Endocrinology Vol. 142, No. 7 2760-2767
Copyright © 2001 by The Endocrine Society
Effects of Mutations Involving the Highly Conserved S281HCC Motif in the Extracellular Domain of the Thyrotropin (TSH) Receptor on TSH Binding and Constitutive Activity1
S. C. Ho2,
J. Van Sande,
A. Lefort,
G. Vassart and
S. Costagliola
Department of Endocrinology (S.C.H.), Singapore General Hospital,
Republic of Singapore 169608; and Institut de Recherche
Interdisciplinaire (S.C.H., J.V.S., A.L., G.V., S.C.), Faculty of
Medicine, Free University of Brussels B1070, Belgium
Address all correspondence and requests for reprints to: Dr. Gilbert Vassart, Institut de Recherche Interdisciplinaire, Faculty of Medicine, Free University of Brussels, Belgium. E-mail: gvassart{at}ulb.ac.be
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Abstract
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A model has been proposed in which, in the absence of TSH, the
extracellular domain of the TSH receptor would exert a silencing effect
on the serpentine domain involved in activation of the
G
s protein. Mutation of S281 in the
ectodomain is supposed to release this constraint, thereby causing
receptor activation. This defines S281 and its neighbors as a segment
important in intramolecular signal transduction. The functional
importance of this segment was explored by site-directed mutagenesis
experiments involving S281, as well as the two cysteine residues (C283,
C284) present immediately downstream. S281 was mutated to N, T, G, and
A in this study, and the functional characteristics of the mutants were
compared. We found that S281N, S281T, and S281G display stronger
constitutive activity than S281A mutant, suggesting that increase in
constitutive activity is related to the extent of disruption of the
local structure of the ectodomain. C283 and C284, the two consecutive
cysteines that are highly conserved in glycoprotein hormone receptors,
were mutated to serine, either alone (S281HSC or S281HCS) or in
combination (S281HSS) and were studied in two different TSH receptor
backgrounds. The mutated cysteine ectodomains were either linked to a
glycosylphosphatidylinositol anchor or the serpentine domain of
the wild-type holoreceptor. Glycosylphosphatidylinositol-anchored
ectodomain receptors showed good cell surface expression in CHO
cells, but only S281HCS was able to bind TSH specifically, illustrating
the importance of C283, or the putative disulphide bond, in maintaining
the conformation of the ligand binding site. In contrast, cysteine
mutants on an extracellular domain-holoreceptor background displayed
severely impaired membrane targeting and were poorly expressed in COS
cells. However, basal cAMP production, normalized to expression at the
plasma membrane, indicated significant increase in constitutive
activity of all three mutants, compared with the wild-type receptor.
Altogether, these findings support a model in which the ectodomain
would act as a silencer of the basal activity of the serpentine portion
of the receptor.
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Introduction
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A MEMBER OF THE G protein-coupled receptor
(GPCR) gene family, the TSH receptor (TSHr) is particularly prone to
activation by a wide spectrum of spontaneous mutations. The result is a
constitutive activation of the adenylylcyclase-dependent regulatory
cascade, which is responsible for acquired or hereditary forms of
hyperthyroidism (1, 2, 3, 4, 5, 6, 7, 8, 9). The majority of these activating
mutations correspond to amino acid substitutions, which are widely
distributed over the serpentine structure of the receptor
(10). This observation, together with the demonstration
that the wild-type (WT) TSHr, contrary to its near homologues (the
LH/CG receptor and the FSH receptor), displays significant
constitutive activity, led to the suggestion that the unliganded
inactive TSHr was structurally less constrained than many other GPCRs,
thus being more susceptible to activation by relatively minor
structural changes (10, 11).
