Structure and dynamics of GAD65 in complex with an autoimmune polyendocrine syndrome type 2-associated autoantibody

The enzyme glutamate decarboxylase (GAD) produces the neurotransmitter GABA, using pyridoxal-5'-phosphate (PLP). GAD exists as two isoforms, GAD65 and GAD67. Only GAD65 acts as a major autoantigen, frequently implicated in type 1 diabetes and other autoimmune diseases. Here we characterize the structure and dynamics of GAD65 and its interaction with the autoimmune polyendocrine syndrome type 2-associated autoantibody b96.11. Using hydrogen-deuterium exchange mass spectrometry (HDX), X-ray crystallography, cryo-electron microscopy, and computational approaches, we examine the conformational dynamics of apo- and holoGAD65 and the GAD65-autoantibody complex. HDX reveals local dynamics accompanying autoinactivation, with the catalytic loop promoting collective motions at the CTD-PLP domain interface. In the GAD65-b96.11 complex, heavy chain CDRs dominate the interaction, with a long CDRH3 bridging the GAD65 dimer via electrostatic interactions with the <sub>260</sub>PEVKEK<sub>265</sub>motif. This bridging links structural elements controlling GAD65's conformational flexibility to its autoantigenicity. Thus, intrinsic dynamics, rather than sequence differences within epitopes, appear to be responsible for the contrasting autoantigenicities of GAD65 and GAD67. Our findings elucidate the structural and dynamic factors that govern the varying autoantibody reactivities of GAD65 and GAD67, offering a revised rationale for the autoimmune response to GAD65.

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Publication Details

Journal
Nature Communications
Published
2025-03-07
DOI
https://doi.org/10.1038/s41467-025-57492-4
Citations
3
Primary Topic
Adrenal Hormones and Disorders
Type
article
Field-Weighted Citation Impact
3.88

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article

Structure and dynamics of GAD65 in complex with an autoimmune polyendocrine syndrome type 2-associated autoantibody

Daniel Christ, James Fodor, Peter G. Chandler, Sarah N. Le et al.
3 citations
Nature Communications
Adrenal Hormones and Disorders
3.88
article

Structure and dynamics of GAD65 in complex with an autoimmune polyendocrine syndrome type 2-associated autoantibody

Daniel Christ, James Fodor, Peter G. Chandler, Sarah N. Le, Cyril F. Reboul, Sheena McGowan, Ashley M. Buckle, Maurício G. S. Costa, Stuart I. Mannering, Dominika Elmlund, Benjamin T. Porebski, Kasper D. Rand, Malcolm Buckle, Gustavo Fenalti, David E. Hoke, Peter Schofield, John D. T. Jimma, Susanne H. D. Ständer, Daniel E. Williams
article en
3 citations

Abstract

The enzyme glutamate decarboxylase (GAD) produces the neurotransmitter GABA, using pyridoxal-5'-phosphate (PLP). GAD exists as two isoforms, GAD65 and GAD67. Only GAD65 acts as a major autoantigen, frequently implicated in type 1 diabetes and other autoimmune diseases. Here we characterize the structure and dynamics of GAD65 and its interaction with the autoimmune polyendocrine syndrome type 2-associated autoantibody b96.11. Using hydrogen-deuterium exchange mass spectrometry (HDX), X-ray crystallography, cryo-electron microscopy, and computational approaches, we examine the conformational dynamics of apo- and holoGAD65 and the GAD65-autoantibody complex. HDX reveals local dynamics accompanying autoinactivation, with the catalytic loop promoting collective motions at the CTD-PLP domain interface. In the GAD65-b96.11 complex, heavy chain CDRs dominate the interaction, with a long CDRH3 bridging the GAD65 dimer via electrostatic interactions with the <sub>260</sub>PEVKEK<sub>265</sub>motif. This bridging links structural elements controlling GAD65's conformational flexibility to its autoantigenicity. Thus, intrinsic dynamics, rather than sequence differences within epitopes, appear to be responsible for the contrasting autoantigenicities of GAD65 and GAD67. Our findings elucidate the structural and dynamic factors that govern the varying autoantibody reactivities of GAD65 and GAD67, offering a revised rationale for the autoimmune response to GAD65.

Nature CommunicationsVol. 16(1)
University of Copenhagen (DK), Centre National de la Recherche Scientifique (FR), National Institutes of Health (US), Australian Research Council (AU), Harvard University (US), Garvan Institute of Medical Research (AU), The University of Melbourne (AU), Université Paris-Saclay (FR), Discovery Institute (US), Australian Regenerative Medicine Institute (AU), UNSW Sydney (AU), San Diego Biomedical Research Institute (US), Frederick National Laboratory for Cancer Research (US), Mind Australia (AU), National Cancer Institute (US), Fundação Oswaldo Cruz (BR), Monash University (AU), St Vincents Institute of Medical Research (AU)
Australian Government, European Commission, Australian Synchrotron, National Health and Medical Research Council
Openalex Percentile: Top 7%
Adrenal Hormones and Disorders
3.88
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