1. A Liver-Specific Defect of Acyl-CoA Degradation Produces Hyperammonemia, Hypoglycemia and a Distinct Hepatic Acyl-CoA Pattern
- Author
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François Lépine, Shu Pei Wang, Yves Robitaille, Jiang Wei Wu, Lisa E. Kratz, Lawrence Sweetman, Grant A. Mitchell, Pierre Allard, Ann B. Moser, Orval A. Mamer, Nicolas Gauthier, Fernando Alvarez, CHU Sainte-Justine, Département de Pédiatrie, Université de Montréal (UdeM), Département de Biochimie, Goodman Cancer Research Center [Montréal] (GCRC), McGill University = Université McGill [Montréal, Canada], Institute of Metabolic Disease, Baylor College of Medecine, The Hugo W Moser Research Institute, The Kennedy-Krieger Institute, Johns Hopkins University School of Medicine [Baltimore], Institut Armand Frappier (INRS-IAF), Réseau International des Instituts Pasteur (RIIP)-Institut National de la Recherche Scientifique [Québec] (INRS), and Funding was provided by CIHR grant 178978 to GM (cihr-irsc.gc.ca) and Fondation Go bursary to NG (lafondationgo.com).
- Subjects
Proteomics ,Mouse ,Nitrogen Metabolism ,Biochemistry ,MESH: Hepatocytes ,Mice ,0302 clinical medicine ,Pyruvic Acid ,MESH: Animals ,lcsh:Science ,MESH: Gene Knockout Techniques ,Protein Metabolism ,0303 health sciences ,Hyperammonemia ,Lipids ,3. Good health ,MESH: Lethargy ,Medicine ,Metabolic Pathways ,Leucine ,MESH: Metabolome ,medicine.medical_specialty ,MESH: Mitochondria ,MESH: Phenotype ,03 medical and health sciences ,MESH: Acyl Coenzyme A ,Humans ,MESH: Pyruvic Acid ,Biology ,MESH: Humans ,lcsh:R ,Lipid Metabolism ,medicine.disease ,MESH: Peroxisomes ,Citric acid cycle ,MESH: Leucine ,Endocrinology ,chemistry ,Genes, Lethal ,lcsh:Q ,Acyl Coenzyme A ,030217 neurology & neurosurgery ,MESH: Liver ,MESH: Hypoglycemia ,Mitochondrial Diseases ,[SDV]Life Sciences [q-bio] ,lcsh:Medicine ,MESH: Gene Targeting ,MESH: Carbon Dioxide ,MESH: Mice, Knockout ,MESH: Gene Order ,Gene Knockout Techniques ,chemistry.chemical_compound ,Autosomal Recessive ,Gene Order ,Ketogenesis ,Mice, Knockout ,Spectrometric Identification of Proteins ,Multidisciplinary ,MESH: Gluconeogenesis ,Animal Models ,Mitochondria ,Phenotype ,medicine.anatomical_structure ,Liver ,Urea cycle ,Hepatocyte ,Gene Targeting ,Metabolome ,Metabolic Networks and Pathways ,Research Article ,Lethargy ,MESH: Hyperammonemia ,Models, Biological ,Model Organisms ,Acetyl Coenzyme A ,Internal medicine ,Peroxisomes ,medicine ,Animals ,MESH: Mice ,030304 developmental biology ,Clinical Genetics ,MESH: Models, Biological ,Gluconeogenesis ,[SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology ,Carbon Dioxide ,Hypoglycemia ,Metabolism ,MESH: Metabolic Networks and Pathways ,Metabolic Disorders ,Hepatocytes ,MESH: Genes, Lethal ,Pyruvic acid ,MESH: Acetyl Coenzyme A - Abstract
International audience; Most conditions detected by expanded newborn screening result from deficiency of one of the enzymes that degrade acyl-coenzyme A (CoA) esters in mitochondria. The role of acyl-CoAs in the pathophysiology of these disorders is poorly understood, in part because CoA esters are intracellular and samples are not generally available from human patients. We created a mouse model of one such condition, deficiency of 3-hydroxy-3-methylglutaryl-CoA lyase (HL), in liver (HLLKO mice). HL catalyses a reaction of ketone body synthesis and of leucine degradation. Chronic HL deficiency and acute crises each produced distinct abnormal liver acyl-CoA patterns, which would not be predictable from levels of urine organic acids and plasma acylcarnitines. In HLLKO hepatocytes, ketogenesis was undetectable. Carboxylation of [2-(14)C] pyruvate diminished following incubation of HLLKO hepatocytes with the leucine metabolite 2-ketoisocaproate (KIC). HLLKO mice also had suppression of the normal hyperglycemic response to a systemic pyruvate load, a measure of gluconeogenesis. Hyperammonemia and hypoglycemia, cardinal features of many inborn errors of acyl-CoA metabolism, occurred spontaneously in some HLLKO mice and were inducible by administering KIC. KIC loading also increased levels of several leucine-related acyl-CoAs and reduced acetyl-CoA levels. Ultrastructurally, hepatocyte mitochondria of KIC-treated HLLKO mice show marked swelling. KIC-induced hyperammonemia improved following administration of carglumate (N-carbamyl-L-glutamic acid), which substitutes for the product of an acetyl-CoA-dependent reaction essential for urea cycle function, demonstrating an acyl-CoA-related mechanism for this complication.
- Published
- 2013
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