Inosine monophosphate dehydrogenase (IMPDH), a rate-limiting enzyme in the de novo synthesis of guanine nucleotides, is a major therapeutic target. A prototypic uncompetitive inhibitor of IMPDH, mycophenolic acid (MPA), is the active form of mycophenolate mofeteil (CellCept), a widely used immunosuppressive drug. We have found that MPA interacts with intracellular IMPDH in vivo to alter its mobility on SDS-polyacrylamide gels. MPA also induces a striking conformational change in IMPDH protein in intact cells, resulting in the formation of annular aggregates of protein with concomitant inhibition of IMPDH activity. These aggregates are not associated with any known intracellular organelles and are reversible by incubating cells with guanosine, which repletes intracellular GTP, or with GTP␥S. GTP also restores IMPDH activity. Treatment of highly purified IMPDH with MPA also results in the formation of large aggregates of protein, a process that is both prevented and reversed by the addition of GTP. Finally, GTP binds to IMPDH at physiologic concentrations, induces the formation of linear arrays of tetrameric protein, and prevents the aggregation of protein induced by MPA. We conclude that intracellular GTP acts as an antagonist to MPA by directly binding to IMPDH and reversing the conformational changes in the protein.
Inosine monophosphate dehydrogenase (IMPDH)3 catalyzes the first step in the de novo synthetic pathway for the formation of guanine nucleotides by converting IMP to xanthosine 5Ј-monophosphate (XMP) with the concomitant reduction of NAD ϩ . As the rate-limiting step in this pathway, the enzyme has been identified as an important regulator of cell proliferation. Inhibitors of IMPDH are in clinical use as immunosuppressive agents and have potential utility in the treatment of neoplastic and viral diseases (1-5). Two isoforms of IMPDH have been identified, the type I form that is expressed at lower levels in all cell types and the type II form that is more highly expressed in proliferating and transformed cell types (6, 7). These enzymes have 84% amino acid identity, and both are catalytically active as tetramers of 55-kDa subunits with similar, although not identical, kinetic profiles. Studies on the regulation of IMPDH activity have demonstrated strong transcriptional up-regulation of the type II mRNA in response to mitogenic stimuli in peripheral blood lymphocytes and in response to enzyme inhibition and guanine nucleotide depletion in a number of cell types (8, 9). Until recently, very little attention has been paid to the role of protein structure in regulating its activity. The finding that mutations within the IMPDH type I coding region are associated with a familial form of retinitis pigmentosa (10) has initiated renewed interest in the structure of IMPDH, first crystallized in 1996 (11). These mutations occur within a region of the protein termed the cystathione -synthase domain that has recently been shown to bind oligonucleotides up to 100-base pair in length (12). In addition, this domain ...