Calcium Binds to Transthyretin with Low Affinity

The plasma protein transthyretin (TTR), a transporter for thyroid hormones and retinol in plasma and cerebrospinal fluid, is responsible for the second most common type of systemic (ATTR) amyloidosis either in its wild type form or as a result of destabilizing genetic mutations that increase its agg...

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Main Authors: Cristina Cantarutti, Maria Chiara Mimmi, Guglielmo Verona, Walter Mandaliti, Graham W. Taylor, P. Patrizia Mangione, Sofia Giorgetti, Vittorio Bellotti, Alessandra Corazza
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/8/1066
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author Cristina Cantarutti
Maria Chiara Mimmi
Guglielmo Verona
Walter Mandaliti
Graham W. Taylor
P. Patrizia Mangione
Sofia Giorgetti
Vittorio Bellotti
Alessandra Corazza
author_facet Cristina Cantarutti
Maria Chiara Mimmi
Guglielmo Verona
Walter Mandaliti
Graham W. Taylor
P. Patrizia Mangione
Sofia Giorgetti
Vittorio Bellotti
Alessandra Corazza
author_sort Cristina Cantarutti
collection DOAJ
description The plasma protein transthyretin (TTR), a transporter for thyroid hormones and retinol in plasma and cerebrospinal fluid, is responsible for the second most common type of systemic (ATTR) amyloidosis either in its wild type form or as a result of destabilizing genetic mutations that increase its aggregation propensity. The association between free calcium ions (Ca<sup>2+</sup>) and TTR is still debated, although recent work seems to suggest that calcium induces structural destabilization of TTR and promotes its aggregation at non-physiological low pH in vitro. We apply high-resolution NMR spectroscopy to investigate calcium binding to TTR showing the formation of labile interactions, which leave the native structure of TTR substantially unaltered. The effect of calcium binding on TTR-enhanced aggregation is also assessed at physiological pH through the mechano-enzymatic mechanism. Our results indicate that, even if the binding is weak, about 7% of TTR is likely to be Ca<sup>2+</sup>-bound in vivo and therefore more aggregation prone as we have shown that this interaction is able to increase the protein susceptibility to the proteolytic cleavage that leads to aggregation at physiological pH. These events, even if involving a minority of circulating TTR, may be relevant for ATTR, a pathology that takes several decades to develop.
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spelling doaj.art-477b849ef091434591a20259defacbac2023-11-30T23:15:49ZengMDPI AGBiomolecules2218-273X2022-08-01128106610.3390/biom12081066Calcium Binds to Transthyretin with Low AffinityCristina Cantarutti0Maria Chiara Mimmi1Guglielmo Verona2Walter Mandaliti3Graham W. Taylor4P. Patrizia Mangione5Sofia Giorgetti6Vittorio Bellotti7Alessandra Corazza8Department of Medicine, University of Udine, 33100 Udine, ItalyDepartment of Molecular Medicine, Institute of Biochemistry, University of Pavia, 27100 Pavia, ItalyWolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, London NW3 2PF, UKDepartment of Medicine, University of Udine, 33100 Udine, ItalyWolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, London NW3 2PF, UKDepartment of Molecular Medicine, Institute of Biochemistry, University of Pavia, 27100 Pavia, ItalyIstituto Nazionale Biostrutture e Biosistemi, 00136 Rome, ItalyIstituto Nazionale Biostrutture e Biosistemi, 00136 Rome, ItalyDepartment of Medicine, University of Udine, 33100 Udine, ItalyThe plasma protein transthyretin (TTR), a transporter for thyroid hormones and retinol in plasma and cerebrospinal fluid, is responsible for the second most common type of systemic (ATTR) amyloidosis either in its wild type form or as a result of destabilizing genetic mutations that increase its aggregation propensity. The association between free calcium ions (Ca<sup>2+</sup>) and TTR is still debated, although recent work seems to suggest that calcium induces structural destabilization of TTR and promotes its aggregation at non-physiological low pH in vitro. We apply high-resolution NMR spectroscopy to investigate calcium binding to TTR showing the formation of labile interactions, which leave the native structure of TTR substantially unaltered. The effect of calcium binding on TTR-enhanced aggregation is also assessed at physiological pH through the mechano-enzymatic mechanism. Our results indicate that, even if the binding is weak, about 7% of TTR is likely to be Ca<sup>2+</sup>-bound in vivo and therefore more aggregation prone as we have shown that this interaction is able to increase the protein susceptibility to the proteolytic cleavage that leads to aggregation at physiological pH. These events, even if involving a minority of circulating TTR, may be relevant for ATTR, a pathology that takes several decades to develop.https://www.mdpi.com/2218-273X/12/8/1066TTRamyloidosismechano-enzymatic mechanismmicrocalcificationcalcium dysregulation
spellingShingle Cristina Cantarutti
Maria Chiara Mimmi
Guglielmo Verona
Walter Mandaliti
Graham W. Taylor
P. Patrizia Mangione
Sofia Giorgetti
Vittorio Bellotti
Alessandra Corazza
Calcium Binds to Transthyretin with Low Affinity
Biomolecules
TTR
amyloidosis
mechano-enzymatic mechanism
microcalcification
calcium dysregulation
title Calcium Binds to Transthyretin with Low Affinity
title_full Calcium Binds to Transthyretin with Low Affinity
title_fullStr Calcium Binds to Transthyretin with Low Affinity
title_full_unstemmed Calcium Binds to Transthyretin with Low Affinity
title_short Calcium Binds to Transthyretin with Low Affinity
title_sort calcium binds to transthyretin with low affinity
topic TTR
amyloidosis
mechano-enzymatic mechanism
microcalcification
calcium dysregulation
url https://www.mdpi.com/2218-273X/12/8/1066
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