Vol. 90, No. 4, 1979 October 29, 1979

BIOCHEMICAL

MUCOLIPIDOSIS Gideon

Bach,

Marcia

Department

Received

September

TYPE IV:

AND BIOPHYSICAL

GANGLIOSIDE Tamar

Zeigler,

RESEARCH COMMUNICATIONS Pages 1341-1347

SIALIDASE

Schaap

and Gertrude

of Human Genetics, Hadassah-Hebrew Medical Center, Jerusalem, Israel 11,

DEFICIENCY Kohn

University

1979 SUMMARY

A solubilized sialidase is partially deficient in cultured fibroblasts derived from skin biopsies of four mucolipidosis IV patients, Fibroblasts from two obligate heterozygotes also have sialidase activity lower than normal controls, Membrane-bound sialidase activity is not affected in this disease. Based on previous and present findings, we propose that this solubilized activity is probably lysosomal origin. Sialidase activity in mucolipidosis IV cells is normal when neuraminlactose is used as substrate,, Mixing cell homogenates from mucolipidosis IV patients and frcm controls results in the expected combined sialidase activity, indicating the absence of an internal inhibitor in the deficient cells. It is therefore suggested that the mutation in mucolipidosis IV specifically affects a lysosomal ganglioside sialidase, while the remaining non-lysosomal sialidases partially mask this deficiency. Mucolipidosis

type

as an autosomal

recessive

by progressive

As in other

of both

patients disialo-GD3)

for

we present possible

increased

and acid

responsible

this

evidence metabolic

and bilateral

congenital

levels

defect

in ML IV,

sialidase Mucolipidosis Mucolipidosis Mucolipidosis

was observed was assayed IV II I

skin

yet been

transmitted is

cornea1 accumul-

materials

has been

of ML IV patients obtained

(both

resolved.

from ML IV and

defect In this

sialidase

paper

as the

In contrast

to the ganglioside

between

the ML IV and control

neuraminlactose

(1,2,5,6).

monosialo-GM3

metabolic

of a ganglioside

with

characterized

intralysosomal

fibroblasts

The basic

has not

the deficiency

when

organs

of gangliosides

for

fibroblasts

increased

in various

of cultured

accumulation

no difference

4),

and lipid-like

mucopolysaccharides.

deficiency,

Abbreviations:

(i',g)

disease

the disorder

(3,

microscopy

storage

Clinically,

glycoconjugates

analysis

indicated

a lysosomal

(1,2).

mucolipidoses

by electron

chemical

is

retardation

water-soluble

demonstrated Direct

trait

psychomotor

opacities. ation

IV (ML IV)

sialidase

as substrate,

- ML IV - ML II -ML1 0006-291X/79/201341-07$01.00/0 1341

Copyright All rights

@ 1979

by Academic Press, Inc. in any form reserved.

of reproduction

Vol. 90, No. 4, 1979

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

MATERIALSANDMETHODS Cell culture Cultured skin fibroblasts obtained from four ML IV patients, five normal controls and two obli ate heterozygotes (parents of an ML IV patient) were propagated in 75 cmi plastic tissue culture flasks (Falcon) to a density of 5-7 x lo6 cells per flask (1 mg protein) and maintained under Cells were harvested 14 days after conditions previously described (7,8), the last passage. The pH of the mediumaffected the ganglioside sialidase activity, which was barely detectable if the mediumpH was greater than pH 7.4. All comparisons between the ML IV and the control fibroblasts were therefore made in cells grown below pH 7.2. the cells were Sialidase determinations - Following harvest by trypsinization, washed twice with 0.15 M NaCl, resuspended in 0.5 ml of 0.1% Triton X-100 and homogenized by teflon-glass hand homogenizer. The suspension was then sonicated (Braun sonic, 330s sonicator, small prove, B. Braun, Germany) for a total of 30 sec. with 15 sec. bursts and 15 seco cooling period between sonications. The insoluble debris was precipitated by centrifugation at 40,000 g for 30 min. at 4°C and the supernatant was collected and kept at O'C prior to analysis. The precipitate, when used for further analysis, was suspended in 0.5 ml of H20. Ganglioside sialidase was determined using GM3 (Hematoside) as a substrate obtained and purified from a spleen of an adult Gaucher patient according to Svennerholm (9). The reaction mixture contained 0.1 mg of GM3dissolved in chloroform-methanol 2:l (v/v), dried under nitrogen stream, 0.1 M acetate buffer pH 4.6 (optimal in both extraction fractions), 0.007% sodium azide, 0.1% Triton X-100 and 0.10-0.15 mg protein in a finalvolume of 0.2 ml. Incubation was carried out at 37OCfor six hours followed by the determination of free sialic acid according to Warren (lo), using the equation to eliminate interfering substances. Controls containing enzyme or substrate alone, and zero time controls were determined in parallel. Neuraminlactose sialidase activity was determined with 0.04 mg neuraminlactose (Sigma Chemicals, type II) as substrate in an incubation mixture similar to that described above. The mixture was incubated for three hours followed by the determination of free sialic acid. RESULTS Table 1 represents the neuraminlactose and ganglioside sialidase in the two extraction

fractions

for a typical

lactose as substrate normal enzyme activities natant and precipitate

of ML IV.

