# Activation induced cytidine deaminase mutant (AID-His130Pro) from Hyper IgM 2 patient retained mutagenic activity on SHM artificial substrate

Hanen Ouadani, Imen Benmustapha, Meriem Ben-Ali, Beya Larguèche, Tihana Jovanic, Sylvie Garcia, Benoît Arcangioli, Houda Elloumi-Zghal, Dahmani M Fathallah, Mongia T. Hachicha, et al.

► To cite this version:

Hanen Ouadani, Imen Benmustapha, Meriem Ben-Ali, Beya Larguèche, Tihana Jovanic, et al. Activation induced cytidine deaminase mutant (AID-His130Pro) from Hyper IgM 2 patient retained mutagenic activity on SHM artificial substrate. Molecular Immunology, 2016, 79, pp.77 - 82. 10.1016/j.molimm.2016.09.025. pasteur-01453058

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Activation induced cytidine deaminase mutant (AID-His130Pro) from Hyper IgM

2 patient retained mutagenic activity on SHM artificial substrate

Hanen Ouadani<sup>a-b</sup>, Imen Ben-Mustapha<sup>a-b</sup>, Meriem Ben-ali<sup>a-b</sup> Beya Larguèche<sup>a</sup>, Tihana Jovanic<sup>c1</sup>, Sylvie Garcia<sup>d</sup>, Benoit Arcangioli<sup>c</sup>, Houda Elloumi-Zghal<sup>a2</sup>, Dahmani Fathallah<sup>a3</sup>, Mongia Hachicha<sup>f</sup>, Hatem Masmoudi<sup>g</sup>, François Rougeon<sup>c</sup>, Mohamed-Ridha Barbouche<sup>a-b*</sup>

<footnote><sup>a</sup> Laboratory of Transmission, Control and Immunobiology of Infection (LR11IPT02), Institut Pasteur de Tunis.</footnote>

<footnote><sup>b</sup> University Tunis El Manar, Tunis, Tunisia.</footnote>

<footnote><sup>c</sup> Biochemistry and Genetics Development Unit (URA CNRS 2581), Institut Pasteur Paris, France.</footnote>

<footnote><sup>d</sup> Laboratory of Lymphocyte Population Biology, Institut Pasteur Paris, France.</footnote>

<footnote><sup>e</sup> Laboratory of Dynamics of the Genome, Institut Pasteur, France.</footnote>

<footnote><sup>f</sup> Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia.</footnote>

<footnote><sup>g</sup> Laboratory of Immunology, Habib Bourguiba Hospital, Sfax, Tunisia.</footnote>

<footnote><sup>*</sup> Correspondence to: Mohamed-Ridha Barbouche, Laboratory of Transmission, Control and Immunobiology of Infection (LR11IPT02), Institut Pasteur de Tunis, 13 Place Pasteur-BP74, 1002 Tunis-Belvedere, Tunisia. Phone number: (+216) 71 843 317. E-mail: ridha.barbouche@pasteur.rns.tn</footnote>
**Abstract**

Activation induced cytidine deaminase (AID) is an essential enzyme for class switch recombination (CSR) and somatic hypermutation (SHM) during the secondary immune response. Mutations in the *AICDA* gene are responsible for Hyper IgM 2 (HIGM2) syndrome where both CSR and SHM or only CSR are affected. Indeed, triggering either of the two mechanisms requires the DNA deamination activity of AID. Besides, different domains of AID may be differentially involved in CSR and SHM through their interaction with specific cofactors. Herein, we studied the AID-induced SHM activity of the AID-His130Pro mutant identified in a patient with HIGM2 syndrome. AID mutagenic activity was monitored by the reversion of nonsense mutations of the EGFP gene assessed by flow cytometry. We found that the His130Pro mutation, which affects CSR, preserves AID mutagenic activity. Indeed, the His130 residue is located in a putative specific CSR region in the APOBEC-like domain, known to involve CSR specific cofactors that probably play a major role in AID physiological activities.

**Key words:**

Activation induced cytidine deaminase, class switch recombination, somatic hypermutation, AID mutagenic activity, cofactors, Hyper IgM 2
# 1. Introduction

Class Switch Recombination (CSR) and Somatic Hypermutation (SHM) are the mechanisms that allow antibodies to ensure diverse effector functions and to reach affinity maturation. CSR occurs by intrachromosomal deletional recombination within Switch (S) regions located upstream of constant heavy chain of immunoglobulins (Ig) genes (except Cδ) and leads to production of Ig isotypes other than IgM (Xu et al., 2012). SHM results mainly from single nucleotide substitutions within the variable (V) genes of immunoglobulins (Peled et al., 2008). These two mechanisms are initiated by the enzyme Activation Induced Cytidine Deaminase (AID) following interaction between CD40 and CD40L expressed on B cells and activated T cells respectively (Crouch et al., 2007; Muramatsu et al., 2000). Indeed, genetic defects of AID underlie Hyper IgM 2 (HIGM2) syndrome (Durandy et al., 2013; Muramatsu et al., 2000; Revy et al., 2000). AID is a protein of 24kD encoded by *AICDA* gene and specifically expressed in activated B cells present within germinal centers of secondary lymphoid organs (Muto et al., 2000). Because of its mutagenic activity, AID expression and activity are tightly regulated at transcriptional and post-translational levels (Crouch et al., 2007; Zan and Casali, 2013). The cellular localization of AID is regulated by nuclear export signal (NES) and nuclear localization signals (NLS) which control the shuttling of the protein between the cytoplasm and the nucleus in an active manner (Ito et al., 2004; Patenaude et al., 2009). The catalytic domain of AID is common to the cytidine deaminase family. It includes a motif (His-X-Glu-...-Pro-Cys-X-X-Cys) involved in zinc coordination where His56, Cys87 and Cys90 bind Zn²⁺ and the carboxylic acid group of Glu58 serves as a general acid-base catalyst involved in DNA deamination (Wedekind et al., 2003). AID also shares an APOBEC-like domain with
the cytidine deaminase family. This domain contain the hotspot recognition loop which
contributes to the differential recognition of specific DNA sequence motifs (Kohli et al.,
2009). How AID can target CSR and SHM in different ways put out the hypothesis of
the presence of specific cofactors. Indeed, AID has been proposed to be a docking
protein acting by the recruitment of specific cofactors which mediate either mechanism
through interaction with different AID domains (Durandy et al., 2006; Shinkura et al.,
2004). Analyses of AID mutant proteins activity in HIGM2 patients allow a better
understanding of CSR and SHM targeting mechanism. Today, 45 mutations of the
*AICDA* gene are reported (Caratão et al., 2013; Mahdaviani et al., 2012; Ouadani et al.,
2015; Patiroglu et al., 2015; Trotta et al., 2016) and are mainly homozygous or
compound heterozygous with an autosomal recessive inheritance, except two
heterozygous mutations with a dominant negative effect (Imai et al., 2005; Kracker et
al., 2010). Most of them lead to the loss of both CSR and SHM activities. Nevertheless,
AID C-terminal mutations display a defect in CSR with normal SHM activity showing
that this domain is CSR specific (Durandy et al., 2006). Indeed, the AID C-terminal
domain is required for S region recombination (Sabouri et al., 2014). Interestingly, AID
Arg112Cys mutation located outside the AID C-terminal domain seems to retain
residual SHM activity (Mahdaviani et al., 2012; Mu et al., 2012). Otherwise, analysis of
AID mutants generated by site-directed mutagenesis show that some AID N-terminal
mutations retain CSR activity but lose SHM (Shinkura et al., 2004). Recently, we have
identified a novel AID mutation (His130Pro), in HIGM 2 patients, located in the
APOBEC-like domain (Ouadani et al., 2015). Fascinatingly, the His130 residue belongs
to a putative RNA-binding region that would likely be CSR specific, through the
interaction of AID with specific RNA (Mondal et al., 2016; Zheng et al., 2015) and
might not affect SHM. We aim herein to assess the SHM activity of AID-His130Pro
mutant using an *in vitro* mutagenesis assay on an artificial SHM substrate already
developed by Rougeon and collaborators (Jovanic et al., 2008).

**2. Materials and Methods**

2.1. *Ethical note*

Written consent was obtained before studies and adherence to the Declaration of
Helsinki Principles was maintained.

2.2. *AID protein analysis*

EBV-lymphoblastoide cell lines (LCLs) were lysed for 5 min in 12.5mM Tris HCl, 4% Glycerol and 0.4% SDS. Proteins were quantified using Bicinchoninic Acid Protein Assay Kit (Sigma), subjected to 15% SDS PAGE polyacrylamid gel and transferred to a PolyVinylidene Fluoride (PVDF) membrane. AID and β-actin were revealed using respectively a rabbit monoclonal anti AID (Cell Signaling) and a rabbit monoclonal anti actin (Santa Cruz Biotechnology). Western blots were analyzed by enhanced chemiluminescence with Pierce ECL Western blotting reagent (Thermo Scientific).

The functional impact of the His130Pro mutation was predicted with the PolyPhen-2
(Adzhubei et al., 2010) and Sorts Intolerant From Tolerant Substitutions (SIFT) (Kumar
et al., 2009) algorithms. These methods consider protein structure and/or sequence
conservation information for each gene.

2.3. *Plasmid constructs and Site-Directed Mutagenesis*
Wild type (AID-wt) and mutant (AID-His130Pro) *AICDA* cDNA (accession n. NM_020661) were amplified from EBV-LCLs using the following specific primers:

**Forward** (5'GGGTTTGCTAGCATGGACAGCCTCTT3'); **Reverse** (5' TACCCTCTCGAGCTATCAAAGTCCCA3'). PCR products were immediately cloned using TA cloning Kit (Invitrogen) following the manufacturer's specifications. The recombinant plasmids were purified from *Escherichia coli* XL1 using Wisard Mini prep Kit (Promega) and then sequenced using vector specific primers (M13 Forward 5'-GTAAAACGACGGCCAG-3', M13 Reverse 5'-CAGGAAACAGCTATGAC-3'). DNA fragments were liberated from pCRII Topo vector using XhoI and NheI (Roche) restriction enzymes then ligated into XhoI-NheI digested pCNeo vector using T4 ligase (Roche). The recombinant plasmids were purified from *Escherichia coli* XL1 competent cells using Midi prep kit (Qiagen).

The recombinant pCNeo-AID-His56Tyr, in which the mutated AID gene contain the c.166T>C mutation, was generated from the recombinant pCNeo-AID-wt plasmid with the QuikChange site directed mutagenesis system (Stratagene, La Jolla, CA), according to the manufacturer's instructions, using the following primers: Forward (5' GCAATAAGAACGGTGCTACGTGGAATTGCTCTTC3') and Reverse (5'GAAGAGCAATTCCACGTAGCAGCCGTTCTTATTGC3'). This mutant was used as a negative control since the p.(His56Tyr) alters both CSR and SHM (Durandy et al., 2006).

## 2.4. Jurkat stable cell lines establishment

Jurkat cells were cultured in RPMI glutamax with 10% FBS, 100 U/ml penicillin and 100g/ml streptomycin at 37°C and 5% CO₂. Stable Jurkat cell lines, expressing AID-wt
(Jurkat AID-wt), AID-His130Pro (Jurkat AID-His130Pro) and AID-His56Tyr (Jurkat AID-His56Tyr), were obtained by nucleofection of 10⁶ Jurkat cells with 2µg of the corresponding recombinant pCNeo plasmids according to the manufacturer's instructions (Amaxa™ 4D-Nucleofector™ Protocol for Jurkat clone E6.1 from Lonza). Forty eight hours after transfection, selection was made by addition of Neomycin (Sigma-Aldrich) at a final concentration of 2mg/ml. Medium was changed every 2-3 days until all cells of the negative control (non-transfected Jurkat cells) were dead. Cells were then amplified by batch culture in RPMI glutamax with 10% FBS, 100 U/ml penicillin, 100g/ml streptomycin and 2mg/ml Neomycin, at 37°C and 5% CO₂. They were tested for AICDA gene integration and expression by reverse transcriptase (RT)-PCR and sequencing. AID proteins expression was assessed by western blot as described previously.

## 2.5. AID-induced mutagenesis analysis

SHM vectors used in this assay are the wild type vector pEM7-EGFP, which express the EGFP protein, and the mutant pEM7-TAG182 vector which is unable to express the protein (Jovanic et al., 2008).

2x10⁶ of each Jurkat stable cell line were transfected with either 3µg of pEM7-EGFP or pEM7-TAG182 by nucleofection as described above. Twenty-four hours after transfection cells were centrifuged, washed by PBS, re-suspended in PBS with 0.5% SVF and analyzed by flow cytometry.

# 3. Results

## 3.1. AID-His130Pro mutant characteristics
The His130Pro nonsynonymous mutation was predicted to be benign by both Poly-Phen2 and SIFT algorithms suggesting that the His130Pro mutation does not affect drastically the protein structure. On the other hand, western blot analysis of EBV LCLs lysates from HIGM2 patient, carrying the His130Pro mutation, revealed a low expression level of the mutant AID-His130Pro protein compared to the wild type. This indicates that this mutation does not affect mRNA translation but alters the protein expression stability (Figure 1a).

## 3.2. AID protein expression in Jurkat stable cell lines

Since only a limited amount of patients' peripheral blood cells was available, we performed an *in vitro* SHM assay on established Jurkat stable cell lines, expressing either AID-wt or AID-His130Pro proteins. In addition, an SHM assay negative control, consisting in the Jurkat cell line expressing the AID-His56Tyr mutant generated by site-directed mutagenesis, was used. Indeed, this mutant is known to alter both CSR and SHM (Durandy et al., 2006). The different Jurkat stable cell lines effectively expressed AID as demonstrated by RT-PCR analysis of wild type and mutant AID transcripts (Figure 1b). Western blot analysis of Jurkat cell lines lysates showed that both wild type and mutants AID proteins are expressed. As expected, AID-His130Pro protein expression was lower than AID-wt but AID-His56Tyr mutant expression was even lower than AID-His130Pro (Figure 1a).

## 3.3. AID-induced mutagenesis analysis

The assessment of the AID-induced mutagenesis was monitored by the reversion of the TAG182 nonsense mutation of the EGFP gene cloned in the pEM7-TAG182 vector.
The reversion of the mutation restores fluorescence allowing the reversion rate to be
evaluated by flow cytometry. The reversion rate is represented by the percentage of
reverted fluorescent cells derived from transfection of Jurkat cells with pEM7-TAG182.

This rate depends on the transfection efficiency of the concerned Jurkat cell line that is
estimated by the percentage of fluorescent cells derived from transfection with the wild
type pEM7-EGFP vector. Thus, we defined -as already reported- the mutagenic activity
as the reversion rate relative to the transfection efficiency (Jovanic et al., 2008).

Transfection efficiency was 77% for Jurkat cell line and around 62-64% for stable
Jurkat cells expressing AID-wt, AID-His130Pro and AID-His56Tyr (Figure 2).

In two distinct experiences, AID-wt was able to revert the non-sense EGFP mutation as
demonstrated by the percentage of the reverted fluorescent Jurkat AID-wt cells (4.4%
and 6.1%, respectively) compared to the absence of reverted fluorescent Jurkat cells not
expressing AID (Figure 3). Calculated as described above, the average of the AID-wt
mutagenic activity from the two experiments was about 8% (±2) (Figure 4).

In parallel, we assessed the mutagenic activity of the AID-His56Tyr mutant which is
known to affect both CSR and SHM because the *p.(His56Tyr)* mutation alters the AID
catalytic domain (Durandy et al., 2006; Ta et al., 2003). As expected, the mutagenic
activity of this mutant was absent since the percentage of reverted fluorescent Jurkat
AID-His56Tyr cells did not exceed 0.5% (Figure 3).

Interestingly, the Jurkat AID-His130Pro cell line showed significant reversion rates,
which were 3.6% and 2.03%, respectively (Figure 3), bringing the mutagenic activity to
5% (±2%) (Figure 4). This indicates that the AID-His130Pro mutant is able to revert the
non-sense EGFP mutation meaning it preserves its mutagenic activity.

**4. Discussion**
We already reported a novel AID mutation (His130Pro) in five Tunisian HIGM2 patients. This mutation, located in the APOBEC-like domain, alters CSR mechanism as supported by presence of high IgM levels and absent IgG and IgA in these patients (Ouadani et al., 2015). According to PolyPhen-2 and SIFT algorithms prediction, the His130Pro does not alter AID protein structure. Nevertheless, western blot analysis indicates that it may affect the protein expression stability. Unfortunately, there are no available data explaining the involvement of His130 residue in AID stability (Le and Maizels, 2015; Mu et al., 2012; Prochnow et al., 2007). Several mutations have been reported in the APOBEC like domain of AID. Some of these mutants retained deamination activity despite altered CSR (Mahdaviani et al., 2012; Zhu et al., 2003). Intriguingly, Shivarof and his collaborators provided evidence that the DNA deamination activity of AID is dissociated from its physiological functions, i.e. CSR and SHM (Shivarov et al., 2008). All together, these findings encouraged us to assess the mutagenic activity of the AID-His130Pro mutant using an SHM artificial substrate.

While Jurkat cell line not expressing AID showed no fluorescent cells after pEM7-TAG182 transfection, constitutive expression of AID-wt restored fluorescence in transfected Jurkat cells by 8% (±3%). This reflects AID mutagenic activity that reverted EGFP nonsense mutation (TAG182). Indeed, ectopic AID expression in non-B cells promotes SHM in highly transcribed genes but also in artificial substrates. Accordingly, expression of AID-cofactors, required for SHM, are induced in B or non-B cells (Yoshikawa et al., 2002). Moreover, Rougeon and collaborators have demonstrated that SHM of transient transfected substrates is absolutely dependent on AID activity (Jovanic et al., 2008). In line with this finding, the AID-His56Tyr mutant was unable to restore fluorescence in pEM7-TAG182 transfected Jurkat cells. The *p.(His56Tyr)*
mutation alters catalytic Zn²⁺ ion coordination in AID active center abolishing both CSR and SHM mechanisms (Durandy et al., 2006; Mu et al., 2012; Ta et al., 2003). In addition, the involvement of AID catalytic activity in the protein expression stability explains the very low amounts of AID-His56Tyr mutant protein observed by western blot analysis (Le and Maizels, 2015). Therefore, we conclude that the SHM vector based assay in Jurkat cell line is efficient to assess mutagenic activity of mutant AID proteins. Herein, we showed that AID-His130Pro mutant is able to revert the EGFP nonsense mutation as 5% (±2%) of fluorescent cells were generated after pEM7-TAG182 transfection. This suggests that the His130Pro mutation does not affect drastically AID mutagenic activity and that induced-somatic mutations may be retained at least on an artificial substrate. In the literature, only one AID mutation, located in APOBEC like domain, was reported to have variable SHM activity (Mahdaviani et al., 2012; Zhu et al., 2003). The others were either altering SHM or were not assessed. In parallel, all mutations in the APOBEC like domain were shown to affect CSR and cause HIGM2 syndrome (Mahdaviani et al., 2012; Ouadani et al., 2015).

AID initiates CSR and SHM by deaminating Cytosines to Uracils within the S and V regions respectively. In CSR, the U:G mismatch is processed into double strand breaks followed by non-homologous end joining processing (Xu et al., 2012). In SHM, replication of the U:G mismatch generates C to T mutations, whereas DNA repair mechanisms; i.e., Base excision repair and mismatch repair, generates mutations at G:C and A:T pairs (Peled et al., 2008).

On the other hand, *AICDA* mutations studies as well as biochemical studies of protein-protein and RNA-protein binding showed that both CSR or SHM also depend on the interaction of AID with specific cofactors through different domains (Aida et al., 2013;
Basu et al., 2011; Chaudhuri et al., 2004; Eid et al., 2014; Ganesh et al., 2011; Hu et al., 2013; Jeevan-Raj et al., 2011; Kanehiro et al., 2012; Lam et al., 2013; Nowak et al., 2011; Okazaki et al., 2011; Pavri et al., 2010). Regarding our data, they suggest that the AID-His130Pro mutant is able to catalyze C to U deamination required for SHM. Consequently, the resulting CSR deficiency is unlikely to be due to a defect in AID catalytic activity. Predictions based on the extensive homology between APOBEC family members revealed that the His130 residue is localized in the α-helix 4 of AID (Prochnow et al., 2007). The substitution of a histidine by a proline would then probably affect the structure of the protein (Richardson, 1981). However, it was demonstrated that His130 is not involved in the catalytic pocket of AID (King et al., 2015). In addition, a recent crystal structure of a soluble AID variant showed that the α-helix 4 is part of a hydrophobic pocket capped by residues of loop 7 (Pham et al., 2016). These findings suggest that the probably altered structural integrity, caused by the His130Pro mutation, would not affect DNA deamination activity, whereas it could prevent a potential interaction of the enzyme with specific cofactors leading to CSR deficiency. Indeed, the His130 residue is located in a putative RNA-binding motif defined by amino acids 130 to 138 which are required for the binding of AID to G-quadruplex-RNA structures formed by S region transcripts. The formed AID-RNA complex directs the enzyme to S-DNA regions which is indispensable for CSR achievement (Zheng et al., 2015). Consistent with our results, the Gly133Val mutation, identified in two other HIGM2 patients (Mahdaviani et al., 2012) impairs the AID-RNA interaction but retains AID catalytic activity (Zheng et al., 2015). Furthermore, the AID-Gly133Val mutant was shown, recently, to be unable to interact with specific heterogeneous nuclear ribonucleoproteins (hnRNP) as well as mRNA-binding protein crucial for the CSR-
recombination step. However, it binds to hnRNP K involved in DNA cleavage step
required for both CSR and SHM (Yousif et al., 2014).

**5. Conclusion**

In summary, besides keeping the catalytic site of the protein intact, the His130Pro
mutation allows the enzyme to retain its mutagenic activity, at least on an SHM
artificial substrate. This mutation would prevent the interaction of AID with specific
cofactors required for CSR but not for SHM. Thus, there would be no contradiction
between maintaining the catalytic and mutagenic activity of AID and the presence of
function defects at the genomic level.
Acknowledgements

The authors declare that they have no competing interests.

This work was supported by the Ministry of Health (Tunisia).
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<footnote n="1">¹ Janelia Farm Research Campus, Howard Hughes Medical Institute, Ashburn, Virginia, United States of America.</footnote>

<footnote n="2">² Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.</footnote>

<footnote n="3">³ College of Postgraduate Studies, Arabian Gulf University, Manama, Bahrain.</footnote>
Figure 1: AID expression assessment. a) *AICDA* transcription in stable Jurkat cell lines. AID transcripts were amplified from by RT-PCR from Jurkat, Jurkat AID, Jurkat AIDHis56Tyr and Jurkat AID-His130Pro total RNA. T- : negatif (H₂O) PCR control. b) Western Blot of AID protein. AID proteins from a healthy individual and an HIGM2 patient (AID-His130Pro) EBV LCLs lysates (lanes I and II) and stable Jurkat cells lysates (lanes III, IV, V and VI) were revealed using a rabbit monoclonal anti AID. I: healthy control (AID), II: HIGM2 patient (AID-His130Pro), III: Jurkat, IV: Jurkat AID, V: Jurkat AIDHis56Tyr and VI: Jurkat AID-His130Pro. β-actin was used as a loading control.

a)

<figure><img src="image_2.png" /></figure>

b)

<figure><img src="image_3.png" /></figure>
<figure><img src="image_4.png" /><figcaption>Figure 3: Assessment of reverted fluorescent cells by flow cytometry. Jurkat, Jurkat AID, Jurkat AID-His56Tyr and Jurkat AID-His130Pro stable cell lines were transfected by pEM7-TAG182. Analyzes were done 24 hours after transfection using FlowJo V.10 software. I and II are distinct experiences.</figcaption></figure>

<figure><img src="image_5.png" /></figure>
<figure><img src="image_6.png" /><figcaption>Figure 4: AID mutagenesis activity. The mutagenesis activity is represented by the reversion rate (% of reverted fluorescent cells) relative to the transfection efficiency. This data represent the average values of two independent experiments. Confidences ranges are represented by error bars.</figcaption></figure>