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1.
Elife ; 92020 03 31.
Article in English | MEDLINE | ID: mdl-32228861

ABSTRACT

Enzyme instability is an important limitation for the investigation and application of enzymes. Therefore, methods to rapidly and effectively improve enzyme stability are highly appealing. In this study we applied a computational method (FRESCO) to guide the engineering of an alcohol dehydrogenase. Of the 177 selected mutations, 25 mutations brought about a significant increase in apparent melting temperature (ΔTm ≥ +3 °C). By combining mutations, a 10-fold mutant was generated with a Tm of 94 °C (+51 °C relative to wild type), almost reaching water's boiling point, and the highest increase with FRESCO to date. The 10-fold mutant's structure was elucidated, which enabled the identification of an activity-impairing mutation. After reverting this mutation, the enzyme showed no loss in activity compared to wild type, while displaying a Tm of 88 °C (+45 °C relative to wild type). This work demonstrates the value of enzyme stabilization through computational library design.


Subject(s)
Alcohol Dehydrogenase/chemistry , Escherichia coli/genetics , Mutation , Protein Engineering/methods , Transition Temperature , Alcohol Dehydrogenase/genetics , Computers, Molecular , Crystallization , Enzyme Stability , Gene Library , Kinetics , Protein Conformation , Saccharomycetales/enzymology
2.
Redox Biol ; 32: 101466, 2020 05.
Article in English | MEDLINE | ID: mdl-32105983

ABSTRACT

NADPH-oxidases (NOXs) purposefully produce reactive-oxygen-species (ROS) and are found in most kingdoms of life. The seven human NOXs are each characterized by a specific expression profile and a fine regulation to spatio-temporally tune ROS concentration in cells and tissues. One of the best known roles for NOXs is in host protection against pathogens but ROS themselves are important second messengers involved in tissue regeneration and the modulation of pathways that induce and sustain cell proliferation. As such, NOXs are attractive pharmacological targets in immunomodulation, fibrosis and cancer. We have studied an extensive number of available NOX inhibitors, with the specific aim to identify bona fide ligands versus ROS-scavenging molecules. Accordingly, we have established a comprehensive platform of biochemical and biophysical assays. Most of the investigated small molecules revealed ROS-scavenging and/or assay-interfering properties to various degrees. A few compounds, however, were also demonstrated to directly engage one or more NOX enzymes. Diphenylene iodonium was found to react with the NOXs' flavin and heme prosthetic groups to form stable adducts. We also discovered that two compounds, VAS2870 and VAS3947, inhibit NOXs through the covalent alkylation of a cysteine residue. Importantly, the amino acid involved in covalent binding was found to reside in the dehydrogenase domain, where the nicotinamide ring of NADPH is bound. This work can serve as a springboard to guide further development of bona fide ligands with either agonistic or antagonistic properties toward NOXs.


Subject(s)
NADPH Oxidases , Cell Proliferation , Humans , NADP , NADPH Oxidases/metabolism , Oxidation-Reduction , Reactive Oxygen Species
3.
Chembiochem ; 20(13): 1653-1658, 2019 07 01.
Article in English | MEDLINE | ID: mdl-30811825

ABSTRACT

With the aim of applying redox-neutral cascade reactions in organic media, fusions of a type II flavin-containing monooxygenase (FMO-E) and horse liver alcohol dehydrogenase (HLADH) were designed. The enzyme orientation and expression vector were found to influence the overall fusion enzyme activity. The resulting bifunctional enzyme retained the catalytic properties of both individual enzymes. The lyophilized cell-free extract containing the bifunctional enzyme was applied for the convergent cascade reaction consisting of cyclobutanone and butane-1,4-diol in different microaqueous media with only 5 % (v/v) aqueous buffer without any addition of external cofactor. Methyl tert-butyl ether and cyclopentyl methyl ether were found to be the best organic media for the synthesis of γ-butyrolactone, resulting in about 27 % analytical yield.


