lysed directly in ice-cold 50 mM Tris, pH
7.0, 1% SDS, and 0.017 mg/ml phenylmethylsulfonyl fluoride (Sigma, St.
Louis, MO), followed by a brief sonication on ice with a sonic
dismembrator (Fisher Scientific, Pittsburgh, PA). Rat liver homogenate
was prepared by pulverizing snap-frozen adult rat liver with a steel mortar and pestle on dry ice, homogenizing in 20 mM NaOH,
and sonicating. Total protein concentrations were quantitated with a
modified Lowry assay (DC Protein Assay Kit; Bio-Rad, Hercules, CA). One
hundred microgram samples of protein lysate for each clone and 1 µl
of the rat liver homogenate were loaded onto 12% SDS-polyacrylamide
gels after a 5-15 min incubation in sample buffer at room temperature
(RT), electrophoresed, and transferred to Immobilon-polyvinylidene
fluoride membrane (Millipore, Bedford, MA) using a semidry blotting
unit (Fisher) according to Millipore's recommendations. The blots were
blocked (5% powdered skim milk and 0.5% Tween-20 in Tris-buffered
saline) 1 hr at RT and incubated overnight at 4°C in a polyclonal
antiserum diluted 1:5000 (donated by David Paul, Harvard Medical
School, Cambridge, MA) (Paul, 1986 ), monoclonal antibody M12.13 diluted
1:10 [supernatant donated by David Paul (Goodenough et al., 1988 )],
or monoclonal antibody 7C6.C7 (undiluted supernatant or ascites-diluted
1:1000; donated by Elliot Hertzberg, Albert Einstein College of
Medicine, Bronx, NY) (Nagy et al., 1996 ). After washes in blocking
solution, the blots were incubated in appropriate dilutions of
peroxidase-coupled secondary antibodies against mouse or rabbit IgG
(Jackson ImmunoResearch, West Grove, PA) for 1 hr at RT. After washes
in blocking solution and Tris-buffered saline containing 0.5%
Tween-20, blots were visualized by enhanced chemiluminescence
(Amersham) according to the manufacturer's protocols.
Immunocytochemistry. Eight-well plastic chamber slides
(Lab-Tek Permanox-coated slides; Nunc, Naperville, IL) were coated with
10 µg/ml poly-L-lysine (Sigma), air dried, and seeded
with clones expressing various Cx32 mutants. In some experiments, when cells reached 75% confluence, the medium was aspirated and replaced with medium containing 15 µg/ml brefeldin A (BFA, dissolved in 100%
ethanol; Sigma) for 1 hr at 37°C in a 5% CO2 incubator.
Control slides were incubated with medium containing the equivalent
volume of ethanol. Cells were fixed in 95% ethanol/5% glacial acetic acid at 20°C for 10 min. After washes in PBS lacking calcium and
magnesium ions, the slides were blocked in 5% bovine serum albumin,
10% fetal bovine serum, 0.1% Triton X-100, 0.1 M
NaH2PO4, 0.1 M
Na2HPO4, and 0.01% sodium azide at
37°C for 30-60 min. Incubations in the following antibodies were
done for 24-72 hr at 4°C in a humidified chamber: M12.13 (undiluted
supernatant), 7C6.C7 (undiluted supernatant or ascites-diluted 1:250),
polyclonal antiserum B1J (diluted 1:100; donated by Norton
Gilula, Scripps Research Institute, La Jolla, CA) (Milks et al., 1988 ),
monoclonal antibody 10A8 (the supernatant was used either undiluted or
diluted 1:150; donated by Nicholas Gonatas, University of Pennsylvania,
Philadelphia, PA) (Gonatas et al., 1989 ), and a polyclonal antibody
against rat liver Golgi -mannosidase II (diluted 1:500; donated by
Marilyn Farquhar, University of California, San Diego, CA) (Velasco et al., 1993 ). After washes in PBS, slides were incubated with 1:100 dilutions of rhodamine- or fluorescein-conjugated donkey anti-mouse or
-rabbit IgG antibodies (Jackson ImmunoResearch). Slides were mounted in
Vectashield (Vector Laboratories, Burlingame, CA) and visualized with a
scanning laser confocal microscope (Leica, Nussloch, Germany), using
ScanWare 5.10 software to generate ~1-µm-thick optical
sections.
