Effects of Disease-Causing Mutations on the Conformation of Human Apolipoprotein A-I in Model Lipoproteins
Plasma high-density lipoproteins (HDL) are protein-lipid nanoparticles that transport lipids and protect against atherosclerosis. Human apolipoprotein A-I (apoA-I) is the principal HDL protein whose mutations can cause either aberrant lipid metabolism or amyloid disease. Hydrogen-deuterium exchange (HDX) mass spectrometry (MS) was used to study the apoA-I conformation in model discoidal lipoproteins similar in size to large plasma HDL. We examined how point mutations associated with hereditary amyloidosis (F71Y, L170P) or atherosclerosis (L159R) influence local apoA-I conformation in model lipoproteins. Unlike other apoA-I forms, the large particles showed minimal conformational heterogeneity, suggesting a fully extended protein conformation. Mutation-induced structural perturbations in lipid-bound protein were attenuated as compared to free protein, and indicated close coupling between the two belt-forming apoA-I molecules. These perturbations propagated to distant lipoprotein sites, either increasing or decreasing their protection. This HDX MS study of large model HDL, compared with previous studies of smaller particles, ascertained that apoA-I\xe2\x80\x99s central region helps accommodate the protein conformation to lipoproteins of various sizes. This study also reveals that the effects of mutations on lipoprotein conformational dynamics are much smaller than those in lipid-free protein. Interestingly, the mutation-induced perturbations propagate to distant sites nearly 10 nm away and alter their protection in ways that cannot be predicted from the lipoprotein structure and stability. We propose that long-range mutational effects are mediated by both protein and lipid and can influence lipoprotein functionality.
INTRODUCTION<!>Proteins and lipids.<!>Lipoprotein reconstitution and characterization.<!>Lipoprotein stability studies.<!>Hydrogen/Deuterium exchange mass spectrometry.<!>Biophysical analysis of lipoprotein structure and stability.<!>Transfer from solution to the disc affects the local conformation in WT apoA-I.<!>Comparison with previous studies of smaller WT-containing discs.<!>EX1/EX2 exchange kinetics in large WT and mutant apoA-I discs.<!>Effects of lipid binding on the structural protection in mutant apoA-I.<!>Effects of mutations on the protein protection in model HDL.<!>DISCUSSION
<p>High-density lipoproteins (HDL) remove cholesterol from peripheral cells via the reverse cholesterol transport pathway and provide other beneficial properties 1, 2 Efforts to harness these properties require a detailed understanding of the structure, dynamics, and function of HDL 1. This is a challenging task considering plasma HDL contain heterogeneous particles differing in shape (nascent "discoidal" or mature "spherical"), size (7.7-12 nm), protein and lipid composition, and functionality 1, 3-5. Each particle may contain several protein molecules and up to 300 lipid molecules. The major structural protein, apolipoprotein A-I (apoA-I, 243 amino acids), also acts as a functional ligand on the particle surface 6-10. Nascent HDL generation begins upon interaction of free apoA-I with the plasma membrane mediated by lipid transporters such as ABCA1 4, 9 Each particle consists of a cholesterol-containing phospholipid bilayer with two apoA-I molecules wrapped around the circumference in an antiparallel α-helical "double-belt" conformation 6, 11, 12. Although the morphology of nascent HDL and related model particles is probably non-planar 13, the particles appear discoidal in transmission electron microscopy 14. Termed "nanodiscs", various constructs of apoA-I have been used as models of nascent HDL 4, 5, 11, 13 and as membrane mimetics for single-molecule studies of membrane proteins 15.</p><p>ApoA-I on plasma HDL directs reverse cholesterol transport by interacting with lipid-processing factors, such as lecithin:cholesterol acyltransferase (LCAT) 16. ApoA-I activates LCAT which converts nascent HDL into mature spherical particles containing a core of cholesterol esters and other neutral lipids 4, 17. During its life cycle HDL is continuously remodeled by LCAT and other plasma factors, which can lead to an increase in the particle size and a release of apoA-I as a conformationally labile free monomer. Free apoA-I can either rapidly associate with lipids, get degraded, or misfold and deposit as amyloid 18. In contrast, lipid-bound protein is protected from degradation and misfolding by kinetic barriers 19.</p><p>Conformational flexibility of apoA-I, which is required for its reversible binding to the lipid surface 20 and for adaptation to HDL of various shapes and sizes 20, 21, has complicated apoA-I structural studies. Although the atomic structure of a complete HDL particle is not available, critical insights have emerged through extensive biophysical studies, including X-ray and NMR structures of truncated apoA-I in solution and in model lipoproteins 21, 22 (Fig. 1).