x-ray structure of tmp kinase from mycobacterium tuberculosis complexed with tmp at 1.95 Å resolution
doi:10.1006/jmbi.2001.4843 available online at on
J. Mol. Biol. (2001) 311, 87±100
X-ray Structure of TMP Kinase from Mycobacterium
tuberculosis Complexed with TMP at 1.95 AÊ ResolutionI. Li de la SierraH. , A. M. , O. BaÃ
1Unite de Biochimie Structurale The X-ray structure of Mycobacterium tuberculosis TMP kinase at 1.95 AÊ
resolution is described as a binary complex with its natural substrate
2Laboratoire de Chimie
TMP. Its main features involve: (i) a clear magnesium-binding site; (ii) an
alpha-helical conformation for the so-called LID region; and (iii) a high
MacromoleÂcules, URA 2185 du
density of positive charges in the active site. There is a network of inter-
C.N.R.S., Institut Pasteur, 28
actions involving highly conserved side-chains of the protein, the mag-
rue du Dr. Roux, 75724 Paris
nesium ion, a sulphate ion mimicking the b phosphate group of ATP and
the TMP molecule itself. All these interactions conspire in stabilizing
what appears to be the closed form of the enzyme. A complete multia-
lignement of all (32) known sequences of TMP kinases is presented.
Subtle differences in the TMP binding site were noted, as compared to
the Escherichia coli, yeast and human enzyme structures, which have been
reported recently. These differences could be used to design speci®c
inhibitors of this essential enzyme of nucleotide metabolism. Two cases
of compensatory mutations were detected in the TMP binding site of
eukarotic and prokaryotic enzymes. In addition, an intriguing high value
of the electric ®eld is reported in the vicinity of the phosphate group of
TMP and the putative binding site of the g phosphate group of ATP.
# 2001 Academic Press
Keywords: crystal structure; rational drug design; AZTMP; thymidylate
*Corresponding author
kinase; Mycobacterium tuberculosis
principal microbial agent involved for humans.
Tuberculosis is primarily transmitted via airborne
The incidence of tuberculosis (TB) has been
aerosoled secretions. A peculiar aspect of its patho-
increasing during the last 20 years and it is now
genicity comes from the fact that it can remain
the ®rst cause of mortality among infectious dis-
quiescent and become active decades later. One of
eases in the world, killing more than two million
the most signi®cant risk factor for developing
people a Mycobacterium tuberculosis is the
tuberculosis is human immunode®ciency virus
(HIV) infection. The current treatment of active TB
includes four drugs (isoniazid, rifampicin, pyrazi-
Present address: I. Li de la Sierra, Laboratoire
namide and ethambutol) for at least six months. A
d'Enzymologie et de Biochimie Structurales, C.N.R.S.
signi®cant proportion of patients do not complete
Bat. 34, Avenue de la Terrasse, 91198 Gif/Yvette Cedex,
the therapy, especially in developing countries,
and this has led to the appearance of resistant
Abbreviations used: TMPK, thymidylate kinase;
strains of M. tuberculosis. Therefore, there is cur-
TMPKMtub, thymidylate kinase from Mycobacterium
tuberculosis; TMPK
rently a large effort to identify new potential tar-
Ecoli, thymidylate kinase from
Escherichia coli; TMPKYeast, thymidylate kinase from
gets for inhibitors and to develop new antibiotics.
yeast; CMPK, cytidylate kinase; UMPK, uridylate
In this work, one essential enzyme of nucleotide
kinase; AMPK, adenylate kinase; NMPK, nucleoside
metabolism, namely thymidine monophosphate
monophosphate kinase; TMP, thymidine
kinase (TMPK), is taken as a potential target for
monophosphate; TDP, thymidine diphosphate; TTP,
developing rationally designed inhibitors.
thymidine triphosphate; TB, tuberculosis; HIV, human
TMPK (E.C.2.7.4.9, ATP:TMP phosphotransfer-
immunode®ciency virus; MIR, multiple isomorphous
replacement; HSV, herpes simplex virus.
ase) belongs to a large superfamily of nucleoside
E-mail address of the corresponding author:
monophosphate kinases (NMPK). It catalyses the
phosphorylation of thymidine monophosphate
# 2001 Academic Press
X-ray Structure of M. tuberculosis Thymidylate Kinase
(TMP) to thymidine diphosphate (TDP) utilizing
crystal structure was determined by multiple iso-
ATP as its preferred phosphoryl donorIt lies at
morphous replacement (MIR) using ®ve heavy-
the junction of the de novo and salvage pathways
atom derivatives, with one of them giving reliable
of thymidine triphosphate (TTP) metabolism and is
phase information up to 2.7 AÊ resolution
the last speci®c enzyme for its synthesis. These
The initial 2.7 AÊ MIR map was improved by den-
characteristics make the TMPK a good target for
sity modi®cation techniques and allowed the con-
the design of new antibiotics drugs.
