PutA enzymes can be classified according to whether they lack (i.e., bifunctional) or are endowed with (i.e., trifunctional) transcriptional regulator activity. Sequence alignments of PutA
Ec with PutA enzymes from different sources have identified >20 PutA proteins that contain the RHH domain and are thus predicted to function as autogenous transcriptional regulators. For bacteria in which PutA does not function as an autogenous transcriptional regulator, proline utilization requires other regulatory proteins such as PutR and PruR. PutR is an Lrp-type transcriptional repressor that has been identified in
R. capsulatus, and PruR is a AraC/XylS family regulator that has been shown to activate expression of the
putAP operon in
Pseudomonas aeruginosa (
24,
40). In the food-borne pathogen
Vibrio vulnificus, neither PutR nor PruR appears to be involved; instead, the cyclic AMP receptor protein has been postulated to regulate the
putAP genes (
28). Genome analysis of
H. hepaticus and
H. pylori reveals that the
putA and
putP genes are arranged in an operon similar to those of
P. aeruginosa and
V. vulnificus. Potential homologues of PutR and PruR in the genomes of
H. hepaticus and
H. pylori, however, are not apparent, and a cyclic AMP receptor protein binding site (TGTGAN
6-8TCACA) is not present in the promoter regions of the
putAP operons, suggesting further divergence in mechanisms for the regulation of proline utilization in
Helicobacter species.
Surprisingly, PutA
Hh and PutA
Hp have significantly higher reactivity with molecular oxygen than PutA
Ec during catalytic turnover with proline. Accordingly, PutA
Hh forms a FAD-sulfite adduct, while PutA
Ec is unreactive, consistent with the notion that flavoproteins that react with sulfite generally have higher oxidase activity. Flavin dehydrogenase enzymes typically react slowly with oxygen during catalytic turnover with substrate to help ensure the efficient transfer of electrons to the correct physiological acceptor for maximum energy utilization of the substrate (
29). A notable example includes the mammalian acyl coenzyme A dehydrogenases, which profoundly depress oxygen reactivity in the product-bound form, preventing formation of reactive oxygen species in the mitochondria (
14). Similarly, the free-dihydroflavin form of PutA
Ec reacts rapidly with oxygen but shows significantly lower oxygen reactivity in the substrate/product-bound form (
6).
The structural determinants of oxygen reactivity in flavoenzymes are not fully understood, but it seems that the electrostatic environment of the active site is a critical component (
30). The first step in the reaction of reduced flavins with molecular oxygen is the formation of a radical pair involving superoxide (O
2−) and a flavin radical (
29). The formation of the superoxide anion is favored by overall positive electrostatic environments, whereas active sites with lower dielectric environments are thought to hinder superoxide formation (
14,
15,
30). Structural studies of the conversion of xanthine dehydrogenase to xanthine oxidase indeed show differently charged active sites (
15). Xanthine dehydrogenase is a metalloflavoenzyme, which, during catalytic turnover with xanthine, has a preference for NAD
+ as an electron acceptor, while the xanthine oxidase form prefers molecular oxygen (
20). It is clear from the structural analysis of both forms of the enzyme that the electrostatic environment is more positive in the xanthine oxidase form than in the xanthine dehydrogenase form (
15). Kinetic studies of glucose oxidase also suggest that positively charged residues in the active-site environment are important for accelerating oxygen reactivity of FAD cofactors (
45). Differences between the electrostatic environments of the PRODH active sites of PutA
Ec and
Helicobacter PutA are not obvious by primary structure analysis alone. PutA
Hh and PutA
Hp share 52% of the active-site residues in PutA
Ec that have been identified by X-ray structure determination of the PutA
Ec PRODH domain (
66). The predicted variations in the active-site residues of PutA
Hh and PutA
Hp from PutA
Ec do not involve changes in charged residues. The only relevant substitution may be that Tyr437 in PutA
Ec, which is conserved in PutA
Bj as Tyr345, is replaced by Asn292 and Asn291 at the analogous positions in PutA
Hh and PutA
Hp, respectively (
26,
66). From the structural analysis of the PRODH domain of PutA
Ec, it appears that Tyr437 separates the active site from bulk solvent (
66). Thus, the replacement of Tyr with a smaller side-chain residue such as Asn in
Helicobacter PutA may increase solvent accessibility in the active site, which would favor higher oxidase activity. In the mammalian medium-chain acyl coenzyme A dehydrogenase, it has been proposed that product binding desolvates the active site, resulting in lower oxygen reactivity relative to the free enzyme (
14). Likewise, proline/P5C binding may more effectively desolvate the active site in PutA
Ec than in PutA
Hh or PutA
Hp. A future goal is to determine the three-dimensional structure of PutA from
Helicobacter species to compare the flavin active-site environment and oxygen reactivity with those of PutA
Ec.
The proline-linked formation of reduced oxygen species by PutA
Hh and PutA
Hp was shown to be toxic to
E. coli, severely inhibiting cell survival. Blocking PRODH activity rescued cell survival, demonstrating that the enzyme action of
Helicobacter PutA is harmful under high-proline conditions. Increased proline catabolism in general, however, was not lethal, as PutA
Ec and PutA
Bj expression in
E. coli had no impact on cell survival despite the detection of increases in H
2O
2 levels upon the addition of proline to the medium. Therefore, the higher oxidase activity of
Helicobacter PutA appears to be the culprit for inducing cell death. Alkyl hydroperoxide reductase, the main scavenger of endogenous H
2O
2 in
E. coli, and catalase are responsible for keeping intracellular H
2O
2 concentrations below toxic levels (~2 μM) (
48-
50). Apparently, the H
2O
2 generated by PutA
Bj and PutA
Ec does not reach toxic levels, while the higher proline oxidase activity of PutA
Hh and PutA
Hp is enough to overwhelm the scavenging system and produce toxic effects under our experimental conditions. Perhaps more importantly, though, is the formation of superoxide during the proline oxidase reaction, which likely has a considerable role in the lethal effect of proline catabolism via
Helicobacter PutA and in the acute sensitivity to oxidative stress treatment.
The physiological significance of PutA oxidase activity in
Helicobacter species is presently not clear. One simple explanation is that the higher oxidase activity of PutA
Hh and PutA
Hp is an outcome of the microaerophilic environment of
Helicobacter species, which may not require robust protection from oxygen. On the other hand, PutA
Bj, which is also from a microaerophilic bacterium, resembles PutA
Ec, with low oxidase activity and no deleterious effect on
E. coli cell survival. A potential role of the PutA oxidase activity in
Helicobacter species may be that proline metabolism contributes to the redox environment of infection. It has been shown that proline is a preferred respiratory substrate in cultured
H. pylori cells and that patients infected with
H. pylori have considerably higher levels of proline in the gut (
38). Thus, proline not only may be used for energy but may also affect ROS levels which impact colonization and/or the persistence of
Helicobacter species in the host. Proline metabolism has been shown to be critical in different ecological niches, with proline having multifaceted roles in protein chaperoning, abiotic stress protection, and energy utilization (
8,
10,
18,
27,
36,
38,
47,
52,
57). To address the pathophysiological role of PutA and proline metabolism in
Helicobacter species, future work will include the analysis of PutA expression and proline metabolic flux in host infection animal models.