Subject(s)
Alcohol Dehydrogenase/chemistry , Mixed Function Oxygenases/chemistry , Multifunctional Enzymes/chemistry , Recombinant Fusion Proteins/chemistry , 4-Butyrolactone/chemical synthesis , Alcohol Dehydrogenase/genetics , Alcohol Dehydrogenase/isolation & purification , Animals , Escherichia coli/genetics , Freeze Drying , Horses , Kinetics , Methyl Ethers/chemistry , Mixed Function Oxygenases/genetics , Mixed Function Oxygenases/isolation & purification , Multifunctional Enzymes/genetics , Multifunctional Enzymes/isolation & purification , Protein Engineering , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/isolation & purification , Rhodococcus/enzymology , Solvents/chemistry
4.
Chembiochem ; 20(1): 20-28, 2019 01 02.
Article in English | MEDLINE | ID: mdl-30178909

ABSTRACT

One approach to bringing enzymes together for multienzyme biocatalysis is genetic fusion. This enables the production of multifunctional enzymes that can be used for whole-cell biotransformations or for in vitro (cascade) reactions. In some cases and in some aspects, such as expression and conversions, the fused enzymes outperform a combination of the individual enzymes. In contrast, some enzyme fusions are greatly compromised in activity and/or expression. In this Minireview, we give an overview of studies on fusions between two or more enzymes that were used for biocatalytic applications, with a focus on oxidative enzymes. Typically, the enzymes are paired to facilitate cofactor recycling or cosubstrate supply. In addition, different linker designs are briefly discussed. Although enzyme fusion is a promising tool for some biocatalytic applications, future studies could benefit from integrating the findings of previous studies in order to improve reliability and effectiveness.


Subject(s)
Multifunctional Enzymes/chemistry , Oxidoreductases/chemistry , Recombinant Fusion Proteins/chemistry , Bacteria/enzymology , Bacterial Proteins/chemistry , Bacterial Proteins/genetics , Biocatalysis , Multifunctional Enzymes/genetics , Oxidoreductases/genetics , Protein Engineering , Recombinant Fusion Proteins/genetics
5.
Chembiochem ; 20(1): 51-56, 2019 01 02.
Article in English | MEDLINE | ID: mdl-30184296

ABSTRACT

To expand the arsenal of industrially applicable oxidative enzymes, fusions of alcohol dehydrogenases with an NADPH-oxidase were designed. Three different alcohol dehydrogenases (LbADH, TbADH, ADHA) were expressed with a thermostable NADPH-oxidase fusion partner (PAMO C65D) and purified. The resulting bifunctional biocatalysts retained the catalytic properties of the individual enzymes, and acted essentially like alcohol oxidases: transforming alcohols to ketones by using dioxygen as mild oxidant, while merely requiring a catalytic amount of NADP+ . In small-scale reactions, the purified fusion enzymes show good performances, with 69-99 % conversion, 99 % ee with a racemic substrate, and high cofactor and enzyme total turnover numbers. As the fusion enzymes essentially act as oxidases, we found that commonly used high-throughput oxidase-activity screening methods can be used. Therefore, if needed, the fusion enzymes could be easily engineered to tune their properties.


Subject(s)
Alcohol Dehydrogenase/chemistry , Alcohol Oxidoreductases/chemistry , Multifunctional Enzymes/chemistry , NADPH Oxidases/chemistry , Recombinant Fusion Proteins/chemistry , Alcohol Dehydrogenase/genetics , Animals , Armoracia/enzymology , Benzyl Alcohols/chemistry , Biocatalysis , Cattle , Cyclohexanols/chemistry , Escherichia coli/genetics , Levilactobacillus brevis/enzymology , Micrococcus/enzymology , Multifunctional Enzymes/genetics , NADPH Oxidases/genetics , Oxidation-Reduction , Protein Engineering , Recombinant Fusion Proteins/genetics , Thermoanaerobacter/enzymology
6.
Appl Microbiol Biotechnol ; 101(20): 7557-7565, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28916997