Interestingly, a number of the activating mutations have been
identified in the extracellular loops of the serpentine portion of the
receptor and even in the aminoterminal extracellular domain (ECD)
responsible for the high-affinity binding of TSH (8, 11, 12). Serine 281 in the ECD, when mutated to three different
residues (i.e. isoleucine, threonine, and asparagine),
strongly increases the basal stimulation of adenylylcyclase by the
receptor (11, 12). In addition, treatment of cells
expressing the receptor with low concentrations of trypsin results in
partial activation of the receptor, while removing an epitope from the
ECD (13). From these observations, we have proposed that
the ECD would contribute to the silencing of an inherently noisy
serpentine portion of the TSHr (10, 11). This model
implies that interaction(s) between specific regions of the ECD and the
extracellular loops of the serpentine portion would exist, whereby this
silencing effect would be exerted. Recent experiments dealing with
expression of chimeric receptors have provided arguments in favor of
this model (14 and our unpublished observations).
In the present study, the changes in constitutive activity of the TSHr
upon mutation at the critical S281 to amino acids N, T, G, and A were
compared. We found that increase in constitutive activity is related to
the expected magnitude of the effects of the mutations on local
structure, being minimal in the S281A mutant. In addition, we also
explored the functional importance of two highly conserved cysteine
residues of the ECD situated in the immediate vicinity of serine 281
(Cys 283 and Cys 284). Being close to a residue of the ECD whose
mutation activates the receptor constitutively, we reasoned that they
(or, more likely, the structure stabilized by the disulfide bridges
they make) may contribute to the silencing effect of the ECD. Cysteines
283 and 284 were mutated to serine, either singly (S281HSC or S281HCS)
or in combination (S281HSS) on the background of the holoreceptor or on
the ECD expressed separately as a
glycosylphosphatidylinositol(GPI)-anchored molecule (ECD-GPI)
(15). The results point to an important structural role of
C283 in allowing folding of the ECD into a structure capable of binding
TSH. In addition, all three mutant receptor constructs (S281HSC,
S281HCS, and S281HSS) displayed increase in their basal activity, thus
providing additional support to the notion that a specific structure of
the ECD is involved in keeping silent the serpentine portion of the
receptor.
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Materials and Methods
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Generation of the ECDs with serine and cysteine mutations
Both the serine and cysteine mutants were generated by the
QuickChange site mutagenesis method, starting with TSHr in pBluescript
SK+ and two synthetic oligonucleotide primers containing the desired
mutation(s). The primers used for the serine and cysteine mutations
were as followed: 1) Serine mutants: forward primers 5'GCT GAC CTT TCT
TAC CCA AAC CAC TGC TGT GCT TTT AAG A3' for S281N, 5'GCT GAC CTT TCT
TAC CCA ACG CAC TGC TGT GCT TTT AAG A3' for S281T, 5'GCT GAC CTT TCT
TAC CCA GGG CAC TGC TGT GCT TTT AAG A3' for S281G, and 5'GCT GAC CTT
TCT TAC CCA GCT CAC TGC TGT GCT TTT AAG A3' for S281A; 2) Cysteine
mutants: forward primers 5'GCT GAC CTT TCT TAC CCA AGC CAC AGC TGT GCT
TTT AAG A3' for S281HSC, 5'GCT GAC CTT TCT TAC CCA AGC CAC TGC AGT GCT
TTT AAG A3' for S281HCS, and 5'GCT GAC CTT TCT TAC CCA AGC CAC AGC AGT
GCT TTT AAG A3' for S281HSS; and reverse primer 5'GGT AAG AAA GGT CAG
CCC GTG TGA GGT GAA GGA AAC TCA A3', which was used in all the mutants.
The pair of forward and reverse oligonucleotide primers, each
complementary to opposite strands of the vector, was extended during
temperature cycling by PfuTurbo DNA polymerase
(Stratagene, La Jolla, CA). After temperature
cycling, the product was treated with Dpn1, which enabled the digestion
of parental methylated template and selection for the synthesized DNA
containing mutations, which was then transformed into Escherichia
coli. Introduction of mutations had generated additional
restriction enzyme sites with PvuII for S281HSC and
PstI for S281HCS, whereas direct sequencing allowed for
selection of positive colonies for the S281HSS and all the S281
mutations. Recombinant DNA from selected clones was purified and
sequenced again for direct confirmation of mutation.
