The PTRH2 gene is located on chromosome 17 (17q12) and encodes a 19 kDa protein (179 amino acids) with distinct domains:
Mitochondrial localization signal (residues 1–62)
Cell death domain (residues 14–33)
Catalytic hydrolase domain (residues 63–179), critical for peptidyl-tRNA hydrolysis .
PTRH2 localizes to mitochondria, plasma membrane, endoplasmic reticulum, and Golgi apparatus, enabling diverse roles in cellular signaling . Structural studies reveal a conserved α/β fold with a large α-helix (residues 80–99) mediating protein interactions .
Binds integrins (e.g., α7β1) to activate pro-survival PI3K-AKT signaling, critical for muscle integrity .
Inhibits apoptosis by stabilizing Bcl-2 and suppressing stress-induced cell death .
Loss of PTRH2 increases sensitivity to anoikis (detachment-induced apoptosis) .
Associates with α7β1 integrin at the sarcolemma, regulating muscle fiber survival and regeneration .
Ptrh2 knockout mice exhibit muscular dystrophy-like pathology: elevated creatine kinase, fibrosis, and central nuclei in muscle fibers .
Acts as an oncogene in breast, lung, and esophageal cancers by promoting metastasis via ERK and mTOR pathways .
Upregulated in dystrophin-deficient (mdx) muscle, correlating with α7β1 integrin overexpression .
Infantile-onset Multisystem Nervous, Endocrine, and Pancreatic Disease (IMNEPD) is caused by homozygous PTRH2 mutations :
PTRH2 mutations disrupt integrin-mediated signaling, leading to progressive muscle degeneration and elevated creatine kinase .
Phenotype severity in Ptrh2 null mice exceeds α7 integrin deficiency, indicating broader signaling defects .
PTRH2 stabilizes α7 integrin expression, enhancing AKT phosphorylation and muscle cell survival .
In cancer, PTRH2 promotes EMT (epithelial-mesenchymal transition) via ERK activation, driving metastasis .
Targeting PTRH2-integrin interactions could mitigate muscular dystrophy progression .
Inhibiting PTRH2 in cancer may reduce metastasis, though balancing its pro-survival roles remains challenging .
PTRH2 (Peptidyl-tRNA Hydrolase 2), also known as BIT1 (Bcl-2 inhibitor of transcription 1), is an evolutionarily highly conserved protein that belongs to the peptidyl-tRNA hydrolase family . Its primary function is to release peptidyl moieties from tRNA, preventing the accumulation of prematurely dissociated peptidyl-tRNA which could inhibit protein synthesis and be toxic to cells . Beyond this canonical role, PTRH2 has multiple functions including:
Regulation of cell survival and death mechanisms
Promotion of cell survival through integrin-mediated signaling
Regulation of muscle differentiation during human development
Modulation of anoikis (cell death triggered by detachment from extracellular matrix)
The protein is expressed in all tissue types and plays a crucial role in normal development .
PTRH2 demonstrates multi-compartmental localization within human cells. Current research indicates that the 19 kDa protein (179 residues, UniProt ID: Q9Y3E5) is present in multiple cellular locations:
Mitochondrial outer membrane (primary location)
Plasma membrane
Endoplasmic reticulum
This diverse localization pattern explains its involvement in various cellular functions. Researchers can visualize PTRH2 localization through immunofluorescence techniques using specific antibodies against PTRH2, combined with organelle markers .
PTRH2 participates in several critical signaling pathways that regulate cell survival, growth, and differentiation:
Methodologically, researchers typically employ Western blotting to measure the phosphorylation status of these pathway components in both wild-type and PTRH2-deficient cells .
Research has identified several mutations in the PTRH2 gene associated with IMNEPD. The known mutations include:
The clinical manifestations vary in frequency among patients:
Most common (>80%): Motor delay (92%), neuropathy (90%), distal weakness (86.4%), intellectual disability (84%), hearing impairment (80%), ataxia (79%)
Less common (30-70%): Head/face deformities (~70%), hand deformity (64%), cerebellar atrophy/hypoplasia (47%), pancreatic abnormality (35%)
Least common (<30%): Diabetes mellitus (~30%), liver abnormality (~22%), hypothyroidism (16%)
Disease severity appears to correlate with the type of mutation, with research suggesting that missense mutations may result in milder phenotypes compared to frameshift or nonsense mutations that completely abolish protein function .
When investigating the functional consequences of PTRH2 mutations, researchers should consider a multi-tiered experimental approach:
Cellular models:
Establish patient-derived fibroblasts or Epstein-Barr virus-transformed lymphocytes (LCLs)
Create isogenic cell lines with specific PTRH2 mutations using CRISPR-Cas9 gene editing
Analyze cellular PTRH2 localization through immunofluorescence
Measure cell viability, proliferation, and apoptosis rates
Biochemical analyses:
Quantify protein levels of PTRH2 and downstream effectors (pAKT/AKT, pMAPK/MAPK, pFAK/FAK, Bcl-2, pS6) via Western blotting
Assess mitochondrial respiratory chain enzyme activities in patient fibroblasts using established protocols
Evaluate protein-protein interactions through co-immunoprecipitation
Functional assays:
Analyze integrin-mediated cell adhesion and anoikis
Study effects on muscle differentiation
Assess impact on protein synthesis through metabolic labeling
Gene expression analysis:
These methodological approaches can help elucidate how specific mutations affect PTRH2 function and contribute to disease pathogenesis.
The primary animal model for studying PTRH2 deficiency is the Ptrh2 knockout mouse. Key features of this model include:
Generation method: Ptrh2-mutant mice were generated by breeding Ptrh2flox/flox mice with MORE-Cre mice (B6.129S4-Meox2tm1(cre)Sor/J) to obtain heterozygote Ptrh2flox/− MeoxCre/− mice, which were subsequently backcrossed and intercrossed to obtain Ptrh2-mutant mice with a pure C57BL/6 genetic background .
Genotyping: Performed using specific primers (G2F 5′-TGG GTC TTT GAA TCA ACT AG-3′, G1R 5′-ACA TGC CAC AAG CAA CTC CA-3′, and 30d 5′-TTT GAG ACC CTA TCA CTC CAC ACG-3′), yielding a 250 bp band in wild-type, a 200 bp band in homozygous Ptrh2 mutant mice, and both bands in heterozygous mice .
Phenotype: Homozygous Ptrh2 mutants develop a "runting" (dystrophy) syndrome postnatally and die within the first 2 weeks of life , recapitulating some features of human IMNEPD.
Analysis methods:
Monitoring development and behavior
Histological analysis of organs (brain, liver, pancreas, muscle, diaphragm)
Measurement of elastase activity in stool
Quantitative analysis of mRNA and protein expression
This model has been instrumental in understanding the physiological role of PTRH2 and the pathological consequences of its deficiency.
PTRH2 has been linked to the mechanistic target of rapamycin (mTOR) pathway, which is central to cell growth and size regulation. Current research indicates:
Pathway interaction: PTRH2 appears to modulate mTOR signaling, potentially through its interactions with other signaling molecules like AKT .
Methodological approach: Researchers can assess this interaction by:
Measuring phosphorylation of mTOR substrates such as S6 ribosomal protein (pS6)
Analyzing effects of PTRH2 deficiency on cell size in various tissues
Examining impacts on protein synthesis rates
Investigating potential rescue of phenotypes with mTOR pathway modulators
Findings from patient cells: Analysis of fibroblasts from IMNEPD patients has demonstrated altered mTOR signaling, supporting PTRH2's role in this pathway .
Experimental considerations: When investigating this interaction, researchers should control for nutrient conditions, as mTOR signaling is highly sensitive to amino acid and growth factor availability.
Understanding this relationship may provide insights into the growth retardation phenotype observed in IMNEPD patients and open potential therapeutic avenues.
PTRH2 has been implicated in myogenic differentiation, making this an important area for researchers investigating IMNEPD's neuromuscular manifestations. Key methodological approaches include:
In vitro myogenesis models:
Utilize C2C12 myoblast cell lines with PTRH2 knockout/knockdown
Establish primary myoblast cultures from patient biopsies or Ptrh2-mutant mice
Induce differentiation and monitor fusion index, myotube formation, and myogenic marker expression
Molecular analysis:
Assess expression of myogenic regulatory factors (MyoD, Myogenin, MRF4)
Analyze PTRH2 expression during different stages of muscle differentiation
Investigate PTRH2's interaction with muscle-specific transcription factors
Signaling pathway analysis:
Examine the impact on PI3K-AKT signaling, which is crucial for muscle development
Investigate effects on calcium signaling and mechanotransduction
Study potential cross-talk with other pathways important for myogenesis
Histological examination:
Perform immunohistochemistry on muscle sections from Ptrh2-mutant mice
Analyze fiber type composition, size, and ultrastructure
Assess neuromuscular junction formation and integrity
These methodologies can help elucidate why patients with PTRH2 mutations experience distal muscle weakness and other neuromuscular symptoms.
PTRH2 is a key player in anoikis, a form of programmed cell death induced when cells detach from the extracellular matrix. To study this relationship:
Cell detachment assays:
Culture cells on poly-HEMA-coated plates to prevent attachment
Measure survival rates of control versus PTRH2-mutant cells in suspension
Analyze apoptotic markers (Annexin V, caspase activation)
Cellular localization studies:
Integrin signaling analysis:
Measure focal adhesion complex formation
Assess FAK phosphorylation status and downstream signaling
Evaluate integrin expression and activation patterns
In vivo implications:
Investigate tissue integrity in Ptrh2-mutant mice, focusing on tissues with high cell turnover
Examine embryonic development stages where cell migration and attachment are critical
These approaches can provide insights into how PTRH2 mutations affect cellular attachment and survival mechanisms, potentially explaining certain developmental and neurological features of IMNEPD.
For researchers screening undiagnosed patients with symptoms suggestive of IMNEPD, a systematic approach to PTRH2 variant detection is recommended:
Primary genetic screening:
Variant interpretation:
Segregation analysis:
Test family members to establish inheritance patterns
Create pedigrees to visualize segregation of the variant with disease
Functional validation:
Establish patient-derived cell lines to assess PTRH2 expression and function
Consider in silico structural modeling to predict the impact on protein structure
Design minigene assays if splicing effects are suspected
This multi-tiered approach can help identify and characterize novel PTRH2 variants in patients with compatible clinical presentations.
Clinical Feature | Frequency (%) | Age of Onset | Progression Pattern |
---|---|---|---|
Motor delay | 92% | Infantile | Persistent |
Peripheral neuropathy | 90% | Early childhood | Progressive |
Distal muscle weakness | 86.4% | Early childhood | Progressive |
Intellectual disability | 84% | Infantile | Persistent |
Hearing impairment | 80% | Variable | Non-progressive |
Ataxia | 79% | Early childhood | Progressive |
Head/face deformities | ~70% | Congenital | - |
Hand deformity | 64% | Variable | - |
Cerebellar atrophy/hypoplasia | 47% | Variable | Progressive |
Pancreatic abnormality | 35% | Variable | - |
Diabetes mellitus | ~30% | Variable | - |
Liver abnormality | ~22% | Variable | - |
Hypothyroidism | 16% | Variable | - |
Data compiled from literature review
Based on current knowledge, several research directions show particular promise:
Therapeutic development:
Investigation of mTOR pathway modulators to address growth and neurological symptoms
Exploration of gene therapy approaches for PTRH2 replacement
Development of compounds that might enhance residual PTRH2 activity in missense mutations
Genotype-phenotype correlations:
Expansion of patient cohorts to better understand the clinical spectrum
Detailed analysis of how different mutations affect protein function and clinical outcome
Creation of mutation-specific cellular and animal models
Basic biology:
Further elucidation of PTRH2's role in diverse cellular processes
Investigation of tissue-specific requirements for PTRH2
Study of potential modifiers that might explain phenotypic variability
Diagnostic improvements:
Development of biomarkers for early detection
Creation of functional assays to assess PTRH2 activity in patient samples
Incorporation of PTRH2 in neurodevelopmental disorder screening panels
PTRH2 is characterized by two main domains:
PTRH2 is involved in regulating cell survival and apoptosis:
Mutations in the PTRH2 gene have been associated with a rare autosomal recessive disorder known as Infantile Multisystem Neurologic, Endocrine, and Pancreatic Disease (IMNEPD). This disorder is characterized by:
Due to its significant role in cellular processes and disease, PTRH2 is a subject of ongoing research. Understanding its mechanisms can provide insights into potential therapeutic targets for related disorders and conditions.