Aneurysm Scientific Papers of the Month

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     *Aneurysm Paper of the Month - December 1996*
    
    I'm doing something different this month, as I have not
    previously used the Papers of the Month feature to make
    a preprint available; but as I am on Holiday and left my
    December journals at the office, I'm giving myself a
    shortcut.  My friend and colleague at Cornell, Gary
    Fantini, recently asked me to contribute a chapter for an
    upcoming SURGICAL BIOTECHNOLOGY INTERNATIONAL which he is
    editing.  I have written up the following manuscript for
    him.  It is not complete in two respects, but I think
    you'll get the idea.  Figures 4 and 5 are not available,
    as I don't have a color scanner at home.  Also, I work in
    WP51, which will not convert the references to DOS text. 
    For the complete paper with references and all figures,
    please watch for the "Aneurysm" issue of SBI.
    
    THREE-DIMENSIONAL MODELING AND MOLECULAR
    EVOLUTION OF MATRIX CELL ADHESION 
    MOLECULE #2: "MAT-CAM 2"
    
    December 27, 1996
    
    M. David Tilson, MD
    Shichao Xia, MD
    Hitoshi Hirose, MD
    Kathleen J. Ozsvath, MD
    James Knoetgen, III, MD
    David K. W. Chew, MD
    Chenzhong Fu, MD
    
    From Columbia University and the Department of Surgery
    of the St. Luke's / Roosevelt Hospital Center, New
    York, NY
    
    Corresponding author:
    
    Dr. M. David Tilson
    St. Luke's / Roosevelt Hospital Center
    1000 Tenth Avenue,  New York, NY 10019
    
    Telephone:  212-523-7779
    FAX:  212-523-6495
    
    Supported by the Special Fund for Resident Research, 
    Department of Surgery, St. Luke's /Roosevelt Hospital
    Center
                   THE DISCOVERY OF AAAP-40
    
         Our research group has recently reported the
    partial amino acid sequence of an aortic adventitial
    elastin-associated fibrillar protein, which may be the
    target of an autoimmune response in patients with
    abdominal aortic aneurysms (AAA).  Its apparent
    molecular weight is approximately 40 kDa, so we have
    named it aneurysm-associated antigenic protein - 40 kDa
    (AAAP-40).  It has similarities to microfibril-
    associated glycoprotein-36 kDa (MAGP-36), which was
    reported by Kobayashi et al to have a tissue
    distribution limited to the aorta in pig; unlike other
    microfibrillar proteins which appear to distribute
    ubiquitously throughout the body with elastin. 
    Accordingly, if AAAP-40 is the human homolog of MAGP-
    36, it would explain how an autoimmune reaction against
    this protein might have consequences more or less
    limited to the aorta and its branches.
    
          CLONES 1 AND 5 HAVE IMMUNOGLOBULIN DOMAINS
    
         An expression library was made from mRNA of the
    human aortic adventitia and screened in an effort to
    clone the cDNA for AAAP-40.  Two of the first five
    clones (#1 and #5) have novel features and strongly
    resemble each other in domain structure.   While both
    have some features that occur in the families of
    microfibril-associated glycoproteins and other matrix
    proteins (like collagen), their most remarkable
    property is that each begins with a lengthy amino acid
    sequence (~100 residues) that is highly homologous to
    members of the immunoglobulin kappa family.  The
    probability that this high degree of similarity is due
    to chance alone (as calculated by BlastP) is in the
    range of 1 x 10-50.  
    
         These are novel hypothetical proteins, as potentially
    tissue-specific, elastin-fibril associated matrix
    molecules with immunoglobulin domains have not been
    previously described.  By analogy to the membrane-bound
    cell adhesion molecules (CAMs), we propose the name
    Matrix Cell Adhesion Molecules (MAT-CAMs) for these
    unique clones.  Hereafter, Clone 5 will be referred to
    as MAT-CAM 2; since it is the second member of this new
    family to be discovered.
    
       THREE-DIMENSIONAL MODELING OF MAT-CAM 2 (CLONE 5)
    
         In a separate communication (presently under
    editorial consideration) we are reporting the three
    dimensional modeling of Clone 1 (MAT-CAM 1). 
    Interestingly, the N-terminal 124 residues form a
    sandwich of two antiparallel beta sheets,
    characteristic of the immunoglobulin superfamily.  The
    structure of the N-terminal 124 residues of MAT-CAM 2
    was modeled by SwissModel on 11MIG.PDB, which was the
    most similar immunoglobulin light chain for which a
    template was available (Blastp p = 1.3 x 10-31) and
    displayed in three-dimensions by RasMol.  The
    antiparallel beta sheet sandwich of MAT-CAM 2 is
    illustrated in 
    Figure 1.   
         
