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Prof. Stefan Broer
Research School of Biology
SLC6A19 – from genes and genetic
disorders to function and drug
discovery
Research School of Biology
FASEB Conference 1997
Overview of presentation
• Genes and genetic disorders
• Function
• Protein restriction
• Structure and Drug discovery
Research School of Biology
Gl
c
AA0
Amino
acids Energy
Gut
Pancreas
Portal vein
Insulin
Protein
AA AA
Protein
Branched-chain
Amino acids
AA+
AA-
Cystinuria
Hartnup
disorder
Apical/
luminal
Baso-
lateral
AA+
AA0
AA0
AA0
LAT2
y+LAT1
AA0
AA0AA+
Na/K-ATPase
K+
ATP ADP
Na+
Gly
Pro
Imino
glycinuria
AA-
3Na+
AA-
Dicarboxylic
aminoaciduria
EAAT3
rBAT
b0,+AT
4F2
4F2
Na+
B0AT1
PAT2
H+
Intestine
+ Kidney
5p15.33
5p13.1
5q11.2
5q14.3
5q34
5q35.3
5p15.33
5p15.32
5p15.31
5p15.2
5p15.1
D5S406
D5S392
D5S1970
KIAA1909
FLJ44869
SDHA
PDCD6
AHRR
SEC6L1
SLC9A3 (NHE-3)
TPPP
ZDHHC11
BRD9
TRIP13
NKD2
SLC12A7 (NKCC)
SLC6A19 (B0AT1)
SLC6A18 (B0AT3)
TERT
CRR9
SLC6A3
Nozaki et al., 2001 Biochem. Biophys. Res. Comm.
Seow et al., 2004 Nat. Genetics
GlyT1
GlyT2
ATB0,+
ProT GAT3
GAT1
GAT2
GAT4
TauT
CT1
DAT
NET
SERT
SIT1a
SIT1b
B0AT1B0AT3
NTT4
B0AT2
NTT5
Amino acids
β/γ-Amino acids
Monoamines
Novel amino
acid transporters
Broer et al. 2006
Kowalczuk et al. 2005
Broer et al., 2004
Vanslambrouck et al., 2010
Overview of presentation
• Genes and genetic disorders
• Function
• Protein restriction
• Structure and Drug discovery
30 40 50 60 70 80
-60
-50
-40
-30
-20
-10
0
Current(nA)
Time (min)
Leu Glu Arg Leu Gln Phe Ala His Trp Leu
Na+
AA
B0-like transport activity
Research School of Biology
Broer et al., 2004 JBC
Mutations in the human Hartnup transporterni
wt
G66R
G93R
D173N
R178X
R240X
R240Q
L242P
V252I
R328C
E405K
E501K
D517G
0
20
40
60
80
100
120
140
160
180
Transportactivity(%)
c
wt
G66R
G93R
R178X
G284R
R328C
E405K
D517G
0
20
40
60
80
100
Leucineuptake(percentofwildtype)
Angiotensin
Converting
Enzyme 2 Collectrin
Angiotensin(II) Angiotensin(1-7)
Kidney
Intestine
Kidney
The collectrin ko-mouse has Hartnup disorder
DRVYIHPF DRVYIHPF
F
ACE2 - + - + - - +
B0AT1 - - + + - + +
49
6969
98
188
Surface
biotinylation
Membrane
preparation
Kowalczuk et al. 2008 Faseb J.
0
20
40
60
80
100
120
Leucineuptake(pmol/oocyte*20min)
B
0
AT1 - wt R240Q - wt R240Q - wt R240Q
ACE2 - - - - - - + + +
Collectrin - - - + + + - - -
Injected cRNA
B0AT1
ACE2
Protein
Pancreatic
proteases
Na+
B0AT1 and ACE2 work together
i)
ii)
iii)
B0AT3coll
B0AT3MCT1
B0AT3
×
Overview of presentation
• Genes and genetic disorders
• Function
• Protein restriction
• Structure and Drug discovery
Rats reject isoleucine-deficient diets
Basal
Imbalanced
Devoid
Corrected
Gietzen and Aja, 2012
Signaling of protein restriction
Na+System A
System L
System ASC
Na+System N
H+
RAG
mTORC
1
AA
Pool
4E-
BP1
eIF4E
tRNA
CAP
tRNA
GCN2
eIF
2a
P
P
Lysos
ome
-
+
eIF2B
Lat1
Pat1
SNAT9
tRNA
EAAT
Na+
K+
H+
AA-
AA0
AA+
CAT
Amino
acids
Amino
acid starvation
Gut
Adipose tissue
FGF21
GLUT1
?
