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RESEARCH ARTICLE◥
RADICAL ENZYMES
Itaconyl-CoA forms a stable biradical inmethylmalonyl-CoA mutase
and derails its activityand repairMarkus Ruetz1, Gregory C.
Campanello1*, Meredith Purchal2, Hongying Shen3,4, Liam
McDevitt1,Harsha Gouda1, Shoko Wakabayashi5, Junhao Zhu5, Eric J.
Rubin5, Kurt Warncke6,Vamsi K. Mootha3,4, Markos Koutmos2,7, Ruma
Banerjee1†
Itaconate is an immunometabolite with both anti-inflammatory and
bactericidal effects. Its coenzymeA (CoA) derivative, itaconyl-CoA,
inhibits B12-dependent methylmalonyl-CoA mutase (MCM) by anunknown
mechanism. We demonstrate that itaconyl-CoA is a suicide
inactivator of human andMycobacterium tuberculosis MCM, which forms
a markedly air-stable biradical adduct with the5′-deoxyadenosyl
moiety of the B12 coenzyme. Termination of the catalytic cycle in
this way impairscommunication between MCM and its auxiliary repair
proteins. Crystallography and spectroscopyof the inhibited enzyme
are consistent with a metal-centered cobalt radical ~6 angstroms
away from thetertiary carbon-centered radical and suggest a means
of controlling radical trajectories during MCMcatalysis.
Mycobacterial MCM thus joins enzymes in the glyoxylate shunt and
the methylcitrate cycle astargets of itaconate in pathogen
propionate metabolism.
The immunomodulatory and antimicro-bial effects of itaconate are
evincingnewfound interest in a compound his-torically used as a
precursor in polymersynthesis. Upon activation, immune cells
stimulate itaconate synthesis ~10-fold via acon-itate
decarboxylase (Irg1)–catalyzed decarboxyl-ation of cis-aconitate, a
tricarboxylic acid cycleintermediate (1). Itaconate activates Nrf2,
in-hibits succinate dehydrogenase, and blocks thetranscription
factor Ikbz, leading to a switchfrom a pro- to an anti-inflammatory
state (2).The antimicrobial activity of itaconate is pur-portedly
due to its inhibition of twomicrobe-specific targets: isocitrate
lyase in the glyoxylateshunt and methylcitrate lyase in the
methyl-citrate cycle, two enzymes that are needed forpathogen
survival on acetate or propionate,respectively, as the sole carbon
source (Fig. 1A)(3). Propionyl-coenzymeA (CoA) is derived
fromcholesterol catabolism and is used by patho-gens like
Mycobacterium tuberculosis (Mtb)for biomass production in the
glucose-limitingconditions found in phagosomes (4).An unexpected
intersection between itacon-
ate and B12-dependent propionate metabo-
lism was revealed recently by the demon-stration that
itaconyl-CoA (I-CoA) is a potent in-hibitor of human
5′-deoxyadenosylcobalamin(AdoCbl)–dependentmethylmalonyl-CoAmutase(hMCM)
(5). Itaconate can be cleared by a C5-
dicarboxylate pathway (6) via acylation to I-CoA,hydration to
citramalyl-CoA, and cleavage toacetyl-CoA and pyruvate, a reaction
catalyzedby citramalyl-CoA lyase, which is encoded bythe recently
deorphaned citrate lyase beta-like (CLYBL) gene (5) (Fig. 1A).
I-CoA (ormethylenesuccinyl-CoA) is an analog ofsuccinyl-CoA, which
is interconverted tomethylmalonyl-CoA (M-CoA) by the isomeraseMCM.
Ametabolic connection between CLYBLand B12 was initially revealed
in a genome-wideassociation study (7) that showed a
correlationbetween the biallelic loss of CLYBL, which hasan ~3 to
6% prevalence in certain populations(8), and B12 deficiency.