RESULTS
Analysis of mutant Cx32 expression
The CMTX mutations shown in Figure 1
are a subset of >90 different mutations that are distributed
throughout the Cx32 protein (Scherer et al., 1997 ). They were chosen
for this study because they occur in different domains of Cx32 and
might be expected to have distinct effects on its localization and
function. PC12J cells were stably transfected with each construct, and
41-80 clones were picked for each mutant. Clones were screened for
Cx32 expression by immunoblotting and/or immunocytochemistry. Cx32
protein was not detected in parental cells (Fig.
2A, lane 1)
or in cells transfected with the vector alone (Fig.
2A, lanes 2-3). Relative to other mutants
and wild-type Cx32, few clones expressed detectable protein for mutants
R142W and E186K (Table 2). The 175fs
mutant is predicted to produce a truncated protein of 27 kDa, but no
protein was detectable on immunoblots of 56 independent clones; three
of these clones are shown in Figure 2B. On the other
hand, cells transfected with R220Stop expressed a truncated protein at
the expected size of 25 kDa (Fig. 2C, lanes 1-3)
that was absent in parental cells and untransfected cells (Fig.
2C, lanes 4-6). In clones expressing the
other mutants, Cx32 migrated at the same position on denaturing polyacrylamide gels (Fig. 2D, lanes 3-12)
as did Cx32 isolated from rat liver and cells transfected with
wild-type Cx32 (Fig. 2D, lanes 1-2,
respectively; V139M not shown). Cells transfected with G12S had no
detectable Cx32 (data not shown). Northern blot analysis was performed
to determine whether the absent or low-level Cx32 expression in G12S,
R142W, and 175fs clones was because of mutational effects at the mRNA
or protein levels. Transcripts of the appropriate size and amount
relative to wild-type Cx32 transcripts (Fig. 2E,
lane 5) were detected in four 175fs clones (Fig.
2E, lanes 1-4) and two R142W
clones (including 116.38; data not shown) but not in parental cells
(Fig. 2E, lane 6) or cells transfected with G12S (data not shown). Immunocytochemical analysis of
the four 175fs clones with an antibody that recognizes the cytoplasmic
loop of Cx32 further confirmed the lack of Cx32 protein expression
(data not shown). Except for the 175fs and G12S mutants, these results
demonstrated that mutant Cx32 protein was expressed and migrated at the
expected molecular weight.
Fig. 1.
Diagram of Cx32, with the mutations studied in
this paper indicated by arrows. Asterisks indicate
conserved cysteine residues.
[View Larger Version of this Image (39K GIF file)]
Table 2.
List of clones picked under selective pressure after stable
transfection with mutants R15Q, V63I, R142W, 175fs, E186K, E208K, and
R220Stop
| Construct |
# Clones
picked |
Surviving clones (%) |
Expressorsa
|
|
| pREP9 |
41 |
33 (80) |
0
|
| Wild-type |
54 |
41 (76) |
16 |
| R15Q |
68 |
41 (60) |
20
|
| V63I |
72 |
38 (53) |
23
|
| R142W |
80 |
51 (64) |
6 (2 low-moderate)b,c
|
| 175fs |
62 |
56 (90) |
0 |
| E186K |
78 |
54 (69) |
9
(4 low-moderate)b
|
| E208K |
72 |
45 (62) |
26
|
| R220Stop |
52 |
41 (78) |
16 |
|
|
a
Assessment of expression level was
based on signal intensity in immunocytochemical analyses and/or on band
intensity on immunoblots, relative to that seen with the wild-type
clone 517.4.7. As determined through immunocytochemistry, Cx32
expression was heterogeneous in all clones; not all cells in a given
population expressed Cx32 protein, even though they were maintained
under selective pressure.