ABSTRACT

The combination of redox enzymes for redox-neutral cascade reactions has received increasing appreciation. An example is the combination of an alcohol dehydrogenase (ADH) with a cyclohexanone monooxygenase (CHMO). The ADH can use NADP+ to oxidize cyclohexanol to form cyclohexanone and NADPH. Both products are then used by CHMO to produce ε-caprolactone. In this study, these two redox-complementary enzymes were fused, to create a self-sufficient bifunctional enzyme that can convert alcohols to esters or lactones. Three different ADH genes were fused to a gene coding for a thermostable CHMO, in both orientations (ADH-CHMO and CHMO-ADH). All six fusion enzymes could be produced and purified. For two of the three ADHs, we found a clear difference between the two orientations: one that showed the expected ADH activity, and one that showed low to no activity. The ADH activity of each fusion enzyme correlated with its oligomerization state. All fusions retained CHMO activity, and stability was hardly affected. The TbADH-TmCHMO fusion was selected to perform a cascade reaction, producing ε-caprolactone from cyclohexanol. By circumventing substrate and product inhibition, a > 99% conversion of 200 mM cyclohexanol could be achieved in 24 h, with > 13,000 turnovers per fusion enzyme molecule.


Subject(s)
Alcohol Dehydrogenase/metabolism , Alcohols/metabolism , Lactones/metabolism , Oxygenases/metabolism , Recombinant Fusion Proteins/metabolism , Alcohol Dehydrogenase/genetics , Caproates/metabolism , Cyclohexanols/metabolism , Cyclohexanones/metabolism , NADP/metabolism , Oxidation-Reduction , Oxygenases/genetics , Recombinant Fusion Proteins/genetics
7.
J Thromb Haemost ; 8(3): 463-71, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20002542

ABSTRACT

BACKGROUND: Apolipopoprotein C-III (apo C-III) plays a pivotal role in controlling plasma triglyceride (TG) and contributes to the atherogenic properties of TG-rich lipoproteins. OBJECTIVES: (i) To examine the predictive value of serum apo C-III for cardiovascular mortality in the setting of secondary prevention of coronary artery disease (CAD); and (ii) to evaluate possible associations between apolipoprotein levels and the thrombin generation assay, a global test to estimate plasma thrombogenic potential. METHODS AND RESULTS: A cohort of 633 patients with angiographically proven CAD was prospectively followed for a median follow-up of 57 months. The large majority of them (92%) underwent coronary (endovascular or surgical) revascularization. During the follow-up, 91 (14.3%) out of 633 patients died, with 64 events (10.1%) attributed to cardiovascular causes. After adjustment for all the other predictors of mortality during univariate analysis (i.e. age, statin therapy, myocardial infarction history, diabetes, hs-CRP and creatinine), elevated apo C-III levels (> or = 10.5 mg dL(-1)- the median value) significantly predicted both total and cardiovascular mortality (HR for total mortality 2.22 with 95% CI 1.16-4.24; HR for cardiovascular mortality 2.35 with 95% CI 1.19-4.62). In a subgroup of 225 subjects, apo C-III levels were significantly associated with endogenous thrombin potential in regression models (standardized beta coefficient = 0.207, P = 0.002). CONCLUSIONS: Basal concentrations of apo C-III levels > or = 10.5 mg dL(-1) in CAD patients independently predicted cardiovascular mortality during the subsequent 5-year period. Such concentrations were associated with an enhanced plasma endogenous thrombin generation, suggesting a complex interplay between TG-rich particles and the coagulation cascade as well as a new 'thrombogenetic' role for apo C-III.


Subject(s)
Apolipoprotein C-III/blood , Cardiovascular Diseases/blood , Cardiovascular Diseases/mortality , Coronary Artery Disease/blood , Coronary Artery Disease/mortality , Thrombin/metabolism , Aged , Angioplasty, Balloon, Coronary , Biomarkers/blood , Blood Coagulation Tests , Cardiovascular Diseases/etiology , Chi-Square Distribution , Coronary Angiography , Coronary Artery Bypass , Coronary Artery Disease/complications , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/therapy , Female , Humans , Kaplan-Meier Estimate , Male , Middle Aged , Proportional Hazards Models , Prospective Studies , Risk Assessment , Risk Factors , Secondary Prevention , Severity of Illness Index , Time Factors , Treatment Outcome , Up-Regulation
9.
Clin Exp Med ; 7(4): 164-72, 2007 Dec.
Article in English | MEDLINE | ID: mdl-18188530

