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48    Part I  Molecular and Cellular Basis of Hematology


           processing of propolypeptides into their mature forms occurs after   5.1). The first sorting decision occurs after approximately 30 amino
           the Arg-Xxx-Lys-Arg motif and is mediated by the general protein   acids of the nascent polypeptide are extruded from the ribosome. If
           processing protease FURIN. FURIN is expressed in all cell types   the nascent polypeptide lacks a “signal sequence,” most often found
           and removes propeptides from many proteins, including clotting   near the amino-terminal end, the translation of the polypeptide is
           factors, growth factors, and proteases, and is responsible to convert   completed  in  the  cytosol. Then  the  protein  either  remains  in  the
           these proteins into their functional forms. Other members of the   cytosol or is posttranslationally incorporated into one of the indicated
           proprotein  convertase  (PC)  family  cleave  after  pairs  of  dibasic   organelles (see Fig. 5.1). If the protein does contain an amino-terminal
           amino acids (for example Lys-Arg) and are expressed in specific   signal sequence it is imported co- or posttranslationally into the ER
           cell types, such as neuroendocrine cells. The PCs are responsible   or mitochondrion. Trafficking of proteins from the ER to the Golgi
           for  cleavages  that  occur  to  generate  many  hormones,  such  as   compartment and lysosomes occurs via vesicle budding and fusion
           insulin, glucagon, and adrenocorticotropic hormone.  events (see Fig. 5.1).
        Other  modifications  such  as  N-glycosylation,  O-glycosylation  and
        attachment  of  a  glycosylphosphatidylinositol  (GPI)  anchor  will  be   Targeting of Nuclear Proteins
        discussed in a separate section.
           Finally, proteins can also be susceptible to nonenzymatic modifi-  One  of  the  distinctive  features  of  all  eukaryotic  cells  is  that  the
        cations that take place under particular conditions, such as during   genome  is  contained  in  an  intracellular  compartment  called  the
        oxidative stress or in the presence of excess glucose in the blood as in   nucleus. The nucleus is bounded by a double membrane that forms
        the case of hemoglobin glycation.                     the nuclear envelope (NE) (see Fig. 5.1). The outer nuclear membrane
                                                              is continuous with the ER and has a polypeptide composition distinct
                                                              from that of the inner membrane. About 3000 nuclear pore com-
        PROTEIN DEGRADATION                                   plexes  (NPCs)  perforate  the  NE  in  animal  cells.  Although  NPCs
                                                              allow unrestricted, bidirectional movement of molecules smaller than
        The level of a protein in the cell results from the balance between its   40,000 Daltons, traversal of larger molecules across NPCs is tightly
        synthesis  and  degradation  and  a  protein’s  half-life  can  vary  from   regulated. NPCs are approximately 120 nm in external diameter and
        minutes to hours. Moreover, the cell eliminates proteins that contain   comprise  approximately  50  different  proteins  (nucleoporins),
        mutations that cause protein misfolding. Such misfolded proteins are   arranged in a complex cylindrical structure with an octagonal sym-
        marked for destruction and then degraded to avoid toxic effects of   metry.  Nucleoporins  constitute  the  scaffold  of  the  NPC  and  are
        their accumulation. The breakdown of these molecules is achieved in   arranged in rings. In the inner ring, nucleoporins containing repeats
        two  major  phases.  First,  the  molecules  are  tagged  with  ubiquitin,   of  two  hydrophobic  amino  acids,  phenylalanine  and  glycine
        which is covalently linked to the substrate protein as described earlier.   (FG-repeats), seem to be essential for the movement of the cargo-
        Second, the tagged molecules are ferried to an ATP-dependent pro-  carrier  complexes  and  for  creating  a  selectivity  barrier  against  the
        tease complex called the 26S proteasome, a multi-subunit molecular   diffusion  of  nonnuclear  proteins.  The  FG-nucleoporin  filaments
        machinery  specialized  in  protein  destruction.  Peptides  and  amino   protrude toward the inner core of the NPC and the weak hydrophobic
        acids derived from protein disposal are recycled.     interactions between the FG-repeats and the cargo-carrier complexes
           Since its first discovery in carrying out the disposal of damaged   mediate the passage of molecules.
