To define the enzymatic and genetic basis of X-linked phosphoribosylpyrophosphate synthetase (PRS) catalytic superactivity, we measured concentrations of Xlinked PRS1 and PRS2 isoforms in cultured fibroblasts and lymphoblasts by immunoblotting after separation by polyacrylamide-urea isoelectric focusing. PRS1 comprised >80% of measurable PRS isoforms in all fibroblast strains, but PRS1 concentrations in cells from six affected males exceeded those in normal cells by 2-6-fold. PRS absolute specific activities (activity per mg of PRS isoforms) were comparable in all fibroblast strains and in purified recombinant normal PRS1, confirming selectively increased levels of PRS1 isoform as the enzymatic basis of PRS catalytic superactivity. Cloning, sequencing, and expression of normal subject-and patient-derived PRS cDNAs predicted normal translated region sequences for both PRS isoforms and revealed no differences in catalytic properties of recombinant PRS1. Normal and patient PRPS1 transcribed but untranslated DNA sequences were also identical. Northern blot analysis showed selective increase in relative concentrations of PRS1 transcripts in patient fibroblasts. In PRS catalytic superactivity, overexpression of the normal PRS1 isoform thus appears to result from an altered pretranslational mechanism of PRPS1 expression. In lymphoblasts, however, expression of this alteration is attenuated, explaining the absence of phenotypic expression of PRS catalytic superactivity in these cells.
Superactivity of phosphoribosylpyrophosphate (PRPP)1 synthetase (EC 2.7.6.1; PRS) is an X-linked human disorder (1) characterized by purine nucleotide and uric acid overproduction (2-4), gout (2, 5), and, in some families, neurodevelopmental impairment (5-8). Accelerated production of the purineregulatory substrate PRPP provides a unitary pathogenetic mechanism for excessive synthesis of purine nucleotides and, ultimately, uric acid in affected individuals (3, 4, 9). Nevertheless, diversity is apparent in the aberrant enzymatic properties resulting in PRS superactivity in different families (3,5,8). Defective allosteric regulation of PRS activity by purine nucleotide inhibitors (such as ADP and GDP) and by the activator P i characterizes one kinetically defined class of superactive PRS (8). Defects in allosteric regulation of PRS result from point mutations in the translated sequence of PRPS1 (8, 10), one of the two X-linked genes (PRPS1 and PRPS2) (11, 12) encoding independently active (13) and highly homologous (14, 15) PRS isoforms (PRS1 and PRS2, respectively).In a second and, in our experience, more frequently encountered class of PRS superactivity, regulation of enzyme activity by nucleotide inhibitors is normal, as are affinities for substrates and activators (Mg 2ϩ , P i ) (16 -19). Increased maximal reaction velocity (V max ) is the only identifiable kinetic alteration in the PRS of such individuals (catalytic superactivity) (20). Although indirect evidence for structural alterations in PRS has been reported in catalytic supe...