UCP1
Fat
Ketone
bodies
De Sousa-Coelho et al. 2012
Solon-Biet et al. 2014
Macronutrients and Health
• Increased neutral amino acids are associated with insulin
resistance.
– Newgard et al, Cell Metab 2009
– Stancakova et, al Diabetes 2012
– Würtz et al, Diabetes 2012
– Shah et al, Diabetologia 2012
• Neutral amino acids decrease after bariatric surgery much more
than after diet with similar weight loss. Branched-chain amino acid
levels were correlated with insulin sensitivity.
– Laferrère B et al., Sci Transl Med 2011
• Elevated amino acids could be the driver of diabetes development.
– Wang TJ, et al. Metabolite profiles and the risk of developing diabetes. Nat Med. 2011 Apr;17(4):448-
53.
– Würtz P, et al. Branched-Chain and Aromatic Amino Acids Are Predictors of Insulin Resistance in
Young Adults. Diabetes Care. 2012 Nov 5.
– McCormack SE et al Circulating branched-chain amino acid concentrations are associated with obesity
and future insulin resistance in children and adolescents. Pediatr. Obes 2012
– Cheng et al. Metabolic profiling identifies pathways associated with metabolic risk in humans
Circulation 2012
• Mechanism: AA overload activates mTOR, branched-chain fatty
acids
- Newgard, Cell Metab 2012
• Hypothesis: Reducing protein intake could improve insulin sensitivity
• Impaired glucose removal (insulin
resistance)
• Increased hepatic glucose output
• Elevated insulin levels
• beta cell stress and failure
Broer et al., 2011 JBC
Glucose Glucose
GTT (2 month old)
0 30 60 90 120
0
5
10
15
20
25
-/-(n=8)
+/+(n=8)
Time(min)
BloodGlucose(mmol/L)
GTT (6 month old)
0 30 60 90 120
0
5
10
15
20
25
-/-(n=10)
+/+(n=10)***
*
*
Time(min)
BloodGlucose(mmol/L)
IPGTT
0 10 20 30
0.0
0.5
1.0
1.5
+/+(n=4)
-/-(n=4)
*
*
*
time(min)
BloodInsulin(ng/ml)
Body mass
+/+(n=11)
-/- n=(9)
0
10
20
30
40
***
g Liver mass
+/+(n=11)
-/- n=(9)
0.00
0.02
0.04
0.06
*
%bodymass
aWAT
+/+(n=11)
-/- n=(9)
0.00
0.01
0.02
0.03
0.04
*
%bodymass
+/+(n=11)
-/- (n=9)
0.000
0.005
0.010
0.015
0.020
iWAT
%bodymass
BAT
+/+(n=11)
-/- n=(9)
0.000
0.002
0.004
0.006
%bodymass
6 month old mice
0 30 60 90 120
20
25
30
35
40
45
50
55
-/-(n=6)
+/+(n=6)
+/-(n=6)
Days on diet
BodyMass/g
+/+
-/-
FGF-21
+/+(n=11)
-/-(n=11)
0
2000
4000
6000
8000
10000 ***
pg/mL
+/+(n=9)
-/-(n=10)
0
50
100
150
200
**
Ketone bodies
mol/L
NEFA
+/+(n=7)
-/-(n=7)
0.0
0.2
0.4
0.6
0.8
1.0
*
mmol/L
*
Triglyceride
+/+(n=11)
-/-(n=10)
0.0
0.2
0.4
0.6
0.8
1.0
***
mmol/L
Cholesterol
+/+(n=5)
-/-(n=4)
0
1
2
3
4
mmol/L
Glucose
+/+(n=11)
-/-(n=9)
0
2
4
6
8
10
mmol/L
FGF-21
+/+
(n=3)
-/-(n=3)
0
2000
4000
6000
pg/ml
***
How can this be explained?