struction of the model without ambiguity. The
The high-resolution structure of TMPK should
model was re®ned to a crystallographic R-factor of
be a good starting point to devising novel inhibi-
tory compounds using a structure-based drug-
free 25 %The quality of the struc-
ture was assessed using PROCHECd gives an
design approach. It may be worth mentioning here
overall G-factor of 0.24. TMPK
that one of the most successful antiviral drugs
Mtub has 214 residues
and a molecular mass of 24 kDa. The re®ned
against herpes simplex virus (aciclovir) is directed
structure consists of 208 amino acid residues (the
against thymidine kinase, which is responsible for
six C-terminal residues were not observed in the
the synthesis of both TMP and TDP in cells
electron density map), one TMP molecule , one
sulphate group and one magnesium ion bound to
Here, we report the structure of the TMPK from
the catalytic domain
M. tuberculosis (TMPKMtub) bound to its natural
substrate, TMP, at 1.95 AÊ resolution. It is the ®rst
The strictly conserved residue Arg95 (located in
NMPK reported structure from M. tuberculosis and
the consensus sequence DR(Y/F/H), residues 94-
from a pathogen in general. The structure, com-
96 in the M. tuberculosis amino acid sequence;
bined with a careful analysis of the alignment of
is the only non-glycine residue lying out-
all known sequences annotated as TMPKs, allows
side the allowed regions of the Ramanchandran
us to identify the residues involved in the TMP-
plot. This particular conformation results from its
binding site and those probably important for cata-
location in the catalytic site, Arg95 being in direct
lysis. The structure of the TMPK
contact with the phosphate moiety of the TMP
Mtub catalytic site
is quite different from other bacterial or eukaryotic
molecule in our complex structure (see below). The
enzymes: arginine residues from both LID and P-
M. tuberculosis enzyme also has one cis-residue
loop regions are probably implicated in the phos-
conformation at the strictly conserved proline resi-
phoryl transfer, one magnesium ion is readily vis-
due of motif (F/E)P at position 37, which is also
ible in the active site and the LID region is in a
observed in the cis conformation in all TMPK struc-
helical conformation characteristic of the closed
tures reported so far
form of the molecules of this family, even though
The global folding of the M. tuberculosis enzyme
the second substrate is not present in the crystal.
is similar to that of the other TMPKs, despite the
low degree of similarity of their amino acid
Results and Discussion
sequences (26 %, 25 % and 22 % sequence identity
over about 200 aligned residues with TMPKEcoli,
Structure determination and overall description
TMPKMtub has nine a-helices, surrounding a ®ve-
The recombinant TMPKMtub in the presence of
stranded b-sheet core conserved in all TMPKs.
TMP yielded crystals suitable for X-ray study
Comparing the TMPKMtub-TMP structure with
Table 1. Heavy-atom parameters, data-collection and phasing statistics
Soaking time (hrs)
ESRF, ID14-3 LURE, DW21b ESRF, ID14-3
(wavelength (AÊ))
Unit-cell parameters
40-1.95 (2.0-1.95) 12-3.0 (4.0-3.0)
40-2.4 (2.46-2.4) 12-3.0 (3.11-3)
Total number of refl.
Total of unique refl.
Phasing power (Res. AÊ)
a Rmerge hijIhi ÿ hIhij/hiIhi, where Ihi is the ith observation of the re¯ection h, while hIhi is the mean intensity of re¯ection h.
b Riso jFPH ÿ FPj/FP, where FPH and FP are the derivative and the native structure-factor amplitudes, respectively.
X-ray Structure of M. tuberculosis Thymidylate Kinase
Table 2. Re®nement statisticsResolution range (AÊ)
No. of reflections
Used for refinement
Rfree calculation
No. of non-hydrogen atoms
rmsd from ideality
Bond lengths (AÊ)
Bond angle distances (AÊ)
Average temperature factors
Ramanchandran plot
Residues in most favoured regions (%)
Residues in additional allowed regions (%)
a Rfactor jjFoj ÿ jFcjj/jFoj.
b Rfree was calculated with a small fraction (5 %) of randomly
c G-factor is the overall measure of structure quality from
both the similar structure from yeast (1tmk) or the
TMPKYeast-TP5A (3tmk) and TMPKEcoli-TP5A
(4tmk) structures results in good overlap of the
b-sheet core (rmsd for ®ve strands, 23 Ca atoms,
0.74 AÊ, 0.71 and 0.81 AÊ for 1tmk, 3tmk and 4tmk,
respectively) but the surrounding helices and loops
have moved signi®cantly relative to each other (for
163 Ca superposing atoms, the rmsd is 10.89 AÊ,
10.93 AÊ and 8.44 AÊ for 1tmk, 3tmk and 4tmk,
respectively; see This, together with
the low level of sequence identity conservation,
could explain the failure of the molecular replace-
ment attempts to solve TMPMtub structure using
both yeast and Escherichia coli models and the need
for an MIR structure determination.
The TMP kinase family
All known TMPK sequences have been aligned
Figure 1. TMPKMtub-TMP binary complex structure.
together in This includes 17 bacterial
(a) Ribbon diagram of the protein complexed with TMP,
enzymes, seven archaebacterial enzymes and eight
the sulphate and the magnesium ions bound to the
eukaryotic enzymes. The alignment has been
active site, showing in red the LID and the P-loop
adjusted manually, especially in the LID region, to
regions. (b) Superposition of the Ca traces of TMPKMtub-
take into account all the available structural infor-
TMP (red), TMPKYeast-TMP (green) and TMPKEcoli-TP5A
mation; it becomes less certain after residue 180 or
(blue) structures. The LID region adopts a helical confor-
mation in the TMPK
so, rendering the identi®cation of any residue
Mtub-TMP complex, in contrast to a
disordered region in the TMPK
essential for adenine recognition dif®cult. The
Yeast-TMP complex.
multialignment provides enlightening functional
information by looking at strictly conserved resi-
dues and at those that are strictly conserved inside
subfamilies and systematically changed from one
X-ray Structure of M. tuberculosis Thymidylate Kinase
Figure 2 (legend shown on page 92)
subfamily to the other; they are coloured yellow in
The three-dimensional structures of TMPK from
It then becomes necessary to look at all
yeastE. coland more recently humahave
available three-dimensional structures to under-
been solved and show a similar fold to other
stand the origin of this phenomenon.