b
Relative to other constructs, few clones
expressing these Cx32 mutants were isolated, and the Cx32 expression
level in these clones was generally lower and more heterogeneous than
the level in clones expressing wild-type or mutant Cx32.
c
The extent of Cx32 expression in this clone
was especially low, accounting for the weak Cx32 bands on immunoblots
(see Figure 2).
|
|
Cellular localization
We examined the localization of wild-type and mutant Cx32 by
indirect immunofluorescence using scanning laser confocal microscopy. Cells expressing wild-type Cx32 had plaques and punctate staining, especially in regions of cell-cell contact, as well as punctate cytoplasmic staining (Fig.
3B). Clones expressing R15Q
had a staining pattern that was indistinguishable from that of cells
expressing wild-type Cx32 (Fig. 3C). The localization of
Cx32 in the plasma membrane of clones expressing either wild-type Cx32
or R15Q was independent of the level of protein expression (data not
shown).
Fig. 3.
Localization of wild-type Cx32 and CMTX mutants in
PC12J cells by indirect immunofluorescence using scanning laser
confocal microscopy. Immunocytochemistry was performed with 7C6.C7 for all clones but R220Stop, for which M12.13 was used. A,
Untransfected cells, PC12J. B,
Wild-type Cx32, clone 517.4.7. C,
R15Q, clone 15.38. D,
V63I, clone 63.55. E,
V139M, nonclonal cells. F,
R220Stop, clone 220.37. G,
R220Stop, clone 220.37. H,
G12S, nonclonal cells. I,
R142W, clone 116.38. J,
E208K, clone 208.37. The magnification of
J is higher to show greater cytoplasmic detail. Note
that the diffuse staining seen in clone 208.37 is the predominant
pattern observed in all clones expressing E208K. Scale
bars, 10 µm.
[View Larger Version of this Image (61K GIF file)]
In cells expressing the V63I, V139M, and R220Stop mutants, Cx32 was
localized in the plasma membrane in a punctate or plaque-like staining
pattern (Fig. 3D,E,G) and in the cytoplasm as a focal immunoreactivity (Fig. 3D-F). The predominant
pattern in many V63I and R220Stop clones expressing lesser amounts of
Cx32, however, was a diffuse cytoplasmic immunoreactivity (data not
shown). Because cytoplasmic immunoreactivity was consistently seen in
multiple clones expressing different amounts of mutant Cx32 (as
determined by immunoblot), overexpression of Cx32 can be eliminated as
the cause of cytoplasmic accumulation in the V63I and R220Stop
clones.
Cx32 immunoreactivity was entirely cytoplasmic in clones
expressing G12S (Fig. 3H), R142W (Fig.
3I), E186K (Fig.
4A), and E208K (Figs.
3J, 4D), regardless of the level of
protein expression (data not shown). Via immunocytochemistry, few cells
transfected with G12S and R142W were found to express Cx32 protein,
accounting for its complete (G12S) or near absence (R142W) on
immunoblots. To determine the intracellular compartment in which mutant
Cx32 was located, we performed double immunolabeling with antibodies against resident proteins of the Golgi apparatus (Gonatas et al., 1989 ;
Velasco et al., 1993 ). In cells expressing E186K, Cx32 appeared to be
exclusively localized in the Golgi apparatus (Fig.
4A-C). Although the E208K mutant sometimes
colocalized with the Golgi apparatus (Fig.
4D-F), it was predominantly found in a
diffuse cytoplasmic pattern that overlapped but was not limited to the Golgi apparatus (Fig. 3J). In clones expressing lower
amounts of E208K protein, Cx32 staining appeared entirely diffuse.
Although double immunolabeling was not performed for G12S and R142W,
the identical cytoplasmic immunoreactivities of G12S, R142W, and E186K (Figs. 3H,I, 4A) suggest that G12S and
R142W were also localized in the Golgi apparatus in the few cells
expressing the protein.