</p><p>ApoA-I residues 44-243 contain ten Pro-punctuated 11/22-mer tandem sequence repeats, h1 through h10 (Fig. 1a), that can form amphipathic α-helices kinked at Pro or Gly 23. Large apolar faces of these helices form lipid surface-binding sites, while the polar faces confer solubility. Current models of HDL stem from the ~4 Å resolution structure of the N-terminally truncated human lipid-free apoA-I, Δ(1-43)apoA-I, which mimics key aspects of the lipid-bound conformation 22. In this structure, two antiparallel, largely α-helical protein molecules form a circular "double-belt" closed at the C-terminal end via the paired h10 repeats, with the paired h5 repeats at the center of the dimer (Fig. 1c). While the h5/h5 repeat registry on various HDL particles has been firmly established in both cross-linking and spectroscopic studies, the conformations of the N- and C-terminal regions of apoA-I on HDL are less well defined and alternative models have been proposed for various particles (8, 11, 20, 24-26 and references therein). The importance of the h5/h5 repeat registry in apoA-I dimers is supported by the 2.2 Å resolution x-ray crystal structure of lipid-free C-terminally truncated protein, Δ(185-243) apoA-I 21 (Fig. 1b). This structure has revealed a semi-circular dimer with a diameter d=11 nm commensurate with the HDL size, and a 2-fold symmetry axis passing through the middle of the h5/h5 segment pair. This segment forms a dynamic central linker connecting two globular domains, each containing a four-helix bundle encompassing residues 1-184. These helices are referred to as HI-HIV when discussing the four-helix bundle. Upon interaction with lipids this bundle is thought to open up into two helical pairs, HI-HII and HIII-HIV, which exposes the apolar surfaces for lipid binding and converts the helix bundle into a double belt. Domain swapping around repeat h5 (residues 121-142) mediates the dimer-to-monomer interconversion upon reversible binding of apoA-I to HDL 21. Hence, the crystal structure of Δ(185-243)apoA-I probably depicts an intermediate conformation between the full-length free apoA-I monomer and the HDL-bound dimer. This concept is further supported by the NMR structure of a small model HDL containing the centrally and N-terminally-truncated apoA-I (Fig. 1d), the only currently available atomic structure of HDL 11. This structure retains the h5/h5 and h4/h6 repeat registry seen in solution but involves "right to right" helical rotation to expose apolar surfaces to lipid.</p><p>Hydrogen/deuterium exchange (HDX) mass spectrometry (MS) studies of full-length apoA-I, either as a free monomer in solution or on various model HDL 27-29, are consistent with these atomic structures. HDX, which is strongly influenced by main-chain hydrogen bonding and solvent accessibility, is particularly slow for well-ordered α-helices and fast for the disordered regions 30-33. HDX MS was used to compare local dynamics in lipid-free and HDL-bound apoA-I to identify regions undergoing lipid-induced conformational changes 29. HDX MS studies of small (diameter 7.8 nm) and mid-size (9.6 nm) model discoidal HDL and mid-size spherical HDL (10 nm) have established that the local protein structure and dynamics were largely conserved on particles of different diameters 28, 29. However, certain apoA-I regions, such as residues 115-158, showed differences in dynamics reflecting the adaptation of the protein conformation to HDL of various shapes and sizes 28, 29. In the current work, we extended the application of HDX MS to determine the effects of naturally occurring apoA-I mutations on the protein dynamics in model discoidal HDL. The proteins were reconstituted with a model phospholipid dimyristoyl phosphatidylcholine (DMPC), and 11-12 nm particles which resemble the size of large plasma HDL were isolated for analysis. These discoidal particles are termed "model HDL" or "discs" for brevity. Such relatively large HDL have not been previously explored by HDX MS.</p><p>We focused on how mutations influence apoA-I conformation in the model HDL. The structural bases for altered functionality of apoA-I mutants have been explored by several groups, including ours. Of more than 50 known naturally occurring human apoA-I variants, most are associated with low plasma levels of apoA-I and HDL. One group of mutations, located in repeats h5-h7 (residues 121-187) proposed to interact with LCAT, impedes HDL maturation and is often linked to an increased risk of atherosclerosis 34. Another group of approximately 20 mutations, clustered in residues 1-100 and 170-178, causes hereditary apoA-I amyloidosis, a life-threatening disease wherein 9-11 kDa N-terminal fragments of apoA-I deposit as fibrils in various organs and damage them 35-37. Previously, we used an array of biophysical techniques to probe the structure and stability of human wild type (WT) apoA-I and its representative disease-causing mutants in solution and on model HDL. HDX MS analysis of the proteins in a free monomeric state, the precursor of amyloid, enabled us to propose a molecular mechanism of apoA-I misfolding in amyloid 38, 39. Here, we use the same technique to explore the conformation of human WT and variant apoA-I on model HDL. The variants included F71Y, the most subtle amyloidogenic mutation, located inside the N-terminal fragments that deposit as amyloid in vivo
