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The glycine conjugation pathway in humans is involved in the metabolism of natural substrates and the detoxification of xenobiotics. The interactions between the various substrates in this pathway and their competition for the pathway enzymes are currently unknown. The pathway consists of a mitochondrial xenobiotic/medium-chain fatty acid: coenzyme A (CoA) ligase (ACSM2B) and glycine N -acyltransferase (GLYAT). The catalytic mechanism and substrate specificity of both of these enzymes have not been thoroughly characterised. In this study, the level of evolutionary conservation of GLYAT missense variants and haplotypes were analysed. From these data, haplotype variants were selected (156Asn &gt; Ser, [17Ser &gt; Thr,156Asn &gt; Ser] and [156Asn &gt; Ser,199Arg &gt; Cys]) in order to characterise the kinetic mechanism of the enzyme over a wide range of substrate concentrations. The 156Asn &gt; Ser haplotype has the highest frequency and the highest relative enzyme activity in all populations studied, and hence was used as the reference in this study. Cooperative substrate binding was observed, and the kinetic data were fitted to a two-substrate Hill equation. The coding region of the GLYAT gene was found to be highly conserved and the rare 156Asn &gt; Ser,199Arg &gt; Cys variant negatively affected the relative enzyme activity. Even though the 156Asn &gt; Ser,199Arg &gt; Cys variant had a higher affinity for benzoyl-CoA ( s  0.5,benz = 61.2 µM), k  cat was reduced to 9.8% of the most abundant haplotype 156Asn &gt; Ser ( s  0.5,benz = 96.6 µM), while the activity of 17Ser &gt; Thr,156Asn &gt; Ser ( s  0.5,benz = 118 µM) was 73% of 156Asn &gt; Ser. The in vitro kinetic analyses of the effect of the 156Asn &gt; Ser,199Arg &gt; Cys variant on human GLYAT enzyme activity indicated that individuals with this haplotype might have a decreased ability to metabolise benzoate when compared to individuals with the 156Asn &gt; Ser variant. Furthermore, the accumulation of acyl-CoA intermediates can inhibit ACSM2B leading to a reduction in mitochondrial energy production.

Functional Characterisation of Three Glycine N-Acyltransferase Variants and the Effect on Glycine Conjugation to Benzoyl–CoA