in the supernatant fluid the control,

ganglioside sialidase activities

were observed in both the super-

of ML IV showed reduced activity difference

X-100 or when ultrasonication and approximately

When homogenization was omitted,

all

the

60%of the neuraminlactose sialidase

were found in the precipitate.

between the ML IV and controls

when compared to

could be detected in the

of the MI IV and control precipitates.

was done without Triton

With neuramin-

On the other hand, ganglioside sialidase

whereas no significant

enzyme activities

experiment.

activities

Under these conditions no difference

could be observed.

1342

Another important finding

BIOCHEMICAL

Vol. 90, No. 4, 1979

Table

Sialidase

1.

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

activity

in

supernatant

fibroblast

and

precipitate

extracts Sialidase

Cell

Neuraminlactose

Control

(A)

Ganglioside

Neuraminlactose

Ganglioside

1.38

1.67

1.17

3.85

(V)

1.51

0.67

1.25

4.05

ML II

(K)

0

0.33

0

2.63

*

Activities per

shown

are

expressed

as nmoles

sialic

acid

formed

per

hour

mg protein.

1.

Whereas

a total

was observed

in both

extraction

in

activity

Table

ganglioside natant

Precipitate

IV

Ml

is

activity*

Supernatant

origin

of

sialidase

activity

and precipitate

with

the

the

results

deficiency

of neuraminlactose

fractions

was only

in ML II

partially

supernatant

sialidase

fibroblasts,

deficient

in both

activity

somewhat

typical

experiments,

super-

lower

than

in ML IV. Table

2 summarizes

ganglioside

sialidase

patients, between

controls

(e.g.,

sensitivity

supposedly the specific

activity

between

cell

lines

ranking

of cell

are

lower indicated

when experiments 0.575.21 Furthermore,

represented

same harvest by S.D. between

ratio

considered

to small

out of four

Duplicate varied

values

is

also

considerable,

However,

of MI IV to control (Table

50% decrease

1343

the

3).

ML IV

variation due to in

determinations slightly.

as compared

experiments

for

variations

only

experiments.

separately

in which

2 and 3) is probably

conditions,

an approximately

in three

The considerable

activity

in ML IV patients by the

are

indicate

differ

was determined

experiment

enzyme

culture

in the

lines

the supernatant

between

tissue

six

heterozygotes.

of this

uniform

was consistently

in

and obligate

experiments

the extreme

results

activity

from

of

The variation and the

enzyme activity

to controls.

These

enzyme activities The mean ratio,

in ML IV enzyme activity. ratio

of enzyme activities

Vol. 90, No. 4, 1979

BIOCHEMICAL

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

1344

Vol. 90, No. 4, 1979

BIOCHEMICAL

Table

3.

supernatant

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

Ratios of ganglioside sialidase activities in the fraction of fibroblasts of the three genotypes

Experiment

MLIV

Heterozygotes Control

*

Control

NO.

1

0.80

2

0.70

0.55

3

0.54

0.70

4

0.60

0.51

5

0.43

6

0.71

1.00

7

0.60

8

0.59

9

0.64

10

0.24

11

0.23

12

0.75

13

0.55

14

0.64

Mean

0.57

0.69

S.D.

0.21

0.22

*

Ratio

of specific

of heterozygotes indicating considerable

similar

in these

between

variability

enzyme activity

were

activity

differences

experiment

activities.

to controls

a reduced

*

to those cell

lines

ML IV patients

makes it

difficult

of ML IV to controls as well.

In spite

and controls,

to define

of the

the inter-

the normal

and ML IV

ranges.

The possibility

of an internal

the ML IV cells

was ruled

amounts

of cell

protein

combined

values

inhibitor

out by mixing

experiments.

from ML IV and control

of ganglioside

of ganglioside

sialidase

Mixtures

lines

activity

sialidase

resulted (data

not

in

of equal in the

expected

presented).

DISCUSSION The significantly in ML IV patients

reduced and the

activity

accumulation

of solubilized of sialogangliosides

1345

ganglioside (6,7)

sialidase suggest

BIOCHEMICAL

Vol. 90, No. 4, 1979

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

that the ML IV disease is associated with ganglioside sialidase In three out of four determinations, also lower than controls;

the heterozygote

deficiency.

enzyme activity

was

however, a larger number of heterozygotes

should

be studied before firm conclusions can be drawn. The fact that neuraminlactose sialidase is not surprising

in the disease

since neuraminlactose and ganglioside sialidases

been shown to be two distinct by the total

is not affected

deficiency

enzymes.(18,21).

This finding

of neuraminlactose sialidase

while ganglioside sialidase

is unaffected

have

is supported

in ML I (11,12,20,21),

(22).