Cysteine mutant ECD-GPI constructs. An AatII-NdeI
fragment from each cysteine mutant obtained above was inserted in the
complementary DNA (cDNA) coding for the WT (S281HCC) TSHr ECD-GPI
construct in pEFIN3 vector (Euroscreen, Brussels,
Belgium). Transfection was done in CHO-K1 cells and followed by
selection with Geneticin G418. Clones carrying high levels of receptor
expression were isolated by limit dilution.
Serine and cysteine mutant ECD-holoreceptor constructs.
After restriction enzyme digestion with XhoI and
EcoRV, mutated serine and cysteine ECDs from the above
described constructs were ligated into the full-length TSHr cDNA in
pBluescript SK+, which had an EcoRV site engineered at
the CEDIM (408412) motif. A XbaI-KpnI fragment
from each mutant was inserted into the pcDNA3 vector
(Invitrogen, Groningen, The Netherlands). For the
cysteine ECD-holoreceptors, transient transfection was done with 2 µg
DNA for each construct in 300,000 COS 7, using FUGENE 6 transfection
reagent (Roche Molecular Biochemicals, Mannheim,
Germany) according to the manufacturers protocol, whereas
transfection of serine mutants was performed by the DEAE-dextran method
followed by a dimethylsulfoxide shock (16). Cells
transfected with the empty vector or the cDNA of TSHr served as
negative and positive controls, respectively.
Characterization of serine and cysteine mutants
Flow cytofluorometry. Monoclonal antibodies (mAb) BA8 and
15.2 were used for the experiments as described previously
(15). BA8 recognizes a conformational epitope on the TSHr
(15) localized between amino acids 21 and 164
(localization determined by FACS with TSHr/LHr and human
TSHr/rat TSHr chimeric receptors; our unpublished results),
whereas 15.2 (Costagliola, S., unpublished results) recognizes a linear
epitope located close to the C-terminal portion of the ECD from the
amino acid residues 371400.
TSH binding assay. For TSH binding, cells were washed twice
with binding assay buffer (NaCl-free HBSS containing 277 mM
sucrose, 5% BSA, and 25 mM HEPES, pH 7.4) and incubated
with 100,000 cpm/ml 125I-labeled TSH (58
µCI/µg, BRAHMS Diagnostics, Berlin, Germany) for 4 h at room
temperature, with or without unlabeled TSH (Sigma-Aldrich Corp., Bornem, Belgium). The cells were then washed twice
with cold (4 C) buffer, subsequently solubilized with 1
M NaOH, and the radioactivity was determined in a
counter.
cAMP determination. These were done only on COS cells
transfected with the mutant ECD-holoreceptors, after 1 h
incubation in the presence of 25 µM Rolipram (Laboratoire
Logeais, Paris, France) with or without TSH, as detailed previously
(13).
Computation of specific constitutive activity (SCA) and relative
SCA (RSCA). Given that the transfection efficiency for each
construct is constant for a given batch of cells, the SCA is calculated
by: SCA =
(AR-AV)/(FR-FV),
where AR and AV are the
cAMP of cells transfected with the mutant construct and vector,
respectively, and FR and FV
are the corresponding mean fluorescence unit obtained with FACS
analyses.
RSCA, which is normalized to the WT TSHr, is obtained by: RSCA =
SCAR/SCAWT
Western blotting
Preparation of receptor.
Six dishes, each containing 300,000
cells transfected with mutant ECD-holoreceptor constructs, were
detached with 5 mM EDTA and 5 mM EGTA in PBS
and spun down at 280 x g to obtain a cell pellet,
which was resuspended and homogenized in a Potter-Elvehjem glass
homogenizer with a Teflon pestle in 1250 µl lysis buffer (100
mM
(NH4)2SO4, 20
mM Tris at pH 7.5, and 10% glycerol) containing
protease inhibitors (Complete, Roche Molecular Biochemicals). The lysate was then centrifuged at 500 x
g for 10 min, and the supernatant was recovered for further
ultracentrifugation at 30,000 x g for 30 min. Two
hundred microliters of lysis buffer, containing 1%
N-dodecyl-ß-D- maltoside
(Anatrace, Maumee, OH), was added to the pellet; and the
suspension was incubated for another 30 min, at 4 C, under constant
rotation to allow thorough mixing. Final centrifugation was carried out
at 100,000 x g for 1 h, and the supernatant was
stored at -80 C for further use. All procedures described were
performed at 4 C.
