Teodorak Brena P, Scaini Giselli, Carvalho-Silva Milena, Gomes Lara M, Teixeira Letícia J, Rebelo Joyce, De Prá Samira D T, Zeni Neila, Schuck Patrícia F, Ferreira Gustavo C, Streck Emilio L
Laboratório de Bioenergética, Programa de Pós-Graduação em Ciências da Saúde, Universidade do Extremo Sul Catarinense, Av. Universitária, 1105, Criciúma, SC, 88806-000, Brazil.
Instituto Nacional de Ciência e Tecnologia Translacional em Medicina (INCT-TM), Porto Alegre, RS, Brazil.
Metab Brain Dis. 2017 Apr;32(2):557-564. doi: 10.1007/s11011-016-9936-5. Epub 2016 Dec 6.
Tyrosinemia type II is a rare autosomal recessive disease caused by deficiency of hepatic tyrosine aminotransferase and is associated with neurologic and development difficulties in numerous patients. Considering that the mechanisms underlying the neurological dysfunction in hypertyrosinemic patients are poorly known and that high concentrations of tyrosine provoke mitochondrial dysfunction and oxidative stress, in the present study we investigated the in vivo influence of antioxidants (N-acetylcysteine, NAC; and deferoxamine, DFX) administration on the inhibitory effects on parameters of energy metabolism in cerebral cortex, hippocampus and striatum of rats, provoked by chronic administration of L.-tyrosine. Our results showed that chronic administration of L.-tyrosine results in a marked decrease in the activity of citrate synthase in all the analyzed structures and succinate dehydrogenase activities in hippocampus and striatum, and that antioxidants administration can prevent this inhibition in hippocampus and striatum. Moreover, chronic administration of L.-tyrosine inhibited the activity of complex I, II-III and IV in the striatum, which can be prevented by antioxidant treatment. However, the co-administration of NAC plus DFX could not prevent the inhibition of creatine kinase activity in the striatum. In conclusion, the present study demonstrates that the administration of antioxidants NAC and DFX attenuates the L.-tyrosine effects on enzymes of the Krebs cycle and the mitochondrial respiratory chain, suggesting that impairment of energy metabolism can be involved with oxidative stress. These results also indicate a possible neuroprotective role for NAC and DFX as a potential adjuvant therapy to the patients with Tyrosinemia type II.
II型酪氨酸血症是一种由肝脏酪氨酸转氨酶缺乏引起的罕见常染色体隐性疾病,许多患者伴有神经和发育方面的困难。鉴于高酪氨酸血症患者神经功能障碍的潜在机制尚不清楚,且高浓度酪氨酸会引发线粒体功能障碍和氧化应激,在本研究中,我们调查了抗氧化剂(N-乙酰半胱氨酸,NAC;去铁胺,DFX)给药对长期给予L-酪氨酸所致大鼠大脑皮层、海马和纹状体能量代谢参数抑制作用的体内影响。我们的结果表明,长期给予L-酪氨酸会导致所有分析结构中柠檬酸合酶活性显著降低,以及海马和纹状体中琥珀酸脱氢酶活性降低,而给予抗氧化剂可防止海马和纹状体中的这种抑制作用。此外,长期给予L-酪氨酸会抑制纹状体中复合物I、II-III和IV的活性,抗氧化剂治疗可预防这种抑制。然而,NAC加DFX联合给药不能防止纹状体中肌酸激酶活性的抑制。总之,本研究表明,给予抗氧化剂NAC和DFX可减轻L-酪氨酸对三羧酸循环酶和线粒体呼吸链的影响,提示能量代谢受损可能与氧化应激有关。这些结果还表明,NAC和DFX作为II型酪氨酸血症患者潜在的辅助治疗方法可能具有神经保护作用。