Phenylbutyrate therapy for pyruvate dehydrogenase deficiency

Details

Serval ID
serval:BIB_D25256CD5075
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Phenylbutyrate therapy for pyruvate dehydrogenase deficiency
Title of the conference
12th International Congress of Human Genetics
Author(s)
Ferriero Rosa, Lamantea Eleonora, Nusco Edoardo, Bonafe Luisa, Lee Brendan, Zeviani Massimo, Brunetti-Pierri Nicola
Address
Oct 11-15, 2011; Montréal, Canada
ISBN
1567-7249
ISSN-L
1567-7249
Publication state
Published
Issued date
2012
Volume
12
Series
Mitochondrion
Pages
572-573
Language
english
Abstract
Deficiency of pyruvate dehydrogenase complex (PDHC) is the most common disorder leading to lactic acidemia. Phosphorylation of specific serine residues of the E1-alpha subunit of the PDHC by pyruvate dehydrogenase kinase (PDK) inactivates the enzyme, whereas dephosphorylation restores PDHC activity. We recently found that phenylbutyrate prevents phosphorylation of the E1-alpha subunit of the branched-chain ketoacid dehydrogenase complex (BCKDC) and reduces plasma concentrations of neurotoxic branched chain amino acids in patients with maple syrup urine disease (MSUD), due to the deficiency of BCKDC. We hypothesized that, similarly to BCKDC, phenylbutyrate enhances PDHC enzymatic activity by increasing the portion of unphosphorylated enzyme. To test this hypothesis, we treated wild-type human fibroblasts at different concentrations of phenylbutyrate and found that it reduces the levels of phosphorylated E1-alpha as compared to untreated cells. To investigate the effect of phenylbutyrate in vivo, we administered phenylbutyrate to C57B6 wild-type mice and we detected a significant increase in Pdhc enzyme activity and a reduction of phosphorylated E1-alpha subunit in brains and muscles as compared to saline treated mice. Being a drug already approved for human use, phenylbutyrate has great potential for increasing the residual enzymatic activity of PDHC and to improve the clinical phenotype of PDHC deficiency.
Web of science
Create date
17/12/2012 13:02
Last modification date
20/08/2019 16:52
Usage data