Although I-CoA inhibi-tion ofMCMprovides amolecular link
betweenmitochondrial B12 and C5-dicarboxylate metab-olism, it does
not explain why inhibited MCMcannot be repaired by the auxiliary
protein sys-tem that is dedicated for this function (9). Giventhe
homology between bacterial and humanMCM, host-derived itaconate
could also poten-tially target MCM in pathogenic bacteria, inwhich
it is required for lipid breakdown.Itaconate induces electrophilic
stress and
modifies small molecules and protein targetsby alkylating
cysteine residues (10, 11). Here, wereport a radical suicide
inactivation mechanismin which addition of the elusive
5′-deoxyadenosylradical (dAdo•) to I-CoA in MCM leads to
anair-stable biradical comprising a tertiary car-bon radical
coupled to the metal-centered cob
RESEARCH
Ruetz et al., Science 366, 589–593 (2019) 1 November 2019 1 of
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1Department of Biological Chemistry, University of Michigan,Ann
Arbor, MI 48109, USA. 2Department of Chemistry,University of
Michigan, Ann Arbor, MI 48109, USA. 3HowardHughes Medical Institute
and Department of MolecularBiology, Massachusetts General Hospital,
Boston, MA 02114,USA. 4Broad Institute, Cambridge, MA 02142,
USA.5Department of Immunology and Infectious Diseases,Harvard T. H.
Chan School of Public Health, Cambridge, MA02115, USA. 6Department
of Physics, Emory University,Atlanta, GA 30322, USA. 7Program in
Biophysics, Universityof Michigan, Ann Arbor, MI 48109,
USA.*Present address: Merck & Co., Inc., Kenilworth, NJ,
USA.†Corresponding author. Email: [email protected]
Fig. 1. I-CoA inhibits human and Mtb MCM by forming an
air-stable biradical. (A) Mtb pathways targetedby I-CoA. MCC,
methylcitrate cycle; ICL, isocitrate lyase; S-CoA,
succinyl-CoA;TCA, tricarboxylic acid cycle. (B andC) Titration of
holo-MtbMCM (B)with 30mMbound AdoCbl or holo-hMCM (C) with 40
mMbound AdoCbl (black traces)with increasing concentrations of
I-CoA. The intermediate spectra (gray) were recorded after 5 min of
equilibration.(Insets) Representative plots of D528 or D530 nm
versus I-CoA indicated stoichiometric binding [n = 2 (MtbMCM);n = 3
(hMCM)]. (D) EPR spectra of the 1 mM I-CoA-induced biradical on
hMCM (375 mM) in the presence ofnatural abundance (top) or
[13C]I-CoA (bottom). The experimental and simulated spectra are in
black and gray,respectively. (E and F) Possible fates of dAdo• when
I-CoA behaves as substrate (E), not observed, or inhibitor (F).
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(II)alamin radical. We visualized Mtb MCMbound to a dAdo adduct
of I-CoA at 2.0-Åresolution by x-ray crystallography. In addi-tion
to identifying MCM as an antimicrobialtarget of itaconate and
demonstrating its im-portance for Mtb growth on propionate,
ourstudy provides molecular insights into howMCM controls radical
trajectories during catal-ysis with its normal substrates to
promote thedesired chemistry and suppress unwanted
sidereactions.
I-CoA inactivates Mtb MCM by forming anair-stable biradical
MCM catalyzes the reversible isomerization ofM-CoA to
succinyl-CoAviaanAdoCbl-dependentradical mechanism. To test our
hypothesis thatbacterial MCM is also a target of the anti-microbial
effect of itaconate, we cloned andexpressed Mtb MCM and the two
auxiliaryproteins that load and repair AdoCbl (fig. S1A).The
kinetic parameters of Mtb MCM are com-parable to those of the human
homolog (fig.S1, B and C). Addition of I-CoA to Mtb MCM-AdoCbl led
to a rapid shift in the absorptionmaximum (lmax), from 528 nm to
466 nm (Fig.1B), indicating stoichiometric binding (Fig. 1B,inset),
as was also seen with hMCM (Fig. 1C)(5). Homolysis of the
cobalt-carbon bond inAdoCbl, the first step in the
MCM-catalyzedreaction, leads to formation of the radical pairdAdo•
and cob(II)alamin, albeit with a differ-ent lmax (474 nm). We
therefore used electronparamagnetic resonance (EPR) spectroscopy
toidentify the 466-nm–absorbing products ofI-CoA–inactivated
MCM.The EPR spectrum of MCM-bound cob(II)
alamin displays the typical eight-line hyperfinesplitting of the
unpaired electron with the I =7/2 cobalt nucleus that is resolved
in the high-field region of the spectrum (fig. S2, A and
B).Additional superhyperfine splitting due to thecoordinating I = 1
lower axial nitrogen from ahistidine ligand is also observed.
