Gene: GLRX5 is located on chromosome 14 (14q21.1) and spans two exons .
Protein: A 156-amino-acid mitochondrial matrix protein (13 kDa) with a conserved CGFS active-site motif .
Structure: Forms a tetramer with two [2Fe-2S] clusters ligated by glutathione (GSH) molecules. Key residues (Cys67, Lys59, Thr108) are essential for cluster assembly .
Predominantly localized to mitochondria, validated via immunofluorescence and subcellular fractionation .
Acts as a scaffold/sensor for [2Fe-2S] clusters, transferring them to mitochondrial and cytosolic enzymes (e.g., aconitase, ferrochelatase) .
Deficiency disrupts [Fe-S] synthesis, leading to mitochondrial iron overload and cytosolic iron depletion .
Loss of GLRX5 activates iron regulatory proteins (IRP1/IRP2), repressing ALAS2 (a heme synthesis enzyme) via iron-responsive elements (IREs) .
Highly expressed in erythroid cells. Depletion reduces ALAS2 and FECH (ferrochelatase) levels, impairing heme production and causing anemia .
Sideroblastic Anemia: Mitochondrial iron accumulation with cytosolic iron deficiency, reducing heme synthesis .
Variant NKH: Impaired lipoylation of enzymes (e.g., pyruvate dehydrogenase) due to defective [Fe-S] clusters .
K562 Erythroid Cells: GLRX5 knockdown reduced heme content by 25–36%, correlating with ALAS2/FECH suppression .
Patient Fibroblasts: Rescue experiments restored mitochondrial iron homeostasis and aconitase activity via GLRX5 reintroduction .
Crystal Structure: The tetrameric holo-GLRX5 structure revealed GSH-mediated [2Fe-2S] coordination, critical for cluster stability .
Evolutionary Conservation: Functional homology with yeast (Grx5) and zebrafish models underscores its role in [Fe-S] metabolism .
Gene Therapy: Lentiviral GLRX5 delivery rescued mitochondrial iron overload and restored cell growth in patient fibroblasts .
Human GLRX5 is a 156 amino acid mitochondrial protein that belongs to the monothiol glutaredoxin family with a characteristic CGFS active site motif. Crystal structure analyses reveal that holo-GLRX5 forms a tetrameric organization when bound to two [2Fe-2S] clusters and four glutathione (GSH) molecules, with the iron-sulfur clusters buried in the interior and shielded from solvent by the conserved β1-α2 loop, Phe69, and GSH molecules . Each [2Fe-2S] cluster is coordinated by the N-terminal active-site cysteine (Cys67) thiols contributed by two protomers and two cysteine thiols from two GSH molecules . The apoprotein exists as a monomer, while the holoprotein forms a tetramer, as confirmed by gel-filtration chromatography and analytical ultracentrifugation .
GLRX5 is predominantly localized in the mitochondria, as demonstrated by immunofluorescence staining and subcellular fractionation studies. Confocal microscopic imaging has shown that GLRX5 expression colocalizes with mitochondrial markers, and Western blot analysis of subcellular fractions has confirmed its predominant presence in the mitochondrial fraction . This mitochondrial localization is consistent with its role in iron-sulfur cluster biosynthesis, which primarily occurs in the mitochondria before clusters are distributed to various cellular compartments .
GLRX5 exhibits a distinctive tissue expression pattern. While it is minimally expressed in most tissues, it shows high expression in CD71+ early erythroid cells of bone marrow . This expression pattern is similar to those of human ALAS2 and FECH, which are involved in heme biosynthesis in erythroid tissues. In situ hybridization studies in adult mouse tissues have confirmed low expression levels in liver, kidney, lung, heart, testis, and skeletal muscle, with significantly higher expression in erythroid tissues . This tissue-specific expression pattern provides insight into why GLRX5 deficiency primarily affects the erythroid lineage.
GLRX5 functions as an essential component of the mitochondrial iron-sulfur cluster synthesis machinery. It can bind [2Fe-2S] clusters through specific coordination involving the active site cysteine residue (C67) from each monomer and two GSH molecules . In vitro reconstitution studies have demonstrated that GLRX5 can assemble a [2Fe-2S] cluster, enabling it to function as an Fe-S scaffold or sensor . Knockdown of GLRX5 affects the assembly of both [4Fe-4S] and [2Fe-2S] clusters in both mitochondria and cytosol, confirming its central role in the iron-sulfur cluster biosynthesis pathway .
Mutagenesis studies have identified several conserved residues that are critical for GLRX5's ability to bind iron-sulfur clusters:
K59 (lysine 59): Mutation to glutamine (K59Q) abolishes the characteristic [Fe-S] absorbance pattern after reconstitution
C67 (cysteine 67): Located in the CGFS active domain, mutation to serine (C67S) prevents [Fe-S] cluster assembly
T108 (threonine 108): Mutation to valine (T108V) eliminates [Fe-S] binding capacity
K101 (lysine 101): Mutation to glutamine (K101Q) may prevent the binding of [Fe-S] to GLRX5 protein
L148 (leucine 148): Mutation to serine (L148S) may interfere with [Fe-S] transfer from GLRX5 to recipient proteins
These residues are likely involved in docking of the GSH ligand to the protein or in the coordination of the iron-sulfur cluster itself .
GLRX5 exhibits distinct biochemical properties compared to other glutaredoxins. Apo-GLRX5 reduces glutathione mixed disulfides at a rate approximately 100 times lower than GLRX2 . Despite this relatively low thiol-disulfide oxidoreductase activity, GLRX5 remains active as a glutathione-dependent electron donor for mammalian ribonucleotide reductase . Mass spectrometry analyses have revealed glutathionylation of cysteine residues in the absence of the [2Fe-2S] cluster, which may protect them from further oxidation and possibly facilitate cluster transfer or acceptance . These unique properties distinguish GLRX5 from other glutaredoxins and highlight its specialized role in iron-sulfur cluster metabolism.
GLRX5 deficiency leads to sideroblastic anemia through a complex mechanism involving disrupted iron homeostasis and impaired heme biosynthesis:
Impaired [Fe-S] cluster biosynthesis: GLRX5 deficiency compromises the assembly of iron-sulfur clusters
Altered IRP activity: This impairment activates iron regulatory protein 1 (IRP1) binding to iron-responsive elements (IREs) and increases IRP2 levels
Cytosolic iron depletion: Despite mitochondrial iron overload, the cytosol experiences relative iron depletion
Repressed ALAS2 synthesis: IRP-mediated translational repression decreases aminolevulinate δ synthase 2 (ALAS2) levels in erythroid cells
Reduced ferrochelatase levels: The final enzyme in heme biosynthesis is diminished
Increased ferroportin expression: Enhanced iron export further depletes cellular iron
Failed heme synthesis: The combination of these effects impairs heme synthesis specifically in erythroid cells
The unique combination of IRP targets in erythroid cells, including IRP-repressible ALAS2 and non-IRP-repressible ferroportin 1b, accounts for the tissue-specific phenotype of human GLRX5 deficiency .
Several pathogenic mutations in the GLRX5 gene have been identified and characterized:
Compound heterozygous missense mutations:
c.301A>C (resulting in K101Q mutation)
c.443T>C (resulting in L148S mutation)
Functional consequences:
Other mutations:
These mutations result in sideroblastic anemia and, in some cases, variant nonketotic hyperglycinemia .
Rescue of GLRX5 function in deficient cells has been demonstrated through several approaches:
Gene transfection: Introduction of the wild-type GLRX5 gene via transfection can reverse phenotypes in patient fibroblasts
Viral transduction: Delivery of functional GLRX5 using viral vectors provides another effective approach
Observed effects of successful rescue include:
These rescue experiments provide important proof-of-concept for potential therapeutic approaches and validate the causal relationship between GLRX5 deficiency and the observed cellular phenotypes.
Several complementary methods can be employed to investigate GLRX5's iron-sulfur cluster binding properties:
In vitro reconstitution: Mixing purified recombinant GLRX5 with iron, sulfide, and glutathione under anaerobic conditions to reconstitute [Fe-S] clusters
UV-visible spectroscopy: Monitoring characteristic absorption peaks at approximately 320, 420, and 450 nm that indicate successful [Fe-S] cluster incorporation
Site-directed mutagenesis: Systematically mutating conserved residues (like K59, C67, T108) to assess their roles in [Fe-S] binding
Gel-filtration chromatography: Determining oligomerization state differences between apo and holo forms of GLRX5
Analytical ultracentrifugation: Confirming tetrameric organization of holo-GLRX5
Mass spectrometry: Identifying post-translational modifications like glutathionylation of cysteine residues
These techniques have successfully revealed the structural basis for GLRX5's interaction with [Fe-S] clusters and can be applied to investigate other aspects of GLRX5 function or the impact of mutations.
Development and validation of GLRX5 knockout cell models can be achieved through the following approach:
Cell line selection: Choose appropriate cell lines, such as K562 cells, which have been successfully used for GLRX5 studies
Knockout strategy: Implement CRISPR-Cas9 or other gene editing technologies targeting the GLRX5 gene
Validation methods:
Genomic DNA sequencing to confirm targeted mutations
Western blotting to verify absence of GLRX5 protein
Phenotypic characterization:
Once validated, these knockout models provide valuable tools for studying GLRX5 function, testing the effects of mutations, and evaluating rescue strategies.
To assess the functional impact of GLRX5 mutations, researchers can employ a variety of assays:
[Fe-S] protein activity assays:
Aconitase activity assay (mitochondrial and cytosolic)
Succinate dehydrogenase activity
Xanthine oxidase activity (cytosolic [2Fe-2S] enzyme)
Ferrochelatase activity
Iron homeostasis assessment:
IRP1 RNA-binding activity (electrophoretic mobility shift assay)
IRP2 protein levels (Western blot)
Mitochondrial iron content (staining or quantitative measurement)
Expression of iron metabolism genes
Protein-protein interaction studies:
Co-immunoprecipitation to assess GLRX5 interaction with [Fe-S] cluster assembly machinery components
In vitro [Fe-S] transfer assays from GLRX5 to recipient proteins
Rescue experiments:
These assays provide comprehensive evaluation of how mutations affect GLRX5's multiple functions in [Fe-S] protein synthesis and maturation.
Different GLRX5 mutations can have distinct effects on downstream iron-sulfur proteins, revealing the multifunctional nature of GLRX5 in iron-sulfur cluster biosynthesis and transfer:
K101Q mutation (c.301A>C):
Primarily affects the binding of [Fe-S] clusters to GLRX5 itself
Broadly impairs all downstream [Fe-S] protein maturation
L148S mutation (c.443T>C):
Specifically interferes with [Fe-S] transfer from GLRX5 to recipient proteins
Differentially affects:
Iron regulatory protein 1 (IRP1)
Mitochondrial aconitase
Ferrochelatase
Functional complementation patterns:
These differential effects indicate that GLRX5 has specific functional domains or interaction surfaces for different downstream targets, rather than a single mechanism of action for all [Fe-S] proteins.
GLRX5 plays a central role in coordinating mitochondrial and cytosolic iron homeostasis through several mechanisms:
Iron-sulfur cluster synthesis: As a component of the mitochondrial [Fe-S] biosynthesis machinery, GLRX5 is essential for the maturation of numerous [Fe-S] proteins
IRP1 regulation:
Functional GLRX5 ensures proper [Fe-S] cluster loading of IRP1
[Fe-S]-loaded IRP1 has aconitase activity but lacks IRE-binding activity
GLRX5 deficiency activates the IRE-binding activity of IRP1
Iron distribution:
GLRX5 deficiency leads to paradoxical iron distribution
Mitochondrial iron overload occurs simultaneously with cytosolic iron depletion
Increased IRP2 levels reflect relative cytosolic iron depletion
Tissue-specific effects:
Understanding this complex relationship is crucial for comprehending the pathophysiology of disorders like sideroblastic anemia and developing targeted interventions.
Despite significant advances, several aspects of GLRX5 function remain incompletely understood and represent promising directions for future research:
Molecular mechanism of [Fe-S] transfer:
Precise structural details of how GLRX5 transfers [Fe-S] clusters to recipient proteins
Identification of specific protein-protein interactions that facilitate this transfer
Role of glutathione in the transfer process
Regulatory mechanisms:
How GLRX5 expression and activity are regulated under different cellular conditions
Post-translational modifications that might modulate GLRX5 function
Signaling pathways that respond to GLRX5 deficiency
Therapeutic approaches:
Development of strategies to bypass GLRX5 deficiency
Pharmacological approaches to correct iron distribution abnormalities
Gene therapy approaches for GLRX5-related disorders
Expanded disease associations:
Addressing these knowledge gaps will require interdisciplinary approaches combining structural biology, biochemistry, cell biology, and clinical research to fully elucidate GLRX5's functions and therapeutic potential.
Glutaredoxin 5 is composed of approximately 100 amino acids and utilizes glutathione as a cofactor. The human recombinant form of GLRX5 is typically expressed in Escherichia coli and is purified to a high degree of purity, often exceeding 85% . The recombinant protein is usually non-glycosylated and has a molecular mass of around 18.8 kDa .
GLRX5 is involved in the biogenesis of iron-sulfur clusters, which are essential for various cellular processes, including mitochondrial respiration and DNA synthesis . The enzyme receives 2Fe/2S clusters from scaffold proteins and mediates their transfer to apoproteins or the 4Fe/4S cluster biosynthesis machinery . This transfer is crucial for maintaining normal iron homeostasis within the cell.
The enzyme operates by being oxidized by substrates and subsequently reduced non-enzymatically by glutathione . This redox activity is vital for its function in iron-sulfur cluster assembly and maintenance.