ABSTRACT

Triglyceride-rich lipoproteins contain both apolipoproteins E (ApoE) and C-III (ApoC-III), which show opposite functional properties. The relationships between the ApoE (epsilon2/epsilon3/epsilon4) gene polymorphism and ApoC-III/ApoE ratio has never been investigated. A large population (n=552) of cardiovascular patients, without diabetes and/or lipid-lowering therapy, with or without metabolic syndrome (MetSyn), was genotyped for epsilon2/epsilon3/epsilon4 polymorphism and their ApoCIII/ApoE ratio was evaluated. A second group of patients (n=76) with peripheral artery disease was also genotyped and their ApoC-III/ApoE ratios were measured in HDL and non-HDL fractions. Subjects with E2 had higher and E4 carriers lower TG,ApoE and ApoC-III levels, respectively. The ApoCIII/ ApoE ratio showed an opposite trend, gradually increasing from E2/E2 to E4/E4 subjects. MetSyn patients also had an elevated ApoC-III/ApoE ratio and E4 carriers were more frequent in MetSyn patients (OR 2.08 with a 95%CI 1.22-3.5). The distribution of ApoC-III/ApoE ratio was confirmed also in the second group, with lower values in E2/E3 and higher in E3/E4 subjects. Similar results were obtained for the concentrations measured in non-HDL fractions, but not in the HDL fractions. ApoE epsilon2/epsilon3/epsilon4 gene polymorphism is a determinant of the relative proportion of apolipoprotein C-III to E. Carriers of the unfavourable E4 allele present the highest ApoCIII/ApoE ratio and are twofold more frequent among individuals affected by MetSyn.


Subject(s)
Apolipoprotein C-III/blood , Apolipoprotein E2/genetics , Apolipoprotein E3/genetics , Apolipoproteins E/blood , Metabolic Syndrome/genetics , Polymorphism, Genetic , Adult , Aged , Female , Humans , Male , Metabolic Syndrome/blood , Middle Aged
10.
Eur J Clin Invest ; 36(10): 698-704, 2006 Oct.
Article in English | MEDLINE | ID: mdl-16968465

ABSTRACT

BACKGROUND: To establish whether the frequent finding of a moderate-intermediate increase in plasma total homocysteine (tHcy) causes coronary artery disease (CAD), the authors evaluated the number of coexisting major traditional risk factors, as well as the major tHcy determinants, in patients with the same degree of CAD but different tHcy levels. MATERIALS AND METHODS: The authors studied 180 patients with CAD, who were divided into three groups according to tHcy levels: 60 patients with normal tHcy, 60 patients with moderate (15-30 micromol L(-1)) and 60 patients with intermediate hyperhomocysteinaemia (30-100 micromol L(-1)). The patient groups were matched for gender, age and number of affected coronary vessels. All patients were checked for the presence of traditional risk factors for CAD (i.e. hypertension, diabetes, hyperlipidaemia, smoking habit, familial history, obesity), as well as determinants of tHcy levels. The population was subdivided into those having, or not, a substantial burden of traditional risk factors (i.e. < 4 and > or = 4, respectively). RESULTS: There was a significant trend towards a reduced number of subjects within the group with > or = 4 risk factors across increasing tHcy levels (51.7%, 37.8%, 26%, for normal, moderate, intermediate tHcy, respectively, chi2 for linear-trend = 0.006). Folate and vitamin B12 concentrations, estimated glomerular filtration rate (GFR), MTHFR 677C > T polymorphism were the major determinants of tHcy in this population. CONCLUSIONS: In patients with the same degree of CAD, those with hyperhomocysteinaemia had a reduced burden of traditional risk factors as compared with those with normal tHcy levels. Hyperhomocysteinaemia was significantly associated with an emerging non-traditional risk factor such as lower GFR.