Notably, ad-dition of I-CoA to human or Mtb MCM led todistinct
spectra (Fig. 1D, top, and fig. S2C) thathad the hallmarks of a
hybrid triplet system.The spectra were reminiscent of the EPR
spec-trum of a transient catalytic intermediatetrapped
duringMCMturnover, exhibiting strongelectron-electron spin-coupling
between theproduct succinyl-CoA radical and the low-spin
cob(II)alamin (12). Similar biradicalintermediates have also been
trapped in theAdoCbl-dependent enzymes glutamate mutase(13) and
2-methyleneglutarate mutase (14).The hyperfine multiplicity and the
substantialg anisotropy identified the cobalamin compo-nent in the
triplet spin system.The identity of the organic radical com-
ponent was further assessed with [13C]I-CoA(uniformly labeled in
the itaconate carbons) or[13C]AdoCbl (uniformly labeled in the
adenosylmoiety). Whereas 13C-labeled AdoCbl had no
effect on the EPR spectrum, [13C]I-CoA led toinhomogeneous
broadening throughout theline shape, which is consistentwith
appreciablemixing of cob(II)alamin and organic radicalquantum
states in the strong electron-electroncoupling regime (Fig. 1D,
bottom). These resultsindicate an absence of marked unpaired
elec-tron spin density on the dAdo moiety, whichis in accord with
the near-unit spin densityinferred for the electron-13C interaction
in theradical pair formed from [13C]I-CoA. Spectralsimulations
predict an interspin distance of 5to 6 Å, while the Euler angles
position the or-ganic radical at an angle of 43° relative to
theprincipal axis of the dz
2 orbital on cobalt. Inother AdoCbl-dependent isomerases, the
dis-tance between the substrate and cobalamin
radicals range between 5 to 6 Å and 8 to 12 Å,respectively,
necessitating small or large move-ments of the initially formed
dAdo• to reachthe substrate hydrogen atom (H-atom) destinedfor
abstraction (15).The I-CoA–induced biradical was air stable
for over 1 hour (figs. S3 and S4), unlike thetransient biradical
formed during catalytic turn-over with M-CoA that was trapped by
freeze-quenching (12). To understand the chemicalbasis of its
unusual stability, we further inves-tigated the identity of the
organic radical.
The adenosyl radical is stabilized by additionto
itaconyl-CoA
Following generation of the dAdo•-cob(II)alaminradical pair
onMCM, the isomerization reaction
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Fig. 2. Crystallographic capture of a biradical in
I-CoA-inactivated Mtb MCM. (A) Orientation of dAdo(green) in
relation to the corrin ring (gray; pyrrole rings A to D and
acetamides a and c are shown) in nativeMtb MCM. (B) 2Fo-Fc omit
maps (blue) around B12 and I-CoA contoured at 1.5s. (C) Shift in
B12 and rotationof the adenine ring from the coplanar (gray) to
perpendicular (yellow) position relative to the corrin ring.(D) EPR
spectra of Mtb MCM + I-CoA. (E) Geometry of B12 and the I-CoA–dAdo
adduct in crystal.(F) Hydrogen bonding interactions in the
MCM–I-CoA structure.
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is initiated byH-atom abstraction fromM-CoAby dAdo•, forming a
substrate-centered radi-cal that undergoes rearrangement. The
dAdo•is a primary and highly reactive alkyl radicalthat has eluded
direct detection in all AdoCbl-dependent isomerases but recently
was trappedin a radical S-adenosylmethionine enzyme (16).In
principle, two potential reactions betweendAdo• and I-CoA can be
considered (Fig. 1, Eand F). To distinguish between these
mecha-nistic possibilities, the reaction products fromMtb and hMCM
inactivated by I-CoA undersingle-turnover and aerobic conditions
wereseparated by high-performance liquid chro-matography (fig. S5).