         Figure 2  shows a pair-wise comparison of the
    modeled sequence of MAT-CAMs 1 and 2 (as computed at
    the Biologist's Control Panel) and displayed by
    LalnView.  There has obviously been substantial
    divergence in sequence, although the structure of the
    immunoglobulin sandwich is preserved.  This result
    confirms again what has come to be seen as a common
    theme in molecular evolution; namely, that structure is
    much more highly conserved than sequence.  
    
              MOLECULAR EVOLUTION OF THE MAT-CAMS
    
         In communications pending editorial review
    elsewhere, we have calculated the PAM distances (point
    accepted mutations per 100 amino acids) with AllAll for
    the MAT-CAMs, the most similar immunoglobulins, the
    microfibril-associated glycoproteins, and their
    presumed fibrinogen-like ancestor: fibrinogen-related
    protein-A precursor (SP|P19477) of the invertebrate
    Echinoderm sea cucumber.  For fibrinopeptide-B related
    proteins, a PAM unit has been estimated to be about 1
    million years.   
    Figure 3 which is drawn roughly to scale,
    illustrates some of these distances.  One might surmise
    that there was a cluster of evolutionary activity among
    the matrix molecules around the time of the Cambrian
    radiation, followed much more recently by a cluster of
    activity around the time of appearance of soluble
    immunity in the cartilagenous sharks.
    
                 ARE THESE PROTEINS FOR REAL?
    
         A concern as this story began to unfold was that
    what we are calling the MAT-CAMs might be an artifact,
    based on a highly improbable but not impossible
    laboratory curiosity.  If separate immunoglobulin
    cDNA's and matrix cDNA's somehow got scrambled and
    fused during construction of the library, the results
    would of course be trivial.  Two recent findings
    suggest that the hypothetical proteins may be authentic
    gene products.  First, Figure 4 shows the result of an
    immunohistochemical experiment which compared the
    binding of antibody against Ig-kappa to the elastin-
    associated fibril of an aneurysmal aorta (as compared
    with the binding of an antibody against Ig-heavy
    chain).  The binding of anti-Ig kappa to the matrix
    suggests that the putative MAT-CAMs are authentic
    connective tissue proteins.  Second, Figure 5
    illustrates an in-situ hybridization of labeled clone 1
    with a section of aortic wall.  The observation that
    binding occurs to a mesenchymal cell instead of a
    lymphocyte buttresses the argument for authenticity.
    
         Preliminary studies with a limited number of AAA
    patients and normals suggest that MAT-CAMs 1 and 2 may
    also be autoantigens like AAAP-40, but substantially
    more work must be done prior to considering that
    conclusion to be secure.  However, it is tantalizing at
    the moment to speculate that there may be a whole
    family of aortic antigenic proteins related to the
    development of aneurysmal diseases.
                      LEGENDS FOR FIGURES   
    
    Figure 1 - Swiss-Model of the three-dimensional
    structure of MAT-CAM 2 revealing it to have an
    immunoglobulin-like sandwich, formed by two
    antiparallel beta sheets, connected by a helix
    between the e and f strands.
    
    Figure 2 - Pair-wise comparison of MAT-CAMs 1 (Clone 1)
    and 2 (Clone 2), as displayed by LalnView, with color
    coding for the regions of greatest similarity in amino
    acid sequence.  The three dimensional structures have
    been conserved despite substantial divergence in
    sequence.
    
    Figure 3 - An evolutionary tree, roughly scaled in PAM
    units (point accepted mutations / 100 amino acid
    residues), as computed by AllAll.  For proteins of the
    fibrinogen family, a PAM unit has been estimated to be
    about 1.1 million years.
    
    Figure 4 - Histological section of aneurysmal aorta
    probed with antibodies against immunoglobulin kappa and
    against immunoglobulin heavy chain.  Anti-Ig kappa
    localizes to the adventitial elastin-associated fibril.
    
    Figure 5 - In-situ hybridization of clone 1 against a
    histological section of normal human aorta.  The
    predominant cell type positive for hybridization in
    this section is mesenchymal, although further studies
    would be required to differentiate whether the positive
    cells are fibroblasts or smooth muscle cells.
                          REFERENCES