CMAHP | |||||||||||||||||||||||||||||||||||||||||||||||||||
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Aliases | CMAHP , CMAH, CSAH, cytidine monophospho-N-acetylneuraminic acid hydroxylase, pseudogene | ||||||||||||||||||||||||||||||||||||||||||||||||||
External IDs | MGI: 103227; GeneCards: CMAHP; OMA:CMAHP - orthologs | ||||||||||||||||||||||||||||||||||||||||||||||||||
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Wikidata | |||||||||||||||||||||||||||||||||||||||||||||||||||
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Cytidine monophospho-N-acetylneuraminic acid hydroxylase (Cmah) is an enzyme that is encoded by the CMAH gene. [5] [6] [7] In most mammals, the enzyme hydroxylates N-acetylneuraminic acid (Neu5Ac), producing N-glycolylneuraminic acid (Neu5Gc). [6] Neu5Ac and Neu5Gc are mammalian glycans that compose the glycocalyx, especially in sialoglycoproteins, which are part of the sialic acid family. [8] The CMAH equivalent in humans is a pseudogene (CMAHP); [9] there is no detectable Neu5Gc in normal human tissue. [6] This deficiency has a number of proposed effects on humans, including increased brain growth, [10] improved self-recognition by the human immune system, [11] and susceptibility to atherosclerosis. [12] Incorporation of Neu5Gc from red meat and dairy into human tissues has been linked to chronic disease, including type-2 diabetes and chronic inflammation. [13] [14]
The biosynthesis pathway of Neu5Gc from Neu5Ac was discovered by Shaw and Schauer in 1988, [15] while the protein and DNA sequences for Neu5Gc, Neu5Ac, and CMAHP were described by Irie et al. in 1998. [6]
Sialic acids such as Neu5Ac and Neu5Gc are terminal components of the carbohydrate chains of glycoconjugates involved in ligand–receptor, cell–cell, and cell–pathogen interactions. [5] Neu5Gc has been shown to be involved in a variety of processes in mice, including protein metabolism, signal transduction, metabolism of most organic molecules, and immunity. [8]
The blood type for a cat is mostly covered by the AB blood group system, determined by the CMAH alleles a cat possess. The majority A type seems to be dominant over the recessive B type, which is only found with a higher frequency in some breeds. An "AB" type seems to be expressed by a third recessive allele. [16]
Neu5Gc has been found in normal human tissue, with larger amounts found in fetal [11] and cancerous [17] tissues. Studies suggest that Neu5Gc could be an excellent cancer cell marker. [17] Since Neu5Gc can only be made by functional CMAH, which is not present in humans, researchers have searched for alternative sources of Neu5Gc in humans. [18] Current research indicates that Neu5Gc is incorporated into human tissues through consumption of red meats and dairy. [18] [13] This incorporation process involves macropinocytosis, delivery to the lysosome, and export of free Neu5Gc to the cytosol via the sialin transporter. [18] [14]
Because Neu5Gc differs from Neu5Ac by only one oxygen, it is handled like a native sialic acid by human biochemical pathways. [14] The immune system does not work the same way, however; all humans have varying amounts of a diverse spectrum of anti-Neu5Gc antibodies. [13] If Neu5Gc is constantly being incorporated into tissues due to a diet heavy in red meats and dairy, anti-Neu5Gc antibodies cause chronic inflammation, especially in blood vessels and the linings of hollow organs. [13] These sites are also common places for atherosclerosis and epithelial carcinomas, both of which are associated with red meat and dairy consumption and are aggravated by chronic inflammation. [19] Red meat ingestion and chronic inflammation have also been associated with diseases like type-2 diabetes and age-dependent macular degeneration, so Neu5Gc may be linked to the development of these disorders as well. [13] [14]
Recent data suggests that the hypoxic conditions in carcinomas can up-regulate the expression of the lysosomal sialic acid transporter necessary for Neu5Gc incorporation into human tissues. [19] [14] In addition, growth factors may activate enhanced macropinocytosis, which can increase Neu5Gc incorporation. [14] Studies have shown that fetal tissues are also capable of taking up Neu5Gc from maternal dietary sources, which may explain elevated levels of Neu5Gc in the human fetus. [19]
The presence of Neu5Gc in various biotherapeutics derived from animal products may impact human health and is still being studied. [13] Some complications could include immune hypersensitivity reactions, reduced half-life of the biotherapeutic in circulation, immune complex formation, increase of Neu5Gc antibody concentration, enhanced immunoreactivity against the biotherapeutic polypeptide, and directly loading more Neu5Gc into tissues. [19]