Subject(s)
Coronary Artery Disease/blood , Homocysteine/blood , Aged , Coronary Artery Disease/physiopathology , Diabetes Mellitus/blood , Diabetes Mellitus/epidemiology , Female , Glomerular Filtration Rate , Humans , Hyperhomocysteinemia/blood , Hyperlipidemias/blood , Hyperlipidemias/epidemiology , Hypertension/blood , Hypertension/epidemiology , Male , Methylenetetrahydrofolate Reductase (NADPH2)/genetics , Middle Aged , Obesity/blood , Obesity/epidemiology , Polymorphism, Genetic , Risk Factors , Vitamin B Complex/blood
11.
Clin Exp Med ; 5(1): 20-30, 2005 May.
Article in English | MEDLINE | ID: mdl-15928879

ABSTRACT

The enzyme serum paraoxonase plays an important role in antioxidant defences and prevention of atherosclerosis. Metabolic syndrome (MS) is a clinical condition associated with increased oxidant stress and cardiovascular mortality. Two common polymorphisms of serum paraoxonase, PON1 Leu(55)Met and Gln(192)Arg, have been postulated to modulate the cardiovascular risk. We studied 915 subjects with angiographic documentation: 642 subjects with coronary atherosclerosis and 273 with normal coronary arteries. Two hundred and twenty-four subjects met the diagnostic criteria of MS. We found a significant interaction between MS and both the PON1 polymorphisms in determining the risk of coronary artery disease (P<0.05 by likelihood-ratio test). The 55Leu and the 192Arg alleles, associated with reduced protection against lipid peroxidation, were associated with coronary artery disease only in the MS subgroup. Subjects with MS and both 55Leu and 192Arg alleles had significantly increased risk (OR=9.38 with 95% CI=3.02-29.13 after adjustment by multiple logistic regression) as compared to subjects without MS and with 55Met/Met-192Gln/Gln genotype. No increased risk was found for subjects with MS and the 55Met/Met-192Gln/Gln genotype. This study highlights a potential example of genetic (paraoxonase polymorphisms)-clinical (MS) interaction influencing cardiovascular risk.


Subject(s)
Aryldialkylphosphatase/genetics , Coronary Artery Disease/genetics , Metabolic Syndrome/genetics , Polymorphism, Genetic , Aged , Coronary Artery Disease/complications , Coronary Artery Disease/enzymology , Female , Humans , Male , Metabolic Syndrome/complications , Metabolic Syndrome/enzymology , Middle Aged , Risk Factors
12.
Eur J Clin Invest ; 34(1): 14-20, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14984433

ABSTRACT

BACKGROUND: Increased oxidative stress is thought to play a role in the pathogenesis of the atherothrombotic process. Paraoxonases (PONs) are closely related antioxidant enzymes encoded by clustered genes on chromosome 7q. We evaluated three PON polymorphisms (PON1 Leu55Met and Gln192Arg; PON2 Ser311Cys) as possible risk factors for coronary atherosclerotic disease (CAD) and/or its main thrombotic complication, myocardial infarction (MI). MATERIALS AND METHODS: We studied 890 subjects with angiographic documentation of coronary vessels (272=CAD-free; 618=CAD). In the CAD group, 341 subjects had a previous MI. RESULTS: Frequencies of various genotypes were not significantly different between CAD-free subjects and the entire CAD population. In the latter group, there were more carriers of the PON2 311Cys variation among those who had suffered a MI than among those who had not (P<0.01 by chi2). The adjusted OR for MI among PON2 311Cys carriers was 1.5 (95%CI, 1.03-2.19). A gene-environmental interaction was found between PON2 Ser311Cys and smoking. Smoking by itself was associated with an increased MI risk. Among smokers, however, the MI risk was related to PON2 genotype: Cys/Cys homozygotes (OR=5.3; 95%CI, 1.7-16.4) and Ser/Cys heterozygotes (OR=2.1; 95%CI, 1.3-3.6) were at greater risk than Ser/Ser subjects (OR=1.2; 95%CI, 0.8-1.8). The PON2 polymorphism did not influence the MI risk among nonsmokers. CONCLUSIONS: In CAD subjects, a proportion of the risk of MI may be influenced by the interaction between smoking and a polymorphism in the antioxidant enzyme PON2.


