Publication Date
4-19-2023
Journal
Science Translational Medicine
DOI
10.1126/scitranslmed.adf4086
PMID
37075130
PMCID
PMC10676743
PubMedCentral® Posted Date
11-26-2023
PubMedCentral® Full Text Version
Author MSS
Published Open-Access
yes
Keywords
Glutaryl-CoA Dehydrogenase, Lysine, Mice, Knockout, Amino Acid Metabolism, Inborn Errors, Brain Diseases, Metabolic, Liver, Mice, Animals
Abstract
Glutaric aciduria type I (GA-1) is an inborn error of metabolism with a severe neurological phenotype caused by the deficiency of glutaryl-coenzyme A dehydrogenase (GCDH), the last enzyme of lysine catabolism. Current literature suggests that toxic catabolites in the brain are produced locally and do not cross the blood-brain barrier. In a series of experiments using knockout mice of the lysine catabolic pathway and liver cell transplantation, we uncovered that toxic GA-1 catabolites in the brain originated from the liver. Moreover, the characteristic brain and lethal phenotype of the GA-1 mouse model was rescued by two different liver-directed gene therapy approaches: Using an adeno-associated virus, we replaced the defective
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