NMPKs; namely, a core of ®ve-stranded parallel
X-ray Structure of M. tuberculosis Thymidylate Kinase
Figure 2 (legend shown on page 92)
b-sheets surrounded by nine a-helices. Three
of the phosphate donor; second, the loop contain-
regions contain the essential residues for the func-
ing the strictly conserved arginine residue that
tion of this enzyme ®rst, the P-loop
brings the donor and the acceptor nucleotides
motif (consensus sequence GxxxxGKS/T)which
together with consensus sequence DR(Y/H/F)
controls the positioning of the phosphoryl groups
and third the LID region, a ¯exible stretch that
X-ray Structure of M. tuberculosis Thymidylate Kinase
closes on the phosphoryl donor when it binds (see
peculiar: it does not have the positive charge of the
also Via et afor a recent review of these
eukaryotes in position 10 (it has glycine instead, as
sequence motifs).
in prokaryotes), but it has another extra arginine
In addition to these functionally essential regions
residue at position 14. Therefore, the M. tuberculosis
just mentioned, the most striking features revealed
enzyme appears, together with its closely related
by the multialignment are the (F/E)P sequence
cousin Mycobacterium leprae, as unique among all
motif at the junction between strand b2 and helix
known TMPK sequenceh a possible horizon-
a2, the KPD motif just before the b4 strand and the
tal gene transfer event with eukaryotes. Whatever
strictly conserved serine residue at position 99 (see
the reality of this gene transfer, the same event
which, to our knowledge, has remained
happened in M. leprae.
unnoticed so far.
On the basis of the location of the active-site
arginine residues in either the P-loop or LID
sequences, TMPKs were categorized into two type-
Dimerization mode
e I TMPKs (e.g. yeast and human) have, in
addition to the invariant lysine (residue 13 in the
Mtub, as well as TMPKYeast or TMPKEcoli, is
a homodimer in solution. The TMPK
M. tuberculosis amino acid sequence), an invariant
plexed with TMP crystallizes with one molecule
basic residue at position 10 in their P-loop
per asymmetric unit; the functional dimer can be
sequence that can interact with the g phosphate
recovered by using the symmetry operator x ÿ y,
group of ATP and lack such a positively charged
ÿy, ÿz. The interface of the dimer consists of three
residue in the LID region. In contrast, type II
pairs of helices (a2, a3 and a6) as observed in
TMPKs (e.g. E. coli), have a glycine residue in the
E. coli enzyme complexes, which also crystallizes
P-loop at position 10 and one additional basic resi-
with one molecule per asymmetric The
due in the LID region that interacts with ATP
same helices are observed in the interfacial zone of
(Arg153); however, this last residue is not strictly
TMPKYeast complexes, which crystallize either with
conserved in prokaryotes or in archaebacteria
one dimer four dimerr asymmetric unit; in
fact, the E. coli and the yeast dimers are remark-
It came as a surprise, however, that the multia-
ably superimposable. However, having best super-
imposed the ®rst monomers of all three enzymes,
sequence is actually closer to the eukaryotic
the second monomer of M. tuberculosis appears to
enzymes (including the viral sequences) and poss-
be oriented upside-down as compared to either its
ibly the archeal enzymes than to the bacterial
yeast or E. coli counterparts. In other words,
enzymes. This is especially true in the region just
whereas the 2-fold axis of TMPKEcoli or TMPKYeast
upstream from motif KPD (a6-b4) and in the loop
dimer runs orthogonal to helix a3, across the dimer
between helix a2 and strand b2 (motif FP in eukar-
interface, relating a2, a3 and a7 to their antiparallel
yotes and EP in prokaryotes), as well as in the
equivalents, the 2-fold axis of TMPKMtub runs par-
region just downstream from the LID region (helix
allel to a3, relating a2, a3 and a6 to a60, a30 and
a8, especially residue Q172). However, the LID
a20, respectively. The dimer interface contains a
region itself clearly resembles more closely the bac-
closely packed hydrophobic core but also an ion
terial ones, albeit with a characteristic arginine and
pair Glu50-Arg127, which could explain the origin
aspartate-rich large insertion. The P-loop is quite
of this different dimerization mode, since it is not
Figure 2. Multialignment of all known TMPK sequences. The alignment was done using the program PILEUP of
package GCG (version h opening and extension gap penalties of 6 and 2, respectively. The alignment was
adjusted manually in the LID region and in the helix a8 region, taking into account the structural elements of all
other known structures (E. coli, yeast, human TMPKs). The Figure was generated with the program ESPriptIn
addition to the generic name kthy (which stands for thymidylate kinase), the following abbreviations have been used:
myctu M. tuberculosis; mycle M. leprae; helpj, Helicobacter pylori J99; helpy, H. pylori; mycge, Mycoplama genitalis;
mycpn, Mycoplasma pneumoniae; ecoli, E. coli; yerpe, Y. pestis; haein, H. in¯uenzae; bucai, Buchnera aphidicola; bacsu,
Bacillus subtilis; ricpr, Rickettsia prowazekii; chlpn, Chlamydia pneumoniae; chltr, Chlamydia trachomatis; caucr, Caulobacter
crescentus; aerpr, Aeropyrum pernix; syny3, Synechocystis sp.; aquae, Aquifex aeolicus; thema, Thermotoga maritama; arcfu,
Archeoglobus fulgidus; metja, Methanococcus janaschii; pyrho, Pyrococcus horikoshii; sulso, Sulfolobus solfataricus; metth,
Methanobacterium thermoautotrophicum; schpo, Schizosaccharomyces pombe; yeast, Saccharomyces cerevisiae; vaccv, Vaccinia
virus; variv, Variola virus; human, Homo sapiens; mouse, Mus musculis; caee, Caernorhabditis elegans; asfb7, african
swine fever virus. Residues are boxed if more than 50 % identity was reached at this position. Strictly conserved pos-
itions are in bold red. Residues that are more than 80 % identical in each group de®ned below, but different from one
group to the other are indicated in yellow. Four groups of sequences have been de®ned in the program
two sequences of M. tuberculosis and M. leprae come ®rst, then the seven archaebacterial sequences, then a group of
15 bacterial sequences, then the last eukaryotic eight sequences as the fourth group. The numbering and the second-
ary structures of the M. tuberculosis enzyme are indicated at the ®rst line. Special symbols were added in the last line:
green upper triangles for residues involved in TMP binding, red ellipses for residues putatively involved in ATP
binding and blue crosses for the ones involved in the Mg2 binding.