Subject(s)
Aryldialkylphosphatase/genetics , Myocardial Infarction/genetics , Polymorphism, Genetic/genetics , Smoking/adverse effects , Coronary Artery Disease/blood , Coronary Artery Disease/enzymology , Coronary Artery Disease/genetics , Female , Genotype , Humans , Male , Malondialdehyde/blood , Middle Aged , Myocardial Infarction/blood , Myocardial Infarction/enzymology , Oxidative Stress/physiology , Risk Factors , Smoking/genetics
13.
Clin Exp Med ; 2(1): 7-12, 2002 May.
Article in English | MEDLINE | ID: mdl-12049191

ABSTRACT

5, 10-Methylenetetrahydrofolate reductase (MTHFR) is a crucial enzyme in homocysteine/methionine metabolism. The most-studied C677T polymorphism in the MTHFR gene results in a thermolabile variant with reduced activity, and is associated with increased levels of total plasma homocysteine, a risk factor for coronary artery disease. A new mutation in the MTHFR gene (A1298C) has also been reported to lower enzyme activity. Whether A1298C is a risk factor for coronary artery disease, separately or in combination with C677T, and/or relative to total plasma homocysteine and folate status, is unclear to date. We evaluated this hypothesis in 470 angiographically characterized subjects, 302 with coronary artery disease, and 168 with normal coronary arteries. The frequency of the 1298C allele was 0.33 and that of combined heterozygosity 0.315. No difference was found in the frequency of the genotypes or when analyzed for combined heterozygosity between patients with coronary artery disease and normals. Independent of folate status, the 1298C allele was not associated with increased total plasma homocysteine. No additional effect of A1298C on total plasma homocysteine was observed in 148 combined heterozygotes compared with 98 heterozygotes for the C677T alone. These findings do not support a major role for the A1298C mutation in homocysteine metabolism and emphasize the hypothesis that MTHFR genotypes may interfere with coronary artery disease risk only when an unbalanced nutritional status leads to raised total plasma homocysteine levels.


Subject(s)
Coronary Artery Disease/enzymology , Folic Acid/blood , Homocysteine/blood , Oxidoreductases Acting on CH-NH Group Donors/genetics , Polymorphism, Genetic , Aged , Coronary Artery Disease/blood , Coronary Artery Disease/genetics , Female , Gene Frequency , Humans , Italy , Male , Methylenetetrahydrofolate Reductase (NADPH2) , Middle Aged , Oxidoreductases Acting on CH-NH Group Donors/metabolism , Risk Factors
15.
Circulation ; 103(23): 2788-91, 2001 Jun 12.
Article in English | MEDLINE | ID: mdl-11401933

ABSTRACT

BACKGROUND: Lower vitamin B(6) concentrations are reported to confer an increased and independent risk for cardiovascular disease (CVD). The mechanism underlying this relationship, however, remains to be defined. Other diseases, such as rheumatoid arthritis, are associated with reduced vitamin B(6) levels. Despite a clear distinction in pathophysiology, inflammatory reaction may be the major link between these diseases. We hypothesized a relationship between pyridoxal 5'-phosphate (PLP), the active form of vitamin B(6), and the marker of inflammation C-reactive protein (CRP). We also evaluated whether total plasma homocysteine (tHcy), a well-defined risk factor for CVD and a major determinant of plasma PLP levels, had a possible role as a mediator of this hypothesized relationship. METHODS AND RESULTS: Data from 891 participants from the population-based Framingham Heart Study cohort were analyzed. Subjects were divided into 2 groups according to normal or elevated CRP values: group 1, CRP <6 mg/L; group 2, CRP >/=6 mg/L. Plasma PLP levels were substantially lower in group 2 than in group 1 (mean values in group 2, 36.5 nmol/L versus 55.8 nmol/L in group 1, P<0.001). In a multiple logistic regression model adjusted for tHcy, the association of PLP with CRP remained highly significant (P=0.003). CONCLUSIONS: Low plasma PLP is associated with higher CRP levels independently of tHcy. This observation may reflect a vitamin B(6) utilization in the presence of an underlying inflammatory process and represent a possible mechanism to explain the decreased vitamin B(6) levels in CVD.


