Gene for Wilson's disease
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Cell suicide gene cloned
Researchers at the Massachusetts Instituteof Technology (MIT) have cloned a sui-cide gene responsible for programmed celldeath, or apoptosis, in the roundworm
Caenorhabditis elegans, and, in a related
study, scientists at Massachusetts GeneralHospital (MGH) demonstrated that a
similar mammalian gene will cause pro-grammed cell death in rat fibroblast cells.Junying Yuan, who worked with both
research teams, said the findings shouldadvance the understanding of the role ofprogrammed cell death in embryonicdevelopment, tissue homoeostasis, inflam-mation, and disease.
In the first paper, MIT researchers
reported that they cloned ced-3, a geneessential for programmed cell death inC elegans. Then, by working with the
sequences of the cloned cDNA, theydeduced that the gene’s product is a 503aminoacid protein whose active site is
similar to that of interleukin-1-convertingenzyme (ICE). ICE, a cysteine protease,cleaves the inactive precursor of IL-1 to
generate the active cytokine. High levels ofIL-L have been detected in Alzheimer’s
disease, rheumatoid arthritis, septic shock,and head injury. The active site of the
ced-3 protein was also similar to the pro- t
tein product of the mouse gene nedd-2, 1which is expressed during embryonic !
brain development and then down-regu- (
lated in the adult. ,
In a follow-on study to the MIT lab’s 1
work, researchers at MGH joined a pro- imoter gene to the gene for murine ICE, 1
introduced it into rat fibroblasts, andfound that overexpression of ICE caused 1
stereotypical programmed cell death inthese mammalian cells. In addition, theyfound that the mammalian proto-onco-gene bcl-2 and the viral gene crm-A couldinhibit the cell death brought on by theoverexpression of ICE gene.The researchers concluded, first, that
the ced-3 protease acts to control pro-
grammed cell death in C elegans and, sec-ond, that members of the ced-3fICE/nedd-2 gene family might function in pro-grammed cell death in vertebrates. The
inhibitory effect of bcl-2 suggests that notonly does bcl-2 act to regulate cell deathbut also that the gene for ICE and other
members of the ced-3fICE family could berecessive oncogenes, whose elimination
could prevent normal cell death and pro-mote malignancy.The finding that the viral gene crm-A
inhibits ICE-induced cell death suggests
that one way an infecting virus may pro-long its host-cell’s life is by preventing itssuicide. "It is definitely to the advantageof the virus to have the cell live longer",said Yuan. ICE, therefore, in additionto eliciting immune response to viral
infection by activating IL-1, could alsobe initiating the suicide of infected cells,Yuan said, "so one stone kills two
birds".
MIT researcher Shai Shaham saidone focus of future research will be to
identify sequences crucial to the func-tion of ICE and related proteins. "Notonly would this have implications for
blocking or inactivating cell death in
humans", Shaham said, "it could alsobe very useful in designing drugs thatmight interfere with ICE in its role ininflammation".
1 Yuan J, Shaham S, Ledoux S, Ellis HM,Horvitz HR. The C elegans cell deathgene ced-3 encodes a protein similar tomammalian interleukin-1-convertingenzyme. Cell 1993; 75: 1-20.
2 Miura M, Zhu H, Rotello R, Hartwieg EA,Yuan J. Induction of apoptosis in fibroblastsby IL-1-converting enzyme, a mammalianhomolog of the C elegans cell death geneced-3. Cell 1993; 75: 653-60.
Michael McCarthy
Gene for Wilson’s disease
Wilson’s disease (hepatolenticular degen-eration) is an autosomal recessive disordercharacterised by accumulation of copperin the liver and, when binding sites thereare saturated, in the brain, cornea, andkidneys. The underlying biochemicalabnormalities are reduced incorporationof copper into caeruloplasmin and defec-tive biliary excretion of copper. The disor-der can be treated effectively with
penicillamine but is fatal if left untreated.Wilson’s disease is a classic example of aninborn error of metabolism. The gene thatcauses it has now been dissected.’-3
Linkage studies had already assignedthe Wilson’s disease locus (WD) to chro-mosome 13ql4-3, and the impetus to
define its position more precisely camepartly from the recent isolation of the genefor Menkes’ disease (MNK), an X-linkeddisorder of copper metabolism. AlthoughWilson’s disease is primarily a defect ofliver function, whereas the MNK gene is
expressed in all tissues except the liver, theidentification of the normal (wild-type) =MNK gene product as a copper-transport-ing P-type ATPase suggested that Wil-
son’s disease might also be caused by adefect in a copper transporter. Cox et alused a probe from the proposed copper-binding region of the MNK gene to searchfor a homologue on 13ql4-3. The resultwas the identification of a region some 30kb long showing nearly 60% homologywith AfA’7’C.’Tanzi et al used a different
technique to isolate the WD gene and
found a similar degree of homology withMNK.3
Tanzi’s DNA sequence analysisrevealed four disease-specific single-base-pair mutations within the WD gene, threebeing found in only one or two affectedmembers among 115 families studied.3Tanzi et al predict difficulties with DNA-based genetic diagnosis because theyexpect more mutations to be found. Forthe present, screening of patients’ familieswill continue to be based on biochemicaltests. In the short term the most likelybenefit from isolating the WD and MNKgenes will be a better understanding ofthe molecular basis of copper homoeosta-sis. One question is why two structurallysimilar genes have apparently paradoxicaleffects: the MNK gene’s normal functionappears to be to ensure that dietary cop-per is distributed to all tissues that need it,whereas the wild-type WD gene protectsagainst excessive copper accumulation.
Dorothy Bonn
1 Bull PC, Thomas GR, Rommens JM, ForbesJR, Cox DW. The Wilson disease gene is aputative copper transporting P-type ATPasesimilar to the Menkes gene. Nature Genet
1993; 5: 327-37.2 Petrukhin K, Fischer SG, Pirastu M, et al.Mapping, cloning and geneticcharacterization of the region containing theWilson disease gene. Nature Genet 1993; 5:338-43.
3 Tanzi RE, Petrukhin K, Chemov I, et al. TheWilson disease gene is a copper transportingATPase with homology to the Menkes gene.Nature Genet 1993; 5: 345-50.
Bioethics convention
Agreement on the European Bioethics
Convention, the first accord of its kind,should be clinched by the end of 1994,two years later than originally envisaged,says the Council of Europe. Latest detailswere given at the Council’s second sym-posium on bioethics in Strasbourg, Nov30-Dec 2. (This meeting coincided withWHO call for international consultationsto secure a consensus on guidelines forresearch in genetics and biotechnology.) Apragmatic approach is being taken on atext that seeks to cover a subject in whichnational divergence and technical progressappear to be running ahead of the Stras-bourg organisation’s efforts at harmonisa-tion. The latest draft is a distillation of
uncontroversial general principles such asfree and informed consent and adherenceto professional standards. Many of theseare already the subject of non-bindingCouncil of Europe recommendations.The specific issues of organ transplanta-tion and medical research will be coveredin separate protocols, although the lattertext has yet to be agreed within the Con-vention’s main steering committee. Later,the Convention may be joined by a thirdspecific protocol on the protection of thehuman embryo and fetus, but drafting hasbeen postponed.
In other areas, member states still dif-
fer. While unanimously agreeing thatinterventions on the human genomeshould have a therapeutic or diagnostic