Synoptic scenario. A signalling pathway in hepatocytes regulates expression of enzyme CYPZ which metabolises a drug. A membrane receptor activation leads to phosphorylation cascade, nuclear translocation of transcription factor TF-Z and increased CYPZ transcription. A loss-of-function mutation in the phosphatase P reduces dephosphorylation of the kinase in the cascade, increasing its active time. You are provided with the following experimental observations from hepatocyte cultures:
- Wild-type baseline CYPZ mRNA: 400 arbitrary units (AU).
- After hormone stimulus, wild-type CYPZ mRNA increases to 1600 AU at 2 hours, then returns to 450 AU at 8 hours.
- In P loss-of-function mutant, baseline CYPZ mRNA is 600 AU; after same stimulus CYPZ mRNA increases to 3200 AU at 2 hours and is 1800 AU at 8 hours.
- Drug clearance in mice is proportional to CYPZ activity; in wild-type clearance rate doubles transiently after hormone and returns close to baseline; in mutant mice clearance increases fourfold and remains elevated for longer.
(a)Explain, with reference to phosphorylation state and TF-Z dynamics, why the P loss-of-function mutant has higher baseline CYPZ mRNA than wild-type.(4)
(b)Calculate the fold induction at 2 hours in wild-type and mutant cells (use stimulated level / baseline). Give answers to 2 significant figures.(4)
(c)Using the 8 hour values, calculate the percent remaining of the peak (2 hour) CYPZ mRNA at 8 hours for wild-type and mutant. Give answers to 3 significant figures.(4)
(d)Propose a simple kinetic explanation, using rates of TF-Z nuclear import and removal, for why the mutant shows both greater peak induction and slower return toward baseline. Use labelled rate terms in your answer.(8)
(e)Considering the drug clearance observations in mice, evaluate the likely clinical consequence of P loss-of-function for dosing of the drug metabolised by CYPZ. Include at least two distinct consequences and a brief suggestion for therapeutic monitoring or dose adjustment.(11)
(Total for Question 10 is 31 marks)