40; L170P, an amyloidogenic mutation located outside such fragments 41; and L159R (Finnish variant), a non-amyloidogenic mutation that impairs HDL maturation and increases the risk of atherosclerosis 42-44. The results revealed unexpected effects of mutations on the protein conformation and shed new light on the mechanism of protein adaptation to lipoproteins of different sizes.</p><!><p>Recombinant full-length human WT apoA-I and its three point mutants, F71Y, L159R and L171P, were cloned, expressed, purified, and refolded as previously described 21. Briefly, the proteins were expressed in E. coli using a His6-MBP-TEV tag and purified by FPLC to 95%+ purity. One additional N-terminal Gly was present in all proteins. Lyophilized proteins were refolded from 6 M guanidine hydrochloride upon extensive dialysis against a standard buffer (10 mM Na phosphate, pH 7.4) that contained 0.25 mM Na EDTA. Protein concentrations were determined by absorbance at 280 nm and by a modified Lowry assay. Each protein was characterized by liquid chromatography and electrospray MS to verify the correct molecular weight and to assess the purity (data not shown). Immediately upon refolding, the proteins were aliquoted; some proteins were reconstituted into discoidal complexes with the lipid. DMPC was 99+% pure from Avanti Polar Lipids (Alabaster, AL, USA). All other chemicals were of highest purity analytical grade.</p><!><p>To expand the range of lipids beyond palmitoyl oleoyl phosphatdylcholine (POPC) used in most previous HDX studies of model HDL 27-29, we chose DMPC that can self-assemble with apoA-I to form large 11-12 nm particles. Such a spontaneous self-assembly mimics key aspects of nascent HDL formation through the ABCA1-mediated interaction of apoA-I with the plasma membrane, thus providing a suitable model for nascent HDL 45. The choice of lipid is further justified by the close similarity in the secondary structure and stability of apoA-I complexes with DMPC and POPC, as assessed by circular dichroism (CD) spectroscopy and differential scanning calorimetry (supplemental Fig. S1), and by HDX MS showing very similar apoA-I conformations on the mid-size complexes with POPC and DMPC 29. By choosing DMPC over POPC we avoid the use of cholate detergent. We also avoid potential complications from the gel-to-liquid crystalline lipid phase transition that affects the hydrophobic thickness of the disk and hence, the surface available for the protein binding 46. In fact, the transition temperature in DMPC is 24 °C, but in POPC it is 4 °C, the same temperature used in our HDX experiments described below.</p><p>ApoA-I complexes with DMPC were obtained by spontaneous reconstitution as previously described 38. Briefly, multilamellar lipid vesicles were prepared using thin-film evaporation and re-suspension in the standard buffer. The vesicles were incubated with the protein (1:4 mg/mg protein:lipid in the standard buffer) overnight at 24 °C. Excess lipid was removed by centrifugation. Lipoproteins were isolated by size-exclusion chromatography using a Superdex-75 (10/300 GL) column controlled by an ÄKTA FPLC system (GE Healthcare) (Figure S2); the peak fractions were collected and used for further studies. Native PAGE showed that all four proteins formed particles circa 11 nm in size (Figure S2). Negative stain transmission electron microscopy using a CM2 transmission electron microscope (Philips Electron Optics, Eindhoven, the Netherlands) as previously described 38 ascertained that all proteins formed similar-size discoidal particles 11-12 nm in diameter (Fig. 2a, Fig. S2), consistent with previous work 38. Glutaraldehyde cross-linking of the variant proteins on the discs performed as described in the Supplement showed an apoA-I dimer (Fig. S3). Phospholipid assay showed that the particles containing different proteins had similar PC content, with an 1:2.8 protein:lipid weight ratio, or 235±10 DMPC molecules per particle (Fig. S3). Similarly, previous detailed studies of apoA-I:DMPC complexes obtained by this method showed that each particle contained two molecules of apoA-I and 210 to 290 molecules of DMPC depending upon the estimation method 47, 48. Further, all proteins showed a similar blue shift in the wavelength of maximal Trp fluorescence, from 340 nm in lipid-free proteins to 330 nm on lipoproteins, indicating sequestration of all four apoA-I tryptophans in a hydrophobic lipoprotein environment (Fig. S4). Taken together, these results showed that different apoA-I variants formed lipoproteins with similar size and stoichiometry.</p><p>Isolated lipoproteins were used within hours for HDX MS studies. All experiments in the current study were repeated using at least two independent lipoprotein preparations.</p><p>A caveat in these studies is that size exclusion chromatography enables one to separate apoA-I dimer, either free or lipid-bound, from the free apoA-I monomer; however, if apoA-I forms a dimer in solution it cannot be fully separated from the discs. Therefore, our disc preparations could potentially contain a small amount of free dimer, which would affect the HDX data. However, two lines of evidence suggest that these effects were insignificant. First, disc samples containing L159R and L170P mutants, which have increased propensity to dimerize in solution, clearly showed increased protection in the C-terminal tail (Fig. 3, Disk – Free, see below), which is a hallmark of the lipid-bound conformation. Second, the kinetic HDX data clearly showed conformational homogeneity evident from the lack of EX1 in all disc preparations (see Figs. 5b and S6 below). Third, the kinetic studies of thermal stability showed only a slow phase in protein unfolding, which is a hallmark of lipid-bound apoA-I (Fig. 2b below). These observations suggest strongly that essentially all protein was lipid-bound in our disc preparations. Furthermore, the lack of EX1 observed in large disks (Fig. 5b below) indicates that particle size heterogeneity observed for various disk preparations (Fig. S2) had no detectable effect on the protein conformational dynamics observed in our HDX studies.</p><!