X-ray Structure of M. tuberculosis Thymidylate Kinase
conserved in enzymes other than M. tuberculosis or
Stabilization of the structure of the LID region
One of the main characteristics of the TMPKMtub-
TMP complex structure is that the LID region is
observed in an a-helix conformation, even though
the ATP binding site is unoccupied.
The LID segment is described in the other
known NMPK structures as highly ¯exible
changes when the ATP molecule is ®xed to the
enzyme.Similarily, there is a transition
between a coil to an helical conformation in the
LID region of TMPKYeast when ATP is bound.In
all known ternary complexes of TMPKEcoli, it is
also structured as an a-helix because ATP ana-
logues were present in the active site (no structure
of the E. coli enzyme with an empty ATP-binding
site has been reported so far).
To explain the stability of the LID region in our
structure, which lacks the phosphate donor, the
role of a sulphate ion in the active site should be
emphasized. Indeed, this sulphate ion partly
explains the structural ordering of the LID region,
because it provides a direct link between Arg153 of
the LID and Lys13 of the P-loop (see
and 4(a)); in a second shell of interactions (5-6 AÊ),
it is at the center of a galaxy of positive charges
(Arg14, Arg95, Arg149 and Arg160). This sulphate
ion is in the position expected to be occupied by
the b phosphate group of ATP and this is a recur-
rent situation that has been observed in many
Figure 3. (a) The sulphate ion-binding site, showing
NMPKs. In thymidine kinase, the presence of this
the bridge between the LID region (residues 149 and
sulphate ion has been proved to be linked directly
153) and the P-loop (residues 13 and 14). (b) The Mg2 -
to the a-helix structuring of the LID region through
binding site, showing that the Mg2 ligands (residues
molecular dynamics simulations (M. Orozco et al.,
166 and 9, the 50 phosphate oxygen and water mol-
personal communication). There is yet another link
ecules) are arranged in an octahedral con®guration.
between the LID region and the P-loop through
the magnesium ion, of which two of the ligands
are Glu166 and Asp9 (from the LID region and the
P-loop, respectively); this is described in more
detail below and
located further away along the ATP-binding site,
between the b and g phosphate groups
Three water molecules (W1009, W1018 and
W1050) and an oxygen atom from the phosphoryl
The second main structural characteristic of the
group are the other ligands that coordinate the
M. tuberculosis structure is that it contains a mag-
Mg2 in an octahedral con®guration
nesium site, even though no ADP or non-hydroly-
and 4(b)), in addition to the carboxylate oxygen
sable analogue of ATP is present in the crystal. The
atoms of Asp9 and of Glu166 already mentioned.
chemical nature of this positive peak in the initial
One of these water molecules is in direct contact
electron density maps was inferred from its octa-
with a carboxylate oxygen atom of Asp163.
hedral coordination (all the distances between the
magnesium ion and its oxygen ligands are in the
M. tuberculosis TMP kinase is in the fully
range 2.2-2.25 AÊ) and the fact that it is the only
closed conformation
divalent cation present in millimolar amounts in
the mother liquor.
NMPKs have been described in several states,
The magnesium ion observed here is a unique
especially the AMPKan open conformation is
feature of the TMPKMtub structure. No magnesium
observed without substrate, a partially closed con-
atom was reported for the yeast or the E. coli
formation with a single substrate and a fully closed
enzFor the human enzyme, one mag-
conformation in the presence of both substrates.
nesium binding site has been reported but it is
Both open and partially closed conformations were
X-ray Structure of M. tuberculosis Thymidylate Kinase
away from the main-chain nitrogen atom of Asp9;
Arg95 is itself maintained in place through the
strictly conserved Ser99, thus completing this intri-
cate network (see All these inter-
actions conspire to make the TMPKMtub structure
presented here as most closely related to the fully
closed TMPK structure.
The TMP-binding site
As mentioned earlier, TMP is essential for the
crystallization of TMPKMtub; the experimental elec-
tron density of the TMP molecule could be seen in
the initial MIR-DM maps. shows the
electron density in a 2Fobs ÿ Fcalc map using a
model where the TMP molecule has been omitted.
There are three main interactions that character-
ize the TMP binding and (i) a stack-
ing interaction involving the pyrimidine ring and
the Phe70 side-chain; (ii) the interaction with
Tyr103, which helps select deoxy-ribonucleotides
versus ribonucleotides; (iii) and the hydrogen bond
between the O4 atom in the base moiety and the
Figure 4. (a) A schematic drawing of the TMP-binding
site in the Mg2 and sulphate ion region (CHEM-
DRAW), displaying all the residues in direct contact
with the substrate. (b) As in (a), with the base moiety of
the TMP-binding site.
observed for the CMPK from E. collly closed
conformations were observed for the UMPK-
CMPK from yeast and Dictyostelium discoideu
Finally, partially closed fully close
formations were observed for the TMPK from
E. coli, yeast and human, respectively.
The presence of the magnesium ion and of the
sulphate ion already pointed to an explanation for
the structuring and the closing of the LID region.