Two major productpeaks with retention times of 22.9 and27.0 min
(peaks 2 and 5) were identified;
Mtb MCM showed an additional peak at23.5 min (peak
2b).Matrix-assisted laser desorption/ionization–
mass spectrometry (MS) analysis confirmedthe second reaction
pathway leading to anaddition product between dAdo and I-CoA(Fig.
1G), indicating that dAdo• adds to thedouble bond in I-CoA,
yielding a tertiary car-bon radical additionally stabilized by
de-localization onto the p-system of the adjacentcarboxylate. MS
analysis revealed that peaks2a and 2b are isomers with the same
mass/charge ratio (m/z) of 1145.4 (fig. S6), which is16 mass units
higher than the expected massof the addition product (m/z 1129),
indicatingincorporation of an oxygen atom. We assignpeak 2 as the
hydroxyl derivative of the ad-
dition product and peak 5 (m/z 1099.3), whichis 30 Da lighter,
indicating the formal loss offormaldehyde to the oxidative
decarboxylationproduct of peak 2 (fig. S7A). MS analysis of thehMCM
samples yielded similar results (fig. S6,D and E).Under anaerobic
conditions, additional hydro-
phobic products were observed (fig. S8). Peak6 with an m/z of
1129.4 represents the ex-pected radical addition product, while
peak5 and theminor peaks 7 and 8, withm/z valuesthat are two mass
units lower (fig. S9), wereassigned to intramolecular cyclization
and/orelimination products (fig. S7, B and C). Ado•cyclization
products have been reported dur-ing anaerobic photolysis of AdoCbl
(17) andduring the reaction of hydroxyl radicals withdAdo or
deoxyguanosine (18), resulting in 5′,8-cyclopurine nucleosides.
Crystallographic capture of thebiradical on MCM
Given the protracted air stability of the biradical,we attempted
to visualize the inhibited formby soaking AdoCbl-reconstituted Mtb
MCMcrystals with I-CoA. We determined structuresof the unsoaked and
I-CoA–soaked enzyme at1.9-Å and 2.0-Å resolution, respectively
(tableS1). Mtb MCM, like the Propionibacteriumshermanii protein
(19), is a heterodimer com-prising an a subunit that binds B12 and
a b sub-unit that is inactive (fig. S10A). In the nativestructure,
AdoCbl is boundwith its endogenousdimethylbenzimidazole tail
inserted in a sidepocket while His-629 serves as the lower
axialligand (Fig. 2A). On the opposite face, the 5′-carbon of the
upper axial dAdo ligand is 2.5 Åaway from the cobalt atom, while
the adeninegroup is coplanar with the corrin ring andoriented above
pyrrole rings A and B.I-CoA binding induces a large conforma-
tional change in the AdoCbl-binding a subunit[Ca rootmean square
deviation (RMSD), 1.47 Å],whereas the small subunit is almost
unchanged(Ca RMSD, 0.26Å) (fig. S10A). Soaking in I-CoAdid not
affect crystal stability, as there are nocrystal contacts in the
region affected by itsbinding. The a subunit collapses around
theI-CoA binding pocket, with the motion beinglargest at the
periphery and smallest wherethe a and b subunits are proximal. The
crys-tal structure of hMCM, which is a homodimerwith two B12
binding subunits, similarly closesin on its substrate, M-CoA
(20).We assigned the electron density in the
active site to the adduct between I-CoA andthe 5′-carbon of dAdo
(Fig. 2B and fig. S10B).The 5′-carbon of the dAdo moiety is
rotatedalmost 180° away from the cobalt, and the dis-tance to the
cobalt atom increases to 4.3 Å.The rotation places the 5′-carbon of
dAdo 1.5 Åaway from the methylene group of I-CoA, in-dicating the
presence of a covalent bond be-tween them.The geometry of the
tertiary carbon
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Fig. 3. I-CoA inactivation impairs MCM repair. (A) Scheme
showing the role of the auxiliary proteins incofactor
loading/off-loading to/from MCM. (B and C) Enzyme-monitored
turnover by human (B) andMtb (C) MCM (black spectra) in the
presence of M-CoA and human or Mtb CblA-GTP. Intermediatespectra
(gray) were recorded every 2 min. Final spectra (red) were recorded
at 1 hour. (D) Specificactivity (SA) of human and Mtb MCM after
1-hour preincubation without or with M-CoA (red versus blue)and
subsequent addition of the repair system (orange). (E and F)
Addition of I-CoA to hMCM-AdoCbl[black, (E)] or Mtb MCM-AdoCbl
[black, (F)] results in inactive enzyme (gray). Further
incubationover 1 hour causes only modest spectral changes (red). (G
and H) At the end of the experiments in (E)and (F), the repair
system was added for 20 min to human (G) and Mtb (H) MCM. The
increase inabsorbance at 350 to 356 nm is indicative of OH2Cbl
formation (red). (I) Same as in (D) but with I-CoA;in both panels,
data represent means ± SD (n = 3).