        and misfolded proteins, protein ubiquitylation was found associated   NPCs  are  capable  of  importing  and  exporting  molecules  or
        to  an  increasing  number  of  specific  regulatory  events  involving  a   complexes,  provided  that  the  molecules  have  an  exposed  nuclear
        selective degradation of key regulatory proteins. Thus, ubiquitylation   localization  signal  (NLS)  or  nuclear  export  signal  (NES).  These
        is responsible for regulating a wide array of cellular processes includ-  signals  are  not  always  easy  to  predict.  In  Table  5.1  some  of  the
        ing differentiation, tissue development, induction of inflammatory   best-known signals are listed. The function of these signals in import-
        responses,  antigen  presentation,  cell  cycle  progression  and  pro-  ing or exporting a protein was analyzed by critically testing both the
        grammed cell death also named apoptosis (Chapter 18 will review   effects of amino acid substitutions on transport and the capability of
        cell death). In addition, according to the pattern of modification of   the  signal  to  target  in  or  out  of  the  nucleus  an  attached  reporter
        the target proteins (monoubiquitination, polyubiquitination) differ-  protein. The nuclear localization signals are not cleaved off as occurs
        ent  proteins  can  trigger  DNA  repair  (monoubiquitination  of   for other signals (see later) and thus can function repetitively. Can-
        N-terminal tails in histones) or be subjected to endocytosis (monou-  didates exposing signals for nuclear import (i.e., transcription factors,
        biquitination of surface receptors).                  coactivators or corepressors, DNA repair enzymes, ribosomal proteins
                                                              and mRNA processing factors, etc.) or export (ribosomal subunits,
        SORTING FROM THE CYTOSOL INTO OTHER                   mRNA-containing  particles,  tRNAs,  etc.)  are  transported  through
                                                              the NPC in association with soluble carrier proteins, called karyo-
        COMPARTMENTS                                          pherins  (also  called  importins,  exportins  or  transportins),  which
                                                              function as shuttling receptors for different protein cargos. According
        Most proteins are synthesized on free polysomes and remain in the   to the direction of transport, they are divided into two groups: (i)
        cytosol.  These  include  enzymes  involved  in  many  metabolic  and   importins, if they bind their cargo on the cytoplasmic side of the
        signal transduction pathways, proteins required for mRNA transla-  NPC and release it on the other and (ii) exportins if they bind the
        tion or assembly of the cytoskeleton. Other proteins are imported   cargo in the nucleus and release it in the cytoplasm.
        from the cytosol into organelles including the nucleus, the mitochon-  Ran  is  a  small  Ras-like  GTPase,  belonging  to  the  G-protein
        drion, and the peroxisome (Fig. 5.1).                 superfamily, that controls both the docking of carrier proteins with
           In general, there are two types of protein trafficking. In one type,   their cargo and the directionality of transport through cycles of GTP
        the protein crosses a lipid bilayer. The polypeptide crosses the mem-  binding and hydrolysis. Fig. 5.2 exemplifies a cycle of import into the
        brane in an unfolded state through an aqueous channel composed of   nucleus. An importin binds the cargo in the cytosol and then associ-
        proteins. In the second type, the protein does not traffic across a lipid   ates with Ran-GDP for trafficking into the nucleus where a Ran-GEF
        bilayer and is exemplified by trafficking into the nucleus or from the   (guanine-nucleotide  exchange  factor)  catalyzes  GTP  exchange  for
        endoplasmic  reticulum  (ER)  to  the  Golgi  compartment.  In  these   GDP  on  Ran  that  triggers  cargo  release.  The  importin-Ran-GTP
        cases, proteins and protein complexes are transported in their folded/  complex is transported back to the cytoplasm where the conversion of
        assembled state.                                      GTP to GDP is stimulated by a Ran-GAP protein (GTPase-activating
           The trafficking events are governed by sorting signals (i.e., short   protein)  that  causes  dissociation  of  Ran  from  the  importin  which
        linear  sequences  or  three-dimensional  patches  of  particular  amino   can initiate a new cycle. The movement of cargo from the nucleus
        acids) and by their cognate receptors (see some examples in Table   to the cytoplasm occurs by formation of a Ran-GTP-exportin-cargo
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