Here, we argue that the enzyme is in its fully
closed conformation, even though the second sub-
strate is not bound; indeed, the 30OH group of the
sugar moiety of TMP is at the center of an exten-
sive hydrogen bond network, which can be
described as follows. As mentioned earlier, Asp9 is
essential in holding this 30OH in place, but the
Asp9 carboxylate group is in turn hydrogen
bonded to Tyr103 and Glu172 which
are all strictly conserved The hydroxyl
Figure 5. (a) A drawing of the thymidine moiety-
group of the Tyr103 side-chain is in turn hydrogen
binding site in TMPK
bonded to Arg95, as in the human enz
Mtub. (b) Network of (hydrogen-
bond) interactions involved in the stabilization of 30OH
the Gln172 side-chain OE1 atom is located 3.1 AÊ
group of the TMP molecule.
X-ray Structure of M. tuberculosis Thymidylate Kinase
interaction of its hydrophobic part with Phe36, a
residue strictly conserved in M. tuberculosis,
M. leprae and eukaryotes and located just before
the structurally important Pro37, which is strictly
conserved in all TMPKs and whose cis confor-
mation forms the very bottom of the cavity respon-
sible for the thymidine binding It is
rewarding to ®nd that this hydrophobic interaction
is replaced in prokaryotes by a (compensating)
direct hydrogen bond between the NE atom of
Arg74 and the carboxylate group of the strictly
conserved glutamate residue that replaces Phe36 in
all prokaryotes, while the interaction with Glu124
is replaced by an interaction with Thr105, Asp102
and Tyr75 (E. coli numbering). Therefore, the situ-
ations of Arg74 in prokarotes in eukaryotes are
almost mirror images of one another, with
TMPKMtub behaving as a eukaryotic TMPK.
All direct contacts between TMP and TMPKMtub
are shown in There are 11 residues
located less than 3.9 AÊ away from the TMP mol-
ecule, and six of these make hydrogen bonds with
the nucleotide: Asp9, Phe36, Tyr39, Arg74, Arg95
and Asn100. Also Ser99, a strictly conserved resi-
due that had hitherto escaped notice, is crucial in
the positioning of Arg95 Several
subtle differences are observed when comparing
with other TMPKs. This concerns: (i) the hydrogen
bond between the N3 atom of the pyrimidine ring
with the Asn100 side-chain (changed to a glycine
residue in both yeast and human, and to a threo-
nine residue in the E. coli enzyme); (ii) the Tyr39
residue makes two polar contacts with the TMP,
one with a phosphate oxygen atom (3.1 AÊ) and the
Figure 6. (a) Model of bound TMP in 2Fo ÿ Fc map;
other with the oxygen atom at the 50 position
the TMP molecule was omitted from the model used to
(3.4 AÊ). Arginine and glycine residues replace this
calculate the phases. Contours are drawn at the 2s level
above the mean electron density. (b) Fourier-difference
tyrosine in human and yeast enzymes respectively.
(iii) The 30-hydroxyl group of the ribose moiety
5I-dUMP ÿ Fc map. Fc denotes structure factors ampli-
tudes of the TMPKMtub model without TMP. The peak
makes three polar contacts one with
in the electron density map corresponding to an iodine
a water molecule (2.72 AÊ) involved in the Mg2
atom in position 5 of the pyrimidine ring is observed
coordination (see above) and two others (2.72 AÊ
with a cut-off of 5s above the mean electron density.
and 3.3 AÊ) with Asp9 of M. tuberculosis sequence.
The Figure was drawn with BOBSCRIPT
The direct interaction of the P-loop with the sugar
moiety of the monophosphate substrate is a unique
feature of TMPKst is interesting to note that
residues Asn100 and Tyr39 are precisely those
Arg74 side-chain, which favours thymidine or ura-
painted in yellow in the multialignement drawn
cil over cytosine and These
with EPScripusing the option of highlighting
three positions are almost universally conserved in
residues conserved in subfamilies but changed
all known TMPK sequences (see The role
from one subfamily to the other
of the last interaction in the kinase activity was
con®rmed recently in the case of the thymidine
Interaction with other
kinase from herpes simplex virus (HSV) type 1:
steady-state kinetic studies showed that mutating
Gln125 (Arg74 equivalent residue in the TMPK
Mtub phosphorylates dUMP analogues
was observed for other TMPKsion of
sequence) into Glu, Asp or Asn in the thymidine
the methyl group of position 5 of the pyrimidine
kinase from HSV-type 1 has a devastating effect on
ring by iodine (5I-dUMP) affects both the K
the phosphorylation of TMP, the thymidylate
kinase activity of all three mutants being decreased
m parameters of the enzyme: the Km value is
3.5-fold higher than that of TMP and reaction rate
by over 90 %.
is 70 % of that with TMP (see Moreover,
Apart from forming an ion pair with Glu124, the
both 5I-dUMP and TMP bind to the phosphate
Arg74 side-chain is stabilized through stacking
acceptor binding site in a very similar fashion, as
X-ray Structure of M. tuberculosis Thymidylate Kinase
Table 3. Steady-state kinetic parameters
Km for 5I-dUMP (mM)
Vm (ATP, 5I-dUMP) (mM/min mg)
Vm (ATP, TMP) (mM/min mg)
kcat (sÿ1) with TMP and ATP
Km for AZTMP (mM)
kcat for TMP/kcat for AZTMP
Ratio kcat/Km for TMP AZTMP
KI for AZTMP (mM)
Results for E. coli, Y. pestis and Yeast enzymes were extracted from the following publications:
b Chenal-Francisque et
c Munier-Lehmann et a
shown in the experimental X-ray structure of the
E. coli enzymes (when the ATP is ®xed) are also
observed in our structure. The side-chain of resi-
obtained by soaking the original crystals in a
due Arg149 in the LID helix is located as observed
2 mM solution of 5I-dUMP.