><p>Far-UV CD data were recorded using an AVIV 62DS spectropolarimeter with a thermoelectric temperature control as previously described 49. Kinetic stability of lipoproteins was assessed by thermal denaturation in the melting 39 and kinetic temperature-jump experiments following previously described protocols 49. Briefly, in temperature jumps, lipoprotein denaturation was triggered by a rapid increase in temperature from 25 °C to a higher constant value, e. g. 75 °C, and the time course of α-helical unfolding was monitored by CD at 222 nm.</p><!><p>Deuterium exchange experiments were performed in duplicates as previously described 39, 50 with minor variations. Two independent lipoprotein preparations (see Lipoprotein reconstitution and characterization) were each analyzed once by HDX MS. The low variability in deuterium incorporation between the two independent biological replicates ascertains the reproducibility of our studies and shows that the effects of apoA-I mutations and lipidation observed in these studies are meaningful 51. Stock solutions of lipid-free and lipid-bound apoA-I were diluted to 0.5 mg/ml in equilibration buffer (10 mM potassium phosphate, 150 mM NaCl, pH 7.0, H2O) at 4 °C. Exchange was initiated by an 18-fold dilution into D2O buffer (10 mM potassium phosphate, 150 mM NaCl, pD 7.0) at 4 °C; this choice of low temperature was described in 27. The reaction proceeded for pre-determined periods of time, from 5 s to 4 hrs, whereupon labeling was quenched by dropping the pH to 2.5 using ice-cold concentrated formic acid (Sigma Aldrich) and immediately placing the sample on ice. All following steps were performed at 0 °C and all materials were pre-chilled on ice. Sodium cholate (100 mM) was added to quenched samples to solubilize the lipoproteins, releasing free apoA-I. Immobilized pepsin 52, 53 was added to quenched samples for 5 min for digestion. Pepsin beads were removed by centrifugation (10,000×g at 4 °C) using Corning® Costar® Spin-X® centrifuge tube filters. Flow-through was immediately introduced into a Waters nanoACQUITY with HDX technology 54. Peptides were desalted for three minutes on an Acquity UPLC BEH C18 1.7 μm trap. After desalting the flow was reversed for chromatographic separation on an ACQUITY UPLC® HSS T3 1.8 μm, 1.0 × 50 mm column. Peptides were eluted from the column during a 6 minute, 5-35% water:acetonitrile 0.1% formic acid gradient. Electrospray mass spectra were acquired with a Waters Synapt G2Si with mobility on. This procedure was repeated for each protein at each time-point for each replicate. Peptic peptides were identified with a combination of exact mass measurements and HDMSE by ProteinLynx Global Server (PLGS) 3.0 software (Waters). Deuterium level incorporation was determined with the aid of DynamX 3.0 software (Waters) along with manual verification of every spectrum to ensure accurate measurements. The error of measuring the deuterium incorporation in this instrumental system in labeling replication 51 does not exceed ±0.15 Da 39; given we performed a biological replicate and not a labeling replicate 51, we considered a difference larger of ±0.50 Da (Figure 3), as meaningful.</p><!><p>Discoidal lipoproteins 11-12 nm in size, which contained WT or variant apoA-I and DMPC, were prepared and analyzed as described in Section 2.2 and Figures S2 – S4. Far-UV CD spectra of lipoproteins containing WT, F71Y and L170P closely overlapped, suggesting 70±5% α-helical content, while for L159R this value decreased to 60±5% (Figure 2a). Kinetic stability of lipoproteins was assessed by measuring the protein unfolding rates in temperature-jump experiments using far-UV CD at 222 nm as described in Section 2.3. Representative temperature-jump data in Figure 2b showed slow α-helical unfolding on a timescale of hours, which is a hallmark of lipid-bound apolipoproteins 19, and demonstrated large mutational effects on the unfolding rate, with the WT showing the slowest and L159R the fastest unfolding. The rank order of the kinetic disc stability emerging from these data, which is inverse of the unfolding rate, is WT > F71Y >> L170P > L159R. This rank order agrees with that previously determined in the CD melting studies of similar discs, WT > F71Y >> L170P ≥ L159R 39.</p><p>Previously we showed that destabilization of model and plasma HDL involves protein release and lipoprotein fusion 19. To probe for structural integrity of apoA-I:DMPC complexes at ambient temperatures, the complexes were incubated at 37 °C for 48 h, followed by non-denaturing PAGE. While WT, F71Y and L170P remained bound to lipid under these conditions, a fraction of L159R was released as free protein (Fig. 2c) indicating decreased disk stability. Furthermore, limited tryptic digestion at 37 °C clearly showed that complexes containing WT and F71Y were much better protected from proteolysis as compared to those containing L170P and L159R (Fig. 2d). All together, these results clearly showed that the disk stability decreases in order WT > F71Y > L170P > L159R.</p><!