Defects in electron transfer flavoprotein (ETF) or its electron acceptor, electron transfer flavoproteinubiquinone oxidoreductase (ETF-QO), cause the human inherited metabolic disease glutaric acidemia type II. In this disease, electron transfer from nine primary flavoprotein dehydrogenases to the main respiratory chain is impaired. Among these dehydrogenases are the four chain length-specific flavoprotein dehydrogenases of fatty acid -oxidation. In this investigation, two mutations in the ␣ subunit that have been identified in patients were expressed in Escherichia coli. Of the two mutant alleles, ␣T266M and ␣G116R, the former is the most frequent mutation found in patients with ETF deficiency. The crystal structure of human ETF shows that ␣G116 lies in a hydrophobic pocket, under a contact residue of the ␣/ subunit interface, and that the hydroxyl hydrogen of ␣T266 is hydrogen Stable expression of the ␣G116R ETF required coexpression of the chaperonins, GroEL and GroES. ␣G116R ETF folds into a conformation different from the wild type, and is catalytically inactive in crude extracts. It is unstable and could not be extensively purified. The ␣T266M ETF was purified and characterized after stabilization to proteolysis in crude extracts. Although the global structure of this mutant protein is unchanged, its flavin environment is altered as indicated by absorption and circular dichroism spectroscopy and the kinetics of flavin release from the oxidized and reduced protein.The loss of the hydrogen bond at N(5) of the flavin and the altered flavin binding increase the thermodynamic stability of the flavin semiquinone by 10-fold relative to the semiquinone of wild type ETF. The mutation has relatively little effect on the reductive half-reaction of ETF catalyzed by sarcosine and medium chain acyl-CoA dehydrogenases which reduce the flavin to the semiquinone. However, k cat /K m of ETF-QO in a coupled acylCoA:ubiquinone reductase assay with oxidized ␣T266M ETF as substrate is reduced 33-fold; this decrease is due in largest part to a decrease in the rate of disproportionation of the ␣T266M ETF semiquinone catalyzed by ETF-QO.
Electron transfer flavoproteins (ETF)1 are heterodimeric, FAD-containing proteins that transfer electrons between primary dehydrogenases and respiratory chains in eukaryotic and prokaryotic cells. In mammalian systems, ETF transfers electrons from nine mitochondrial flavoprotein dehydrogenases to the main respiratory chain via the iron-sulfur flavoprotein, ETF-ubiquinone oxidoreductase (ETF-QO) (1). Porcine ETF is apparently closely related to human ETF (2, 3). Both proteins stabilize an anionic flavin semiquinone upon reduction by the flavoprotein dehydrogenases (4, 5). Reduction of ETF to the hydroquinone oxidation state by the dehydrogenases is very slow and not kinetically significant (4, 6). However, kinetic studies of the ETF-QO-catalyzed reduction of ubiquinone by reduced ETF by Ramsay et al. indicated that ETF hydroquinone, and not the semiquinone, is the reductant of ubiquinone (6). Thi...