1. The hypotaurine-taurine pathway as an antioxidative mechanism in patients with acute liver failure
- Author
-
Yoshiko Naito, Masahiro Shinoda, Hiroshi Yagi, Makoto Suematsu, Osamu Itano, Minoru Kitago, Hideaki Obara, Takako Hishiki, Takamasa Mizota, Yuta Abe, Kentaro Matsubara, Kazuya Hirukawa, Yohei Masugi, and Yuko Kitagawa
- Subjects
Taurine ,Nutrition and Dietetics ,hyperammonemia ,metabolome analysis ,Mechanism (biology) ,business.industry ,Clinical Biochemistry ,Liver failure ,Medicine (miscellaneous) ,Hyperammonemia ,Hypotaurine ,acute liver failure ,Glutathione ,Pharmacology ,medicine.disease ,chemistry.chemical_compound ,chemistry ,medicine ,Original Article ,In patient ,hypotaurine ,glutathione ,business - Abstract
The liver has been thought to protect against oxidative stress through mechanisms involving reduced glutathione (GSH) that consumes high-energy phosphor-nucleotides on its synthesis. However, hepatoprotective mechanisms in acute liver failure (ALF) where the phosphor-nucleotides are decreased in remain to be solved. Liver tissues were collected from patients with ALF and liver cirrhosis (LC) and living donors (HD) who had undergone liver transplantation. Tissues were used for metabolomic analyses to determine metabolites belonging to the central carbon metabolism, and to determine sulfur-containing metabolites. ALF and LC exhibited a significant decline in metabolites of glycolysis and pentose phosphate pathways and high-energy phosphor-nucleotides such as adenosine triphosphate as compared with HD. Conversely, methionine, S-adenosyl-l-methionine, and the ratio of serine to 3-phosphoglycerate were elevated significantly in ALF as compared with LC and HD, suggesting a metabolic boost from glycolysis towards trans-sulfuration. Notably in ALF, the increases in hypotaurine (HTU) + taurine (TU) coincided with decreases in the total amounts of reduced and oxidized glutathione (GSH + 2GSSG). Plasma NH3 levels correlated with the ratio of HTU + TU to GSH + 2GSSG. Increased tissue levels of HTU + TU vs total glutathione appear to serve as a biomarker correlating with hyperammonemia, suggesting putative roles of the HTU-TU pathway in anti-oxidative protective mechanisms.
- Published
- 2022
- Full Text
- View/download PDF