Inhibition of mitochondrial carnitine/acylcarnitine transporter by H(2)O(2): molecular mechanism and possible implication in pathophysiology.

H(2)O(2) inhibits the [(3)H]carnitine/carnitine antiport catalysed by the mitochondrial carnitine/acylcarnitine transporter reconstituted in proteoliposomes. The inhibition was reversed by dithioerythritol, N-acetylcysteine and L-cysteine. Inhibition time-dependence revealed a faster and a slower reaction stages with orders of reaction of 1.0 and 1.9, respectively. Inhibition was tested on mutants in which one or more of the six Cys residues had been substituted with Ser or with Val. The four replacement mutant C23S/C58S/C89S/C283S containing C136 and C155 was inhibited as the wild-type. Mutants C23V/C58V/C155V/C89S/C283S and C23V/C58V/C136V/C89S/C283S containing only C136 or C155, respectively, were inhibited at a much lower extent respect to the wild-type, while the mutant C136S/C155S in which the two Cys were substituted and the C-less protein were virtually insensitive to inhibition. DTE reversed the inhibition of the H(2)O(2) sensitive proteins except that in the case of the mutants containing only C136 or C155 after long time of incubation with H(2)O(2). The IC(50) values obtained by dose-response curves of H(2)O(2) inhibition were 0.17 mM for the wild-type, 0.39 mM for the four replacement mutant containing C136 and C155, 2.23 or 1.8mM in the five replacement mutants containing the single C136 or C155, respectively. Carnitine and acetylcarnitine protected the protein from the inhibition by H(2)O(2). Inhibition kinetics showed a competitive behaviour of H(2)O(2) respect to carnitine. All the data concur to demonstrate that H(2)O(2) interacts with C136 and C155 and completely inactivates the transporter by inducing the formation of a disulphide.