Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone Discontinuation

Hereditary tyrosinemia type 1 (HT1) is an inherited condition in which the body is unable to break down the amino acid tyrosine due to mutations in the fumarylacetoacetate hydrolase (FAH) gene, coding for the final enzyme of the tyrosine degradation pathway. As a consequence, HT1 patients accumulate...

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Main Authors: Haaike Colemonts-Vroninks, Jessie Neuckermans, Lionel Marcelis, Paul Claes, Steven Branson, Georges Casimir, Philippe Goyens, Geert A. Martens, Tamara Vanhaecke, Joery De Kock
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Genes
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Online Access:https://www.mdpi.com/2073-4425/12/1/3
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author Haaike Colemonts-Vroninks
Jessie Neuckermans
Lionel Marcelis
Paul Claes
Steven Branson
Georges Casimir
Philippe Goyens
Geert A. Martens
Tamara Vanhaecke
Joery De Kock
author_facet Haaike Colemonts-Vroninks
Jessie Neuckermans
Lionel Marcelis
Paul Claes
Steven Branson
Georges Casimir
Philippe Goyens
Geert A. Martens
Tamara Vanhaecke
Joery De Kock
author_sort Haaike Colemonts-Vroninks
collection DOAJ
description Hereditary tyrosinemia type 1 (HT1) is an inherited condition in which the body is unable to break down the amino acid tyrosine due to mutations in the fumarylacetoacetate hydrolase (FAH) gene, coding for the final enzyme of the tyrosine degradation pathway. As a consequence, HT1 patients accumulate toxic tyrosine derivatives causing severe liver damage. Since its introduction, the drug nitisinone (NTBC) has offered a life-saving treatment that inhibits the upstream enzyme 4-hydroxyphenylpyruvate dioxygenase (HPD), thereby preventing production of downstream toxic metabolites. However, HT1 patients under NTBC therapy remain unable to degrade tyrosine. To control the disease and side-effects of the drug, HT1 patients need to take NTBC as an adjunct to a lifelong tyrosine and phenylalanine restricted diet. As a consequence of this strict therapeutic regime, drug compliance issues can arise with significant influence on patient health. In this study, we investigated the molecular impact of short-term NTBC therapy discontinuation on liver tissue of Fah-deficient mice. We found that after seven days of NTBC withdrawal, molecular pathways related to oxidative stress, glutathione metabolism, and liver regeneration were mostly affected. More specifically, NRF2-mediated oxidative stress response and several toxicological gene classes related to reactive oxygen species metabolism were significantly modulated. We observed that the expression of several key glutathione metabolism related genes including <i>Slc7a11</i> and <i>Ggt1</i> was highly increased after short-term NTBC therapy deprivation. This stress response was associated with the transcriptional activation of several markers of liver progenitor cells including <i>Atf3</i>, <i>Cyr61</i>, <i>Ddr1</i>, <i>Epcam</i>, <i>Elovl7</i>, and <i>Glis3</i>, indicating a concreted activation of liver regeneration early after NTBC withdrawal.
