Mutations in OCRL are found in patients with the X-linked Oculo-Cerebral Renal Syndrome of Lowe (Lowe Syndrome)
1 and Dent disease
2. Lowe Syndrome is characterized by renal tubular dysfunction, behavioral difficulties, developmental delay, and congenital cataracts
1, 3–6. Dent disease patients have kidney defects similar to those of Lowe syndrome, but with no or mild associated defects, with the two disorders likely representing a phenotypic continuum
7,8.
OCRL belongs to the inositol 5-phosphatase family, a group of enzymes that dephosphorylate the 5’ position of the inositol ring. In these enzymes, the catalytic core is typically delimited on either side by regions that specify the cellular localization and the distinct function of each enzyme. In OCRL the central 5-phosphatase domain, whose preferred substrates are PI(4,5)P
2 and PI(3,4,5)P
3, is flanked by an N-terminal PH domain and at the C terminus by an ASH (ASPM-SPD2-Hydin) domain followed by a catalytically inactive RhoGAP (Rho GTPase Activating) domain (). The latter two domains are joined by a hydrophobic interface to form a single unit due to the stabilizing effect of each domain on the folding of the other. The same domain organization is shared by the related inositol 5-phosphatase INPP5B, which has a partially overlapping function with OCRL
9,10. However, INPP5B is not associated with disease.
OCRL has a broad subcellular distribution. While originally considered a Golgi complex-associated protein
11–13, it was also subsequently shown to localize to multiple stations of the endocytic pathway, such as late-stage endocytic clathrin-coated pits and early endosomal sites
14–16. This distribution is mediated by a variety of interactions, including the clathrin heavy chain (via two clathrin boxes located in loops of the PH domain and of the RhoGAP domain
14,15), the clathrin adaptor AP-2 (via a motif adjacent to the PH domain
16), with Rho family GTPases (via the RhoGAP domain
17), and with Rab GTPases (via a site that, based on mutagenesis studies, is thought to involve portions of the ASH domain
18,19). Additionally, the endocytic proteins APPL1 and Ses (both Ses1 and Ses2, referred to here as Ses1/2) are competitive interacting partners for the C terminus of OCRL
14,20,21, binding to OCRL via a short peptide stretch (11–13 amino acids long) that contains a phenylalanine and histidine motif termed the F&H motif
20. Most of these interactions, with the exception of the interactions involving clathrin, are shared by INPP5B, consistent with genetic evidence for a partially overlapping function of OCRL and INPP5B
10.
In addition to the F&H motif, the APPL1 and Ses proteins share several features in that they possess a PH domain and an oligomerization surface
21. APPL1, an adaptor protein comprising a BAR domain, a PH domain, and a PTB domain (), is present on a subpopulation of peripheral PI(3)P-negative early endosomes
22,23. Conversely, Ses (both Ses1 and Ses2), which contains a PH domain, a predicted coiled-coil, and an extended unfolded region (), is localized on distinct intracellular vesicles including PI(3)P-positive classical early endosomes
20. As endosomes mature, the more affine (for OCRL) Ses proteins displace APPL1
20, while OCRL remains associated with endocytic vesicles at both the APPL1 and Ses stage. The precise binding site for the F&H motif peptide in the ASH-RhoGAP domain of OCRL has not previously been mapped. It was shown, however, that F&H peptide binding requires the entire ASH-RhoGAP module
14,20.
The multiple localizations and interactions of OCRL are thought to help coordinate intracellular membrane traffic with changes in the phosphoinositide composition of associated membranes. Equally, OCRL may prevent ectopic or excessive accumulation of PI(4,5)P2 and PI(3,4,5)P3 on intracellular membranes. Current models propose that a main function of OCRL is to regulate, via its action on membrane phosphoinositides, some aspect of endocytic and recycling membrane traffic. Such an action would explain, for example, the reabsorption defects in kidney proximal tubules that are characteristic of Lowe syndrome and Dent disease. Given the critical role of phosphoinositides in the regulation of several membrane proteins and of interactions between membranes and cytoplasmic proteins, spatial control of OCRL recruitment may be equally as important as its intrinsic catalytic activity. Hence, a precise understanding of OCRL interactions is crucial to the elucidation of mechanisms of disease.
While the majority of disease-causing mutations in OCRL result in lack of protein expression, major truncations and deletions, or missense mutations which directly impair catalytic activity, a group of missense mutations are found in the ASH-RhoGAP domain
3,20,24–30. Cells derived from patients carrying these mutations possess reduced 5-phosphatase activity
31–33, a criteria for diagnosis, suggesting that mutations in the ASH-RhoGAP domain negatively impact some aspect of OCRL activity. Many of these missense mutations abolish interactions with F&H motif-containing proteins, while some other interactions are preserved (such as that with clathrin)
14,20,27. When overexpressed, OCRL protein bearing these mutations has a primarily diffuse, cytosolic localization
20,27.
In order to elucidate the structural basis of the interaction between the ASH-RhoGAP domain and the F&H motif, we have solved the crystal structure of the ASH-RhoGAP domain of OCRL in complex with a 13-amino acid peptide from human Ses1 encompassing the F&H motif. The peptide has a predominantly helical conformation and binds to a well-conserved groove on the posterior surface of the RhoGAP domain. These results explain the importance of protein folding in the generation of this binding surface and provide a framework to explain the impact of patient mutations on ASH-RhoGAP domain interactions.