Subject(s)
C-Reactive Protein/metabolism , Homocysteine/blood , Inflammation/blood , Pyridoxine/blood , Aged , Aged, 80 and over , Cohort Studies , Creatinine/blood , Diet , Female , Folic Acid , Humans , Inflammation/epidemiology , Logistic Models , Male , Massachusetts/epidemiology , Pyridoxal Phosphate/blood , Risk Factors , Serum Albumin/metabolism , Vitamin B 12/blood
16.
Clin Exp Med ; 1(4): 211-8, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11918280

ABSTRACT

Hyperhomocysteinemia is an independent risk factor for vascular disease, frequently observed in patients with severe renal impairment. Hyperhomocysteinemia has never been considered as a possible risk factor in renal artery stenosis. We investigated plasma folate and vitamin B12, methylenetetrahydrofolate reductase (MTHFR) C677T and cystathionine beta-synthase (CBS) 844ins68 polymorphisms, and homocysteine levels before and after methionine (100 mg/kg) loading in 58 patients with angiographically documented renal artery stenosis and mildly impaired renal function. One hundred and two normotensive subjects with angiographically normal coronary arteries and no history or clinical or angiographic evidence of atherosclerosis in other vascular districts, were considered as a control group. Mean total homocysteine levels were significantly higher in patients than in controls (P<0.01), as was the prevalence of hyperhomocysteinemia (51.7% vs. 32.3%, P<0.05). However, MTHFR alleles and genotypes as well as CBS 844ins68 mutation frequencies were similar in the two groups, whereas a lower folate level was observed in the patients. Moreover, patients with MTHFR A/A genotype showed a poorer folate status than control subjects, suggesting that a subclinical folate deficiency may be very frequent in renal artery stenosis, regardless of C677T mutation. In conclusions, hyperhomocysteinemia is common in patients with atheromatous renal artery stenosis; a subclinical folate deficiency seems to be involved, regardless of MTHFR thermolabile or CBS insertion genotypes. Folate supplementation might be useful in the management of overall vascular risk of these patients.


Subject(s)
Arteriosclerosis/blood , Arteriosclerosis/complications , Homocysteine/blood , Renal Artery Obstruction/blood , Renal Artery Obstruction/complications , Aged , Alleles , Arteriosclerosis/genetics , Case-Control Studies , Cystathionine beta-Synthase/genetics , Female , Folic Acid/blood , Genotype , Humans , Hyperhomocysteinemia/complications , Male , Methylenetetrahydrofolate Reductase (NADPH2) , Middle Aged , Oxidoreductases Acting on CH-NH Group Donors/genetics , Polymorphism, Genetic , Renal Artery Obstruction/genetics , Risk Factors , Vitamin B 12/blood
17.
N Engl J Med ; 343(11): 774-80, 2000 Sep 14.
Article in English | MEDLINE | ID: mdl-10984565

ABSTRACT

BACKGROUND: High plasma levels of coagulation factor VII have been suggested to be predictors of death due to coronary artery disease. Since polymorphisms in the factor VII gene contribute to variations in factor VII levels, such polymorphisms may be associated with the risk of myocardial infarction, which is precipitated by thrombosis. METHODS: We studied a total of 444 patients, 311 of whom had severe, angiographically documented coronary atherosclerosis. Of these 311 patients, 175 had documentation of a previous myocardial infarction. As a control group, 133 patients with normal coronary arteriograms were also included. We measured the levels of activated factor VII and assessed three polymorphisms in the factor VII gene, one involving the promoter (A1 and A2 alleles), one involving the catalytic region (R353Q), and one involving intron 7. RESULTS: Each of the polymorphisms influenced factor VII levels. Patients with the A2A2 and QQ genotypes had the lowest levels of activated factor VII (66 percent and 72 percent lower, respectively, than the levels in patients with the wild-type genotypes). The frequencies of the various genotypes in the patients free of coronary artery disease were similar to those in the entire population of patients with coronary artery disease. In the latter group, there were significantly more heterozygotes and homozygotes for the A2 and Q alleles among those who had not had a myocardial infarction than among those who had had an infarction (P=0.008 for the presence of the promoter polymorphism and P=0.01 for the presence of the R353Q polymorphism by chi-square analysis). The adjusted odds ratio for myocardial infarction among the patients with the A1A2 or RQ genotype was 0.47 (95 percent confidence interval, 0.27 to 0.81). CONCLUSIONS: Our findings suggest that certain factor VII genotypes have a role in protection against myocardial infarction. This may explain why some patients do not have myocardial infarction despite the presence of severe coronary atherosclerosis.


