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METABOLISM OF DEOXYPYRIMIDINES AND DEOXYPYRIMIDINE ANTIVIRAL ANALOGS IN ISOLATED BRAIN MITOCHONDRIA Kathleen McCann 1 , David Williams 2 , and Edward McKee 1,2 1  Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, South Bend, IN 46617 USA 2  Department of Biological Sciences, University of Notre Dame, Notre Dame, IN 46556 USA The goal of this project was to identify deoxypyrimidine salvage pathways used to maintain dNTP pools in brain mitochondria, with a view to understanding the mechanisms by which the central nervous system displays a relative resistance to AZT in both treatment and toxicity when compared to other organ systems. These metabolic pathways are increasingly relevant  not only to the treatment of HIV/AIDS, but also to targeting the role of mitochondrial dysfunction in developing new treatment options for neurological degenerative diseases and primary neoplasms of the CNS. Methodology: Mitochondria were isolated from freshly removed brains from adult Harlan Sprague Dawley rats. The protein content was measured by the method of Lowry and the intactness of the brain mitochondrial preparation was determined by measuring the respiratory control ratio (RCR). Mitochondria with RCR values over 5 were incubated at a final concentration of 4 mg protein /ml in media with labeled and unlabeled deoxynucleosides and deoxynucleoside analogs. Samples of the mitochondrial incubation were removed at specific time points and combined with an equal volume of 10% trichloroacetic acid to lyse mitochondria and precipitate the protein and nucleic acids.  This mixture was placed on ice, centrifuged, and the supernatant extract neutralized by addition of AG-11A8 resin. Labeled deoxynucleosides and phosphorylated products in the filtered extracts were analyzed and quantitated by HPLC on an Alltech nucleoside-nucleotide reverse phase column coupled to an inline UV monitor and liquid scintillation counter as previously described. 1  Peaks were identified by comparison to standards. Figure 1: HPLC results of samples taken from mitochondrial incubations at 180 minutes.  Isolated rat brain mitochondria were able to transport thymidine  (A ) and dC  (B)  across the inner membrane into the matrix, and phosphorylate both to their mono-, di-, and tri-phosphates, demonstrating that they possess all enzymes necessary in this pathway, including TK-2 and TMPK .  Deoxyuridine (dU)  (C)  was phosphorylated much more slowly than thymidine and only to dUMP.  (D)  AZT was phosphorylated to AZT-MP as readily as thymidine was phosphorylated to TMP. There was no evidence of AZT-TP.  Figure 2: Time course for phosphorylation of H 3 -thymidine, H 3 -deoxycytidine, H 3 -deoxyuridine, H 3 -AZT. Figure 3: Rates of phosphorylation of AZT (A) and thymidine (B)  in isolated brain mitochondria demonstrated a salvage pathway 10-20 times more active in brain mitochondria than mitochondria of heart or liver. 1,2 A B Figure 4:  Michaelis-Menton graphs were constructed to calculate Vmax and Km of thymidine (panel A) and dC (panel D) phosphorylation. This same data was then plotted to construct Eadie-Hofstee graphs in panels B and E.  These data demonstrate negative cooperativity.  This is further supported by the Hill plots in panels C and F, both of which have slopes of less than 1.  Incubation of Brain Mitochondria with H 3 -thymidine, H 3 -deoxycytidine, H 3 -deoxyuridine, and H 3 -AZT. Figure 5:  Similar Michaelis-Menton graphs were constructed to calculate Vmax and Km of AZT phosphorylation (panel A). The  Eadie-Hofstee and Hill plots in panels B and C  did not support negative cooperativity for AZT phosphorylation.  How do the deoxypyrimidines compete with each other for phosphorylation?  Isolated brain mitochondria were incubated with (A) H 3 -thymidine and increasing concentrations (0 µM – 500 µM) of unlabeled deoxycytidine (dC) or (B) H 3 -dC and increasing concentrations (0 µM – 200 µM) of unlabeled thymidine Figure 5: While  dC (A) inhibited thymidine phosphorylation at  an IC 50  = 8.8 +/- 3.9 µM, thymidine (B) did not inhibit dC phosphorylation until  concentrations far exceeded physiological levels (IC 50  = >400 µM).  Effect of AZT (0 µM – 200 µM) on phosphorylation of  H 3 -thymidine, H 3 -deoxycytidine, and H 3 -deoxyuridine in brain mitochodnria.  Figure 6: AZT was shown to inhibit thymidine phosphorylation by 50% (IC 50  = 5.5 ± 1.7 μM) as well as phosphorylation of dU (IC 50  = 1.0±-0.1 μM), but AZT was not observed to inhibit dC phosphorylation except at levels > 100 µM.  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A B brain liver heart liver heart Discussion:  As previously noted in both human and murine models with TK-2 deficiency, in tissues with mostly non-replicating cells, the enzyme thymidine kinase 2 (TK-2) is crucial in maintaining dNTP pool balance, particularly that of TTP. 3,4  These investigations demonstrate that TK-2 in brain mitochondria recognizes thymidine, deoxycytidine, deoxyuridine, and AZT as substrates, and phosphorylates them to the monophosphate form. Unlike thymidine and dC, AZT and dU were not phosphorylated beyond the monophosphate.  Toxicity of AZT, if present, cannot be mediated by AZT-TP inhibition of the mitochondrial DNA polymerase. Rather, we demonstrate that AZT inhibits thymidine phosphorylation, which may ultimately limit the amount of TTP made, leading to potential disruption of mtDNA replication.  ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Metabolism of Deoxypyrimidines and Deoxypyrimidine Antiviral Analogs in Isolated Brain Mitochondria

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