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of I-CoA is planar, as expected for an sp2 carbon(Fig. 2B and
fig. S10, C and D). dAdo and corrinare shifted by 2.1 Å relative to
the corrin ring inthe structure without I-CoA. The acetamidegroup a
on ring A is pushed up and in towardthe adenine ring (Fig. 2C),
which causes theadenine to move from a parallel to an
almostperpendicular position relative to the corrinplane (fig.
S10E), as predicted computation-ally (21). A strong biradical EPR
signal as-sociated with Mtb MCM crystals soakedwith I-CoA confirmed
that the spin-coupledcarbon- and metal-centered radical pair
canform in crystals (Fig. 2D). In the structurewith the adduct, the
tertiary carbon is 6 Åfrom the cobalt and at an ~45° angle fromthe
principal dz
2 orbital axis (Fig. 2E), in ex-cellent agreement with EPR
simulations.To our knowledge, the only other enzyme-bound,
carbon-centered radical that has beencrystallized is the
acetyl-thiazolium cation rad-ical in pyruvate:ferredoxin
oxidoreductase,which is formed via a one-electron transferto an
iron-sulfur cluster (22).In the resting state, the C2′-OH in dAdo
is
engaged in a hydrogen-bonding interactionbetween Gln346 and
awater-mediated hydrogenbond network to His260 and Arg223 (fig.
S10F).In the I-CoA–inactivated structure, the C2′-OHmaintains a
hydrogen bond with only Gln346,and the adenine NH2 group forms
hydrogenbonds to the backbone carbonyls of Gly107 andAla156 (Fig.
2F). These interactions likely orientdAdo• for H-atom abstraction
in the catalyticcycle when M-CoA is present; however, whenI-CoA is
present, it places dAdo• in close prox-imity to the double bond,
setting up the radicaladdition reaction. Tyr105 forms a hydrogen
bondwith the terminal carboxylate of I-CoA and alsoflanks the
dAdomoiety. In the resting enzyme,Tyr105 points in the opposite
direction, i.e., awayfrom the substrate. Arg223 also engages
viaelectrostatic interactions with the terminalcarboxylate of I-CoA
and the acetamide sidegroup c in the corrin ring. The structure
hasimplications for howMCM controls the dAdo•radical trajectory to
promote H-atom abstrac-tion fromM-CoA and concomitantly
suppressesunwanted side reactions that could lead toradical
extinction. As first predicted in com-putational studies (21),
rotation and upwardmovement of the adenine ring (Fig. 2C)
positionthe C5′-carbon radical for H-atom abstractionfrom
substrate. In contrast toMCM, glutamatemutase (23) and diol
dehydratase (24) useribose pseudorotation and N-glycosidic
bondrotation, respectively, to bring the C5′-carbonof dAdo• to
within van der Waal’s distance ofthe respective substrates.
I-CoA inhibits MCM repair
While cob(II)alamin is an intermediate in theMCM-catalyzed
reaction, it also represents theinactive form of the enzyme when it
becomes
decoupled from the dAdo moiety, and thus itfails to re-form
AdoCbl at the end of thecatalytic cycle (9). Under these
conditions, theauxiliary proteins CblA and ATR engage withMCM to
off-load cob(II)alamin onto ATR forrepair (Fig. 3A). ATR catalyzes
the adenosyl-ation of cob(I)alamin to form AdoCbl andthen transfers
the cofactor to MCM to recon-stitute the holoenzyme (25, 26).