Mice with Cmah knocked out display many human-like traits when it comes to running endurance [20] and cardiovascular vulnerabilities, especially in reaction to the consumption of red meat. Knockout mice do not automatically generate anti-Neu5Gc antibodies, however; this is thought to be due to a lack of stimulation from bacteria that have taken Neu5Gc into their lipopolysaccharide shell, which naturally happens in humans. Manual immunization with Neu5Gc-laden red blood cells is required to generate these kind of antibodies. [12]
Genomic analyses indicate that CMAH genes are present only in deuterostomes, some unicellular algae and some bacteria. [21] CMAH relatives have been lost in many other deuterostome lineages, including tunicates, many groups of fish, the axolotl, most reptiles, and all birds. [21] Among mammals, the gene is missing or nonfunctional in New World monkeys, the European hedgehog, ferrets, some bats, the sperm whale, and the platypus. [21] These animals lacking a functional CMAH gene do not express Neu5Gc. [21]
The absence of Neu5Gc in humans is due to a 92-bp deletion of an exon of the human gene CMAH. [6] Sequences encoding mouse, pig, and chimpanzee CMAH have been examined using cDNA cloning techniques and were found to be highly similar. [21] However, the homologous human cDNA differs from these cDNAs by a 92-bp deletion in the 5' region. [21] This deletion, corresponding to exon 5 of the mouse hydroxylase gene, causes a frameshift mutation and premature termination of the polypeptide chain in humans. [6] Neu5Gc seems to be undetectable in human tissues because the truncated version of human hydroxylase mRNA cannot encode for an active enzyme. [15]
The deletion that deactivated this gene occurred approximately 3.2 mya, after the divergence of humans from the African great apes, and quickly swept to fixation in the human population. [10] The lineage of this pseudogene in humans indicates another deep split in Africa dating to 2.9 mya, with a complex subsequent history. [10]
Sexual selection may have contributed to the fixation of nonfunctional CMAH in humans. [22] This hypothesis has been tested in mice, with females carrying nonfunctional CMAH exhibiting reproductive incompatibility with males carrying functional CMAH due to anti-Neu5Gc antibodies migrating to the female reproductive tract and destroying Neu5Gc-positive sperm. [22]
Pseudogenes such as CMAH can be used to study allele fixation and demographic history. [23] Analyses of CMAH haplotype diversity have been used to examine human demographic history during the Plio-Pleistocene. [23]
The functional loss of CMAH after the divergence of humans from the great apes has several implications for its role in human development, including less constrained brain growth and increased running endurance, two traits thought to be important to human evolution. [10] [20] In most mammals, CMAH expression is down-regulated in the brain, and experimental up-regulation of CMAH is lethal in mice. [10] Experimental CMAH loss in mice increases running endurance and decreases muscle fatigue, which could have been beneficial to ancestral Homo during the gene's fixation. [20]
The loss of Neu5Gc in humans may have contributed to resistance to generalist pathogens and increased pathogenicity of human-specific pathogens. [24] Human-specific cholera, which employs host sialic acids to trigger a gastrointestinal response, preferentially uses Neu5Ac and is inhibited by Neu5Gc. [24]
Nonfunctionialization of CMAH has made humans more susceptible to some viruses by decreasing sialic acid diversity. [11] Viruses that bind to Neu5Ac before entering the cell are enhanced by the high density of Neu5Ac, which would be reduced if other sialic acids were present on human cell membranes. [11] For example, the most serious form of malaria in humans, P. falciparum, binds to Neu5Ac on the membrane of red blood cells. [11] [19]
In contrast to these negative effects, losing CMAH should actually protect humans against any pathogen that targets Neu5Gc, such as those that cause diarrheal diseases in livestock, [11] E. coli K99, transmissible gastroenteritis coronavirus (TGEV), [19] and simian virus 40 (SV40). [19]
Sialic acids are a class of alpha-keto acid sugars with a nine-carbon backbone. The term "sialic acid" was first introduced by Swedish biochemist Gunnar Blix in 1952. The most common member of this group is N-acetylneuraminic acid found in animals and some prokaryotes.