in the E. coli enzyme, namely opposite both the
AZTMP was observed to be a competitive inhibi-
loop between b5 and a9 (comprising Leu 193 in
tor of TMPKMtub with a KI of 10 mM: the presence
E. coli) and the Thr15 residue (a highly conserved
of an azido group totally abolishes the catalysis
residue in TMPKs), ready to interact by stacking
without changing the af®nity. It is the ®rst
interaction with the adenine ring of ATP
reported TMPK that does not phosphorylate the
These three regions together form the
AZTMP molecule, in contrast to other TMPKs
apparent binding site of ATP in the complex with
from prokaryotes or eukaryotesAZTMP is a
AZTP5A in E. coli Following both the
substrate for the E. coli, Yersinia pestis and yeast
structural work on yeast and E. coli TMPK as well
enzymes (with a reduction of kcat of only 2.5-fold,
as a recent article on sequence determinants map-
96-fold and 200-fold for the E. coli, Y. pestis and
ping the binding sites of both substrates in
yeast enzymes, respectively; see , and for
NMPis possible to identify a semi-invariant
Salmonella typhi and Haemophilus in¯uenzae
small residue (alanine, serine, glycine, threonine) at
S. typhi and E. coli TMPKs phosphorylate AZTMP
position 196 in the loop between helix a9 and
at comparable rates, whereas H. in¯uenzae enzyme
strand b5, common to all TMPKs (see
was more similar to the Y. pestis TMPK.
Except for the fact that the loop between b5 and a9
Even though we have not been able to exchange
is much shorter in M. tuberculosis than in E. coli,
the TMP for AZTMP in our original crystals in con-
everything is in place to accommodate the adenine
ditions similar to those leading to the exchange of
moiety of ATP in our structure.
TMP with 5I-dUMP, nor to grow large enough co-
crystals, we can still postulate a plausible expla-
nation for the inhibitory effect of AZTMP. By look-
Electrostatic potential in the active site
ing at the structure of the active site, it is possible
A number of positive or negative charges are
to imagine a direct interaction between the mag-
pointing towards the active site of TMPK
nesium ion and a modelled azido group of
helical conformation of the LID region allows side-
AZTMP, as inspired by the superimposed structure
chains of Arg153, Arg156 and Arg160 to be located
of the AZTP5A-TMPKEcoli complex, because the
around the P-loop segment, which itself places two
distance between the last nitrogen atom of the
positive charges in this region, thereby contribut-
azido group and the cation can be reduced to only
ing to create a highly positive electrostatic potential
2.0 AÊ, after rotation around the C30-N30 bond. This
and mapping directly the binding of the tripho-
would displace one of the ligands of the mag-
sphate moiety of the ATP molecule.
nesium ion and deeply perturb the geometry of the
In addition, the Lys13 and Asp163 residues
active site, since this magnesium ion is involved in
interact with the phosphoryl group of TMP via
the positioning of several key chemical groups for
water molecules W1014 and W1009, respectively.
the reaction, namely one of the phosphate oxygen
On the other hand, two acidic residues, Asp9
atoms and the essential Asp9.
and Glu166, create a negative electrostatic potential
near the TMP phosphate binding site, which con-
Inferring the ATP binding site
tributes to the binding of the magnesium ion. This
creates a high gradient of the electric potential (i.e.
Despite the fact that TMPKMtub was co-crystal-
electric ®eld) in the vicinity of the a phosphate
lized as a binary complex with TMP, but in the
group of TMP and the g phosphate group of ATP.
absence of ATP, two structural characteristics
In fact, it could be calculated that this gradient is
observed in the ternary complexes from yeast and
such that one goes from the 30 kT/e to the ÿ30
X-ray Structure of M. tuberculosis Thymidylate Kinase
TMPKMtub and (b) the observed AZTP5A-binding site in
TMPKEcoliOnly the adenine moiety of ATP is rep-
resented. The side-chains of the a-helical LID region
Figure 8. (a) Electrostatic potential surfaces in the
have been omitted for the sake of clarity, except for
M. tuberculosis enzyme in the vicinity of the TMP-ATP-
R149. A small adjustment of the most extreme part of
binding sites, calculated with program
this arginine side-chain is necessary in the M. tuberculo-
ing the magnesium and sulphate ions, at zero ionic
sis enzyme to accommodate (and stack under) the ade-
force. The blue surface represents the 30 kT/e potential
nine ring. The Figures were drawn with
surface and the red one the ÿ30 kT/e surface. The TMP
molecule and the magnesium ion are in ball and stick
representation (b) As in (a) for the E. coli enzyme, except
that the isopotential surfaces are contoured at 15 kT/e
and ÿ20 kT/e, respectively. The AZTP5A molecule is
also included.
kT/e potential surface in less than 8 AÊ in
TMPKMtub, creating an electric ®eld as high as 107
V cmÿ1 This is calculated in the
absence of the magnesium and sulphate ion, at
suf®ciently close to the phosphate group of TMP to
zero ionic strength. Interestingly, this effect is
make a new covalent bond.