Fig. 4.
Localization of Cx32 mutants
E186K and E208K in PC12J cells by
indirect immunofluorescence using scanning laser confocal microscopy. A-C, Cells expressing E186K (clone
414.10) were double-stained with the mouse monoclonal antibody 7C6.C7
against Cx32 (A; rhodamine) and a
polyclonal antiserum against rat -mannosidase II
(MnII) (B; fluorescein).
A and B are superimposed in
C. D-F, Cells expressing E208K (clone 208.49) were double-stained with the
polyclonal antiserum B1J against Cx32
(D; rhodamine) and the monoclonal antibody 10A8 against
MG160 (E; fluorescein). D
and E are superimposed in F. The
characteristically punctate staining of E186K obtained
with 7C6.C7 (see Fig. 5; data not shown) is difficult to see because of
high background staining contributed by the -mannosidase II antibody; arrowheads are used to indicate
Cx32 immunoreactivity in the cytoplasm of these cells.
Note the absence of Cx32 at the cell surface in these
two mutants. Scale bars, 10 µm.
[View Larger Version of this Image (69K GIF file)]
To confirm further the localization of E186K and E208K in the Golgi
apparatus, we treated cells expressing each mutant with brefeldin A
(BFA), which blocks anterograde transport into the Golgi compartment,
thereby causing a redistribution of Golgi resident proteins to the
endoplasmic reticulum (ER) (for review, see Hunziker et al., 1992 ;
Klausner et al., 1992 ). BFA did not dramatically alter the localization
of Cx32 protein in clones expressing the E208K mutant (data not shown).
BFA did, however, change Cx32 immunoreactivity in cells expressing the
E186K mutant from a concise localization (Fig.
5A) to a diffuse,
weaker-staining pattern (Fig. 5B) that paralleled changes in
the localization of MG160 (Fig. 5C,D, respectively), a
resident protein of the medial cisternae of the Golgi apparatus (Gonatas et al., 1989 ). Taken together, these data demonstrate that
substitutions at residues 12, 142, 186, and 208 may block the proper
trafficking of Cx32 to the plasma membrane.
Fig. 5.
Effect of BFA on intracellular localization of
E186K in clone 414.10. Immunocytochemistry was performed on cells
treated with ethanol or 15 µg/ml BFA for 1 hr, and the cells were
visualized with scanning laser confocal microscopy. A,
Cx32 (antibody 7C6.C7); ethanol; 520×. B, Cx32; BFA;
760×. C, MG160 (antibody 10A8); ethanol; 760×.
D, MG160; BFA; 760×. Arrows indicate the
compact Cx32 or Golgi staining in control cells. Regardless of BFA
concentration (data not shown), residual bright MG160 immunoreactivity
on one side of the nucleus (arrowheads) was always
observed in BFA-treated cells, including wild-type Cx32-expressing
clones and vector-alone clones.
[View Larger Version of this Image (89K GIF file)]
DISCUSSION
Three classes of CMTX mutations
Via immunocytochemical localization of Cx32, we have defined three
different effects of CMTX mutations, which represent different classes
of mutants. One class is represented by Cx32 mutant 175fs, a frameshift
that truncates Cx32 by 43 amino acids and changes the last 67 residues,
including the fourth transmembrane domain. Although clones expressing
this mutant had the same amount of transcript as a wild-type Cx32 clone
(Fig. 2E), little or no Cx32 protein was detected,
suggesting that this CMTX mutation interferes with translation or
results in the rapid degradation of Cx32 protein. This finding
contrasts with the expression and cell surface localization of the same
mutant in Xenopus oocytes (Bruzzone et al., 1994 ), indicating that protein stability and/or trafficking differ between the
two cell types. Because our results were obtained from cultured mammalian cells, they are probably more relevant to the disease mechanism. The family bearing this mutation has a particularly severe
phenotype, in which older male patients are often wheelchair-bound and
many females at risk for carrying the disease allele are symptomatic (Table 1; Rozear et al., 1987 ; Bergoffen et al., 1993 ).