Cofactor trans-fer in either direction between ATR andMCMrequires
the heterotrimeric guanine nucleotide–binding protein chaperone
CblA and is fueledby its guanosine triphosphatase (GTPase)
activity(27). Because I-CoA leads to rapid inactivationofMCMand
formation of cob(II)alamin, whichcannot re-form AdoCbl, we assessed
whetherthe enzyme can be repaired by the ATR-CblAsystem.Addition
ofM-CoA, to initiate catalytic turn-
over by MCM in the presence of CblA-GDP(guanosine diphosphate),
led to small (hMCM)or no (Mtb MCM) changes in the
absorptionspectra, indicating that these enzymes are re-sistant to
oxidative inactivation (Fig. 3, B andC). Consistent with this
finding, the specificactivities of both enzymes were reduced
only~15% after 1 hour of preincubationwithM-CoA(Fig. 3D). By
contrast, the P. shermanni andM. extorquensMCMaremuchmore prone
toinactivation and accumulate aquocobalamin(OH2Cbl) during turnover
(28). Addition of therepair system (ATR, ATP, and GTP) led to
com-
plete recovery of MCM activity (Fig. 3D), con-sistent with
successful off-loading of inactivecob(II)alamin from MCM followed
by reload-ing of AdoCbl from the assay mixture. In con-trast to
M-CoA, which supported catalyticturnover ofMCMwithminimal spectral
changes,incubation of either human (Fig. 3E) or Mtb(Fig. 3F) MCM
with I-CoA led to an imme-diate increase in absorption at 466 nm
thatdid not change significantly over 1 hour andwas correlated with
complete loss of activity(Fig. 3I). Addition of the respective
humanandMtb repair proteins led to an increase inabsorbance at 350
to 356nmand530 to 534nm,signaling oxidation of cob(II)alamin to
OH2Cbl(Fig. 3, G and H). By contrast, addition of therepair systems
to the same enzymes incubatedwith M-CoA did not induce cofactor
oxidation(fig. S11). Following repair, only 23% (human)and 38%
(Mtb) of the initial MCM activity wasrecovered (Fig. 3I).To gain
insights into why the repair process
is impeded by I-CoA but not M-CoA, we usedhMCM, which forms a
stable complex withCblA when it is in need of repair but is free
inthe active AdoCbl-bound state (fig. S12A) (27). Insize exclusion
chromatography profiles, hMCMis a stand-alone dimer (173 kDa) in
the presenceof M-CoA and the repair mixture (fig. S12B).However, in
the presence of I-CoA, the MCMpeak broadens and shifts to 211 kDa
(fig. S12C),indicating the presence of a 1:1 hMCM:CblA
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Fig. 4. Itaconate inhibits B12-dependent Mtb and macrophage
metabolism. (A) Vitamin B12 (10 mg/ml)stimulates growth of
wild-type Mtb strain H37Rv on 0.2% propionate as the carbon source.
OD, opticaldensity. (B and C) B12 concentration dependence of Mtb
growth and its inhibition by itaconate. (D) Westernblot of Irg1 in
Irg1 CRISPR knockdown (KD) RAW264.7 cells with or without LPS (10
ng/ml) stimulation for6 hours. Lrpprc, a mitochondrial protein, was
used as the loading control. (E) Liquid chromatography–MS
ofitaconate, I-CoA, and AdoCbl in control and Irg1 KD RAW264.7
cells with or without LPS stimulation for6 hours. Data represent
means ± SD of three independent experiments. N.D., not
detected.