The enzyme urate oxidase (UO), uricase or factor-independent urate hydroxylase, absent in humans, catalyzes the oxidation of uric acid to 5-hydroxyisourate:
A ganglioside is a molecule composed of a glycosphingolipid with one or more sialic acids linked on the sugar chain. NeuNAc, an acetylated derivative of the carbohydrate sialic acid, makes the head groups of gangliosides anionic at pH 7, which distinguishes them from globosides.
Hemagglutinin esterase (HEs) is a glycoprotein that certain enveloped viruses possess and use as an invading mechanism. HEs helps in the attachment and destruction of certain sialic acid receptors that are found on the host cell surface. Viruses that possess HEs include influenza C virus, toroviruses, and coronaviruses of the subgenus Embecovirus. HEs is a dimer transmembrane protein consisting of two monomers, each monomer is made of three domains. The three domains are: membrane fusion, esterase, and receptor binding domains.
N-Acetylmannosamine is a hexosamine monosaccharide. It is a neutral, stable naturally occurring compound. N-Acetylmannosamine is also known as N-Acetyl-D-mannosamine monohydrate,, N-Acetyl-D-mannosamine which can be abbreviated to ManNAc or, less commonly, NAM). ManNAc is the first committed biological precursor of N-acetylneuraminic acid. Sialic acids are the negatively charged, terminal monosaccharides of carbohydrate chains that are attached to glycoproteins and glycolipids (glycans).
Siglecs(Sialic acid-binding immunoglobulin-type lectins) are cell surface proteins that bind sialic acid. They are found primarily on the surface of immune cells and are a subset of the I-type lectins. There are 14 different mammalian Siglecs, providing an array of different functions based on cell surface receptor-ligand interactions.
In enzymology, a CMP-N-acetylneuraminate monooxygenase (EC 1.14.18.2) is an enzyme that catalyzes the chemical reaction
The enzyme sialate O-acetylesterase (EC 3.1.1.53) catalyzes the reaction
In enzymology, a N-acylneuraminate cytidylyltransferase is an enzyme that catalyzes the chemical reaction
Sialic acid-binding Ig-like lectin 7 is a protein that in humans is encoded by the SIGLEC7 gene. SIGLEC7 has also been designated as CD328.
Sialic acid-binding Ig-like lectin 5 is a protein that in humans is encoded by the SIGLEC5 gene. SIGLEC5 has also been designated CD170.
CMP-sialic acid transporter is a protein that in humans is encoded by the SLC35A1 gene.
N-acylneuraminate cytidylyltransferase is an enzyme that in humans is encoded by the CMAS gene.
Sialic acid-binding Ig-like lectin 9 is a protein that in humans is encoded by the SIGLEC9 gene.
Sialic acid-binding Ig-like lectin 8 is a protein that in humans is encoded by the SIGLEC8 gene. This gene is located on chromosome 19q13.4, about 330 kb downstream of the SIGLEC9 gene. Within the siglec family of transmembrane proteins, Siglec-8 belongs to the CD33-related siglec subfamily, a subfamily that has undergone rapid evolution.
Sialic acid synthase is an enzyme that in humans is encoded by the NANS gene.
Sialic acid-binding Ig-like lectin 10 is a protein that in humans is encoded by the SIGLEC10 gene. Siglec-G is often referred to as the murine paralog of human Siglec-10
N-Glycolylneuraminic acid (Neu5Gc) is a sialic acid molecule found in most non-human mammals. Humans cannot synthesize Neu5Gc because the human gene CMAH is irreversibly mutated, though it is found in other apes. The gene CMAH encodes CMP-N-acetylneuraminic acid hydroxylase, which is the enzyme responsible for CMP-Neu5Gc from CMP-N-acetylneuraminic (CMP-Neu5Ac) acid. This loss of CMAH is estimated to have occurred two to three million years ago, just before the emergence of the genus Homo.
Racotumomab is a therapeutic cancer vaccine for the treatment of solid tumors that is currently under clinical development by ReComBio, an international public-private consortium with the participation of the Center of Molecular Immunology at Havana, Cuba (CIM) and researchers from Buenos Aires University and National University of Quilmes in Argentina. It induces the patient's immune system to generate a response against a cancer-specific molecular target with the purpose of blocking tumor growth, slowing disease progression and ultimately increasing patient survival.
hCONDELs refer to regions of deletions within the human genome containing sequences that are highly conserved among closely related relatives. Almost all of these deletions fall within regions that perform non-coding functions. These represent a new class of regulatory sequences and may have played an important role in the development of specific traits and behavior that distinguish closely related organisms from each other.