Sialidases have not been sufficiently

characterized

in fibroblasts,

but the existence of more than one sialidase has been demonstrated in liver (14,15),

brain (16,18),

and heart muscle (19).

sides sialidases have been localized

Furthermore, various ganglio-

to different

cell organelles (plasma

membrane, microsomes and lysosomes) (19,23). In view of the fact that the plasma membraneand the microsomal-bound enzymes are practically are generally

more readily

ganglioside sialidase sialidase

insoluble

(16,23) and that lysosomal hydrolases

soluble (24), we suggest that the supernatant

activity

might be greatly

while the precipitate

enriched by the lysosomal

is mainly non-lysosomal.

tion is supported by the findings

in the ML II cell extract,

characterized

deficiency

hydrolases.

by an intracellular

of the neuraminlactose sialidase

indicating

its mainly lysosomal origin. activity

This may indicate

is affected

of most lysosomal

activity

in this cell line,

However, not all ganglioside

in ML II,

a non-lysosomal origin

single mutation affecting be partially

in fibroblasts

which is

In agreement with previous studies (11-13) there was a total

deficiency

sialidase

This interpreta-

particularly

in the precipitate.

for the remaining activity.

only a lysosomal isoenzyme may therefore

maskedby the unaffected

remaining isoenzymes.

A at least

Further

separation of the presumed isoenzymes is needed for precise determination of the lysosomal sialidase,

particularly

1346

for diagnostic purposes.

Vol. 90, No. 4, 1979

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

Acknowledgement: The skillful technical assistance of Mrs. B. Medan is greatly appreciated. The project was supported by grants from the National Foundation - March of Dimes (Noel-599) and the Stiftung Volkswagen (No. 34048). REFERENCES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19.

20. 21. 22. 23.

24.

Berman, E.R., Livni, N., Shapira, E., Merin, S. and Levij, I.S. (1974) J. Pediat. 84, 519-526. S. (1975) Invest. Merin, S., Livni, N., Berman, E.R. and Yatsiv, Ophthalmol. z, 437-448. in Heritable disorders of connective tissue, McKusick, V.A. (1972) 4th ed. pp. 641-665, C.V. Mosby CO. Spranger, J.W. and Wiedemann, H.R. Humangenetik 2, 113-139. (1970) Amer. J. Ophthalmol. Newell, F.W., Matalon, R. and Meyer, S. (1975) so, 440-449. Tellez-Nagel, I., Rapin, I., Iwamoto, T., Johnson, A.B., Norton, W.T. and Nitowsky, H. (1976) Arch. Neurol. 33, 828-835. Bach, G., Cohen, M.M. and Kohn, G. (1975) Biochem. Biophys. Res. Commun. 66, 1483-1490. Bach, G., Zeigler, M., Kohn, G. and Cohen, M.M. (1977) Amer. J. Hum. Genet. 2, 610-618. Svennerholm, L. (1972) in Methods in carbohydrate chemistry. Vol. 6, pp. 464-474, Academic Press, N.Y. Warren, L. (1959) J. Biol. Chem. 234, 1971-1975. Cantz, M., Gehler, J. and Spranger, J.W. Biochem. Biophys. Res. (1977) Commun. 3, 732-738. Kelly, T.E. and Graetz, G. (1977) Amer. J. Med. Genet. 1, 31-46. Strecker, G., Michalski, J.C., Montreuill, J. and Farriaux, M. (1976) Biomed. Exp. 25, 238-240. Touster, O., Aronson, N.N., Dulaney, J.T. and Hendrickson, M. (1970) J. Cell Biol. 47, 604-618. Schengrund, C.L., Jensen, D.S. and Rosenberg, A. (1972) J. Biol. Chem. 247, 2742-2746. Leibowitz, Z. and Gatt, S. (1968) Biochim. Biophys. Acta 152, 136-143. Ohman, R., Rosenberg, A. and Svennerholm, L. (1970) Biochemistry 2, 3774-3783. Venerando, B., Tettamanti, G., Cestaro, B. and Zambotti, V. (1975) Biochim. Biophys. Acta 403, 461-472. Tallman, J.F. and Brady, R.O. (1973) Biochim. Biophys. Acta 3, 434-443. O'Brien, J.S. (1977). Biochem. Biophys. Res. Commun. 2, 1136-1141. Rapin, A., Goldfisher, S., Katzman, R., Engel, J. and O'Brien, J.S. (1978) Ann. Neurol. 2, 234-242. Cantz, M. and Messer, H. (1979) Europ. J. Biochem. 97, 113-118. Sandhoff, K. and Pallmann, B. (1978) Proc. Natl. Acad. Sci. (USA) 75, 122-126. Lucy, J.A. (1969) in Lysosomes, part 2, ed. Dingle, J.T. and Fell, H.B. pp. 321-327, North-Holland Publishing Co.

1347

Mucolipidosis type IV: ganglioside sialidase deficiency.

Vol. 90, No. 4, 1979 October 29, 1979 BIOCHEMICAL MUCOLIPIDOSIS Gideon Bach, Marcia Department Received September TYPE IV: AND BIOPHYSICAL G...
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