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complex (mass of 237 kDa) and free MCM.The 173- and 211-kDa
fractions have spectracorresponding to AdoCbl and the
biradical,respectively (fig. S12, D and F). The 82-kDaATRfractions
show that with M-CoA, very little co-factor is transferred toATR
(fig. S12E), becausevery little inactive MCM forms. By
contrast,whereas I-CoA completely inactivates MCM,very little
cofactor is off-loaded to ATR (fig.S12G), indicating that the
sustained presenceof the dAdo-I-CoA adduct on MCM impedescofactor
repair.Hobbling of the repair system helps explain
why CLYBL deficiency is correlated with B12deficiency. In the
absence of available MCMactive sites to off-load AdoCbl, ATR
catalyzesan unusual sacrificial homolysis of the cobalt-carbon bond
and sequesters cob(II)alamin, towhich it binds more tightly than
AdoCbl (25).We propose that CLYBL deficiency increasesthe
propensity of I-CoA–dependent MCM in-activation and thereby leads
to AdoCbl deple-tion (5). How a change in the mitochondrialB12 pool
(AdoCbl) is signaled to the cytoplasmand affects B12 levels
systemically is, however,not known.
Itaconate inhibits vitamin B12-stimulated Mtbgrowth on
propionate
To corroborate the in vitro evidence that itaco-nate inhibits
Mtb MCM, we directly testedwhether exogenous itaconate can blunt
B12-stimulated Mtb growth on propionate as thesole carbon source.
As reported previously, vita-min B12 supplementation at
concentrations aslow as 1 mg/ml stimulate growth of Mtb H37Rvon
propionate (Fig. 4, A and B), which has beenattributed to the
MCM-dependent pathwayfor propionate utilization (29). Growth
stim-ulation was reduced in the presence of 1 mMitaconate and was
completely inhibited at≥5 mM itaconate (Fig. 4C). Millimolar
con-centrations of itaconate are endogenouslyproduced in activated
macrophages (1), andIrg1-deficient mice, unlike controls,
succumbearly to Mtb infection (30), suggesting thatsuch an
inhibitory mechanism could be phys-iologically relevant.
MCM inhibition and AdoCbl depletionin macrophages require
endogenousI-CoA synthesis
Mtb infection in mice elevates itaconate pro-duction in lungs
(31), presumably throughIrg1 induction. To recapitulate the
metabolicconsequence of endogenous itaconate pro-duction, we
stimulated RAW264.7 cells withlipopolysaccharide (LPS), a potent
activatorof Irg1 transcription and itaconate production(1). We
previously found that LPS stimulationdepletes AdoCbl in macrophages
(5). Using aCRISPR knockdown of Irg1 in RAW264.7 cells(Fig. 4D), we
observed that AdoCbl depletionis dependent on Irg1, which is
transcriptionally
upregulated in LPS-stimulated macrophages(1, 32). Treatment with
LPS induced an increasein itaconate and I-CoA levels, which was
sig-nificantly attenuated in Irg1 knockdown cells(Fig. 4E).
Although LPS stimulation reducedAdoCbl to undetectable levels in
control cells,it was not significantly changed in the Irg1knockdown
cells (Fig. 4E). Together, these datasuggest that AdoCbl depletion
and MCM in-hibition in macrophages is caused by endog-enous
itaconate produced by Irg1 and inducedduring LPS stimulation.
Conclusions
AdoCbl is a radical initiator that generates the“working” dAdo•
and “spectator” cob(II)alaminradical by homolytic cleavage of its
cobalt-carbon bond. We found that I-CoA triggershomolytic cleavage
of the cobalt-carbon bondin AdoCbl as in the normalMCM catalytic
cycle,but proximity effects promote suicidal additionof dAdo• into
its double bond. A chemically akin,albeit nonspecific,Michael
additionmechanismhas been invoked to explain
itaconate-inducedelectrophilic stress (10, 11). The combined
ac-tion of itaconate and I-CoA onMtb propionatemetabolism would be
predicted to result inincreased levels of toxic
propionate/propionyl-CoAderived fromcholesterol-dependent growthof
this pathogen in host phagosomes (29).Although the conditions are
not known underwhich the Mtb pathway for de novo B12 bio-synthesis
might be operative (33), Mtb canscavenge B12 from its host (34).