><p>HDX MS was performed on the lipid-free and lipid-bound protein state on large discs, by generating peptide fragments providing 100% sequence coverage of the protein (Figure S5). The results showed that transfer of WT apoA-I from the lipid-free monomeric state in solution to the disc surface increased the structural protection in some protein regions, yet reduced the protection in other regions (Figure 3, Disc – Free WT; Figure S6). Increased protection was observed at all exchange times in three protein segments. The first segment included the C-terminal tail (residues 186-243) that is largely disordered in free apoA-I but becomes largely helical upon lipid binding 55. The second segment included residues 114-147 encompassing the central repeat h5 (residues 121-142), which forms a flexible hinge in apoA-I 21. The third segment included residues 44-55 and adjacent groups. These residues acquired an extended β-strand-like conformation in the high-resolution crystal structure of free Δ(185-243)apoA-I but were modeled as a dynamic helix in the low-resolution crystal structure of Δ(1-43)apoA-I 22 or as α-helical, β-strand or random coil conformation in the electron paramagnetic resonance studies of spin-labeled apoA-I that was either free or bound to the 9.6 nm particles (56 and references therein). In summary, protein segments that showed increased protection on the disc surface appeared to lack a stable structure in solution but acquired such a structure upon lipid binding.</p><p>Decreased protection in WT apoA-I upon transfer from solution to the disc surface was observed at long exchange times in peptides from three well-ordered regions: 1-38, 72-103, and 160-180 (Fig. 3, Disc – Free WT, 30-240 min). These segments formed the middle and bottom parts of helices HI, HIII and HIV in the 4-helix bundle of Δ(185-243)ApoA-I, which are particularly well-ordered in the crystal structure. HDX MS data clearly showed that this ordering decreases upon helix bundle opening and transfer from solution to the lipid.</p><!><p>The trend emerging from our studies of WT apoA-I is that lipid binding increases the structural protection in flexible regions but decreases it in well-ordered regions. Overall, these results agree with the previous HDX MS studies of the small (7.8 nm) and mid-size (9.6 nm) discs containing WT apoA-I and either POPC or DMPC 29. Both current and previous HDX MS studies consistently showed lipid-induced increase in protection of the central and C-terminal segments, which in free apoA-I are dynamic and highly labile to proteolysis. This result is consistent with the limited proteolysis studies of apoA-I showing increased protection in the central and C-terminal regions upon lipid binding 57, 58 (Figure 2d). Increased structural protection was also observed in segment 45-56 on the large discs (Figure 3, Disc – Free, WT) and on the mid-size discs 29, while on small discs and in free protein this segment showed low protection 29. These results suggest that the flexible segment 45-56 helps accommodate protein structure to various amounts of lipid in lipoproteins.</p><p>Segment 159-180, located in helix HIV, is well-ordered in the helix bundle and showed the greatest decrease in protection upon protein transfer from solution to the 12 nm discs (Figure 3, Disc – Free WT; Figure 4 uptake curve 159-180). Residue segment 72-92 from helix HIII showed a concomitant decrease in protection (Figure 3, Disc – Free WT), which is consistent with pairing of HIII with HIV in solution and on the lipid. A large decrease in protection of segment 159-180 observed in 12 nm DMPC discs was similar to that reported for the 9.6 nm discs containing POPC, but differed from the 7.8 nm discs where high protection in the same segment was observed resembling that in free apoA-I 29. Hence, the current and previous HDX MS studies of WT apoA-I in solution and on the discs showed overall similarity but revealed distinct differences in local protein protection that depended on the lipidation degree and the disc diameter.</p><!><p>A significant difference between current and previous HDX studies of WT apoA-I was in the EX1/EX2 exchange kinetics. EX2 regime occurs if structural fluctuations in the protein are much faster than the exchange rate, so multiple fluctuations are required to complete the exchange; in EX1 the structural fluctuations are much slower than the H-D exchange and hence, a single visit to the unfolded state is sufficient to complete the exchange 59. EX2 is characterized by a unimodal distribution in the peptide isotopic envelopes throughout the HDX time scale, whereas EX1 has a characteristic bimodal pattern in the mass spectra (illustrated in Figure S6). Every spectrum for every time-point for every peptide in each state was manually inspected for signatures of EX1 kinetics. In order to visualize and understand the effects the mutants have on this phenomenon, the approximate half-lives (t1/2)39 were placed into one of seven groups, from being <0.5 s to >>240m/EX2 kinetics. The t1/2 represents the half-life of the formation of a partially unfolded and deuterated species, a point at which in the spectra, the relative intensity of the folded, lower-mass species and the unfolded, higher-mass deuterated species are nearly equal. Unlike typical globular proteins that show mainly EX2, free apoA-I exhibits an EX1 signature, most prominently in the C-terminal tail (Figure 5) 27, 39. The HDX profile is consistent with a highly dynamic conformation of its molten globular structure 60. Unlike free protein, previous disc studies reported EX2 throughout most of the apoA-I molecule, except for the residue segment 44-55 and the central region that showed EX1 in residues 115-158 on the small discs and residues 125-158 on the mid-size discs 29. Notably, our studies of the large discs showed no EX1 in this region (Figures 5b, S6), and very little EX1 in other regions of either WT or mutant apoA-I. Consequently, apoA-I is more conformationally homogeneous on large discs studied here than in any other states previously explored.</p><!><p>Previously we showed that F71Y minimally perturbs the conformation of free apoA-I. This mutation slightly destabilized free protein causing a 3 °C decrease in the melting temperature, Tm