Subject(s)
Coronary Artery Disease/blood , Factor VII/genetics , Myocardial Infarction/genetics , Polymorphism, Genetic , Case-Control Studies , Coronary Angiography , Coronary Artery Disease/classification , Coronary Artery Disease/complications , Coronary Artery Disease/genetics , DNA Mutational Analysis , Factor VII/analysis , Female , Gene Frequency , Genetic Markers , Genotype , Humans , Male , Middle Aged , Myocardial Infarction/blood , Myocardial Infarction/etiology , Risk Factors , Severity of Illness Index
19.
Thromb Haemost ; 83(3): 362-5, 2000 Mar.
Article in English | MEDLINE | ID: mdl-10744138

ABSTRACT

Molecular genetics and biochemical studies were performed in homozygotes for the R2 allele (4070G) in the factor V gene, most of them affected by coronary artery disease. Novel polymorphisms (G642T, 156Ser; T1328C, 385Met/Thr), among which a functional candidate (A6755G, 2194Asp/Gly) located in the C2 domain of FV, were identified in the R2 gene. In chromatographic studies R2 FV appeared qualitatively identical to normal FV. However, a relative increase of the more thrombogenic and more glycosylated FV isoform (FV1) was observed in plasma of 2194Gly homozygotes (mean FV1/FV2 ratio 0.71, 95% CI 0.66-0.77) as compared to R2-free controls (0.37, 95% CI 0.34-0.40). We conclude that carriership of the R2 FV gene is associated with an imbalance between the two functionally different FV isoforms, and propose that genetically determined differential glycosylation of FV could represent a novel mechanism of thrombotic disease.


Subject(s)
Factor V/genetics , Mutation , Aged , Alleles , Base Sequence , Case-Control Studies , Coronary Disease/blood , Coronary Disease/genetics , DNA Primers/genetics , Factor V/metabolism , Female , Genotype , Homozygote , Humans , Male , Middle Aged , Phenotype , Polymorphism, Genetic , Protein Isoforms/blood , Protein Isoforms/genetics
20.
Hypertension ; 34(5): 1097-100, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10567188

ABSTRACT

Genes that influence the renin-angiotensin system have been investigated in recent years as potential etiologic candidates of cardiovascular and renal diseases. In atheromatous renal artery stenosis (RAS), a condition characterized by persistent activation of the renin-angiotensin system, the study of these genes may be of particular relevance. We evaluated angiotensin-converting enzyme (ACE) insertion/deletion, angiotensinogen (AGT) M235T, and angiotensin II receptor (ATR) A1166C polymorphisms in relation to the occurrence of RAS. We studied 58 patients with angiographically documented RAS; 102 normotensive subjects with normal coronary arteries and no history or clinical or instrumental evidence of atherosclerosis in other vascular districts were considered the control group. Patients had a significantly higher D allele frequency (0.70 versus 0.55; chi(2) 6.88, P=0.01; odds ratio [OR] 1. 9, 95% CI 1.17 to 3.07) than did the control population; 48.3% of patients were homozygous for DD (chi(2) 6.62, P<0.05; OR 2.04, 95% CI 1.05 to 3.95); and only 8.6% carried the II genotype (OR 0.34, 95% CI 0.19 to 1.47). No significant association was found for AGT M235T and ATR A1166C. Our results suggest a predisposing role for ACE genetic polymorphism in the development and progression of atheromatous RAS.


Subject(s)
Angiotensinogen/genetics , Arteriosclerosis/etiology , Peptidyl-Dipeptidase A/genetics , Polymorphism, Genetic , Receptors, Angiotensin/genetics , Renal Artery Obstruction/etiology , Adult , Aged , Alleles , Female , Genotype , Humans , Male , Middle Aged
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