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    CHAPTER

    9

    Enzymes: Regulation of Activities

    Peter J. Kennelly, PhD & Victor W. Rodwell, PhD

    OBJECTIVES

    After studying this chapter, you should be able to:

    Explain the concept of whole-body homeostasis and its response to fluctuations in

    the external environment.

    Discuss why the cellular concentrations of substrates for most enzymes tend to be

    close toKm.

    List multiple mechanisms by which active control of metabolite flux is achieved.

    Describe the advantages of certain enzymes being elaborated as proenzymes.

    Illustrate the physiologic events that trigger the conversion of a proenzyme to the

    corresponding active enzyme.

    Describe typical structural changes that accompany conversion of a proenzyme to

    the active enzyme.

    Describe the basic features of a typical binding site for metabolites and second

    messengers that regulate catalytic activity of certain enzymes.

    Indicate two general ways in which an allosteric effector can modify catalytic

    activity.Outline the roles of protein kinases, protein phosphatases, and of regulatory and

    hormonal and second messengers in initiating a metabolic process.

    BIOMEDICAL IMPORTANCE

    The nineteenth-century physiologist Claude Bernard enunciated the conceptual basis

    for metabolic regulation. He observed that living organisms respond in ways that are

    both quantitatively and temporally appropriate to permit them to survive the multiple

    challenges posed by changes in their external and internal environments. Walter

    Cannon subsequently coined the term homeostasis to describe the ability of animals

    to maintain a constant intracellular environment despite changes in their externalenvironment. We now know that organisms respond to changes in their external and

    internal environment by balanced, coordinated adjustments in the rates of specific

    metabolic reactions. Perturbations of the sensor-response machinery responsible for

    maintaining homeostatic balance can be deleterious to human health. Cancer,

    diabetes, cystic fibrosis, and Alzheimers disease, for example, are all characterized

    by regulatory dysfunctions triggered by pathogenic agents or genetic mutations. Many

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    oncogenic viruses elaborate protein-tyrosine kinases that modify the regulatory events

    that control patterns of gene expression, contributing to the initiation and progression

    of cancer. The toxin from Vibrio cholerae,the causative agent of cholera, disables

    sensor-response pathways in intestinal epithelial cells by ADP-ribosylating the GTP-

    binding proteins (G-proteins) that link cell surface receptors to adenylyl cyclase. The

    consequent activation of the cyclase leads to the unrestricted flow of water into theintestines, resulting in massive diarrhea and dehydration. Yersinia pestis,the causative

    agent of plague, elaborates a protein-tyrosine phosphatase that hydrolyzes phosphoryl

    groups on key cytoskeletal proteins. Dysfunctions in the proteolytic systems

    responsible for the degradation of defective or abnormal proteins are believed to play

    a role in neurodegenerative diseases such as Alzheimer and Parkinsons. In addition to

    their immediate function as regulators of enzyme activity, protein degradation, etc,

    covalent modifications such as phosphorylation, acetylation, and ubiquitination

    provide a protein-based code for the storage and hereditary transmission of

    information (Chapter 35). Such DNA-independent information systems are referred to

    as epigenetic.Knowledge of factors that control the rates of enzyme-catalyzed

    reactions thus is essential to an understanding of the molecular basis of disease and its

    transmission. This chapter outlines the patterns by which metabolic processes are

    controlled, and provides illustrative examples. Subsequent chapters provide additional

    examples.

    REGULATION OF METABOLITE FLOW CAN BE ACTIVE OR PASSIVE

    Enzymes that operate at their maximal rate cannot respond to increases in substrate

    concentration, and can respond only to precipitous decreases in substrate

    concentration. TheKmvalues for most enzymes, therefore, tend to be close to theaverage intracellular concentration of their substrates, so that changes in substrate

    concentration generate corresponding changes in the metabolite flux (Figure 9

    1).Responses to changes in substrate level represent an important butpassivemeans

    for coordinating metabolite flow and maintaining homeostasis in quiescent cells.

    However, they offer a limited scope for responding to changes in environmental

    variables. The mechanisms that regulate enzyme efficiency in an activemanner in

    response to internal and external signals are discussed below.

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    FIGURE 91 Differential response of the rate of an enzyme-catalyzed reaction,

    V, to the same incremental change in substrate concentration at a substrate

    concentration close to Km(VA) or far above Km(VB).