Itaconate-induced B12 deficiency in host macrophagesthus might be a
strategy for restricting path-ogen growth, in addition to targeting
patho-gen enzymes involved in propionate metabolism(Fig. 1A); the
relative importance of eachinhibitory arm is unknown, however.We
spec-ulate that the CLYBL null background couldboost the efficacy
of this pathogen containmentstrategy, explaining the prevalence of
the nullgenotype in human populations (5). In thiscontext, it is
noteworthy that the incidenceof active tuberculosis is reported to
be mark-edly lower in patients with B12 deficiency dueto pernicious
anemia (35).
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ACKNOWLEDGMENTS
We acknowledge H. Sharma (University of Michigan) for
hisassistance with crystallization and the GM/CA CAT at theAdvanced
Light Source for beam time. We also acknowledgethe NIH Common Fund
Metabolite Standards Synthesis Core(NHLBI contract no.
HHSN268201300022C) for providing[13C]itaconate. Funding: This work
was supported in part bygrants from the National Institutes of
Health (RO1-DK45776 toR.B., 5 F32 GM113405 to G.C.C., K99-GM124296
to H.S.,R35GM122455 to V.K.M., R01-DK054514 to K.W., andU19AI107774
to E.J.R.) and start-up funds from the University ofMichigan (to
M.K.). V.K.M. is an Investigator of the HowardHughes Medical
Institute. Author contributions: M.R. andG.C.C. performed the
majority of the biochemical studies,H.G. did the kinetic analysis
of hMCM, and L.M. and M.R. clonedand expressed the Mtb genes used
in this study. M.P. andM.K. were responsible for the
crystallographic analyses,and K.W. was responsible for the EPR
spectroscopic analysis.H.S. performed the macrophage experiments,
and J.Z. andS.W. performed the Mtb growth experiments. M.R.,
G.C.C.,and R.B. wrote the manuscript. All authors were involved
withdata analysis of experiments performed by them or in
theirlaboratories and edited the manuscript. Competing
interests:V.K.M. is a paid advisor to Janssen Pharmaceuticals
and5AM Ventures and owns equity in Raze Therapeutics.Data and
materials availability: All data are availablein the manuscript or
supplementary materials. Thestructure factors and coordinates for
Mtb MCM (6OXC)and Mtb MCM + I-CoA (6OXD) have been deposited in
theProtein Data Bank.
SUPPLEMENTARY MATERIALS
science.sciencemag.org/content/366/6465/589/suppl/DC1Materials
and MethodsFigs. S1 to S12Table S1References (36–59)
View/request a protocol for this paper from Bio-protocol.
19 May 2019; accepted 3 September
201910.1126/science.aay0934
Ruetz et al., Science 366, 589–593 (2019) 1 November 2019 5 of
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and repairItaconyl-CoA forms a stable biradical in
methylmalonyl-CoA mutase and derails its activity
Wakabayashi, Junhao Zhu, Eric J. Rubin, Kurt Warncke, Vamsi K.
Mootha, Markos Koutmos and Ruma BanerjeeMarkus Ruetz, Gregory C.
Campanello, Meredith Purchal, Hongying Shen, Liam McDevitt, Harsha
Gouda, Shoko
DOI: 10.1126/science.aay0934 (6465), 589-593.366Science
, this issue p. 589; see also p. 574Sciencehow macrophages
resist Mtb infection.regeneration machinery. Itaconate blocks Mtb
growth on propionate, and this inhibition mechanism may be relevant
to
12species, which is incapable of completing the catalytic cycle
and cannot be recycled by the endogenous coenzyme B. Itaconyl-CoA
derails the normal radical reaction catalyzed by MCM, forming a
long-lived, biradical12coenzyme B
enzyme methylmalonyl-CoA mutase (MCM), which uses the
radical-generating cofactor adenosylcobalamin, or(see the
Perspective by Boal). They found that the coenzyme A (CoA)
derivative of itaconate can irreversibly inhibit the
(Mtb)Mycobacterium tuberculosissystems to inhibit propionate
metabolism, a crucial metabolic pathway in pathogenic investigated
how the immunometabolite itaconate might undermine these
intricateet al.dedicated systems. Ruetz
Controlled radicals enable unusual enzymatic transformations,
but radical generation and management requireItaconate brings
metalloenzyme to a halt
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