Voss Caroline M, Arildsen Lene, Nissen Jakob D, Waagepetersen Helle S, Schousboe Arne, Maechler Pierre, Ott Peter, Vilstrup Hendrik, Walls Anne B
Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Department of Cell Physiology and Metabolism, Faculty of Medicine, University of Geneva, Medical Centre, Geneva, Switzerland.
Front Neurosci. 2021 Jun 16;15:646291. doi: 10.3389/fnins.2021.646291. eCollection 2021.
Impaired liver function may lead to hyperammonemia and risk for hepatic encephalopathy. In brain, detoxification of ammonia is mediated mainly by glutamine synthetase (GS) in astrocytes. This requires a continuous synthesis of glutamate, likely involving the action of both pyruvate carboxylase (PC) and glutamate dehydrogenase (GDH). An increased PC activity upon ammonia exposure and the importance of PC activity for glutamine synthesis has previously been demonstrated while the importance of GDH for generation of glutamate as precursor for glutamine synthesis has received little attention. We therefore investigated the functional importance of GDH for brain metabolism during hyperammonemia. To this end, brain slices were acutely isolated from transgenic CNS-specific GDH null or litter mate control mice and incubated in aCSF containing [U-C]glucose in the absence or presence of 1 or 5 mM ammonia. In another set of experiments, brain slices were incubated in aCSF containing 1 or 5 mM N-labeled NHCl and 5 mM unlabeled glucose. Tissue extracts were analyzed for isotopic labeling in metabolites and for total amounts of amino acids. As a novel finding, we reveal a central importance of GDH function for cerebral ammonia fixation and as a prerequisite for synthesis of glutamate and glutamine during hyperammonemia. Moreover, we demonstrated an important role of the concerted action of GDH and alanine aminotransferase in hyperammonemia; the products alanine and α-ketoglutarate serve as an ammonia sink and as a substrate for ammonia fixation GDH, respectively. The role of this mechanism in human hyperammonemic states remains to be studied.
肝功能受损可能导致高氨血症和肝性脑病风险。在大脑中,氨的解毒主要由星形胶质细胞中的谷氨酰胺合成酶(GS)介导。这需要持续合成谷氨酸,可能涉及丙酮酸羧化酶(PC)和谷氨酸脱氢酶(GDH)的作用。先前已证明氨暴露后PC活性增加以及PC活性对谷氨酰胺合成的重要性,而GDH对作为谷氨酰胺合成前体的谷氨酸生成的重要性却很少受到关注。因此,我们研究了高氨血症期间GDH对脑代谢的功能重要性。为此,从转基因中枢神经系统特异性GDH基因敲除小鼠或同窝对照小鼠中急性分离脑片,并在含有[U-C]葡萄糖的人工脑脊液(aCSF)中于不存在或存在1或5 mM氨的情况下孵育。在另一组实验中,脑片在含有1或5 mM N标记的NHCl和5 mM未标记葡萄糖的aCSF中孵育。分析组织提取物中代谢物的同位素标记和氨基酸总量。作为一项新发现,我们揭示了GDH功能在脑氨固定中的核心重要性,以及在高氨血症期间作为谷氨酸和谷氨酰胺合成的先决条件。此外,我们证明了GDH和丙氨酸转氨酶协同作用在高氨血症中的重要作用;产物丙氨酸和α-酮戊二酸分别作为氨的汇集点和GDH氨固定的底物。该机制在人类高氨血症状态中的作用仍有待研究。