Another class of CMTX mutations is defined by Cx32 mutants R15Q, V63I,
V139M, and R220Stop, in which at least some Cx32 is properly routed to
the cell surface. It may be that the mutant Cx32 that arrives at the
plasma membrane is not capable of forming functional gap junctions or
that a fraction of the protein is misrouted, with dominant-negative or
toxic effects on Schwann cells. The V139M and R220Stop mutants were
studied previously by Omori et al. (1996) . Our findings with V139M are
consistent with their report, but the localization of R220Stop differed
in that it was also in the cytoplasm. It may be that the amount of R220Stop in our cells is higher than the amount was in this previous study, resulting in the formation of intracellular gap junctions, as
shown by Kumar et al. (1995) . Nonetheless, the identification of the
specific effects of R15Q, V63I, V139M, and R220Stop on the function of
gap junctions awaits electrophysiological and dye-coupling studies and
examination of the mutant proteins in the myelin sheath.
A third class of CMTX mutations, which includes G12S, R142W, E186K, and
E208K, is characterized by the cytoplasmic accumulation of Cx32 and the
absence of cell surface expression. Our findings indicate that these
CMTX mutations alter Cx32 trafficking so that the protein accumulates
in intracellular compartments such as the Golgi apparatus (e.g., G12S,
R142W, and E186K) or in other sites such as the ER or lysosomes (e.g.,
E208K). We postulate that transmembrane domains 3 (TM3) and 4 (TM4)
play important roles in Cx32 trafficking. A similar role for Cx32
transmembrane domains has been proposed by Leube, who showed that
swapping the transmembrane domains of Cx32 and synaptophysin altered
the routing of the hybrid proteins (Leube, 1995 ). In a previous study
of the R142W and E186K mutants in Xenopus oocytes, Cx32 was
shown to localize to the plasma membrane (Bruzzone et al., 1994 ).
Again, the disparities in protein targeting between Xenopus
oocytes and PC12J cells likely relate to cell-type and species
differences in connexin processing. Finally, because the N terminal has
been implicated in the insertion of connexins into membranes (Bennett et al., 1991 ; Falk et al., 1994 ), the cytoplasmic retention of the G12S
mutant may result from improper membrane insertion.
The nature of the particular changes in the third class of CMTX
mutations may provide additional clues to their adverse effects. Two of
the mutations, E186K and E208K, change the polarity of a charged
residue ( to +) that flanks TM4, whereas the third mutation R142W
replaces a charged residue with an uncharged amino acid in TM3. Because
charged residues in transmembrane domains are important for retention
of proteins in the ER and the Golgi apparatus (Bonifacino et al., 1991 ;
Machamer et al., 1993 ), these CMTX mutations might cause conformational
changes within the Cx32 molecule or affect interactions between Cx32
monomers forming a hemichannel. The relationship between hemichannel
assembly and the site of mutant Cx32 accumulation may be complex,
considering the different paradigms for connexin oligomerization (Musil
and Goodenough, 1993 ; Kumar et al., 1995 ). Because the substitution at
residue 139 is conservative, few if any effects on membrane insertion
or protein trafficking would be expected. Further mutational analysis
will be necessary to determine which domains of Cx32 are most important
for its proper oligomerization and transport in the cell.
Cx32 mutations and the CMTX phenotype
What is the effect of trafficking defects on the CMTX disease
phenotype and its pattern of inheritance? An association between Cx32
mutations and disease severity has been suggested by Ionasescu et al.
(1996) , but it is difficult to draw strict correlations between
genotype and clinical phenotype because of the variable expressivity of
the disease (e.g., Table 1). An additional complication is the
incomplete penetrance of the disease in women. For example, 50% of
women at risk for inheriting the disease allele (Table 1, symptomatic
at-risk female heterozygotes) should be symptomatic when CMTX is
dominantly inherited. Although cellular localization does not correlate
with disease penetrance in females, it may parallel the clinical
variability observed in CMTX patients. At least some mutant Cx32 from
families with mild to moderate symptoms (Table 1) reaches the cell
surface in transfected cells (e.g., R15Q, V63I, V139M, and R220Stop).