    Metabolite Flow Tends to Be Unidirectional

    Despite the existence of short-term oscillations in metabolite concentrations and

    enzyme levels, living cells exist in a dynamic steady state in which the mean

    concentrations of metabolic intermediates remain relatively constant over time. While

    all chemical reactions are to some extent reversible, in living cells the reaction

    products serve as substrates forand are removed byother enzyme-catalyzed

    reactions (Figure 92).Many nominally reversible reactions thus occur

    unidirectionally. This succession of coupled metabolic reactions is accompanied by an

    overall change in free energy that favors unidirectional metabolite flow (Chapter 11).

    The unidirectional flow of metabolites through a pathway with a large overallnegative change in free energy is analogous to the flow of water through a pipe in

    which one end is lower than the other. Bends or kinks in the pipe simulate individual

    enzyme-catalyzed steps with a small negative or positive change in free energy. Flow

    of water through the pipe nevertheless remains unidirectional due to the overall

    change in height, which corresponds to the overall change in free energy in a

    pathway (Figure 93).

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    disfavored steps from glycolysis are replaced by new reactions catalyzed by distinct

    enzymes (Chapter 20).

    The ability of enzymes to discriminate between the structurally similar coenzymes

    NAD+and NADP+also results in a form of compartmentation. The reduced forms of

    both coenzymes are not readily distinguishable. However, the reactions that generate

    and later consume electrons that are destined for ATP generation are segregated in

    NADH, away from those used in the reductive steps of many biosynthetic pathways,

    which are carried by NADPH.

    Controlling an Enzyme That Catalyzes a Rate-Limiting Reaction Regulates an Entire Metabolic Pathway

    While the flux of metabolites through metabolic pathways involves catalysis by

    numerous enzymes, active control of homeostasis is achieved by the regulation of

    only a select subset of these enzymes. The ideal enzyme for regulatory intervention is

    one whose quantity or catalytic efficiency dictates that the reaction it catalyzes is slow

    relative to all others in the pathway. Decreasing the catalytic efficiency or the quantity

    of the catalyst responsible for the bottleneck orrate-limiting reactionimmediately

    reduces metabolite flux through the entire pathway. Conversely, an increase in either

    its quantity or catalytic efficiency enhances flux through the pathway as a whole. For

    example, acetyl-CoA carboxylase catalyzes the synthesis of malonyl-CoA, the first

    committed reaction of fatty acid biosynthesis (Chapter 23). When synthesis of

    malonyl-CoA is inhibited, subsequent reactions of fatty acid synthesis cease for lack

    of substrates. As natural governors of metabolic flux, the enzymes that catalyze

    rate-limiting steps also constitute efficient targets for regulatory intervention by drugs.

    For example, statin drugs curtail synthesis of cholesterol by inhibiting HMG-CoA

    reductase, which catalyzes the rate-limiting reaction of cholesterogenesis.

    REGULATION OF ENZYME QUANTITY

    The catalytic capacity of the rate-limiting reaction in a metabolic pathway is the

    product of the concentration of enzyme molecules and their intrinsic catalytic

    efficiency. It therefore follows that catalytic capacity can be influenced both by

    changing the quantity of enzyme present and by altering its intrinsic catalytic

    efficiency.

    Proteins Are Continuously Synthesized and Degraded

    By measuring the rates of incorporation of15

    N-labeled amino acids into protein andthe rates of loss of 15N from protein, Schoenheimer deduced that body proteins are in

    a state of dynamic equilibrium in which they are continuously synthesized and

    degradeda process referred to as protein turnover.This holds even for those

    proteins that are present at an essentially constant, or constitutive, steady-state level

    over time. On the other hand, the concentrations of many enzymes are influenced by a

    wide range of physiologic, hormonal, or dietary factors.

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    The absolute quantity of an enzyme reflects the net balance between its rate of

    synthesis and its rate of degradation. In human subjects, alterations in the levels of

    specific enzymes can be effected by a change in the rate constant for the overall

    processes of synthesis (ks), degradation (kdeg), or both.

    Control of Enzyme Synthesis

    The synthesis of certain enzymes depends upon the presence of inducers, typically

    substrates or structurally related compounds that stimulate the transcription of the

    gene that encodes them (Chapters 36and37).Escherichia coligrown on glucose will,for example, only catabolize lactose after addition of a -galactoside, an inducer that

    triggers synthesis of a -galactosidase and a galactoside permease (Figure 383).