39. The mutation also caused a small decrease in protection of several helix bundle regions, most notably in residues 0-28 encompassing segment 14-22 that has the highest amyloid-forming sequence propensity in apoA-I (Fig. 3, Lipid-free F71Y – WT). Decreased structural protection in this adhesive segment was proposed to trigger the misfolding of this and other free amyloidogenic variants 38, 39.</p><p>The HDX data demonstrate that, similarly to the WT, lipid binding by F71Y mutant increased the structural protection in peptides found within the central and C-terminal regions, 114-147 and 186-243, and decreased the protection in peptides within the 72-104 and 160-180 regions (Fig. 3, Disc – Free F71Y). Unlike WT, F71Y showed only increased (rather than decreased) protection at all exchange times in the N-terminal segment 0-28 upon lipid binding (Fig. 4). This difference reflected less well-ordered solution conformation of the N-terminal end in free F71Y, whereas lipid-bound F71Y and WT showed very similar N-terminal protection (Fig. 3, Disc – Disc, F71Y-WT).</p><p>Of all disease-causing apoA-I mutations explored to-date, L159R and L170P caused the greatest structural perturbations in free apoA-I (Fig. 3) 39. Previous biophysical studies showed that these mutations decreased the protection in the 4-helix bundle segments and increased the protection in the C-terminal tail 39. Similarly, HDX MS data of the current study showed that in free L159R and L170P, most helix bundle segments had vastly decreased protection while the C-terminal tail had greatly increased protection as compared to free WT (Fig. 4). Previously, we proposed that L159R and L170P substitutions widened the hydrophobic cleft between the helix pairs HI-HII and HIII-HIV in free proteins (Fig. 1B), and thereby helped sequester the hydrophobic C-terminal tail. Another explanation is that free L159R and L170P have an increased propensity to form dimers (SEC data not shown).</p><p>Unlike WT and F71Y apoA-I, lipid binding by L159R and L170P mutants led to increased protection throughout the entire molecule (Fig. 3, Disc – Free). Surprisingly, there was an even greater increase in protection seen in the central and C-terminal regions of L159R and L170P variants. This observation is consistent with the replacement of the solvent-accessible cleft between helix pairs HI - HII and HIII - HIV in free L159 and L170P proteins with protective protein-lipid interactions in lipoproteins.</p><!><p>HDX MS data of model HDL revealed mutation-specific effects on the protein protection. Overall, these effects were consistent with the structural stability studies of lipoproteins by CD, native PAGE and limited proteolysis clearly showing that the four proteins explored fall into two groups: WT and F71Y on the disks are more stable and less susceptible to proteolysis compared to relatively labile L170P and L159R (Fig. 2). Additionally, HDX revealed subtle effects of mutations, which could not be detected by other methods.</p><p>F71Y mutation caused only slight changes, including a decreased protection in two regions: residues 72-92, which are adjacent to the site of mutation, and residues 165-192, which are juxtaposed to the 72-92 segment in the double belt (Fig. 3, Fig. 6a). Hence, the mutation-induced local perturbation in one molecule of the double belt affects the juxtaposed segment in the second molecule. In addition, either a slight increase or a small decrease in protection was detected in the N-terminal and central regions (Figs. 3, 4). Overall, these results are consistent with a small destabilization of the discs upon F71Y mutation observed by thermal denaturation: F71Y on lipoproteins showed a faster unfolding in kinetic experiments (Fig. 2b) and a low-temperature shift in the melting data, with a decrease in the apparent Tm by δTm,app= −5 °C 39.</p><p>Compared with F71Y, L159R caused much greater disc destabilization evident from much faster unfolding (Fig. 2b) and a larger low-temperature shift in the melting data with δTm,app= −16 °C 39. This trend continued in the HDX analysis with greater changes in protection upon L159R mutation (Fig. 3, Disc – Disc L159R). Decreased protection was observed in peptides spanning residues 115-158, adjacent to the L159R mutation site. Residues 115 and 159 from the two dimer molecules are also approximately in register, supporting the idea that the mutation-induced perturbation in one molecule of the double belt affects the juxtaposed site in the other molecule. Importantly, residues 115-159 encompass the apoA-I region implicated in binding and activation of LCAT, which facilitates HDL maturation. Hence, a large loss in protection of this region seen in L159R mutant discs is consistent with the impaired HDL maturation observed in vivo in L159R mutation carriers 42, 43. Unexpectedly, the N- and C-terminal segments showed increased protection in L159R (Fig. 3, Disc – Disc L159R-WT; Fig. 6b). Most of these mutation-induced differences were observed at relatively long exchange times (30-240 min), consistent with well-ordered helical conformation in both the WT and the mutant proteins on the discs. Interestingly, the results show that the structural perturbation propagated from L159R to the diametrically opposed region of the double belt nearly 10 nm away from the mutation site (Fig. 6b).