The most severe neuropathy is associated with 175fs (Table 1), for
which little or no protein is detectable in transfected cells; the
disease mechanism may be a simple loss of function. Although Cx32-null
mice do not have an overt phenotype, clear evidence of demyelination is
manifest by 4 months of age (Anzini et al., 1997 ), indicating that loss of Cx32 is associated with changes in the myelin sheath. It may be that
mice are less sensitive than are humans to Cx32 loss. Investigations of
additional loss-of-function mutations in Cx32 will be necessary to
resolve this apparent difference.
In the families with moderate to severe clinical phenotypes (e.g.,
G12S, R142W, and E208K), Cx32 protein trafficking is defective in
vitro. This association suggests that these Cx32 mutants may have
dominant-negative effects in peripheral nerve. Toxic interactions with
other proteins such as chaperones or proteins of the trafficking machinery might also occur in compartments in which mutant Cx32 accumulates. Other studies have focused on interactions between normal
and mutant Cx32 (Rabadan-Diehl et al., 1994 ; Omori et al., 1996 ), but
these are not likely to exist in myelinating Schwann cells of women
because Cx32 is subject to X-inactivation (Scherer et al., 1997 ).
The possibility of dominant-negative interactions with other connexins
in the same cell, however, is supported by at least two lines of
evidence. First, Bruzzone et al. (1994) showed that mutant R142W can
exert dominant-negative effects on Cx26 in Xenopus oocytes,
which is coexpressed with Cx32 in many tissues (Bruzzone et al., 1996 ).
Second, the expression of unidentified connexins in cultured Schwann
cells has been reported (Chanson et al., 1993 ; Chandross et al., 1995 ,
1996 ); mutant Cx32 may abrogate the normal function of these other
connexins in myelinating Schwann cells.
Dominant effects of mutations in myelin proteins have been noted in
other inherited diseases of myelin (Suter and Snipes, 1995 ; Scherer,
1997 ). In the Trembler mouse, for example, a point mutation
in PMP-22 causes a severe dysmyelinating phenotype (Suter et al., 1992 )
and results in the accumulation of P0 in the Golgi apparatus (Heath et al., 1991 ). An accumulation of mutant PLP in the ER
was observed in oligodendrocytes of jimpy mice (Roussel et
al., 1987 ), which also have a severe dysmyelinating phenotype (for
review, see Nave and Boespflug-Tanguy, 1996 ). Gow et al. (1994)
transfected the jimpy allele and human PLP missense mutants into Cos cells and found that they, too, caused defects in protein trafficking. A more detailed study of PLP alleles involved in different
subtypes of PMD (for review, see Nave and Boespflug-Tanguy, 1996 )
revealed that connatal (more severe) PMD correlated with ER retention
of both mutant PLP and its alternatively spliced product DM-20, whereas
classical (less severe) PMD was associated with ER accumulation of
full-length PLP but not of DM-20 (Gow and Lazzarini, 1996 ). Unlike
their milder counterparts, DM-20 alleles associated with connatal PMD
could not facilitate transport of PLP to the cell surface, indicating a
dominant-negative effect of these mutations on PLP (Gow and Lazzarini,
1996 ). Taken together, these findings and our results suggest that
inherited diseases of myelin share a common pathophysiology in which
mutant protein retained in intracellular compartments has deleterious
effects on the protein folding, degradation, or trafficking
machineries. Myelin-producing cells may be particularly susceptible to
damage caused by misrouted protein, perhaps accounting in part for the tissue specificity of these diseases.
As with all model systems, it is difficult to know for certain whether
our results reflect the mechanism of disease in vivo. The
myelinating Schwann cells that are affected by Cx32 mutations have a
phenotype and architecture that are different from PC12J cells and a
more complex pattern of expression of plasma membrane proteins.
