Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult

Objective: Mitochondrial pyruvate is a critical intermediary metabolite in gluconeogenesis, lipogenesis, and NADH production. As a result, the mitochondrial pyruvate carrier (MPC) complex has emerged as a promising therapeutic target in metabolic diseases. Clinical trials are currently underway. How...

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Main Authors: Nicole K.H. Yiew, Joel H. Vazquez, Michael R. Martino, Stefanie Kennon-McGill, Jake R. Price, Felicia D. Allard, Eric U. Yee, Alexander J. Layman, Laura P. James, Kyle S. McCommis, Brian N. Finck, Mitchell R. McGill
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Molecular Metabolism
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212877823001424
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author Nicole K.H. Yiew
Joel H. Vazquez
Michael R. Martino
Stefanie Kennon-McGill
Jake R. Price
Felicia D. Allard
Eric U. Yee
Alexander J. Layman
Laura P. James
Kyle S. McCommis
Brian N. Finck
Mitchell R. McGill
author_facet Nicole K.H. Yiew
Joel H. Vazquez
Michael R. Martino
Stefanie Kennon-McGill
Jake R. Price
Felicia D. Allard
Eric U. Yee
Alexander J. Layman
Laura P. James
Kyle S. McCommis
Brian N. Finck
Mitchell R. McGill
author_sort Nicole K.H. Yiew
collection DOAJ
description Objective: Mitochondrial pyruvate is a critical intermediary metabolite in gluconeogenesis, lipogenesis, and NADH production. As a result, the mitochondrial pyruvate carrier (MPC) complex has emerged as a promising therapeutic target in metabolic diseases. Clinical trials are currently underway. However, recent in vitro data indicate that MPC inhibition diverts glutamine/glutamate away from glutathione synthesis and toward glutaminolysis to compensate for loss of pyruvate oxidation, possibly sensitizing cells to oxidative insult. Here, we explored this in vivo using the clinically relevant acetaminophen (APAP) overdose model of acute liver injury, which is driven by oxidative stress. Methods: We used pharmacological and genetic approaches to inhibit MPC2 and alanine aminotransferase 2 (ALT2), individually and concomitantly, in mice and cell culture models and determined the effects on APAP hepatotoxicity. Results: We found that MPC inhibition sensitizes the liver to APAP-induced injury in vivo only with concomitant loss of alanine aminotransferase 2 (ALT2). Pharmacological and genetic manipulation of neither MPC2 nor ALT2 alone affected APAP toxicity, but liver-specific double knockout (DKO) significantly worsened APAP-induced liver damage. Further investigation indicated that DKO impaired glutathione synthesis and increased urea cycle flux, consistent with increased glutaminolysis, and these results were reproducible in vitro. Finally, induction of ALT2 and post-treatment with dichloroacetate both reduced APAP-induced liver injury, suggesting new therapeutic avenues. Conclusions: Increased susceptibility to APAP toxicity requires loss of both the MPC and ALT2 in vivo, indicating that MPC inhibition alone is insufficient to disrupt redox balance. Furthermore, the results from ALT2 induction and dichloroacetate in the APAP model suggest new metabolic approaches to the treatment of liver damage.
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spelling doaj.art-d6d71cdcd46e41c5bc9d71d91d69be472023-09-29T04:44:08ZengElsevierMolecular Metabolism2212-87782023-11-0177101808Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insultNicole K.H. Yiew0Joel H. Vazquez1Michael R. Martino2Stefanie Kennon-McGill3Jake R. Price4Felicia D. Allard5Eric U. Yee6Alexander J. Layman7Laura P. James8Kyle S. McCommis9Brian N. Finck10Mitchell R. McGill11Department of Medicine, Washington University School of Medicine, St. Louis, MO, USADepartment of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; Department of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USADepartment of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; Department of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Pathology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Pathology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Biochemistry and Molecular Biology, Saint Louis University School of Medicine, St. Louis, MO, USADepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USADepartment of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; Department of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Department of Pathology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Corresponding author. University of Arkansas for Medical Sciences, 4301 W. Markham St., Slot 820, Little Rock, AR 72205, USA.Objective: Mitochondrial pyruvate is a critical intermediary metabolite in gluconeogenesis, lipogenesis, and NADH production. As a result, the mitochondrial pyruvate carrier (MPC) complex has emerged as a promising therapeutic target in metabolic diseases. Clinical trials are currently underway. However, recent in vitro data indicate that MPC inhibition diverts glutamine/glutamate away from glutathione synthesis and toward glutaminolysis to compensate for loss of pyruvate oxidation, possibly sensitizing cells to oxidative insult. Here, we explored this in vivo using the clinically relevant acetaminophen (APAP) overdose model of acute liver injury, which is driven by oxidative stress. Methods: We used pharmacological and genetic approaches to inhibit MPC2 and alanine aminotransferase 2 (ALT2), individually and concomitantly, in mice and cell culture models and determined the effects on APAP hepatotoxicity. Results: We found that MPC inhibition sensitizes the liver to APAP-induced injury in vivo only with concomitant loss of alanine aminotransferase 2 (ALT2). Pharmacological and genetic manipulation of neither MPC2 nor ALT2 alone affected APAP toxicity, but liver-specific double knockout (DKO) significantly worsened APAP-induced liver damage. Further investigation indicated that DKO impaired glutathione synthesis and increased urea cycle flux, consistent with increased glutaminolysis, and these results were reproducible in vitro. Finally, induction of ALT2 and post-treatment with dichloroacetate both reduced APAP-induced liver injury, suggesting new therapeutic avenues. Conclusions: Increased susceptibility to APAP toxicity requires loss of both the MPC and ALT2 in vivo, indicating that MPC inhibition alone is insufficient to disrupt redox balance. Furthermore, the results from ALT2 induction and dichloroacetate in the APAP model suggest new metabolic approaches to the treatment of liver damage.http://www.sciencedirect.com/science/article/pii/S2212877823001424AcetaminophenDiabetesGlutathioneLiverMetabolismOxidative stress
spellingShingle Nicole K.H. Yiew
Joel H. Vazquez
Michael R. Martino
Stefanie Kennon-McGill
Jake R. Price
Felicia D. Allard
Eric U. Yee
Alexander J. Layman
Laura P. James
Kyle S. McCommis
Brian N. Finck
Mitchell R. McGill
Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult
Molecular Metabolism
Acetaminophen
Diabetes
Glutathione
Liver
Metabolism
Oxidative stress
title Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult
title_full Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult
title_fullStr Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult
title_full_unstemmed Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult
title_short Hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult
title_sort hepatic pyruvate and alanine metabolism are critical and complementary for maintenance of antioxidant capacity and resistance to oxidative insult
topic Acetaminophen
Diabetes
Glutathione
Liver
Metabolism
Oxidative stress
url http://www.sciencedirect.com/science/article/pii/S2212877823001424
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