    Inducible enzymes of humans include tryptophan pyrrolase, threonine dehydratase,

    tyrosine--ketoglutarate aminotransferase, enzymes of the urea cycle, HMG-CoA

    reductase, and cytochrome P450. Conversely, an excess of a metabolite may curtail

    synthesis of its cognate enzyme via repression.Both induction and repression

    involve ciselements, specific DNA sequences located upstream of regulated genes,

    and trans-actingregulatory proteins. The molecular mechanisms of induction and

    repression are discussed inChapter 38.The synthesis of other enzymes can be

    stimulated by the interaction of hormones and other extracellular signals with specificcell-surface receptors. Detailed information on the control of protein synthesis in

    response to hormonal stimuli can be found inChapter 42.

    Control of Enzyme Degradation

    In animals many proteins are degraded by the ubiquitin-proteasome pathway, the

    discovery of which earned Aaron Ciechanover, Avram Hershko, and Irwin Rose a

    Nobel Prize. Degradation takes place in the 26S proteasome, a large macromolecular

    complex made up of more than 30 polypeptide subunits arranged in the form of a

    hollow cylinder. The active sites of its proteolytic subunits face the interior of the

    cylinder, thus preventing indiscriminate degradation of cellular proteins. Proteins aretargeted to the interior of the proteasome by ubiquitination, the covalent attachment

    of one or more ubiquitin molecules. Ubiquitin is a small, approximately 75 residue,

    protein that is highly conserved among eukaryotes. Ubiquitination is catalyzed by a

    large family of enzymes called E3 ligases, which attach ubiquitin to the side-chain

    amino group of lysyl residues.

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    The ubiquitin-proteasome pathway is responsible both for the regulated degradation

    of selected cellular proteins (for example, cyclinsChapter 35) and for the removal

    of defective or aberrant protein species. The key to the versatility and selectivity of

    the ubiquitin-proteasome system resides in both the variety of intracellular E3 ligases

    and their ability to discriminate between the different physical or conformational

    states of target proteins. Thus, the ubiquitin-proteasome pathway can selectivelydegrade proteins whose physical integrity and functional competency have been

    compromised by the loss of or damage to a prosthetic group, oxidation of cysteine or

    histidine residues, or deamidation of asparagine or glutamine residues. Recognition by

    proteolytic enzymes also can be regulated by covalent modifications such as

    phosphorylation; binding of substrates or allosteric effectors; or association with

    membranes, oligonucleotides, or other proteins. A growing body of evidence suggests

    that dysfunctions of the ubiquitin-proteasome pathway contribute to the accumulation

    of aberrantly folded protein species characteristic of several neurodegenerative

    diseases.

    MULTIPLE OPTIONS ARE AVAILABLE FOR REGULATING CATALYTIC

    ACTIVITY

    In humans the induction of protein synthesis is a complex multistep process that

    typically requires hours to produce significant changes in overall enzyme level. By

    contrast, changes in intrinsic catalytic efficiency effected by binding of dissociable

    ligands (allosteric regulation)or by covalent modificationachieve regulation of

    enzymic activity within seconds. Consequently, changes in protein level generally

    dominate when meeting long-term adaptive requirements, whereas changes in

    catalytic efficiency are best suited for rapid and transient alterations in metaboliteflux.

    ALLOSTERIC EFFECTORS REGULATE CERTAIN ENZYMES

    Feedback inhibition refers to the process by which the end product of a multistep

    biosynthetic pathway binds to and inhibits an enzyme catalyzing one of the early steps

    in that pathway. In the following example, for the biosynthesis of D from A catalyzed

    by enzymes Enz1through Enz3:

    high concentrations of D inhibit the conversion of A to B. In this example, the

    feedback inhibitor D acts as a negative allosteric effectorof Enz1. Inhibition results,

    not from the backing up of intermediates, but from the ability of D to bind to and

    inhibit Enz1. Generally, D binds at an allosteric site, one spatially distinct from the

    catalytic site of the target enzyme. Feedback inhibitors thus typically bear little or no

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    structural similarity to the substrates of the enzymes they inhibit. For example,

    NAD+and 3-phosphogylcerate, the substrates for 3-phosphgylcerate dehydrogenase,

    which catalyzes the first committed step in serine biosynthesis, bear no resemblance

    to the feedback inhibitor serine. In branched biosynthetic pathways, such as those

    responsible for nucleotide biosynthesis (Chapter 33), the initial reactions supply

    intermediates required for the synthesis of multiple end products.Figure 94shows ahypothetical branched biosynthetic pathway in which curved arrows lead from

    feedback inhibitors to the enzymes whose activity they inhibit. The sequences S3

    A, S4 B, S4 C, and S3 D each represent linear reaction sequences that are

    feedback-inhibited by their end products. Branch point enzymes thus can be targeted

    to route metabolite flow.

