Spinobulbar muscular atrophy (SBMA) is a neurodegenerative disease caused by the expansion of a polyglutamine (polyGln) tract in the human androgen receptor (hAR). One mechanism by which polyGln-expanded proteins are believed to cause neuronotoxicity is through aberrant interaction(s) with, and possible sequestration of, critical cellular protein(s). / Our goal was to confirm and further characterize the interaction between hAR and cytochrome c oxidase subunit Vb (COXVb), a nuclear-encoded mitochondrial protein. We had previously isolated COXVb as an AR-interacting protein in a yeast two-hybrid search to identify candidates that interact with normal and polyGln-expanded AR. Using the mammalian two-hybrid system, we confirm that COXVb interacts with normal and mutant AR and demonstrate that the COXVb-normal AR interaction is stimulated by heat shock protein 70 (Hsp70). Also, BFP-tagged AR specifically co-localizes with cytoplasmic aggregates formed by GFP-labelled polyGln-expanded AR in androgen-treated cells. / Mitochondrial dysfunction may precede neuropathological findings in polyGln-expanded disorders and may thus represent an early event in neuronotoxicity. Interaction of COXVb and hAR, with subsequent sequestration of COXVb, may provide a mechanism for putative mitochondrial dysfunction in SBMA.

Two previously identified sequence alterations in the androgen receptor gene of patients with complete androgen resistance are studied to prove their pathogenicity. Family studies confirm that the mutation segregates with the phenotype and that the mothers are heterozygous carriers. In one family a sibling of the patient is identified as a heterozygous carrier. Mutant cDNAs encoding the mutant receptors are constructed and expressed in COS-1 cells. The resulting mutant receptors show a decreased apparent equilibrium constant for androgens, faster dissociation rates and impaired transactivation. Further studies reveal that both mutant receptors were either inactivated or destroyed in the presence of hormone, while the normal receptor is stabilized and up-regulated by incubation with ligand. These results prove that the sequence alterations thus identified are pathogenic and illustrate a dual mechanism of pathogenicity: an affinity defect combined with a loss of binding activity in the presence of hormone, resulting in receptors incapable of supporting normal male sexual development.

This work proves the pathogenicity of four substitution mutations in the androgen-binding domain of the human androgen receptor (hAR) gene of four subjects with varying degrees of androgen insensitivity syndrome (AIS): complete (CAIS), partial (PAIS), or mild (MAIS). Of three unrelated CAIS subjects, two have Arg830Leu, the third has Arg830Gln. Their genital skin fibroblasts (GSF) have negligible androgen binding, but in overexpressing transfectants, the mutant androgen-binding activities have increased dissociation rates and decreased affinity for androgen. Owing to the instability of AR-androgen complexes, both mutants fail to transactivate a reporter gene. Glu771Ala and Arg870Gly caused PAIS and MAIS, respectively. Their normal levels of GSF androgen-binding activity have normal androgen affinity but increased dissociation rates. In transfectants, rates of dissociation resemble those in GSF, but the androgen affinities are questionably abnormal. Instability of Glu771Ala and Arg870Gly AR-androgen complexes caused subnormal transactivation of a reporter gene.

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