The impact of metabolic stressors on mitochondrial homeostasis in a renal epithelial cell model of methylmalonic aciduria

Methylmalonic aciduria (MMA-uria) is caused by deficiency of the mitochondrial enzyme methylmalonyl-CoA mutase (MUT). MUT deficiency hampers energy generation from specific amino acids, odd-chain fatty acids and cholesterol. Chronic kidney disease (CKD) is a well-known long-term complication. We exp...

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Main Authors: Schumann, Anke (Author) , Brutsche, Marion (Author) , Havermans, Monique (Author) , Grünert, Sarah (Author) , Kölker, Stefan (Author) , Groß, Olaf (Author) , Hannibal, Luciana (Author) , Spiekerkötter, Ute (Author)
Format: Article (Journal)
Language:English
Published: 11 May 2023
In: Scientific reports
Year: 2023, Volume: 13, Pages: 1-15
ISSN:2045-2322
DOI:10.1038/s41598-023-34373-8
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1038/s41598-023-34373-8
Verlag, kostenfrei, Volltext: https://www.nature.com/articles/s41598-023-34373-8
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Author Notes:Anke Schumann, Marion Brutsche, Monique Havermans, Sarah C. Grünert, Stefan Kölker, Olaf Groß, Luciana Hannibal & Ute Spiekerkoetter
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Summary:Methylmalonic aciduria (MMA-uria) is caused by deficiency of the mitochondrial enzyme methylmalonyl-CoA mutase (MUT). MUT deficiency hampers energy generation from specific amino acids, odd-chain fatty acids and cholesterol. Chronic kidney disease (CKD) is a well-known long-term complication. We exposed human renal epithelial cells from healthy controls and MMA-uria patients to different culture conditions (normal treatment (NT), high protein (HP) and isoleucine/valine (I/V)) to test the effect of metabolic stressors on renal mitochondrial energy metabolism. Creatinine levels were increased and antioxidant stress defense was severely comprised in MMA-uria cells. Alterations in mitochondrial homeostasis were observed. Changes in tricarboxylic acid cycle metabolites and impaired energy generation from fatty acid oxidation were detected. Methylcitrate as potentially toxic, disease-specific metabolite was increased by HP and I/V load. Mitophagy was disabled in MMA-uria cells, while autophagy was highly active particularly under HP and I/V conditions. Mitochondrial dynamics were shifted towards fission. Sirtuin1, a stress-resistance protein, was down-regulated by HP and I/V exposure in MMA-uria cells. Taken together, both interventions aggravated metabolic fingerprints observed in MMA-uria cells at baseline. The results point to protein toxicity in MMA-uria and lead to a better understanding, how the accumulating, potentially toxic organic acids might trigger CKD.
Item Description:Gesehen am 28.06.2023
Physical Description:Online Resource
ISSN:2045-2322
DOI:10.1038/s41598-023-34373-8