Immunoblotting.
Three microliters of Laemli sample buffer
(5x) containing SDS and ß-mercpathoethanol as a reducing agent, were
added to 10 µl receptor protein prepared as above and denatured at 40
C for 1 h. The sample was then run on 7% acrylamide gel and
probed with the mAb 28 (culture supernatant diluted 1:50), which
recognizes a linear epitope at the N-terminal of the ECD from amino
acid residues 3150 (Costagliola, S., to be published). The proteins
were visualized with an antimouse IgG horseradish peroxidase conjugate
and the ECL Plus Western blotting detection system (Amersham Pharmacia Biotech, Benelux, The Netherlands).
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Results
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Conservation of cysteines 283 and 284 among glycoprotein hormone
receptors
Figure 1
illustrates alignment of
the region of glycoprotein hormone receptors downstream of the last
leucine repeat. As can been seen, the CCAF tetrapeptide, two residue
downstream of Ser281 (numbering of the TSHr), is almost invariant in
the TSH, LH/CG, and FSH receptors, as well as in related orphan
receptors of mammalian, drosophila, or nematode origins. Their
proximity with the functionally important Ser281 residue, whose
mutation activates the receptor constitutively, and their conservation
at the C-terminal frontier downstream to the leucine repeats of the
ECDs in all members of the glycoprotein hormone receptor family,
suggested that Cys 283 and Cys284, or the structure they stabilize via
disulfide bonding, would be important for intramolecular signal
transduction. It was thus decided to mutate them to serine, alone or in
combination, and to explore the effect of such mutations both on the
ability of the ECD to fold normally and bind TSH, and on the basal
activity of the receptor. An interplay has been demonstrated between
the ectodomain and the serpentine domain, explaining the gain in
affinity for TSH binding displayed by constitutively active TSHr
mutants (17). To avoid possible interference resulting
from this interaction, the effect of Cys 283 and Cys284 mutations was
tested on the ECD expressed as a GPI-anchored molecule, i.e.
devoid of the serpentine domain. The same mutations were engineered on
the background of the holoreceptor to explore their effects on basal
receptor activity.

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Figure 1. Amino acid sequence of the region of glycoprotein
hormone receptors downstream of the last leucine repeat. The CCAF
tetrapeptide is invariant in the TSH, LH/CG, FSH receptors and in
related orphan receptors of mammalian, drosophila, and nematode
origins.
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Mutant ECD-GPI constructs
The two single mutants (S281HCS and S281HSC) and the double mutant
(S281HSS) were constructed on the framework of the GPI-anchored ECD
described previously and expressed in CHO cells (Fig. 2
, A and B). Representative clones were
selected that displayed expression levels corresponding to the average
of the mixes. They were evaluated by FACS analyses with two different
mAb: mAb BA8 recognizes a conformational epitope located in the
aminoterminal portion of the ECD (15), and mAb 15.2
recognizes a linear epitope at the C-terminal end of ECD. When compared
with S281HCC (WT), S281HSS showed the highest level of receptor
expression, followed by S281HCS and S281HSC (Fig. 2B
). Only the S281HCS
mutant showed sizable specific binding of TSH that was displaceable
with unlabeled hormone (Fig. 3A
).
Displacement of 125I-labeled TSH bound to this
mutant receptor by unlabeled hormone was similar to the WT receptor,
with dissociation constants of 1.6 mUI/ml and 2.1 mUI/ml, respectively
(Fig. 3B
). Mutating Cys 283 (as in S281HSC) abolished this binding
ability, emphasizing the importance of Cys 283 in maintaining
conformation of the binding site. It was also apparent from the above
findings that Cys 284 is involved to a lesser extent in this functional
aspect of the TSHr. Although well expressed on the cell surface, the
double-mutant S281HSS showed only marginal TSH binding capability (Fig. 3A
). In all cases, recognition of the mutants was similar with both
mAb, suggesting that the conformational changes did not involve
destruction of the conformational epitope of mAb BA8.