Reduced nutrient uptake in the intestine
(only the weight development not the IPGTT)
Waste of energy
Fast removal by insulin-dependent tissues
Constant removal by insulin-independent
mechanisms
Amino acids Amino acids Short chain fatty acids
Proximal intestine Distal intestine
Faecal dry mass
+/+(n=5)
-/- n=(4)
0
50
100
150
200
250
mg/d
Faecal energy
+/+(n=5)
-/- n=(4)
0
5
10
15
20
J/mg Energy output
+/+(n=5)
-/- n=(4)
0
1
2
3
4
KJ/d
propanoic
acidbutyric
acid
valeric
acid
isovaleric
acidhexanoic
acid
0
1
2
3
4
5 +/+(n=5)
-/-(n=5)
*
*
Short Chain Fatty Acids
*
RelativeSignal
14 16 18 20 22 24
90
100
110
+/+
-/-
VO2
(ml/h)
Lean body mass (g)
0
1
2
3
4
5
6
7
VCO2
Gasexchange[ml/(h*g)]
VO2
RER
0.0
0.2
0.4
0.6
0.8
1.0
1.2
+/+
-/-
RER
Glucose uptake in BAT
+/+(n=4)
-/-(n=4)
0
50
100
150
200
250
mol/100g/min
Glucose uptake (iWAT)
+/+(n=4)
-/-(n=4)
0
5
10
15
20
mol/100g/min
*
Amino acids
Proximal intestine
Portal vein
1
Adipose tissue
Amino acid starvation
responseFGF21FGFR
βKlotho
Fatty acids
Ketone
bodies
Fuel for other organs
Oral foodOral food
Amino acids Amino acids
Proximal intestine Distal intestine
GIP/GLP-1
GIP
0m
in
60m
in
0
100
200
300
400
500 +/+(n=5)
-/-(n=5)
*
*
GIPpg/ml
GLP-1
0
m
in
60
m
in
0
50
100
150
200 +/+(n=4)
-/-(n=4) *
pM
Tissue glucose uptake
LiverK
idneyIntestineM
uscle
W
A
T
B
rain
H
eart
B
A
T
Lung
0
50
100
150
200
250
slc6a19 +/+(n=4)
slc6a19 -/-(n=4)
umol/100g/min
Liquid phase gastric emptying
30 60 90 120
0
20
40
60
-/-(n=4)
+/+(n=4)
time(min)
mg/L
? ?
?
Overview of presentation
• Genes and genetic disorders
• Function
• Protein restriction
• Structure and Drug discovery
Slc6a19 transporter is related to LeuT
hB0AT1 LeuT
IleAsn
Ser Thr
In silico screening
Na+
Amino
acids
CHO slc6a19/collectrin Flip-in #1 cell
control
A
rg
Phe
Ser
G
ly
0
20
40
60
+Na (net)
-Na
Competitor (10mM)
Isoleucineuptake(nmol/mg*6min)
CHO F1 #392 parental cell
control
A
rg
Phe
Ser
G
ly
0
20
40
60
80
-Na
+Na (net)
Competitor (10mM)
Isoleucineuptake(nmol/mg*6min)
B0AT1
collectrin
Na/K-ATPase
-- ++
0 30 60 90 120 150
80
100
120
140
160
- Ile
+Ile
Time(sec)
%ofBaseline
1E-3 0.01 0.1 1 10 100 1000
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
-Na
+Na (net)
NormalizedIsoleucineUptake
[NEC 63912] (µM)
1E-3 0.01 0.1 1 10 100 1000
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
-Na
+Na (net)
NormalizedIsoleucineUptake
[NSC39706] (µM)
Benztropine
1-(4,4-diphenylbut-3-enyl)piperidine
IC50 (+Na): 109.06±16.33µM
Urine samples
Treatment of mice with Benztropine
Faecal samples
IC50: 1±0.5µM
Summary
• Protein restriction is a powerful signal to
modulate cellular metabolism.
• Nutrient signalling by the intestine is an
important mechanism to modulate
metabolism.
• Slc6a19(-/-)mice are protein restricted and at
the same time have enhanced signalling from
the intestine.
• Slc6a19 inhibitors can modulate glycaemic
control and potentially protect beta cells.
Molecular Nutrition group at ANU
Greg
Amino acid
homeostasis
Qi
Pharmacology
HTS
Kiran
Biomarker
development
Nishank
Docking
Protein
expression
Angelika
Cancer
metabolism
Stephen
Protein-Protein
interactions
Weidong
Flippases ANU
Collaborators
Brian Billups
Anselm Enders
Sydney
Collaborators
Jeff Holst
Industry
Collaborators
Sanofi
Merck GmbH
pyruvate challenge
0 15 30 45 60 75 90
0
5
10
15
slc6a19 -/-(n=6)
slc6a19 +/+(n=5)
time/min
BloodGlucose(mmol/L)
Insulin Glucose
IPITT(2 month old)
0 15 30 45 60
4
6
8
10
12
-/- (n=5)
+/+(n=7)
**
**
*
*
Time(min)
BloodGlucose(mmol/L)
IPITT(6 month old)
0 15 30 45 60
4
6
8
10 -/- (n=8)
+/+(n=7)
*
*
Time(min)
BloodGlucose(mmol/L)
Kazmier et al., . Nature Structural & Molecular Biology 2014 Apr 20;21(5):472-9.