qualitatively maintained in the E. coli enzyme,
albeit with an amplitude divided by a factor of 2
Possible catalytic residues
This may be the reason why a mag-
nesium ion is observed in the M. tuberculosis
In AMPK and UMPK enzymes, the arginine resi-
enzyme and not the E. coli enzyme, because bind-
dues located in the LID region have been shown to
ing of this cation by and large supresses this very
play a role in catalyzing phosphoryl transf
high electric ®eld. Nevertheless, should the mag-
TMPKEcoli, the arginine residues located in the LID
nesium ion move during catalysis, the electric ®eld
region could also play a similar role, i.e. stabilize
could develop again and be used to break down
the transition but in the eukaryotic
the covalent bond between the b and g phosphate
enzymes one of the key basic residues is located in
groups of ATP, and attract the displaced electrons
the P-loop and not in the LID region. In the human
X-ray Structure of M. tuberculosis Thymidylate Kinase
enzyme, there seems to be a different mechanism
described by the electrostatic potential (and its
associated electric ®eld) will require more detailed
Apart from the side-chains of Arg153, Arg156
theoretical studies. The role of the magnesium ion
and Arg160 from the LID region, the active site of
deserves special care, because any movement of
TMPKMtub also contains the Arg14 residue (in the
this cation during catalysis would develop an enor-
P-loop segment). This last residue is not conserved
mous electric ®eld in the vicinity of the chemical
and is replaced by a threonine residue in E. coli
bond to be broken.
and yeast or a serine residue in human TMPK; it is
located at the N terminus of the a-helix 1. Its side-
chain is located in such a position that it could be
Materials and Methods
engaged in the binding of the g phosphoryl group
of the ATP molecule, as inferred from the
Crystallization and data collection
complexes of E. coli and yeast enzymes with the
Crystals of M. tuberculosis TMPK in complex with
bisubstrate inhibitor TP5A.
TMP were obtained as , a 6 ml drop of
In addition to these residues, the TMP phosphor-
a 1:1 mixture of the protein solution at 5-8 mg mlÿ1 and
yl group of the TMPK
the reservoir solution was equilibrated with a 35 %
Mtub structure makes direct
polar contacts with three residues (Asp9, Tyr39
(w/v) ammonium sulphate solution, 0.1 Mes (pH 6.0),
and Arg95) and solvent-mediated contacts with six
containing 2 % (w/v) PEG 600. Crystals appear as hexa-
residues (Gly12, Lys13, Phe36, Arg153, Asp163 and
gonal bipyramids within three weeks. The space group
Glu166) of the enzyme molecule (see
is P6522 with cell dimensions 76.6 AÊ, 76.6 AÊ and 134.4 AÊ.
Numerous heavy-atom compounds were screened at
These tyrosine and arginine residues are good can-
different concentrations and varying incubation times.
didates in assisting the transfer of a phosphoryl
The heavy-atom derivatives were prepared by transfer-
group to TMP: indeed, an arginine residue in the
ring the TMPKMtub-TMP crystals to a stabilisation sol-
position of Arg95 role in the yeast, E. coli
ution of 60 % (w/v) ammonium sulphate, 10 % (w/v)
and human It follows that Tyr39,
PEG 2000 and 100 mM Mes (pH 6.0) containing the
which is unique to TMPK
heavy-atom reagents. The concentration and soaking
sequence, stands out as the second possible target
time for each of the isomorphous derivatives obtained
for the design of inhibitors speci®c to TMPK
with mercury, samarium, platinum, and uranium salts,
addition to Asn100 as already mentioned. It is
and the TMPKMtub binary complex with the nucleotide
replaced by an arginine residue at the same
analogue 5I-dUMP are indicated i
sequence position (39) in eukaryotes or at position
X-ray data were collected from cryo-cooled crystals
using 25 % (w/v) glycerol as cryoprotectant. The X-ray
47 (M. tuberculosis numbering) in prokaryotes,
sources and detectors used for data collection are listed
where it is strictly conserved among all but one
in Table 1. Diffraction data were processed using MARX-
Dor DENZO/SCALEPACpackages. The CCP4
packags used to calculate structure factors from
the observed intensities (TRUNCATE) and scale native
to derivative data (FHSCAL).
This study of TMPKMtub complexed to TMP pro-
Structure determination
vides the ®rst structure of a pathogen TMPK and
the ®rst example of a TMPK with an LID domain
Resolution of the crystal structure of the TMPMtub-
structured in a-helix in the absence of a bound
TMP complex was performed by the multiple isomor-
ATP molecule. The spatial con®guration described
phous replacement (MIR) method. The Patterson maps
as selective for the adenine ring is also in place in
were interpreted with the automated procedure devel-
our X-ray structure. The interaction of the
oped in the program HEAVd checked by cross-
Fourier differences. The heavy-atom positions were then
TMPKMtub with the TMP shows three differences
re®ned with MLPHARE (CCP4, 1994) and in Solo-
in the contacts when compared to the yeast,
mon s used for solvent ¯attening calculations.
human or E. coli enzymes: Arg14 and Tyr39, which
Details of the crystallographic data sets used for struc-
interact with the phosphate moiety and Asn100,
ture solution and re®nement are given in
with the base moiety. The side-chains from four
overall ®gure-of-merit of MLPHARE phases increased
arginine residues, 14, 153, 156, 160, are observed
from 0.43 to 0.75 after solvent ¯attening at 2.7 AÊ resol-
around the phosphate-binding site and could be
ution, assuming 45 % solvent. The resulting map was of
excellent quality.
Both the location along the sequence (P-loop and
LID region) of those residues supposed to play a
Model building and refinement
catalytic role and the kinetic results suggest that
Model building and adjustments were done with the
Mtub is not similar to the other TMPKs
reported until now and that its ®ne structure could
program t into the solvent-¯attened MIR map,
not have been predicted accurately using state-of-
then into the SIGMAA-weighted mapsRe®nement
was performed up to 1.95 AÊ resolution with REFMAC
the-art homology modelling methods.