    FIGURE 94 Sites of feedback inhibition in a branched biosyntheticpathway.S1S5are intermediates in the biosynthesis of end products AD. Straight

    arrows represent enzymes catalyzing the indicated conversions. Curved red arrows

    represent feedback loops and indicate sites of feedback inhibition by specific end

    products.

    Feedback inhibitors typically inhibit the first committed step in a particular

    biosynthetic sequence. The kinetics of feedback inhibition may be competitive,

    noncompetitive, partially competitive, or mixed. Layering multiple feedback loops

    can provide additional fine control. For example, as shown inFigure 95,the

    presence of excess product B decreases the requirement for substrate S2. However,

    S2is also required for synthesis of A, C, and D. Therefore, for this pathway, excess B

    curtails synthesis of all four end products, regardless of the need for the other three.

    To circumvent this potential difficulty, each end product may only partially inhibit

    catalytic activity. The effect of an excess of two or more end products may be strictly

    additive or, alternatively, greater than their individual effect (cooperative feedbackinhibition).

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    FIGURE 95 Multiple feedback inhibition in a branched biosyntheticpathway.Superimposed on simple feedback loops (dashed red arrows) are multiple

    feedback loops (solid red arrows) that regulate enzymes common to biosynthesis of

    several end products.

    Aspartate Transcarbamoylase Is a Model Allosteric Enzyme

    Aspartate transcarbamoylase (ATCase), the catalyst for the first reaction unique to

    pyrimidine biosynthesis (Figure 339), is a target of feedback regulation by two

    nucleotide triphosphates: cytidine triphosphate (CTP) and adenosine triphosphate.

    CTP, an end product of the pyrimidine biosynthetic pathway, inhibits ATCase,

    whereas the purine nucleotide ATP activates it. Moreover, high levels of ATP can

    overcome inhibition by CTP, enabling synthesis ofpyrimidinenucleotides to proceed

    whenpurinenucleotide levels are elevated.

    Allosteric & Catalytic Sites Are Spatially Distinct

    Jacques Monod proposed the existence of allosteric sites that are physically distinctfrom the catalytic site. He reasoned that the lack of structural similarity between a

    feedback inhibitor and the substrate(s) for the enzyme whose activity it regulates

    indicated that these effectors are not isostericwith a substrate but allosteric(occupy

    another space).Allosteric enzymesthus are those for which catalysis at the active

    site may be modulated by the presence of effectors at an allosteric site. The existence

    of spatially distinct active and allosteric sites has since been verified in several

    enzymes using many lines of evidence. For example, x-ray crystallography revealed

    that the ATCase ofE coliconsists of six catalytic subunits and six regulatory subunits,

    the latter of which bind the nucleotide triphosphates that modulate activity. In general,

    binding of an allosteric regulator induces a conformational change in the enzyme that

    encompasses the active site.

    Allosteric Effects May Be on Kmor on Vmax

    To refer to the kinetics of allosteric inhibition as competitive or noncompetitive

    with substrate carries misleading mechanistic implications. We refer instead to two

    classes of allosterically regulated enzymes: K-series and V-series enzymes. For K-

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    series allosteric enzymes, the substrate saturation kinetics is competitive in the sense

    thatKmis raised without an effect on Vmax. For V-series allosteric enzymes, the

    allosteric inhibitor lowers Vmaxwithout affecting theKm. Alterations

    inKmor Vmaxoften are the product of conformational changes at the catalytic site

    induced by binding of the allosteric effector at its site. For a K-series allosteric

    enzyme, this conformational change may weaken the bonds between substrate andsubstrate-binding residues. For a V-series allosteric enzyme, the primary effect may

    be to alter the orientation or charge of catalytic residues, lowering Vmax. Intermediate

    effects onKmand Vmax, however, may be observed consequent to these

    conformational changes.

    FEEDBACK REGULATION IS NOT SYNONYMOUS WITH FEEDBACK INHIBITION

    In both mammalian and bacterial cells, some end products feed back to control their

    own synthesis, in many instances by feedback inhibition of an early biosynthetic

    enzyme. We must, however, distinguish betweenfeedback regulation, a

    phenomenologic term devoid of mechanistic implications, and feedback inhibition, a

    mechanism for regulation of enzyme activity. For example, while dietary cholesterol

    decreases hepatic synthesis of cholesterol, this feedback regulationdoes not involve

    feedback inhibition.HMG-CoA reductase, the rate-limiting enzyme of

    cholesterogenesis, is affected, but cholesterol does not inhibit its activity. Rather,

    regulation in response to dietary cholesterol involves curtailment by cholesterol or a

    cholesterol metabolite of the expression of the gene that encodes HMG-CoA

    reductase (enzyme repression) (Chapter 26).

    MANY HORMONES ACT THROUGH ALLOSTERIC SECOND MESSENGERS

    Nerve impulses and the binding of many hormones to cell surface receptors elicit

    changes in the rate of enzyme-catalyzed reactions within target cells by inducing the

    release or synthesis of specialized allosteric effectors called second messengers.The

    primary, or first, messenger is the hormone molecule or nerve impulse. Second

    messengers include 3, 5-cAMP, synthesized from ATP by the enzyme adenylyl

    cyclase in response to the hormone epinephrine, and Ca2+, which is stored inside the

    endoplasmic reticulum of most cells. Membrane depolarization resulting from a nerve

    impulse opens a membrane channel that releases calcium ions into the cytoplasm,

    where they bind to and activate enzymes involved in the regulation of muscle

    contraction and the mobilization of stored glucose from glycogen. Glucose thensupplies the increased energy demands of muscle contraction. Other second

    messengers include 3,5-cGMP, nitric oxide, and the polyphosphoinositols produced

    by the hydrolysis of inositol phospholipids by hormone-regulated phospholipases.

    Specific examples of the participation of second messengers in the regulation of

    cellular processes can be found inChapters 19,42,and48.

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    REGULATORY COVALENT MODIFICATIONS CAN BE REVERSIBLE OR

    IRREVERSIBLE

    In mammalian cells, a wide range of regulatory covalent modifications occur. Partial

    proteolysisand phosphorylation, for

    example, are frequently employed to regulate the catalytic activity of enzymes. Onthe other hand, histones and other DNA binding proteins in chromatin are subject to

    extensive modification by acetylation, methylation, ADP-ribosylation, as well as

    phosphorylation. The latter modifications, which modulate the manner in which the

    proteins within chromatin interact with each other as well as the DNA itself, constitute

    the basis for the histone code. The resulting changes in chromatin structure within

    the region affected can render genes more accessible to the protein responsible for

    their transcription, thereby enhancing gene expression or, on a larger scale, facilitating

    replication of the entire genome (Chapter 38). On the other hand, changes in

    chromatin structure that restrict the accessibility of genes to transcription factors,

    DNA-dependent RNA polymerases, etc, thereby inhibiting transcription, are saidto silencegene expression.

    The histone code represents a classic example of epigenetics, the hereditary

    transmission of information by a means other than the sequence of nucleotides that

    comprise the genome. In this instance, the pattern of gene expression within a newly

    formed daughter cell will be determined, in part, by the particular set of histone

    covalent modifications embodied in the chromatin proteins inherited from the

    parental cell.

    Acetylation, ADP-ribosylation, methylation, and phosphorylation are all examples

    of reversible covalent modifications. In this instance, reversible refers to the fact

    that the modified protein can be restored to its original, modification-free state. It doesnot, however, refer to the mechanisms by which such restoration takes place.

    Thermodynamics dictates that if the enzyme-catalyzed reaction by which the

    modification was introduced is thermodynamically favorable, the free energy change

    involved in simply trying to run the reaction in reverse will be unfavorable. The

    phosphorylation of proteins on seryl, threonyl, or tyrosyl residues, catalyzed by

    protein kinases, is thermodynamically favored as a consequence of utilizing the high-

    energy gamma phosphoryl group of ATP. Phosphate groups are removed, not by

    recombining the phosphate with ADP to form ATP, but by a hydrolytic reaction

    catalyzed by enzymes called protein phosphatases. Similarly, acetyltransferases

    employ a high-energy donor substrate, NAD+, while deacetylases catalyze a direct

    hydrolysis that generates free acetate.

    Because the high entropic barrier prevents the reunification of the two portions of a

    protein produced by hydrolysis of a peptide bond, proteolysis constitutes a

    physiologically irreversible modification. Once a proprotein is activated, it will

    continue to carry out its catalytic or other functions until it is removed by degradation

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    or some other means. Zymogen activation thus represents a simple and economical,

    albeit one way, mechanism for restraining the latent activity of a protein until the

    appropriate circumstances are encountered. It is therefore not surprising that partial

    proteolysis is employed frequently to regulate proteins that work in the

    gastrointestinal tract or bloodstream rather than in the interior of cells.

    PROTEASES MAY BE SECRETED AS CATALYTICALLY INACTIVE PROENZYMES

    Certain proteins are synthesized and secreted as inactive precursor proteins known

    as proproteins.Selective, or partial, proteolysis converts a proprotein by one or

    more successive proteolytic clips to a form that exhibits the characteristic activity of

    the mature protein, for example, its catalytic activity. The proprotein forms of

    enzymes are termed proenzymesor zymogens.Proteins synthesized as proproteins

    include the hormone insulin (proprotein = proinsulin), the digestive enzymes pepsin,

    trypsin, and chymotrypsin (proproteins = pepsinogen, trypsinogen, and

    chymotrypsinogen, respectively), several factors of the blood clotting and blood clot

    dissolution cascades (seeChapter 51), and the connective tissue protein collagen

    (proprotein = procollagen).

    Proenzymes Facilitate Rapid Mobilization of an Activity in Response to Physiologic Demand

    The synthesis and secretion of proteases as catalytically inactive proenzymes protect

    the tissue of origin (eg, the pancreas) from autodigestion, such as can occur in

    pancreatitis. Certain physiologic processes such as digestion are intermittent but fairly

    regular and predictable in frequency. Others such as blood clot formation, clot

    dissolution, and tissue repair are brought on line only in response to pressing

    physiologic or pathophysiologic need. The processes of blood clot formation anddissolution clearly must be temporally coordinated to achieve homeostasis. Enzymes

    needed intermittently but rapidly often are secreted in an initially inactive form since

    new synthesis and secretion of the required proteins might be insufficiently rapid to

    respond to a pressing pathophysiologic demand such as the loss of blood (seeChapter

    51).

    Activation of Prochymotrypsin Requires Selective Proteolysis

    Selective proteolysis involves one or more highly specific proteolytic clips that may

    or may not be accompanied by separation of the resulting peptides. Most importantly,

    selective proteolysis often results in conformational changes that create the catalyticsite of an enzyme. Note that while the catalytically essential residues His 57 and Asp

    102 reside on the B peptide of -chymotrypsin, Ser 195 resides on the C

    peptide(Figure 96).The conformational changes that accompany selective

    proteolysis of prochymotrypsin (chymotrypsinogen) align the three residues of the

    charge-relay network (seeFigure 77), forming the catalytic site. Note also that

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    contact and catalytic residues can be located on different peptide chains but still be

    within bond-forming distance of bound substrate.

    FIGURE 96 Two-dimensional representation of the sequence of proteolytic

    events that ultimately result in formation of the catalytic site of chymotrypsin,

    which includes the Asp 102-His57-Ser195 catalytic triad (seeFigure 7

    7).Successive proteolysis forms prochymotrypsin (pro-CT), -chymotrypsin (-Ct),

    and ultimately -chymotrypsin (-CT), an active protease whose three peptides (A, B,

    C) remain associated by covalent inter-chain disulfide bonds.

    REVERSIBLE COVALENT MODIFICATION REGULATES KEY MAMMALIAN

    PROTEINS

    Mammalian proteins are the targets of a wide range of covalent modification

    processes. Modifications such as prenylation, glycosylation, hydroxylation, and fatty

    acid acylation introduce unique structural features into newly synthesized proteins that

    tend to persist for the lifetime of the protein. Among the covalent modifications that

    regulate protein function (eg, methylation, acetylation), the most common by far is

    phosphorylationdephosphorylation. Protein kinasesphosphorylate proteins by

    catalyzing transfer of the terminal phosphoryl group of ATP to the hydroxyl groups ofseryl, threonyl, or tyrosyl residues, forming O-phosphoseryl, O-phosphothreonyl, or

    O-phosphotyrosyl residues, respectively (Figure 97).Some protein kinases target the

    side chains of histidyl, lysyl, arginyl, and aspartyl residues. The unmodified form of

    the protein can be regenerated by hydrolytic removal of phosphoryl groups, catalyzed

    by protein phosphatases.

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    FIGURE 97 Covalent modification of a regulated enzyme by phosphorylation

    dephosphorylation of a seryl residue.

    A typical mammalian cell possesses thousands of phosphorylated proteins and

    several hundred protein kinases and protein phosphatases that catalyze their

    interconversion. The ease of interconversion of enzymes between their phospho-and

    dephospho- forms accounts, in part, for the frequency with which phosphorylation

    dephosphorylation is utilized as a mechanism for regulatory control. Phosphorylation

    dephosphorylation permits the functional properties of the affected enzyme to be

    altered only for as long as it serves a specific need. Once the need has passed, the

    enzyme can be converted back to its original form, poised to respond to the next

    stimulatory event. A second factor underlying the widespread use of protein

    phosphorylationdephosphorylation lies in the chemical properties of the phosphoryl

    group itself. In order to alter an enzymes functional properties, any modification of

    its chemical structure must influence the proteins three-dimensional configuration.

    The high charge density of protein-bound phosphoryl groupsgenerally2 atphysiologic pHand their propensity to form strong salt bridges with arginyl and

    lysyl residues renders them potent agents for modifying protein structure and function.

    Phosphorylation generally influences an enzymes intrinsic catalytic efficiency or

    other properties by inducing conformational changes. Consequently, the amino acids

    targeted by phosphorylation can be and typically are relatively distant from the

    catalytic site itself.

    Covalent Modifications Regulate Metabolite Flow

    In many respects, sites of protein phosphorylation and other covalent modifications

    can be considered another form of allosteric site. However, in this case, the allostericligand binds covalently to the protein. Both phosphorylation-dephosphorylation and

    feedback inhibition provide short-term, readily reversible regulation of metabolite

    flow in response to specific physiologic signals. Both act without altering gene

    expression. Both act on early enzymes of a protracted biosynthetic metabolic

    pathway, and both act at allosteric rather than catalytic sites. Feedback inhibition,

    however, involves a single protein and lacks hormonal and neural features. By

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    contrast, regulation of mammalian enzymes by phosphorylationdephosphorylation

    involves several proteins and ATP, and is under direct neural and hormonal control.

    PROTEIN PHOSPHORYLATION IS EXTREMELY VERSATILE

    Protein phosphorylationdephosphorylation is a highly versatile and selective process.

    Not all proteins are subject to phosphorylation, and of the many hydroxyl groups on a

    proteins surface, only one or a small subset are targeted. While the most common

    enzyme function affected is the proteins catalytic efficiency, phosphorylation can

    also alter its location within the cell, susceptibility to proteolytic degradation, or

    responsiveness to regulation by allosteric ligands. Phosphorylation can increase an

    enzymes catalytic efficiency, converting it to its active form in one protein, while

    phosphorylation of another protein converts it to an intrinsically inefficient, or

    inactive, form (Table 91).

    TABLE 91 Examples of Mammalian Enzymes Whose Catalytic Activity Is

    Altered by Covalent Phosphorylation-Dephosphorylation

    Many proteins can be phosphorylated at multiple sites. Others are subject to

    regulation both by phosphorylationdephosphorylation and by the binding of

    allosteric ligands, or by phosphorylationdephosphorylation and another covalent

    modification. Phosphorylationdephosphorylation at any one site can be catalyzed by

    multiple protein kinases or protein phosphatases. Many protein kinases and most

    protein phosphatases act on more than one protein and are themselves interconverted

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    between active and inactive forms by the binding of second messengers or by covalent

    modification by phosphorylationdephosphorylation.

    The interplay between protein kinases and protein phosphatases, between the

    functional consequences of phosphorylation at different sites, between

    phosphorylation sites and allosteric sites, or between phosphorylation sites and other

    sites of covalent modification provides the basis for regulatory networks that integrate

    multiple environmental input signals to evoke an appropriate coordinated cellular

    response. In these sophisticated regulatory networks, individual enzymes respond to

    different environmental signals. For example, if an enzyme can be phosphorylated at a

    single site by more than one protein kinase, it can be converted from a catalytically

    efficient to an inefficient (inactive) form, or vice versa, in response to any one of

    several signals. If the protein kinase is activated in response to a signal different from

    the signal that activates the protein phosphatase, the phosphoprotein becomes a

    decision node. The functional output, generally catalytic activity, reflects the

    phosphorylation state. This state or degree of phosphorylation is determined by therelative activities of the protein kinase and protein phosphatase, a reflection of the

    presence and relative strength of the environmental signals that act through each.

    The ability of many protein kinases and protein phosphatases to target more than

    one protein provides a means for an environmental signal to coordinately regulate

    multiple metabolic processes. For example, the enzymes 3-hydroxy-3-methylglutaryl-

    CoA reductase and acetyl-CoA carboxylasethe rate-controlling enzymes for

    cholesterol and fatty acid biosynthesis, respectivelyare phosphorylated and

    inactivated by the AMP-activated protein kinase. When this protein kinase is activated

    either through phosphorylation by yet another protein kinase or in response to the

    binding of its allosteric activator 5-AMP, the two major pathways responsible for thesynthesis of lipids from acetyl-CoA are both inhibited.

    INDIVIDUAL REGULATORY EVENTS COMBINE TO FORM SOPHISTICATED

    CONTROL NETWORKS

    Cells carry out a complex array of metabolic processes that must be regulated in

    response to a broad spectrum of environmental factors. Hence, interconvertible

    enzymes and the enzymes responsible for their interconvesion do not act as isolated

    on and off switches. In order to meet the demands of maintaining homeostasis,

    these building blocks are linked to form integrated regulatory networks.

    One well-studied example of such a network is the eukaryotic cell cycle thatcontrols cell division. Upon emergence from the G0or quiescent state, the extremely

    complex process of cell division proceeds through a series of specific phases

    designated G1, S, G2, and M (Figure 98).Elaborate monitoring systems, called

    checkpoints, assess key indicators of progress to ensure that no phase of the cycle is

    initiated until the prior phase is complete.Figure 98outlines, in simplified form, part

    of the checkpoint that controls the initiation of DNA replication, called the S phase. A

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    protein kinase called ATM is associated with the genome. If the DNA contains a

    double-stranded break, the resulting change in the conformation of the chromatin

    activates ATM. Upon activation, one subunit of the activated ATM dimer dissociates

    and initiates a series, or cascade, of protein phosphorylationdephosphorylation

    events mediated by the CHK1 and CHK2 protein kinases, the Cdc25 protein

    phosphatase, and finally a complex between a cyclin and a cyclin-dependent proteinkinase, or Cdk. Activation of the Cdk-cyclin complex blocks the G1to S transition,

    thus preventing the replication of damaged DNA. Failure at this checkpoint can lead

    to mutations in DNA that may lead to cancer or other diseases. Each step in the

    cascade provides a conduit for monitoring additional indicators of cell status prior to

    entering S phase.

    FIGURE 98 A simplified representation of the G1to S checkpoint of the

    eukaryotic cell cycle.The circle shows the various stages in the eukaryotic cell cycle.

    The genome is replicated during S phase, while the two copies of the genome aresegregated and cell division occurs during M phase. Each of these phases is separated

    by a G, or growth, phase characterized by an increase in cell size and the

    accumulation of the precursors required for the assembly of the large macromolecular

    complexes formed during S and M phases.

    SUMMARY

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    Homeostasis involves maintaining a relatively constant intracellular and intra-

    organ environment despite wide fluctuations in the external environment. This is

    achieved via appropriate changes in the rates of biochemical reactions in response

    to physiologic need.

    The substrates for most enzymes are usually present at a concentration close to

    theirKm. This facilitates passive control of the rates of product formation in

    response to changes in levels of metabolic intermediates.

    Active control of metabolite flux involves changes in the concentration, catalytic

    activity, or both of an enzyme that catalyzes a committed, rate-limiting reaction.

    Selective proteolysis of catalytically inactive proenzymes initiates conformational

    changes that form the active site. Secretion as an inactive proenzyme facilitates

    rapid mobilization of activity in response to injury or physiologic need and may

    protect the tissue of origin (eg, autodigestion by proteases).

    Binding of metabolites and second messengers to sites distinct from the catalytic

    site of enzymes triggers conformational changes that alter VmaxorKm.

    Phosphorylation by protein kinases of specific seryl, threonyl, or tyrosyl

    residuesand subsequent dephosphorylation by protein phosphatasesregulates

    the activity of many human enzymes. The protein kinases and phosphatases that

    participate in regulatory cascades that respond to hormonal or second messenger

    signals constitute regulatory networks that can process and integrate complex

    environmental information to produce an appropriate and comprehensive cellular

    response.

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