Amino acid transport in kidney and
intestine are similar
Hartnup disorder
Transporter defect
Renal secretion of
Neutral amino acids
Gln
Ala
Sar
Gly
Lys
Leu
Ser
Arg
Val
Pro
Thr
Phe
Cit
Glu
Asn
His
Ile
Met
Orn
Trp
Tyr
Asp
3MHis
Hyp
Aaa
GABA
bAIB
1MHis
Cth
C-
0
100
200
300
400
500
600 -/-
+/+
Metaboliteconcentration(M)
Gln
Gly
Thr
Leu
Ser
Tyr
Phe
Ala
Asn
Met
His
Val
Sar
3MHis
Cit
Ile
Cth
Arg
C-
Glu
Trp
Lys
bAIB
1MHis
Hyp
Orn
Pro
Aaa
Asp
GABA
0.0
5.0x10
3
1.0x10
4
Metaboliteconcentration(M)
-/-
+/+
1E-3 0.01 0.1 1 10 100 1000
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
-Na
+Na (net)
NormalizedIsoleucineUptake
[NEC 63912] (µM)
1E-3 0.01 0.1 1 10 100 1000
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
-Na
+Na (net)
NormalizedIsoleucineUptake
[NSC39706] (µM)
Compound 11
Compound 51
Protein restriction and ER stress
Transporter transcription
MIN6 cells
Krokowski et al., 2013
Renal transport 2015
GTT (IP) high-fat diet
ITT (IP) high-fat diet
Wilcken et al., 1977
Wilcken et al., 1980
Total screening 800,000 newborns
Hartnup
individual
Male/
Female
Clinical phenotype Aminoaciduria
1 M Not known Yes
2 M None Yes
3 F None Yes
4 F Unrelated health issues Yes
5 M None Yes
6 M Unknown Yes
7 F None Yes
8 F Skin rash Yes
9 M Skin rash Yes
10 M Not known Yes
Broer 2008 Physiology
Research School of Biology
ACE2
LTA (S1)
overlay
ACE2
B0AT1
overlay
ACE2
B0AT1
overlay
Kowalczuk et al. 2008 Faseb J.
Research School of Biology
Gl
c
Glucose
Glucose Glycogen
Gut
Pancreas
Portal vein
Insulin
Adipose tissue
Glycogen
Acetyl-CoA
VLDL
Glc Glc
GLUT4
GLUT4
FGF21 in mouse and man
0
2 0 0 0
4 0 0 0
6 0 0 0
F G F 2 1
FGF21(pg/ml)
F e d F a stin g
Mouse data
Collectrin binding site in B0AT1
• Protein restriction as a signal
• Transporters as a tool to regulate protein
restriction?
• The role of amino acids in insulin
sensitivity
• Assay development and compound
screening
Overview
• Protein restriction as a signal
• Transporters as a tool to regulate protein
restriction?
• The role of amino acids in insulin
sensitivity
• Assay development and compound
screening
Overview
Research School of Biology
Overview
• Protein restriction as a signal
• Transporters as a tool to regulate protein
restriction?
• The role of amino acids in insulin
sensitivity
• Assay development and compound
screening
Research School of Biology
-Insulin +Insulin
Neutral
AA
Loss of
neutral AA
Plasma
AA pool
mTOR
activation
GIP
Glp1
Insulin
fgf21
mTOR
activation
Little effect
Ketone body
production
Glucose
consumption
Ketone body
production
GIP
Glp1
Glucose output
Preservation
of beta cells
Fatty acids
Ucp1
• Protein restriction as a signal
• Transporters as a tool to regulate protein
restriction?
• The role of amino acids in insulin
sensitivity
• Assay development and compound
screening
Overview
Heterodimeric design of transporters is
not unusual
LTA (Proximal tubule marker)
B0AT1
Stephan Broer   Australian National University. Canberra.

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