Divergent amino acid and sphingolipid metabolism in patients with inherited neuro-retinal disease.
Amino acids
HSAN1
Macular telangiectasia
Peripheral neuropathy
Retinopathy
Sphingolipids
Journal
Molecular metabolism
ISSN: 2212-8778
Titre abrégé: Mol Metab
Pays: Germany
ID NLM: 101605730
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
received:
08
02
2023
revised:
15
03
2023
accepted:
23
03
2023
medline:
8
5
2023
pubmed:
31
3
2023
entrez:
30
3
2023
Statut:
ppublish
Résumé
The non-essential amino acids serine, glycine, and alanine, as well as diverse sphingolipid species, are implicated in inherited neuro-retinal disorders and are metabolically linked by serine palmitoyltransferase (SPT), a key enzyme in membrane lipid biogenesis. To gain insight into the pathophysiological mechanisms linking these pathways to neuro-retinal diseases we compared patients diagnosed with two metabolically intertwined diseases: macular telangiectasia type II (MacTel), hereditary sensory autonomic neuropathy type 1 (HSAN1), or both. We performed targeted metabolomic analyses of amino acids and broad sphingolipids in sera from a cohort of MacTel (205), HSAN1 (25) and Control (151) participants. MacTel patients exhibited broad alterations of amino acids, including changes in serine, glycine, alanine, glutamate, and branched-chain amino acids reminiscent of diabetes. MacTel patients had elevated 1-deoxysphingolipids but reduced levels of complex sphingolipids in circulation. A mouse model of retinopathy indicates dietary serine and glycine restriction can drive this depletion in complex sphingolipids. HSAN1 patients exhibited elevated serine, lower alanine, and a reduction in canonical ceramides and sphingomyelins compared to controls. Those patients diagnosed with both HSAN1 and MacTel showed the most significant decrease in circulating sphingomyelins. These results highlight metabolic distinctions between MacTel and HSAN1, emphasize the importance of membrane lipids in the progression of MacTel, and suggest distinct therapeutic approaches for these two neurodegenerative diseases.
Identifiants
pubmed: 36997154
pii: S2212-8778(23)00050-9
doi: 10.1016/j.molmet.2023.101716
pmc: PMC10114224
pii:
doi:
Substances chimiques
Amino Acids
0
Sphingomyelins
0
Sphingolipids
0
Serine
452VLY9402
Alanine
OF5P57N2ZX
Glycine
TE7660XO1C
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
101716Subventions
Organisme : NCI NIH HHS
ID : R01 CA234245
Pays : United States
Informations de copyright
Copyright © 2023 The Author(s). Published by Elsevier GmbH.. All rights reserved.