Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
14
pubmed:dateCreated
2005-4-4
pubmed:abstractText
Glucokinase (GCK) serves as the pancreatic glucose sensor. Heterozygous inactivating GCK mutations cause hyperglycemia, whereas activating mutations cause hypoglycemia. We studied the GCK V62M mutation identified in two families and co-segregating with hyperglycemia to understand how this mutation resulted in reduced function. Structural modeling locates the mutation close to five naturally occurring activating mutations in the allosteric activator site of the enzyme. Recombinant glutathionyl S-transferase-V62M GCK is paradoxically activated rather than inactivated due to a decreased S0.5 for glucose compared with wild type (4.88 versus 7.55 mM). The recently described pharmacological activator (RO0281675) interacts with GCK at this site. V62M GCK does not respond to RO0281675, nor does it respond to the hepatic glucokinase regulatory protein (GKRP). The enzyme is also thermally unstable, but this lability is apparently less pronounced than in the proven instability mutant E300K. Functional and structural analysis of seven amino acid substitutions at residue Val62 has identified a non-linear relationship between activation by the pharmacological activator and the van der Waals interactions energies. Smaller energies allow a hydrophobic interaction between the activator and glucokinase, whereas larger energies prohibit the ligand from fitting into the binding pocket. We conclude that V62M may cause hyperglycemia by a complex defect of GCK regulation involving instability in combination with loss of control by a putative endogenous activator and/or GKRP. This study illustrates that mutations that cause hyperglycemia are not necessarily kinetically inactivating but may exert their effects by other complex mechanisms. Elucidating such mechanisms leads to a deeper understanding of the GCK glucose sensor and the biochemistry of beta-cells and hepatocytes.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0021-9258
pubmed:author
pubmed:issnType
Print
pubmed:day
8
pubmed:volume
280
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
14105-13
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:15677479-Adaptor Proteins, Signal Transducing, pubmed-meshheading:15677479-Animals, pubmed-meshheading:15677479-Binding Sites, pubmed-meshheading:15677479-Carrier Proteins, pubmed-meshheading:15677479-Child, pubmed-meshheading:15677479-DNA Mutational Analysis, pubmed-meshheading:15677479-Diabetes Mellitus, Type 2, pubmed-meshheading:15677479-Enzyme Activation, pubmed-meshheading:15677479-Enzyme Stability, pubmed-meshheading:15677479-Female, pubmed-meshheading:15677479-Glucokinase, pubmed-meshheading:15677479-Glucose, pubmed-meshheading:15677479-Humans, pubmed-meshheading:15677479-Hyperglycemia, pubmed-meshheading:15677479-Infant, Newborn, pubmed-meshheading:15677479-Male, pubmed-meshheading:15677479-Models, Molecular, pubmed-meshheading:15677479-Pedigree, pubmed-meshheading:15677479-Point Mutation, pubmed-meshheading:15677479-Pregnancy, pubmed-meshheading:15677479-Protein Structure, Tertiary, pubmed-meshheading:15677479-Recombinant Fusion Proteins, pubmed-meshheading:15677479-Recombinant Proteins
pubmed:year
2005
pubmed:articleTitle
Insights into the structure and regulation of glucokinase from a novel mutation (V62M), which causes maturity-onset diabetes of the young.
pubmed:affiliation
Diabetes Research Laboratories, Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford OX3 7LJ, United Kingdom.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural