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    Cholesterol Synthesis

    Copyright 1999-2008 by Joyce J. Diwan.

    All rights reserved.

    Molecular Biochemistry II

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    Hydroxymethylglutaryl-coenzyme A (HMG-CoA)is the precursor for cholesterol synthesis.

    HMG-CoA is also an intermediate on the pathway forsynthesis ofketone bodies from acetyl-CoA.

    The enzymes for ketone body production are locatedin the mitochondrial matrix.

    HMG-CoA destined for cholesterol synthesis is madeby equivalent, but different, enzymes in the cytosol.

    CH2 C CH2 C

    OH O

    SCoA

    CH3

    C

    O

    O

    hydroxymethylglutaryl- o

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    HMG-CoA is formed by condensation of acetyl-CoA& acetoacetyl-CoA, catalyzed by HMG-CoA Synthase.

    HMG-CoA Reductase catalyzes production of

    mevalonate from HMG-CoA.

    H3C C CH2 C

    O O

    SCoA

    H3C C

    O

    SCoA

    HSCoA

    CH2 C CH2 C

    OH O

    SCoA

    CH3

    C

    O

    O

    H2O acetoacetyl-CoA

    hydroxymethylglutaryl-CoA

    acetyl-CoA HMG-CoA

    Synthase

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    The carboxyl of HMG

    that is in ester linkage tothe CoA thiol is reducedto an aldehyde, and thento an alcohol.

    NADPH serves asreductant in the 2-stepreaction.

    Mevaldehyde is thoughtto be an active siteintermediate, followingthe first reduction andrelease of CoA.

    + HSCoA

    H2C

    C

    CH3

    HO

    CH2

    C

    O O

    C SCoA

    O

    H2CC

    CH3

    HO

    CH2

    C

    O O

    H2C OH

    2NADP+

    2NADPH

    HMG-CoA

    mevalonate

    HMG-CoAReductase

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    HMG-CoA Reductase is an integral protein ofendoplasmic reticulum membranes.

    The catalytic domain of this enzyme remains active

    following cleavage from the transmembrane portionof the enzyme.

    The HMG-CoA Reductase reaction, in whichmevalonate is formed from HMG-CoA, is rate-

    limiting for cholesterol synthesis.

    This enzyme is highly regulated and the target ofpharmaceutical intervention.

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    Mevalonate is

    phosphorylated by 2sequential Pi transfers

    from ATP, yielding

    the pyrophosphate

    derivative.

    ATP-dependent

    decarboxylation, with

    dehydration, yieldsisopentenyl

    pyrophosphate.

    H2CC

    CH3HO

    CH2

    C

    O O

    CH2 OH

    H2C

    C

    CH2 CH2 O P O P O

    O

    O

    O

    O

    CH3

    H2C

    CCH3

    HO

    CH2C

    O O

    CH2 O P O P O

    O

    O

    O

    O

    CO2

    ATP

    ADP Pi

    2ATP

    2ADP

    mevalonate

    5-pyrophosphomevalonate

    (2 steps)

    isopentenyl pyrophosphate

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    Isopentenyl

    pyrophosphate is

    the first of several

    compounds in thepathway that are

    referred to as

    isoprenoids, by

    reference to thecompound isoprene.

    isoprene

    H2C

    C

    C

    CH2

    CH3

    H

    isopentenyl pyrophosphate

    H2C

    C

    CH2

    H2

    C

    CH3

    O P

    O

    O

    O P O

    O

    O

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    Prenyl Transferase catalyzes head-to-tail condensations:

    Dimethylallyl pyrophosphate & isopentenylpyrophosphate react to form geranyl pyrophosphate.

    Condensation with another isopentenyl pyrophosphate

    yields farnesyl pyrophosphate. Each condensation reaction is thought to involve a

    reactive carbocation formed as PPi is eliminated.

    Condensation Reactions

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    CH2 CH2 O P O P O

    O

    O

    O

    O

    CH CH2 O P O P O

    O

    O

    O

    O

    CH2C

    CH3

    CH3C

    CH3

    CH CH2CH3C

    CH3

    CH CH2 O P O P O

    O

    O

    O

    O

    CCH2

    CH3

    PPi

    CH2 CH2 O P O P O

    O

    O

    O

    O

    CH2C

    CH3

    CH CH2CH3C

    CH3

    CH CH2CCH2

    CH3

    PPi

    CH CH2 O P O P O

    O

    O

    O

    O

    CCH2

    CH3

    dimethylallyl pyrophosphate

    isopentenyl pyrophosphate

    isopentenyl pyrophosphate

    geranyl pyrophosphate

    arnesyl pyrophosphate

    Each condensation involves a carbocation ormed as PPi is eliminated.

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    Squalene Synthase: Head-to-head condensation of 2 farnesyl

    pyrophosphate, with reduction by NADPH, yields squalene.

    CH CH2CH3C

    CH3

    CH CH2CCH2

    CH3

    CH CH2 O P O P O

    O

    O

    O

    O

    CCH2

    CH3

    2

    O

    NADP+

    O2 H2O

    HO

    H+

    NADPH

    NADP++ 2PPi

    NADPH

    2 farnesyl pyrophosphate

    squalene 2,3-oxidosqualene lanosterol

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    Squaline epoxidase catalyzes conversion ofsqualene to2,3-oxidosqualene.

    This mixed function oxidation requires NADPH asreductant & O2 as oxidant. One O atom is incorporated into

    substrate (as the epoxide) & the otherO is reduced to water.

    O

    NADP+

    O2 H2O

    HO

    H+NADPH

    squalene 2,3-oxidosqualene lanosterol

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    Structural studies of a related bacterial enzyme have

    confirmed that the substratebinds at the active site in aconformation that permits cyclization with only modestchanges in position as the reaction proceeds.

    The product is the sterol lanosterol.

    O HO

    H+

    2,3-oxidosqualene lanosterol

    Squalene

    Oxidocyclase

    catalyzes a seriesof electron shifts,initiated by

    protonation of the

    epoxide, resultingin cyclization.

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    Conversion oflanosterol to cholesterol involves 19

    reactions, catalyzed by enzymes in ER membranes.Additional modifications yield the various steroidhormones orvitamin D.

    HO HO

    lanosterol cholesterol

    19 steps

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    Many of the reactions involved in converting lanosterolto cholesterol and other steroids are catalyzed bymembers of the cytochrome P450 enzyme superfamily.

    The human genome encodes 57 members of the cyt P450superfamily, with tissue-specific expression andintracellular localization highly regulated.

    Some P450 enzymes are localized in mitochondria.

    Others are associated with endoplasmic reticulummembranes.

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    Cyt P450 enzymes catalyze various oxidative reactions.

    Many are mixed function oxidations (mono-oxygenations)that require O2 & a reductant,e.g.,NADPH.

    One oxygen atom is incorporated into a substrate & theother oxygen atom is reduced to water.

    An example is hydroxylation of a steroid as in the ERelectron transfer pathway above:

    NADPH transfers 2 electrons to cytochrome P450 via a

    reductase that has FAD & FMNprosthetic groups.

    2e

    NADPH FAD/FMN P450

    ROH + H2O

    RH + O2

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    X

    e

    Y

    A cysteine S atom typically serves as an axial ligand

    (X or Y) for the iron atom of a cyt P450 heme.

    The other axial position, where O2binds, may be open or

    have a bound H2O that is displaced by O2.

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    O2 is cleaved after binding to the reduced P450 heme iron.

    In the example shown: one oxygen atom is reduced to water

    and a substrate is hydroxylated.

    2e

    NADPH FAD/FMN P450

    ROH + H2O

    RH + O2

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    Reactions catalyzed by different P450 enzymes includehydroxylation, epoxidation, dealkylation, peroxidation,deamination, desulfuration, dehalogenation, etc.

    P450 substrates include steroids, polyunsaturated fattyacids, eicosanoids, retinoids, & various non-polar

    xenobiotics (drugs & other foreign compounds).Some P450 enzymes have broad substrate specificity.

    Mechanisms fordetoxification of non-polarcompounds include reactions such as hydroxylations

    that increase polarity, so that the products of thesereactions can be excreted by the kidneys.

    Explore with Chime the hemoprotein domain of aBacillusmagaterium cytochrome P450.

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    CH CH2CH3C

    CH3

    CH CH2CCH2

    CH3

    CH CH2 O P O P O

    O

    O

    O

    O

    CCH2

    CH3

    farnesyl pyrophosphate

    Farnesyl pyrophosphate, an intermediate on the pathwayfor cholesterol synthesis, also serves also as precursor forsynthesis of various non-steroidal isoprenoids.

    The importance of the other products of the pathway thatoriginates with mevalonate is reflected in serious diseasesthat result from genetic defects in this pathway.

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    CH CH2CH3C

    CH3

    CH CH2CCH2

    CH3

    CH CH2 S Prot iCCH2

    CH3

    arnesyl residue linked to protein via cysteine

    Farnesyl Transferase catalyzes transfer of the farnesylmoiety of farnesyl pyrophosphate to a cysteine residue in asequence CaaX at the C-terminus of a protein, "a" beingan aliphatic amino acid.

    After subsequent cleavage of the terminal 3 amino acids,the new terminal carboxyl may be methylated, furtherincreasing hydrophobicity.

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    Some otherisoprenoids:

    Dolichol pyrophosphate has a role in synthesis ofoligosaccharide chains of glycoproteins.

    Additional roles have been proposed; dolichol is foundin many membranes of cells.

    H CH2 C CH CH2 CH2 CH CH2 CH2 O P O P O

    CH3 CH3 O O

    O

    O16-19

    olichol pyrophosphate

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    Heme a, a constituent of respiratory chain complexes,

    has a farnesyl side-chain.

    N

    N

    N

    N

    CH3 HC

    CH2

    CH3

    CH CH2

    CH2

    CH2

    COO

    CH3

    HC

    CH2CH2

    OOC

    Fe

    OH

    CH2 CH C CH2

    CH3

    3 H

    O

    Heme a

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    Regulation of cholesterol synthesis

    HMG-CoA Reductase, the rate-limiting step on thepathway for synthesis of cholesterol, is a major controlpoint. Regulation relating to cellular uptake ofcholesterol will be discussed in the next class.

    Short-term regulation:HMG-CoA Reductase is inhibited by phosphorylation,catalyzed by AMP-Dependent Protein Kinase (whichalso regulates fatty acid synthesis and catabolism).

    This kinase is active when cellular AMP is high,corresponding to when ATP is low.

    Thus, when cellular ATP is low, energy is not expendedin synthesizing cholesterol.

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    Long-term regulation is by varied formation and

    degradation of HMG-CoA Reductase and other enzymesof the pathway for synthesis of cholesterol.

    Regulated proteolysis ofHMG-CoA Reductase:

    Degradation of HMG-CoA Reductase isstimulated by cholesterol, oxidized derivatives of

    cholesterol, mevalonate, & farnesol

    (dephosphorylated farnesyl pyrophosphate).

    HMG-CoA Reductase includes a transmembrane

    sterol-sensing domain that has a role in activating

    degradation of the enzyme via the proteasome

    (proteasome to be discussed later).

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    Association with Insig causes the SREBP-SCAP

    precursor complex to be retained within the ER.When sterol levels are low, SCAP & Insig do not interact.

    This allows the SCAP-SREBP precursor complex totranslocate from the ER to the golgi apparatus.

    SCAP has a transmembranesterol-sensing domain

    homologous to that ofHMG-CoA Reductase.

    When bound to a sterol, thesterol-sensing domain of

    SCAP binds the ERmembrane protein Insig.

    PreSREBP-SCAP/sterol-Insig

    sterol

    PreSREBP-SCAP-Insig

    Insig

    PreSREBP-SCAP(translocates to golgi)

    (in ER)

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    Protease S1P (site one

    protease), an integralprotein of golgimembranes, cleaves theSREBP precursor at a

    site in the lumenaldomain.

    N

    membrane

    cytosol

    golgilumen

    S2P cleavagereleasing

    SREBP

    S P-activatedS1P cleavage

    An intramembrane zinc metalloprotease domain of

    another golgi protease S2P then catalyzes cleavagewithin the transmembrane segment of the SREBPprecursor, releasing SREBP to the cytosol.

    Only the product of S1P cleavage can serve as a

    substrate for S2P.

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    Drugs used to inhibit cholesterol synthesis includecompetitive inhibitors of HMG-CoA Reductase.

    Examples include various statin drugs such as lovastatin

    (Mevacor) and derivatives (e.g., Zocor), Lipitor, etc.A portion of each statin is analogous in structure tomevalonate or to the postulated mevaldehydeintermediate.

    Extensive clinical trials have shown that the statin drugsdecrease blood cholesterol and diminish risk ofcardiovascular disease.

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    CH CH2CH3C

    CH3

    CH CH2CCH2

    CH3

    CH CH2 S ProteinCCH2

    CH3

    farnesyl residue linked to protein via cysteine S

    Since farnesyl & geranylgeranyl membrane anchorsare important for signal proteins that regulate cell cycleprogression, inhibitors of prenylating enzymes such asFarnesyl Transferase are being tested as anti-cancerdrugs.

    However, toxic side effects may limit usefulness of thisapproach.