Analysis of Wilson disease mutations revealed that interactions between different ATP7B mutants modify their properties

• Published in: Scientific reports Vol. 10; no. 1; p. 13487
• Main Authors: Roy, Shubhrajit, McCann, Courtney J, Ralle, Martina, Ray, Kunal, Ray, Jharna, Lutsenko, Svetlana, Jayakanthan, Samuel
• Format: Journal Article
• Language: English
• Published: England Nature Publishing Group 10.08.2020; Nature Publishing Group UK
• Subjects: Adenosine Triphosphatases - metabolism; Alleles; ATP7B protein; Cation Transport Proteins - genetics; Copper - metabolism; Copper-Transporting ATPases - genetics; Copper-Transporting ATPases - metabolism; Endoplasmic reticulum; Endoplasmic Reticulum - metabolism; Genetic Association Studies; Genotypes; Golgi apparatus; HEK293 Cells; Hepatolenticular Degeneration - genetics; Hereditary diseases; Humans; Localization; Mutants; Mutation; Phenotypes; Protein Transport; trans-Golgi Network - genetics; trans-Golgi Network - metabolism; Wilson's disease
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-020-70366-7

Wilson disease (WD) is an autosomal-recessive disorder caused by mutations in the copper (Cu)-transporter ATP7B. Thus far, studies of WD mutations have been limited to analysis of ATP7B mutants in the homozygous states. However, the majority of WD patients are compound-heterozygous, and how different mutations on two alleles impact ATP7B properties is unclear. We characterized five mutations identified in Indian WD patients, first by expressing each alone and then by co-expressing two mutants with dissimilar properties. Mutations located in the regulatory domains of ATP7B-A595T, S1362A, and S1426I-do not affect ATP7B targeting to the trans-Golgi network (TGN) but reduce its Cu-transport activity. The S1362A mutation also inhibits Cu-dependent trafficking from the TGN. The G1061E and G1101R mutations, which are located within the ATP-binding domain, cause ATP7B retention in the endoplasmic reticulum, inhibit Cu-transport, and lower ATP7B protein abundance. Co-expression of the A595T and G1061E mutations, which mimics the compound-heterozygous state of some WD patients, revealed an interaction between these mutants that altered their intracellular localization and trafficking under both low and high Cu conditions. These findings highlight the need to study WD variants in both the homozygous and compound-heterozygous states to better understand the genotype-phenotype correlations and incomplete penetrance observed in WD.