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spelling doaj.art-6e7a0c70a38b48d69a1e8ccd1903fcb02023-11-21T02:04:46ZengMDPI AGGenes2073-44252020-12-01121310.3390/genes12010003Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone DiscontinuationHaaike Colemonts-Vroninks0Jessie Neuckermans1Lionel Marcelis2Paul Claes3Steven Branson4Georges Casimir5Philippe Goyens6Geert A. Martens7Tamara Vanhaecke8Joery De Kock9Department of In Vitro Toxicology and Dermato-Cosmetology (IVTD), Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090 Brussels, BelgiumDepartment of In Vitro Toxicology and Dermato-Cosmetology (IVTD), Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090 Brussels, BelgiumLaboratoire de Pédiatrie, Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), Université Libre de Bruxelles (ULB), Avenue J.J. Crocq 1-3, 1020 Brussels, BelgiumDepartment of In Vitro Toxicology and Dermato-Cosmetology (IVTD), Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090 Brussels, BelgiumDepartment of In Vitro Toxicology and Dermato-Cosmetology (IVTD), Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090 Brussels, BelgiumLaboratoire de Pédiatrie, Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), Université Libre de Bruxelles (ULB), Avenue J.J. Crocq 1-3, 1020 Brussels, BelgiumLaboratoire de Pédiatrie, Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), Université Libre de Bruxelles (ULB), Avenue J.J. Crocq 1-3, 1020 Brussels, BelgiumDepartment of Laboratory Medicine, AZ Delta General Hospital, Deltalaan 1, 8800 Roeselare, BelgiumDepartment of In Vitro Toxicology and Dermato-Cosmetology (IVTD), Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090 Brussels, BelgiumDepartment of In Vitro Toxicology and Dermato-Cosmetology (IVTD), Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090 Brussels, BelgiumHereditary tyrosinemia type 1 (HT1) is an inherited condition in which the body is unable to break down the amino acid tyrosine due to mutations in the fumarylacetoacetate hydrolase (FAH) gene, coding for the final enzyme of the tyrosine degradation pathway. As a consequence, HT1 patients accumulate toxic tyrosine derivatives causing severe liver damage. Since its introduction, the drug nitisinone (NTBC) has offered a life-saving treatment that inhibits the upstream enzyme 4-hydroxyphenylpyruvate dioxygenase (HPD), thereby preventing production of downstream toxic metabolites. However, HT1 patients under NTBC therapy remain unable to degrade tyrosine. To control the disease and side-effects of the drug, HT1 patients need to take NTBC as an adjunct to a lifelong tyrosine and phenylalanine restricted diet. As a consequence of this strict therapeutic regime, drug compliance issues can arise with significant influence on patient health. In this study, we investigated the molecular impact of short-term NTBC therapy discontinuation on liver tissue of Fah-deficient mice. We found that after seven days of NTBC withdrawal, molecular pathways related to oxidative stress, glutathione metabolism, and liver regeneration were mostly affected. More specifically, NRF2-mediated oxidative stress response and several toxicological gene classes related to reactive oxygen species metabolism were significantly modulated. We observed that the expression of several key glutathione metabolism related genes including <i>Slc7a11</i> and <i>Ggt1</i> was highly increased after short-term NTBC therapy deprivation. This stress response was associated with the transcriptional activation of several markers of liver progenitor cells including <i>Atf3</i>, <i>Cyr61</i>, <i>Ddr1</i>, <i>Epcam</i>, <i>Elovl7</i>, and <i>Glis3</i>, indicating a concreted activation of liver regeneration early after NTBC withdrawal.https://www.mdpi.com/2073-4425/12/1/3hereditary liver diseasetyrosinemia type 1nitisinonetranscriptomicsoxidative stressglutathione metabolism
spellingShingle Haaike Colemonts-Vroninks
Jessie Neuckermans
Lionel Marcelis
Paul Claes
Steven Branson
Georges Casimir
Philippe Goyens
Geert A. Martens
Tamara Vanhaecke
Joery De Kock
Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone Discontinuation
Genes
hereditary liver disease
tyrosinemia type 1
nitisinone
transcriptomics
oxidative stress
glutathione metabolism
title Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone Discontinuation
title_full Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone Discontinuation
title_fullStr Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone Discontinuation
title_full_unstemmed Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone Discontinuation
title_short Oxidative Stress, Glutathione Metabolism, and Liver Regeneration Pathways Are Activated in Hereditary Tyrosinemia Type 1 Mice upon Short-Term Nitisinone Discontinuation
title_sort oxidative stress glutathione metabolism and liver regeneration pathways are activated in hereditary tyrosinemia type 1 mice upon short term nitisinone discontinuation
topic hereditary liver disease
tyrosinemia type 1
nitisinone
transcriptomics
oxidative stress
glutathione metabolism
url https://www.mdpi.com/2073-4425/12/1/3
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