Analysis of mutant Cx32 in in vivo models, such as
transgenic and knock-out mice, will shed light on these issues and help
to define further the normal role of gap junctions in peripheral nerve.
FOOTNOTES
Received May 8, 1997; revised Sept. 2, 1997; accepted Sept. 10, 1997.
This study was supported by grants from the Muscular Dystrophy
Association and National Institutes of Health Grant NS08075. We thank
Dr. David Spray for the gift of PC12J cells, Dr. Neva Haites for
genomic DNA from CMTX patients, Dr. Phillip Chance for clinical
information from the CMTX family with the E186K mutation, Drs. Roberto
Bruzzone and David Paul for Cx32 clones, and Drs. Elliot Hertzberg,
David Paul, Norton Gilula, Nicholas Gonatas, and Marilyn Farquhar for
antibodies. We are grateful to Tracey Oliver, Melissa Davey, Susan
Shumas, and Melanie Hartman for technical assistance and to Linda Jo
Bone and Drs. Cecilia Lo and David Spray for helpful discussion.
Correspondence should be addressed to Dr. Kenneth H. Fischbeck,
Department of Neurology, University of Pennsylvania Medical Center, 415 Curie Boulevard, CRB 247, Philadelphia, PA 19104.
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P. E.M. Martin and W.H. Evans
Incorporation of connexins into plasma membranes and gap junctions
Cardiovasc Res,
May 1, 2004;
62(2):
378 - 387.
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M. L. Z. Dagli, H. Yamasaki, V. Krutovskikh, and Y. Omori
Delayed liver regeneration and increased susceptibility to chemical hepatocarcinogenesis in transgenic mice expressing a dominant-negative mutant of connexin32 only in the liver
Carcinogenesis,
April 1, 2004;
25(4):
483 - 492.
[Abstract]
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F. Yan, C.-W. Lin, E. Weisiger, E. A. Cartier, G. Taschenberger, and S.-L. Shyng
Sulfonylureas Correct Trafficking Defects of ATP-sensitive Potassium Channels Caused by Mutations in the Sulfonylurea Receptor
J. Biol. Chem.,
March 19, 2004;
279(12):
11096 - 11105.
[Abstract]
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J. C. SAEZ, V. M. BERTHOUD, M. C. BRANES, A. D. MARTINEZ, and E. C. BEYER
Plasma Membrane Channels Formed by Connexins: Their Regulation and Functions
Physiol Rev,
October 1, 2003;
83(4):
1359 - 1400.
[Abstract]
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E. S. Trombetta
The contribution of N-glycans and their processing in the endoplasmic reticulum to glycoprotein biosynthesis
Glycobiology,
September 1, 2003;
13(9):
77R - 91R.
[Abstract]
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V. Lagree, K. Brunschwig, P. Lopez, N. B. Gilula, G. Richard, and M. M. Falk
Specific amino-acid residues in the N-terminus and TM3 implicated in channel function and oligomerization compatibility of connexin43
J. Cell Sci.,
August 1, 2003;
116(15):
3189 - 3201.
[Abstract]
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G. Olbina and W. Eckhart
Mutations in the Second Extracellular Region of Connexin 43 Prevent Localization to the Plasma Membrane, but Do Not Affect Its Ability to Suppress Cell Growth
Mol. Cancer Res.,
July 1, 2003;
1(9):
690 - 700.
[Abstract]
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A. E. Runker, U. Bartsch, K.-A. Nave, and M. Schachner
The C264Y Missense Mutation in the Extracellular Domain of L1 Impairs Protein Trafficking In Vitro and In Vivo
J. Neurosci.,
January 1, 2003;
23(1):
277 - 286.
[Abstract]
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R. Govindarajan, S. Zhao, X.-H. Song, R.-J. Guo, M. Wheelock, K. R. Johnson, and P. P. Mehta
Impaired Trafficking of Connexins in Androgen-independent Human Prostate Cancer Cell Lines and Its Mitigation by alpha -Catenin
J. Biol. Chem.,
December 13, 2002;
277(51):
50087 - 50097.