</p><p>Like L159R, L170P also showed decreased protection in the central region. However, in L170P the region of decreased protection extended further, from residues 92 to 190, encompassing the site of mutation, its juxtaposed region in the double belt, all groups between them, and the adjacent segments (Fig. 6b). Again, the HDX MS data showed that mutation-induced perturbation in one double-belt molecule affected the juxtaposed segment from the second molecule (Fig. 6). Like L159R, L170P also showed increased protection in the N- and C-terminal regions illustrating propagation of the mutational effects to distant sites (Fig. 3, Fig. 6c). Notably, variations in the lipoprotein size can potentially influence the protein protection on the discs. Despite such variations (Fig. S2), L159R and L170P mutations had similar effects on the protein protection in discs, suggesting that these changes in protection stem mainly from the mutation. These surprising effects, which could not be predicted from other structural and stability studies, illustrate the complex relationship between the global stability and local flexibility in lipoproteins.</p><!><p>We used HDX MS to investigate how representative disease-causing mutations influence local conformation and dynamics in full-length human apoA-I on model discoidal lipoproteins that mimic nascent HDL. The results revealed that mutation-induced protein perturbations propagate to distant sites on lipoproteins, and that such perturbations are distinctly different in lipid-bound and in free proteins. Further, comparison of the relatively large 11-12 nm model HDL particles explored here with the previously studied smaller discoidal and spherical particles of 7.8 to 10 nm 28, 29 provided better mechanistic insights into the structural adaptation of apoA-I to particles of varied sizes. This adaptation is essential for the cardioprotective function of apoA-I in reverse cholesterol transport during which HDL incrementally increases in size upon increasing lipid cargo (20 and references therein), as well as for an incremental uptake of cholesterol esters from HDL by its receptor leading to an incremental decrease in the particle size61.</p><p>First, the current study revealed that the mutations had much smaller effects on the conformation of the lipid-bound as compared to free protein (Fig. 3 Disc – Free, Disc – Disc). This finding was surprising since the destabilizing effects of mutations on discs were comparable or greater than those on free proteins. For example, L159R mutation decreased the Tm by 11 °C in free apoA-I and by 16 °C in the discs 38, 39. Even so, the overall changes in the protein protection induced by this mutation were much greater in free apoA-I than in the discs (Fig. 3). To explain this paradoxical observation, we note that mutations which place a polar (F71Y) or a charged (L159R) group in the apolar lipid-binding face of an amphipathic α-helix and/or kink such a helix (L170P), are expected to perturb apolipoprotein-lipid interactions. We propose that such perturbed interactions decrease the overall particle stability (Fig. 2b); however, by coating the mutation sites, lipids dissipate protein perturbations. This explains why observed perturbations were muted in lipid-bound compared to free proteins (Fig. 3).</p><p>Such perturbed protein-lipid interactions may contribute to structural and stability changes in the variant lipoproteins (Figs. 2, 3, 6) as well as to their altered functionality. For example, a large loss in protein protection on the discs observed near the L159R mutation site, i.e. in the h5-h6 region implicated in LCAT binding, helps explain the impaired HDL maturation observed in carriers of this pro-atherogenic mutation [38, 39]. Further, decreased stability of lipoproteins containing L159R variant, evident from its faster protein unfolding and release as compared to any other protein explored (Fig. 2), provide a nuanced view why this most destabilizing mutation is not amyloidogenic. Our results suggest that the L159R mutation decreases protein stability on the lipid, causing protein release and proteolysis (Fig. 2c, 2d), while also destabilizing free protein and promoting its cleavage into unstable fragments that are rapidly cleared from circulation, preventing protein accumulation 35. In contrast, amyloidogenic mutations such as L170P and F71Y are less destabilizing on the lipid (Fig. 2) and in solution 39 and hence, are more likely to accumulate and ultimately deposit as amyloid. Additionally, our finding that amyloidogenic mutations such as F71Y and L170P cause a much greater structural perturbation in free as compared to HDL-bound protein is consistent the idea that free apoA-I is a direct protein precursor of amyloid.</p><p>Second, our results showed that, for all point mutations explored, the mutation-induced perturbation in one apoA-I molecule of the double belt propagated to the juxtaposed helical segment from the other molecule (Fig. 6). This observation points to tight coupling between the two juxtaposed protein molecules. The interactions leading to such coupling could involve networks of interhelical salt bridges and cation-π interactions observed by NMR and inferred from molecular modeling 11, 62; these interactions are amplified by the low dielectric at the lipid-water interface. We posit that other mutations may have a similar effect on the juxtaposed molecules in the apoA-I dimer, potentially influencing functional properties of the mutant-containing lipoproteins. Notably, HDL containing both WT and mutant apoA-I are present in vivo since most apoA-I mutation carriers are heterozygous; in such mixed HDL, the WT molecule is expected to be perturbed by a mutation in the adjacent molecule from the same dimer, which may contribute to the decreased plasma levels of both mutant and WT apoA-I found in mutation carriers 34-37, 40.