(CCP4, Standards protocols, including maximum
The question of ascertaining whether one of
likelihood target, bulk solvent correction and isotropic B-
these residues plays a role more important than
factors were used. The model was inspected manually
the others or whether it is a collective effect best
with SIGMAA-weighted 2Fo ÿ Fc and Fo ÿ Fc maps, and
X-ray Structure of M. tuberculosis Thymidylate Kinase
progress in the model re®nement was evaluated by the
type-1 thymidine kinase by X-ray crystallography of
decrease in the free R-factor. Re®nement statistics can be
complexes with aciclovir and other ligands. Proteins:
Struct. Funct. Genet. 32, 350-361.
The current model includes 208 residues (1-208), one
5. Li de la Sierra, I., Munier-Lehmann, H., Gilles, A. M.,
molecule of TMP, two sulphate ions, one metal ion and
Barzu, O. & Delarue, M. (2000). Crystallization and
150 water molecules. One of the sulphate ions is located
preliminary X-ray analysis of the thymidylate kinase
at the interface between two symmetry-related mol-
from M. tuberculosis. Acta Crystallog. sect. D, 56, 226-
ecules, while the other one is in the active site. There is
one cis-proline (Pro37). The following residues were
6. Laskowski, R. A., McArthur, M. W., Moss, D. S. &
modeled as alanine residues, because their side-chain
Thornton, J. M. (1993). PROCHECK, a program to
density was either poorly de®ned or non-existent: Arg86,
assess the validity of crystallographic models. J. Appl.
Glu144, Leu145. The residues 209-214 of the C terminus
Crystallog. 26, 283-291.
were not observed.
7. Ostermann, N., Schlichting, I., Brundiers, R.,
Konrad, M., Reinstein, J. & Veit, T. et al. (2000).
Insights into the phosphoryltransfer mechanism of
human thymidylate kinase gained from crystal
All calculations were using the program
structures of enzyme complexes along the reaction
Delphi run on an SGI machinePartial charges were
coordinate. Struct. Fold. Des. 8, 629-642.
assigned according to the dictionary of AMBER. The
8. Lavie, A., Vetter, I. R., Konrad, M., Goody, R. S.,
electrostatic potential (in units of kT/e) was mapped
Reinstein, J. & Schlichting, I. (1997). Structure of
onto the molecular surface using the program Grasp
thymidylate kinase reveals the cause behind the
The ionic strength of the buffer was set to zero, with the
limiting step in AZT activation. Nature Struct. Biol.
interior dielectric constant set to 2-4 and that of the sol-
vent to 80. The TMP molecule and the magnesium and
9. Lavie, A., Konrad, M., Brundiers, R., Goody, R. S.,
sulphate ions were omitted from the calculation. To
Schlichting, I. & Reinstein, J. (1998). Crystal structure
achieve better accuracy, and especially to remove arte-
of yeast thymidylate kinase complexed with the
facts at the border of the grid, a focussing technique was
bisubstrate inhibitor P1-(50-adenosyl) P5-(50-thymi-
used and performed in three steps, with the molecule
dyl) pentaphosphate (TP5A) at 2.0 AÊ resolution:
occupying gradually more and more of the grid (25 %,
implications for catalysis and AZT activation.
50 % and 75 %). The ®nal grid spacing was 1.5 grid unit/
Biochemistry, 37, 3677-3686.
AÊ. The ®nal map was interpolated into a 65 65 65
10. Lavie, A., Ostermann, N., Brundiers, R., Goody, R.,
grid to allow for visualization with Grasp, or, alterna-
Reinstein, J., Konrad, M. & Schlichting, I. (1998).
tively, was converted into an O-style map using the
Structural basis for ef®cient phosphorylation of 30-
description of the map ®le format provided in the Delphi
azidothymidine monophosphate by Escherichia coli
thymidylate kinase. Proc. Natl Acad. Sci. USA, 95,
Protein Data Bank accession numbers
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We thank the staff of ID14 (ESRF, Grenoble) and of
of the surface motif associated with the P-loop struc-
LURE (Orsay) for excellent facility with X-ray data col-
ture: cis and trans cases of convergent evolution.
lection. This work was supported by grants from the
J. Mol. Biol. 303, 455-465.
EEC (BIO98 CT-0354), Institut Pasteur, INSERM and
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Edited by R. Huber
(Received 7 February 2001; received in revised form 23 May 2001; accepted 25 May 2001)
Source: http://lorentz.dynstr.pasteur.fr/website/publi/jmb_tmpk.pdf
cpg .pain updated 03/2009 New England Pediatric Sickle Cell Consortium Management of Acute Pain in Pediatric Patients with Sickle Cell Disease (Vaso-Occlusive Episodes) Disclaimer Statement: Hospital clinical pathways are designed to assist clinicians by providing an analytical framework for the diagnosis and treatment of specific medical problems. They may be used for patient education and to assist in planning future care. They are not intended to replace a physician's judgment or to establish a protocol for all patients with a particular condition. The ultimate decision regarding the care of any patient should be made in respect to the individual circumstances presented by the patient. Any specific medications and dosing must always be reviewed carefully for each patient in view of any drug allergy or adverse reactions. This document was based on available research and clinical experience at time of its compilation. The following protocol is a regional guideline, and may be adopted by individual institutions as needed.
UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION WENDY DOLIN, Individually and as Independent Executor of the ESTATE OF STEWART DOLIN, deceased, Judge James B. Zagel v. SMITHKINE BEECHAM CORPORATION d/b/a GLAXOSMITHKINE, a Pennsylvania Corporation; and MYLAN INC., a Pennsylvania Corporation, Defendants.