[Abstract]
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W.-L. Di, J. Monypenny, J. E.A. Common, C. T.C. Kennedy, K. A. Holland, I. M. Leigh, E. L. Rugg, D. Zicha, and D. P. Kelsell
Defective trafficking and cell death is characteristic of skin disease-associated connexin 31 mutations
Hum. Mol. Genet.,
August 15, 2002;
11(17):
2005 - 2014.
[Abstract]
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C. K. Abrams, M. V. L. Bennett, V. K. Verselis, and T. A. Bargiello
Voltage opens unopposed gap junction hemichannels formed by a connexin 32 mutant associated with X-linked Charcot-Marie-Tooth disease
PNAS,
March 19, 2002;
99(6):
3980 - 3984.
[Abstract]
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E. De Angelis, A. Watkins, M. Schafer, T. Brummendorf, S. Kenwrick, Y. Sakaki, and T. Ikemura
Disease-associated mutations in L1 CAM interfere with ligand interactions and cell-surface expression
Hum. Mol. Genet.,
January 1, 2002;
11(1):
1 - 12.
[Abstract]
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X. Z. Liu, X. J. Xia, J. Adams, Z. Y. Chen, K. O. Welch, M. Tekin, X. M. Ouyang, A. Kristiansen, A. Pandya, T. Balkany, et al.
Mutations in GJA1 (connexin 43) are associated with non-syndromic autosomal recessive deafness
Hum. Mol. Genet.,
December 1, 2001;
10(25):
2945 - 2951.
[Abstract]
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P. E. M. Martin, G. Blundell, S. Ahmad, R. J. Errington, and W. H. Evans
Multiple pathways in the trafficking and assembly of connexin 26, 32 and 43 into gap junction intercellular communication channels
J. Cell Sci.,
January 11, 2001;
114(21):
3845 - 3855.
[Abstract]
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F. Rouan, T. W. White, N. Brown, A. M. Taylor, T. W. Lucke, D. L. Paul, C. S. Munro, J. Uitto, M. B. Hodgins, and G. Richard
trans-dominant inhibition of connexin-43 by mutant connexin-26: implications for dominant connexin disorders affecting epidermal differentiation
J. Cell Sci.,
January 6, 2001;
114(11):
2105 - 2113.
[Abstract]
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J. D. Pal, X. Liu, D. Mackay, A. Shiels, V. M. Berthoud, E. C. Beyer, and L. Ebihara
Connexin46 mutations linked to congenital cataract show loss of gap junction channel function
Am J Physiol Cell Physiol,
September 1, 2000;
279(3):
C596 - C602.
[Abstract]
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J. K. VanSlyke, S. M. Deschenes, and L. S. Musil
Intracellular Transport, Assembly, and Degradation of Wild-Type and Disease-linked Mutant Gap Junction Proteins
Mol. Biol. Cell,
June 1, 2000;
11(6):
1933 - 1946.
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C. Castro, J. M. Gomez-Hernandez, K. Silander, and L. C. Barrio
Altered Formation of Hemichannels and Gap Junction Channels Caused by C-Terminal Connexin-32 Mutations
J. Neurosci.,
May 15, 1999;
19(10):
3752 - 3760.
[Abstract]
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C. Ressot, D. Gomes, A. Dautigny, D. Pham-Dinh, and R. Bruzzone
Connexin32 Mutations Associated with X-Linked Charcot-Marie-Tooth Disease Show Two Distinct Behaviors: Loss of Function and Altered Gating Properties
J. Neurosci.,
June 1, 1998;
18(11):
4063 - 4075.
[Abstract]
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L. S. Musil, A.-C. N. Le, J. K. VanSlyke, and L. M. Roberts
Regulation of Connexin Degradation as a Mechanism to Increase Gap Junction Assembly and Function
J. Biol. Chem.,
August 11, 2000;
275(33):
25207 - 25215.
[Abstract]
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