</p><p>Interestingly, although all mutations studied here decreased lipoprotein stability (Fig. 2b and 39), they decreased the structural protection (i.e. decreased local ordering) in some protein regions on the discs while increasing it in other regions (Figs. 3, 4 and 6). For example, L159R and L170P mutations decreased protein ordering in the central part while increasing it in the C-terminal tail (Fig. 3, Fig. 6b). This observation suggests that the belt-closing contacts between the N- and the C-terminal ends of the apoA-I molecule, which are thought to be the weakest link in the double belt, do not necessarily determine the lipoprotein stability, suggesting that the central region is important.</p><p>Another unexpected finding was that perturbations induced by point mutations propagated to distant sites nearly 10 nm away (Fig. 6b). The protein protection at these sites was altered in a manner that could not be predicted from the lipoprotein structure or stability. For example, L159R and L170P mutations increased the protection in the diametrically opposed segments of the double belt (Figs. 3, 6b). Such a long-range propagation of mutation-induced perturbations may possibly involve helical rotation and unwinding on the lipid 11, 62, 63 as well as altered kinking of the double belt 13, 22. Similarly, altered protein bending or kinking was implicated in the propagation of conformational changes to distant sites in other macromolecules, such as antibodies 64, 65.</p><p>Overall, our results show that the proteins fall into two distinct groups, WT and F71Y versus L159R and L170P, based on the particle stability and structural protection which do not correlate with the particle size distribution (Fig. S3). Therefore, although we cannot exclude that small variations in the particle size formed by different proteins affect their conformation on lipoproteins, these effects are not translated into major differences in the particle stability and protein protection observed by CD and HDX.</p><p>The current and previous HDX MS studies of lipid-associated apoA-I improve our mechanistic understanding of the protein adaptation to HDL of various size and HDL interactions with LCAT. The central sequence repeats h5-h6 of apoA-I, including segment 115-158, have been implicated in both these processes 17, 29. In the large WT discs studied here, all peptides from h5-h6 (residues 121-164) showed EX2 kinetics with a unimodal distribution. In contrast, previous HDX MS studies reported bimodal EX1 distribution in residues 115-158 on the 7.8 nm discoidal and on 10 nm spherical particles, while a shorter segment, 125-158, showed EX1 in the 9.6 nm discs 28, 29. The authors proposed that the bimodal distribution represented co-existing helical and disordered conformations, with the disordered loop protruding from the lipid; this loop decreased in length with increasing surface available to the protein, e.g. with increasing the particle size. This idea is reminiscent of the "hinge domain" or a "looped-belt" conformation inferred in the previous spectroscopic studies of model HDL (29, 66, 67 and references therein). Such a "looped belt" was proposed to help adapt the apoA-I conformation to HDL of various size. Our results are consistent with this idea and show that, in contrast with less lipidated forms of apoA-I, h5-h6 loop region acquires a single well-ordered conformation on the large discs, suggesting that this whole region is now in contact with the lipid and is probably helical. We posit that such a unimodal well-ordered conformation observed in this and nearly all other regions of the apoA-I molecule on the large discs (Fig. 5) determines the limiting size of the apoA-I double belt and, hence, the limiting size of the HDL particle. We posit that this ordered conformation may provide a recognition motif for the HDL receptor that preferentially interacts with large lipid-loaded particles 68. This preferential interaction and the enhanced ability of large HDL to mediate receptor-mediated cellular uptake of cholesterol ester may contribute to the enhanced cardioprotective properties of large versus small HDL 68, 69. ApoA-I conformation in the h5-h6 region is also expected to directly affect the activation of LCAT whose preferred substrates are relatively small discoidal HDL (70 and references therein).</p><p>This study shows once again that HDX MS can detect local conformational changes induced by protein point mutations in large non-covalent macromolecular assemblies containing hundreds of molecules, such as lipoproteins. The results suggest that protein mutations influence the conformation of both protein and lipid, leading to long-range effects that propagate throughout the lipoprotein particle and influence its structure, stability and, potentially, functionality. Our findings exemplify the complex relationship between the macromolecular stability and local flexibility that is difficult to predict or detect experimentally by other methods. Such a complex relationship has been previously reported for proteins and protein complexes 65, 71, and the current study extends it to lipoproteins.</p>