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Figure 2. Quantitation of cell surface expression of ECD-GPI
mutant constructs. A, Transfection of cysteine mutant ECD-GPI
constructs in CHO cells showed good levels of receptor expression, as
measured by flow cytometry analyses using the mAb BA8 and 15.2 (see
Materials and Methods). The open FACS
histograms display results obtained with cells transfected with
the pcDNA3 vector alone. The filled histograms display
the results obtained with cells transfected with the constructs
indicated on the top of the figure. B, Ratio of
expression of different cysteine mutant ECD-GPI construct, relative to
WT ECD-GPI construct. When compared with S281HCC (WT), S281HSS showed
the highest level of expression, followed by S281HCS and then S281HSC.
Columns represent mean; error bars denote
SE (n = 2).
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Figure 3. Binding of 125I-labeled TSH to ECD-GPI
mutants. A, 300,000 cells of each construct were incubated with 100,000
cpm/ml 125I-labeled TSH in the absence or presence of
unlabeled TSH. S281HCS ECD-GPI construct showed significant TSH binding
that was displaceable with unlabeled TSH. Columns
represent mean; error bars denote SE (n
= 6). B, WT S281HCC and mutant S281HCS showed similar displacement of
I125-labeled TSH binding by unlabeled TSH. The dissociation
constants were 2.1 mUI/ml and 1.6 mUI/ml, respectively.
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Mutant ECD-holoreceptor constructs
In contrast to the GPI constructs, cysteine mutants on the
background of the holoreceptor showed limited cell surface expression
(Fig. 4A
). mAb 15.2, whose linear epitope
is located just upstream of the first transmembrane segment, was able
to recognize the cysteine mutants better than BA8 (Fig. 4B
). This could
be explained, in part, by the difference in the epitopes recognized by
both antibodies. Conformational changes in the ECD as a result of
cysteine mutation would have diminished the binding of BA8
(conformational epitope) without affecting recognition by 15.2.
However, FACS studies on permeabilized cells showed that mAb BA8 was
able to recognize the mutant receptors and that most of these receptors
were sequestrated intracellularly (Fig. 4C
). Western blots of mutant
receptors prepared from transfected cells also indicated that the
majority of these mutant receptors were approximately100 kDa in size,
which corresponded to the single-chain TSHr with immature, high mannose
glycan, whereas the 120-kDa protein, representing the mature TSHr with
complex carbohydrate (18, 19), was barely detectable (Fig. 5
). Cells transfected with cysteine
mutant ECD-holoreceptor constructs did not bind TSH and showed no
response to maximal stimulation with TSH (100 mU/ml) (data not shown).
However, despite the low level of receptor expression at the cell
membrane, cells transfected with cysteine mutants showed increased cAMP
production above that of vector, indicating constitutive activity of
these receptors (Table 1
). When
normalized to the level of expression (as measured by FACS on
nonpermeabilized cells), constitutive activity of the mutants was
higher than that of the WT receptor (Fig. 6
). However, constitutive activity did
not reach the level achieved by an S281N mutant (Fig. 6
).

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Figure 4. Analyses of cells transfected with mutant
ECD-holoreceptor constructs by flow cytometry. The thick-line
histograms display the results obtained with cells transfected
with the pCDNA3 vector alone. The thin-line histograms
illustrate the results obtained with cells transfected with the
constructs indicated on the top of the figure. A,
Studies done on intact cells labeled with BA8 showed limited cell
surface expression of all the cysteine mutants; B, the mAb 15.2 could
detect higher levels of mutant receptor expression on the same
population of cells; C, permeabilization of the cells indicated that
BA8 was able to recognize the mutated ECDs, and the majority of these
receptors were located in the intracellular compartment. The arbitrary
fluorescence unit of vector-transfected cells is indicated below
each panel, whereas the fluorescence unit of cells transfected
with the constructs is shown at the top right-hand
corner of each histogram box. Data shown are representative
results of more than three repeated experiments.
