Folding of Prestin’s Anion-Binding Site and the Mechanism of Outer Hair Cell Electromotility

Reviewer #1 (Public Review):

The manuscript by Lin, Sosnick et al investigates the functional conformational dynamics of two members of the SLC26 family of anion transporters (Prestin and SLC26A9). A key aspect of the work is that the authors use HDX-MS to convincingly identify that the folding of the unstable anion binding site is related to the fast electromechanical changes that are important for the function of Prestin. In good apparent agreement, such folding-related changes upon anion binding are absent in the related non-piezoelectric SLC26A9 that it does not exhibit similar electro-motile transport. Overall, I find the work very interesting and generally well carried out - and it should be of considerable interest to researchers studying transmembrane transporters or just membrane proteins in general.

Reviewer #2 (Public Review):

In this manuscript, Xiaoxuan Lin and colleagues provide new insights into the dynamics of prestin using H/D exchange coupled with mass spectrometry. The authors aim to reveal how local changes in folding upon anion binding sustain the unique electro-transduction capabilities of prestin.

Prestin is an unusual member of the SLC26 family, that changes its cross-sectional area in the membrane upon binding of a chloride ion. In contrast to SLC26 homologs, prestin is not an anion transporter per se but requires an anion to sense voltage. Binding of Cl- at a conserved binding site located between the end of TM3 and TM10 drives the displacement of a conserved arginine (R399), that causes major conformational changes, transmitting the voltage sensing into a mechanical force exerted on the membrane.

Cryo-EM structures are available for the protein bound to various anions, including Cl-, but these structures do not explain how a conserved couple of positive (R399) and negative (the Cl- anion) charge pair transforms voltage sensitivity into mechanical changes in the membrane. To address this challenge, the authors explore local dynamics of the anion binding site and compare it with that of a "real" anion transporter SLC26A9. The authors make a convincing case that the differences in local dynamics they measure are the molecular basis for voltage sensing and its translation into electromotility.

Practically the authors make a thorough HDX-MS investigation of prestin in the presence of different anions Cl-, SO4-, salicylate as well as in the apo form, and provide insight mostly on local dynamics of the anion binding site. The experiments are well-designed and conducted and their quality and reproducibility allows for quantitative interpretation by deriving ΔΔG values of changes in dynamics at specific sites. Furthermore, the authors show by comparing the apo condition with Cl- bound condition that the absence of Cl- causes fraying of the TM3 and TM10 helices. They deduce that Cl- binding allows for directional helix structuration, leading to local structural changes that cause a rearrangement of the charge configuration at the anion binding site that lays the molecular basis for voltage sensitivity. They demonstrate based on a detailed analysis of their HDX data that such helix fraying is a specific feature of the binding site and differs from the cooperative unfolding happening elsewhere on the prestin.

However, the main question that the authors are addressing is how voltage sensitivity translates at the molecular level in the requirement for a negative-positive charge pair. The interpretation that the binding site instability observed only for prestin is a feature required for this voltage dependent is a bit speculative. Could other lines of evidence support the claim that the charge ion gap is reduced upon Cl- binding and that this leads to cross-section area expansion? An obvious option that comes to mind is MD simulations There are differences in time-scale between HDX and simulations, but the propensity for H-bond destabilization can be quantified even at short timescales. It might be that such data is already available out there but it should be explicit in the discussion. The discussion section itself is a bit narrow in scope at the moment. Discussing the data in the context of the available structures would help the non-specialist reader.

Reviewer #3 (Public Review):

Synopsis:
The lack of visualizing the dynamic nature of biomolecules is a major weakness of crystallography or electron microscopy to study structure-function relationship of proteins. Such a challenge can be exemplified by the case of prestin, which shares high structural similarity to SLC26A9 anion transporter but is not an ion transporter. In this study, Lin et al aimed to use hydrogen-deuterium exchange and mass spectrometry (HDX-MS) to investigate the mobility of prestin and its response to anions. The authors exploited the nature of anion-dependent folding of this type of transporter to systematically analyze the mobility of transmembrane helices of both transporters by HDX. The authors found that the anion-binding helices engage in the stabilization of the anion-binding site. When stripped from Cl-, the site exposes to the transporter's extracellular side. More importantly, the authors narrowed down TM3 and TM10 with experimental data supporting the notion of R399's unique role in prestin's function. The results thus provide a working model of how the charged residue works in conjunction with the cooperativity of helix unfolding at the anion-binding site to drive the electromotive force of prestin.

Strengths:
The use of HDX-MS to probe the dynamic nature of prestin is a major strength of this study, which provides experimental evidence revealing the global and local differences in the folding events between prestin and SLC26A9. The mass experimental data led to the identification of TM3 and TM10 as the primary contributors to the folding changes, as well as a calculation of ΔΔG of ~2.4 kcal/mol, within the thermodynamic range of the dipole between the two helices. The latter also suggests the role of R399 as previously speculated in cryo-EM structures.

This study went further to dissect the cooperativity during the folding and unfolding events on TM3, in which the authors observed a helix fraying at the anion-binding site and cooperative unfolding at the distal lipid-facing helices. This provides strong evidence of why prestin can undergo fast electromechanical rearrangement.

Weakness:
The authors tried to investigate the allostery by probing the intermediate folding/unfolding states by using sulfate or salicylate in the absence of chloride. Sulfate-bound proteins appear in an apo state earlier than normal chloride binding, and salicylate treatment led to a stable TMD state with slower HDX. It is unclear from the data (Fig 4) how the allostery works without titrating chloride ions into the reaction. The sulfate or salicylate experiments seem to show two extreme folding events outside the normal chloride conditions.

TM3 and TM10 contribute to the anion-binding site together, and the authors beautifully showed the cooperativity of TM3. Does TM10 show the same cooperativity in prestin and SLC26A9? In addition, it is unclear whether the folding model at the anion-binding helices (Fig. 5B) remains the same when expressing prestin on live cells, such as thermodynamic data derived from electrophysiology studies.

The authors observed increased stability upon chloride binding at the subunit interface in the cytosol for both prestin and SLC26A9 (Fig 1). How does this similarity in the cytosolic region contribute to the differential mechanisms as seen in the TMD in both transporters? It is unclear in this version of the manuscript.