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Odd- and even-numbered medium-chained fatty acids protect against glutathione depletion in very long-chain acyl-CoA dehydrogenase deficiency

Lund, M, Heaton, R, Hargreaves, IP, Gregersen, N and Olsen, RKJ (2022) Odd- and even-numbered medium-chained fatty acids protect against glutathione depletion in very long-chain acyl-CoA dehydrogenase deficiency. Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids, 1868 (2). ISSN 1388-1981

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Open Access URL: https://doi.org/10.1016/j.bbalip.2022.159248 (published)


Recent trials have reported the ability of triheptanoin to improve clinical outcomes for the severe symptoms associated with long-chain fatty acid oxidation disorders, including very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency.
However, the milder myopathic symptoms are still challenging to treat satisfactorily. Myopathic pathogenesis is multifactorial, but oxidative stress is an important component. We have previously shown that metabolic stress increases the oxidative burden in VLCAD-deficient cell lines and can deplete the antioxidant glutathione (GSH).
We investigated whether medium-chain fatty acids provide protection against GSH depletion during metabolic stress in VLCAD-deficient fibroblasts. To investigate the effect of differences in anaplerotic capacity, we included both even-(octanoate) and odd-numbered (heptanoate) medium-chain fatty acids. Overall, we show that modulation of the concentration of medium-chain fatty acids in culture media affects levels of GSH retained during metabolic stress in VLCAD-deficient cell lines but not in controls.
Lowered glutamine concentration in the culture media during metabolic stress led to GSH depletion and decreased viability in VLCAD deficient cells, which could be rescued by both heptanoate and octanoate in a dose-dependent manner. Unlike GSH levels, the levels of total thiols increased after metabolic stress exposure, the size of this increase was not affected by differences in cell culture medium concentrations of glutamine, heptanoate or octanoate.
Addition of a PPAR agonist further exacerbated stress-related GSH-depletion and viability loss, requiring higher concentrations of fatty acids to restore GSH levels and cell viability.
Both odd- and even-numbered medium-chain fatty acids efficiently protect VLCAD deficient cells against metabolic stress-induced antioxidant depletion.

Item Type: Article
Uncontrolled Keywords: 06 Biological Sciences; 11 Medical and Health Sciences
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Biological & Environmental Sciences (from Sep 19)
Publisher: Elsevier BV
SWORD Depositor: A Symplectic
Date Deposited: 15 Nov 2022 16:10
Last Modified: 21 Mar 2023 15:00
DOI or ID number: 10.1016/j.bbalip.2022.159248
URI: https://researchonline.ljmu.ac.uk/id/eprint/18107
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