Triose-phosphate isomerase (TPI; D-glyceraldehyde-3-phosphate ketol-isomerase, EC 5.3.1.1) deficiency is a recessive disorder that results in hemolytic anemia and neuromuscular dysfunction. To determine the molecular basis of this disorder, a TPI allele from two unrelated patients homozygous for TPI deficiency was compared with an allele from a normal individual. Each disease-associated sequence harbors a G-C -+ C-G transversion in the codon for amino acid-104 and specifies a structurally altered protein in which a glutamate residue is replaced by an aspartate residue. The importance of glutamate-104 to enzyme structure and function is implicated by its conservation in the TPI protein of all species that have been characterized to date. The glutamate-toaspartate substitution results in a thermolabile enzyme as demonstrated by assaysof-TPI activity in cultured fibroblasts of each patient and cultured Chinese hamster ovary (CHO) cells that were stably transformed with the mutant alleles. Although this substitution conserves the overall charge of amino acid-104, the x-ray crystal structure of chicken TPI indicates that the loss of a side-chain methylene group (-CH2CH2COO -* -CH2COO ) is sufficient to disrupt the counterbalancing of charges that normally exists within a hydrophobic pocket of the native enzyme.Triose-phosphate isomerase (TPI; D-glyceraldehyde-3-phosphate ketol-isomerase, EC 5.3.1.1) catalyzes the movement of a single proton to interconvert dihydroxyacetone phosphate and glyceraldehyde 3-phosphate in glycolysis and gluconeogenesis (1). The enzyme, a dimer of identical subunits that are 248 amino acids in humans (2, 3), has no cofactors, required metal ions, or cooperativity between subunits. Both prokaryotic and eukaryotic TPI are very similar in sequence and structure and are characterized by a high catalytic efficiency. The second-order rate constant for the formation of dihydroxyacetone phosphate, the thermodynamically favored reaction, is close to the rate constant for a diffusion-limited encounter of substrate and enzyme (4, 5).Site-directed mutagenesis combined with crystallographic and kinetic studies have provided a means of defining the contribution of specific TPI amino acids to enzyme activity (6, 7). This method has focused on amino acids implicated by high-resolution structural data and chemical-modification experiments to be important to the catalytic mechanism of the enzyme. We have chosen a complementary approach to understand TPI structure-function relationships in studying natural TPI gene mutations that exist within the human population. Hereditary TPI deficiency is an autosomal recessive disease that has severe clinical manifestations including chronic hemolytic anemia and neuromuscular disorders (8). Homozygous-deficient individuals usually have 3-20% of normal TPI activity; all of this activity is heat labile, suggesting that at least one allele encodes a structurally altered protein (3, 9, 10). The other allele is presumably null, since mutations producing no detectable ...