Evidence map›Paper›PMID 27005423›Full record

ArticleHuman molecular genetics2016

Molecular basis of classic galactosemia from the structure of human galactose 1-phosphate uridylyltransferase.

Thomas J McCorvie, Jolanta Kopec, Angel L Pey, Fiona Fitzpatrick, Dipali Patel, Rod Chalk, Leela Shrestha, Wyatt W Yue

Open access · hybridAbstract read
In one paragraph

Article in Human molecular genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Reshaping the Treatment Landscape of a Galactose Metabolism Disorder.Journal of inherited metabolic disease · 2025
    Review
  3. Article
  4. Article
  5. Classic Galactosemia: Clinical and Computational Characterization of a NovelInternational journal of molecular sciences · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Galactosemia: Towards Pharmacological Chaperones.Journal of personalized medicine · 2021
    Review
  12. Current and Future Treatments for Classic Galactosemia.Journal of personalized medicine · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Screening for galactosemia: is there a place for it?International journal of general medicine · 2019
    Article
  17. Article
  18. Sweet and sour: an update on classic galactosemia.Journal of inherited metabolic disease · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Thomas J McCorvieStructural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ , UK.
Jolanta KopecStructural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ , UK.
Angel L PeyDepartment of Physical Chemistry, Faculty of Sciences, University of Granada, Granada E-18071, Spain.
Fiona FitzpatrickStructural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ , UK.
Dipali PatelStructural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ , UK.
Rod ChalkStructural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ , UK.
Leela ShresthaStructural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ , UK.
Wyatt W YueStructural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ , UK wyatt.yue@sgc.ox.ac.uk.
Genomics England · GBUniversity of Oxford · GBUniversidad de Granada · ES

Funding

Wellcome Trust 092809/Z/10/Z
6 · The paper itself

Abstract

Classic galactosemia is a potentially lethal disease caused by the dysfunction of galactose 1-phosphate uridylyltransferase (GALT). Over 300 disease-associated GALT mutations have been reported, with the majority being missense changes, although a better understanding of their underlying molecular effects has been hindered by the lack of structural information for the human enzyme. Here, we present the 1.9 Å resolution crystal structure of human GALT (hGALT) ternary complex, revealing a homodimer arrangement that contains a covalent uridylylated intermediate and glucose-1-phosphate in the active site, as well as a structural zinc-binding site, per monomer. hGALT reveals significant structural differences from bacterial GALT homologues in metal ligation and dimer interactions, and therefore is a zbetter model for understanding the molecular consequences of disease mutations. Both uridylylation and zinc binding influence the stability and aggregation tendency of hGALT. This has implications for disease-associated variants where p.Gln188Arg, the most commonly detected, increases the rate of aggregation in the absence of zinc likely due to its reduced ability to form the uridylylated intermediate. As such our structure serves as a template in the future design of pharmacological chaperone therapies and opens new concepts about the roles of metal binding and activity in protein misfolding by disease-associated mutants.

Indexed as

Structure-Activity RelationshipBinding SitesCatalytic DomainCrystallography, X-RayGalactoseGalactosemiasHumansKineticsModels, MolecularMutagenesis, Site-DirectedMutationProtein ConformationTernary Complex FactorsUTP-Hexose-1-Phosphate UridylyltransferaseGalactoseTernary Complex FactorsUTP-Hexose-1-Phosphate Uridylyltransferase

Identifiers

PMID27005423
PMCPMC5081055
OpenAlexW2305946779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.