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Figure 5. Western blot of receptor proteins probed with the
mAb 28. Lane 1, WT TSHr showing three bands at approximately 120, 100,
and 60 kDa, corresponding to the mature holoreceptor, the immature
glycosylated protein, and the -subnit, respectively; lanes 24,
cysteine mutants in the following order: S281HSS, S281HSC, and S281HCS.
Small amounts of mature receptors were detected in S281HSS and S281HSC,
whereas none was observed with S281HCS. The data are in agreement with
level of receptor expression, as assessed by FACS analysis. For the
three cysteine mutants, nearly all of the receptors existed as immature
glycosylated form, and no -subunits were visible on
immunoblotting.
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Table 1. Representative sample of expression levels and
functional characteristics of cysteine 283 and 284 mutants
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Figure 6. RSCA of the serine and cysteine mutants, computed
with the formula described in Materials and Methods. All
three cysteine mutants were constitutively active, though less than the
S281N mutant. Mutation of serine 281 to alanine, where disruption of
local structure is expected to be minimal, displayed the lowest
constitutive activity (see Discussion).
Columns represent mean; error bars denote
SE. For S281 mutants, the experiment was done in
triplicate. For cysteine mutants, experiments were performed thrice in
triplicate.
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Considering that mutation of Ser 281 to Asn, Thr, or Ile lead to a
strong increase in constitutive activity of the TSHr (Table 2
and 11, 12), we
explored whether these amino acid substitutions were merely disrupting
a silencing interaction of the ECD with the serpentine (loss of
structure), or if a gain of structure was involved. Ser 281 was mutated
to Ala and Gly, and the basal activity of the mutant receptors was
tested by transfection in COS cells. Alanine substitution is expected
to affect minimally the backbone structure, whereas disrupting
side-chain-mediated polar or ionic interactions. On the contrary,
substitution by glycine may induce significant change in the backbone
conformation by introducing a local flexibility (20). Both
mutants were well expressed at the cell surface (Table 2
). Whereas
the S281G mutant displayed increase in constitutive activity of the
same magnitude as the cysteine mutants, basal activity of the S281A was
similar or even lower when compared with the WT receptor (Table 2
and
Fig. 6
).
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Discussion
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Previous studies on Cys 283 and 284 had involved only single
mutation at either member of the pair of consecutive cysteine residues
(21). Also, the effects of the mutations of these
residues, as well as of other cysteines, were appreciated mainly on
functional parameters (TSH binding or cAMP response to TSH), with
little information on the level of expression of the mutant proteins at
the cell surface (21, 22, 23). Consequently, many cysteine
residues located in the ECD and the extracellular loops of the
serpentine portion of the TSHr were interpreted to be important for
maintaining TSH binding or signal transduction based on incomplete
evidence. In the present study, we evaluated the effects of single and
double mutations at position s283 and 284, both on functional
parameters and targeting to the plasma membrane.
As we have shown clearly in our experiments involving ECD-holoreceptor
mutant, most of the mutated receptors failed to traffic to cell surface
and were sequestrated intracellularly. The mutant receptors trapped
internally were predominantly approximately 100 kDa in size,
corresponding to forms linked to immature, high mannose glycans
(19). Scarce amount of the mature holoreceptor (
120
kDa) could only be detected on immunoblotting, which agreed with the
results of FACS analyses. Therefore, the failure of ligand binding in
these instances is likely attributable to lack of receptor expression
rather than modification of the ligand binding site. Expression of the
same mutants on a GPI-anchor background promoted the efficient
targeting of some of them to the cell surface, thus allowing, for the
first time, assessment of the relative importance of Cys 283 and 284 in
TSH binding. Keeping Cys 283 intact in the ECD (as in S281HCS-GPI) is
compatible with specific binding of TSH, with dissociation constant
similar to the WT receptor. Mutation of this residue (in S281HSC-GPI)
abolished ligand binding and emphasized the critical role of Cys 283 in
maintaining the conformation of the TSH binding site.
