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conspectus of researchon copper metabolism and requirements

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1988 KARL E. MASON<br />

<strong>and</strong> has a molecular weight <strong>of</strong> about 33,000<br />

daltons. Actually it may represent a series<br />

<strong>of</strong> cuproproteins which catalyze a series <strong>of</strong><br />

reactions that convert tyrosine to melanin<br />

(213, 479). The enzymatic activity is<br />

thought to be associated with the mitochondrial<br />

component <strong>of</strong> cells. The skin <strong>and</strong><br />

uveal tissues <strong>of</strong> the eye in human albinos<br />

have no demonstrable tyresinase activity;<br />

hence, the absence <strong>of</strong> melanin. Decreased<br />

production <strong>of</strong> tyrosinase is responsible for<br />

the loss <strong>of</strong> hair pigmentation in animals<br />

deficient in <strong>copper</strong> <strong>and</strong> in infants with<br />

Menkes' steely-hair syndrome.<br />

Dopamine ß-hijdroxylase<br />

This cuproprotein (3,4-dihydroxyphenylethylamine<br />

ß-hydroxylase) is an oxidase<br />

containing 4 to 7 <strong>copper</strong> atoms per mole<br />

cule <strong>and</strong> having a molecular weight <strong>of</strong><br />

about 290,000 daltons (232). It was origi<br />

nally isolated from beef adrenals <strong>and</strong> later<br />

from cattle brain <strong>and</strong> hearts. In experimen<br />

tal animals it appears to serve a function<br />

in catalyzing the conversion <strong>of</strong> dopamine<br />

to form norepinephrine (568, 570). A com<br />

parable role in man may be assumed but<br />

has not been proven.<br />

Metallothionein<br />

The rather tortuous history <strong>of</strong> identifica<br />

tion <strong>and</strong> nomenclature <strong>of</strong> <strong>copper</strong> proteins<br />

leading up to the proper recognition <strong>of</strong><br />

Superoxide dismutase has been somewhat<br />

paralleled by the history <strong>of</strong> metallothionein.<br />

This designation was given by Kagi<br />

<strong>and</strong> Vallee (392, 393) to a protein iso<br />

lated from equine <strong>and</strong> human kidney, with<br />

a molecular weight <strong>of</strong> about 10,000 daltons,<br />

a content <strong>of</strong> 26 sulfhydryl groups per mole,<br />

<strong>and</strong> a capacity to bind zinc <strong>and</strong> cadmium<br />

as well as <strong>copper</strong>. Metallothionein is not<br />

an enzyme. By virtue <strong>of</strong> its high content<br />

<strong>of</strong> sulfhydryl groups it binds <strong>copper</strong> by<br />

forming mercaptides. In fact, it may repre<br />

sent a family <strong>of</strong> metallothioneins specifi<br />

cally designed for the binding <strong>of</strong> either<br />

one metal or specific groups <strong>of</strong> metals such<br />

as <strong>copper</strong>, zinc <strong>and</strong> cadmium.<br />

Accumulating knowledge <strong>of</strong> metallothionein<br />

or metallothionein-like proteins, with<br />

variable affinities for <strong>copper</strong>, especially as<br />

they occur <strong>and</strong> function in the intestinal<br />

mucosa <strong>and</strong> liver, may well add greatly to<br />

our underst<strong>and</strong>ing <strong>of</strong> the two clinical dis<br />

orders <strong>of</strong> <strong>copper</strong> <strong>metabolism</strong> in man;<br />

namely, Wilson's disease <strong>and</strong> Menkes'<br />

steely-hair syndrome. For example, one<br />

recognized <strong>and</strong> basic defect in Menkes'<br />

disease is an inadequate transport <strong>of</strong> cop<br />

per across the intestinal mucosa (145,<br />

147). It is possible that the retention <strong>of</strong><br />

abnormal amounts <strong>of</strong> <strong>copper</strong> in the in<br />

testinal mucosa involves increased affinity<br />

<strong>of</strong> a mucosal metallothionein or <strong>of</strong> another<br />

protein not normally involved in <strong>copper</strong><br />

transport (351). Furthermore, there is evi<br />

dence that the usual metallothionein con<br />

cerned with storage <strong>and</strong> release <strong>of</strong> ab<br />

sorbed <strong>copper</strong> in the liver may, in Wilson's<br />

disease, be <strong>of</strong> an abnormal type with a<br />

binding constant about four times greater<br />

than normal ( 197).<br />

An unusual variant <strong>of</strong> metallothionein,<br />

referred to as neonatal hepatomitochondrocuprein,<br />

has been isolated from immature<br />

bovine liver <strong>and</strong> from human newborn<br />

liver (615). It contains 25% cystine <strong>and</strong><br />

about 49¿<strong>copper</strong>, which is at least 10 times<br />

that <strong>of</strong> adult hepatocuprein. It increases<br />

just before birth <strong>and</strong> decreases rapidly<br />

during the first few months <strong>of</strong> postnatal<br />

life, as it is released for synthesis <strong>of</strong> ceruloplasmin,<br />

which is present in plasma in<br />

small amounts at birth. It is thought to<br />

represent a special storage type <strong>of</strong> protein<br />

to tide the newborn infant over the early<br />

period <strong>of</strong> life when breast milk does not<br />

meet normal <strong>requirements</strong> (610 ). Although<br />

concentrated in the heavy mitochondrial<br />

fraction, it is not a true mitochondrial con<br />

stituent in that some <strong>of</strong> it may be localized<br />

in lysosomes <strong>of</strong> a "heavy" type, <strong>and</strong> prob<br />

ably represents a polymer <strong>of</strong> metallothio<br />

nein (614).<br />

Other cuproproteins<br />

Since the identification <strong>and</strong> characteriza<br />

tion <strong>of</strong> a sulfhydryl-rich cuproprotein in<br />

human liver with a molecular weight <strong>of</strong><br />

8,000 to 10,000 daltons, designated L-6D<br />

(536, 703), there have been described<br />

similar cuproproteins derived from chick<br />

intesane (733), rat liver (856), rat intes<br />

tine ( 198), adult human liver ( 74 ) <strong>and</strong><br />

human fetal liver (654). These proteins<br />

differ somewhat with respect to estimated<br />

molecular weight, <strong>copper</strong> content <strong>and</strong><br />

amino-acid components, especially cysteine<br />

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