Abstract

Ethylmalonic acid (EMA) accumulates in tissues and biological fluids of patients affected by short-chain acyl-CoA dehydrogenase deficiency (SCADD) and ethylmalonic encephalopathy, illnesses characterized by neurological and muscular symptoms. Considering that the mechanisms responsible for the brain and skeletal muscle damage in these diseases are poorly known, in the present work we investigated the effects of acute EMA administration on redox status parameters in cerebral cortex and skeletal muscle from 30-day-old rats. Animals received three subcutaneous injections of EMA (6 μmol/g; 90 min interval between injections) and were killed 1 h after the last administration. Control animals received saline in the same volumes. EMA administration significantly increased thiobarbituric acid-reactive substances levels in cerebral cortex and skeletal muscle, indicating increased lipid peroxidation. In addition, carbonyl content was increased in EMA-treated animal skeletal muscle when compared to the saline group. EMA administration also significantly increased 2’,7’-dihydrodichlorofluorescein oxidation and superoxide production (reactive species markers), and decreased glutathione peroxidase activity in cerebral cortex, while glutathione levels were decreased only in skeletal muscle. On the other hand, respiratory chain complex I-III activity was altered by acute EMA administration neither in cerebral cortex nor in skeletal muscle. The present results show that acute EMA administration elicits oxidative stress in rat brain and skeletal muscle, suggesting that oxidative damage may be involved in the pathophysiology of the brain and muscle symptoms found in patients affected by SCADD and ethylmalonic encephalopathy.

Highlights

  • IntroductionEE is caused by a defect in the ETHE 1 gene, provoking thiosulfate and sulphide accumulation accompanied by persistent ethylmalonic aciduria (EA)

  • Ethylmalonic acid (EMA) is the main metabolite excreted in the urine of patients suffering of two distinct inborn errors of metabolism with muscular and neurological implications, namely ethylmalonic encephalopathy (EE; OMIM # 602473) [1,2], and short-chain acyl-CoA dehydrogenase (SCAD; EC 1.3.8.1) deficiency (SCADD; OMIM # 201470) [3].EE is caused by a defect in the ETHE 1 gene, provoking thiosulfate and sulphide accumulation accompanied by persistent ethylmalonic aciduria (EA)

  • We found that thiobarbituric acid-reactive species (TBA-RS) levels were increased (72%) in cerebral cortex of EMA treated animals, as compared to control animals [t(8) = -7.48; p < 0.001]

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Summary

Introduction

EE is caused by a defect in the ETHE 1 gene, provoking thiosulfate and sulphide accumulation accompanied by persistent ethylmalonic aciduria (EA). In this disorder, EA arises from abnormal isoleucine metabolism [4]. EA occurs only during acute episodes of crisis in SCAD deficient patients, following situations of increased demand of energy, such as prolonged fasting and viral infections. These are the only periods when the affected individuals develop neurological and muscular symptoms such as hypotonia, seizures, neuromuscular problems, failure to thrive, and myopathy. The crises can result in developmental delay, behavioural disorder and even sudden death [3]

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