Precise interpretation of these experiments and of those of previous
studies (21, 22, 23) would require knowledge of the partnering
cysteine residues involved in individual disulfide bonds. The
difference in behavior of our mutants, when expressed on a GPI or
holoreceptor background, could be secondary to differences in the
nature of illegitimate disulfide bonds that may take place in the
mutants. Apart from the mutated residues, the GPI-based constructs
contain all cysteines present in the WT ECD. In the holoreceptor-based
mutants, the additional cysteines present in the first and second
extracellular loops (which are thought to make a disulfide bond in most
GPCRs) might participate in illegitimate bonds, thus causing misfolding
and trapping of the mutant proteins in the endoplasmic reticulum. It
would be of interest to extend the present study by testing all
combinations of S281HCS, S281HSC, and S281HSS mutations with mutations
of Cys494 and Cys569 in the first and second exoloops,
respectively.
The TSHr displays significant basal activity, when expressed by
transfection in heterologous cells (24, 25), and this
constitutive activity can be increased by a wide spectrum of mutations
(1, 2, 3, 4, 5, 6, 7, 8, 9). The activating mutations affecting residues of the
serpentine portion of the receptor are in agreement with the current
model for GPCR activation, wherein equilibrium would exist between
constrained inactive conformation and relaxed active conformation
(26). The existence of activating mutations affecting a
residue of the ECD, Ser281, led us to propose that, in the TSHr, the
ECD would contribute to stabilization of an inactive conformation of
the serpentine by exerting a silencing effect via interaction with the
exoloops (11). This model predicts that disruption of the
WT structure of the ECD, or mere removal of the ECD, would lead to
receptor activation in the absence of TSH. In this context, mutations
causing disruption of disulphide bond(s) in the vicinity of Ser281, via
mutations of Cys 283 and/or Cys 284, would be expected to trigger
receptor activation. Indeed, all three cysteine mutant
ECD-holoreceptors displayed constitutive activity at levels higher than
the WT. Also, when expressed alone as a truncated structure devoid of
its aminoterminal ECD, the serpentine portion of the TSHr displays
increase in constitutive activity, when compared with the WT
holoreceptor [ (14) and our unpublished data]. In both
cases, however, the basal activity did not reach the level achieved by
S281N. An attractive possibility would be that mutations affecting
Ser281 would cause a conformational change, acting as a switch,
transforming domain of the ECD with a silencing effect on the
serpentine into a structure endowed with stimulatory activity. This
model would account for the observation that mutations affecting Ser281
of the TSHr [or Ser277 of the LHr (27)] cause increase
in constitutive activity, in relation with the expected effects of the
amino acid substitutions on disruption of the local structure.
Substitutions by alanine are virtually neutral, with no stimulatory
effect on basal activity; whereas substitutions by glycine, threonine,
or asparagine (Fig. 6
) or, more so, by isoleucine lead to stronger
activation (12, 27). The mutations with more drastic
effects on structure would trigger the switch more efficiently. The
model leads to the suggestion that activation of the receptors by their
natural agonists could involve a similar mechanism, switching a
silencing effect of the unliganded ECD into a stimulatory effect
induced by hormone binding. Alternative hypotheses have been proposed,
involving a direct stimulatory effect of the
-subunits of
glycoprotein hormones on the serpentine portion of the receptor
(28). Further work will explore the relevance of the above
model in the cases of the noisy TSHr and the silent LHr and FSH
receptor and will attempt identification of the residues involved both
in the putative switch domain of the ECD and its interacting partner in
the exoloops of the serpentine domain.
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Acknowledgments
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We thank Veronique Janssens for technical help. The
125I bTSH tracer and TRAK assays were supplied by
BRAHMS Diagnostics.
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Footnotes
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1 This study was supported by the Belgian State, Prime Ministers
office, Service for Sciences, Technology and Culture; by grants from
the Fonds de la Recherche Scientifique Médicale, Fonds National
de la Recherche Scientifique, European Union (Biomed) and Association
Recherche Biomédicale et Diagnostic; and by BRAHMS Diagnostica
and Euroscreen Société Anonyme. 
2 A fellow of the Health Manpower Development Programme of
Ministry of Health, Republic of Singapore, and supported by a grant
from NMRC (NMRC 0347/1999). 
Received January 16, 2001.
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