Nuclear factor erythroid-2-related factor 2 signaling in the neuropathophysiology of inherited metabolic disorders

Inherited metabolic disorders (IMDs) are rare genetic conditions that affect multiple organs, predominantly the central nervous system. Since treatment for a large number of IMDs is limited, there is an urgent need to find novel therapeutical targets. Nuclear factor erythroid-2-related factor 2 (Nrf2) is a transcription factor that has a key role in controlling the intracellular redox environment by regulating the expression of antioxidant enzymes and several important genes related to redox homeostasis. Considering that oxidative stress along with antioxidant system alterations is a mechanism involved in the neuropathophysiology of many IMDs, this review focuses on the current knowledge about Nrf2 signaling dysregulation observed in this group of disorders characterized by neurological dysfunction. We review here Nrf2 signaling alterations observed in X-linked adrenoleukodystrophy, glutaric acidemia type I, hyperhomocysteinemia, and Friedreich’s ataxia. Additionally, beneficial effects of different Nrf2 activators are shown, identifying a promising target for treatment of patients with these disorders. We expect that this article stimulates research into the investigation of Nrf2 pathway involvement in IMDs and the use of potential pharmacological modulators of this transcription factor to counteract oxidative stress and exert neuroprotection

ETHE1 and MOCS1 deficiencies : disruption of mitochondrial bioenergetics, dynamics, redox homeostasis and endoplasmic reticulum-mitochondria crosstalk in patient fibroblasts

Ethylmalonic encephalopathy protein 1 (ETHE1) and molybdenum cofactor (MoCo) defciencies are hereditary disorders that afect the catabolism of sulfur-containing amino acids. ETHE1 defciency is caused by mutations in the ETHE1 gene, while MoCo defciency is due to mutations in one of three genes involved in MoCo biosynthesis (MOCS1, MOCS2 and GPHN). Patients with both disorders exhibit abnormalities of the mitochondrial respiratory chain, among other biochemical fndings. However, the pathophysiology of the defects has not been elucidated. To characterize cellular derangements, mitochondrial bioenergetics, dynamics, endoplasmic reticulum (ER)-mitochondria communication, superoxide production and apoptosis were evaluated in fbroblasts from four patients with ETHE1 defciency and one with MOCS1 defciency. The efect of JP4-039, a promising mitochondrial-targeted antioxidant, was also tested on cells. Our data show that mitochondrial respiration was decreased in all patient cell lines. ATP depletion and increased mitochondrial mass was identifed in the same cells, while variable alterations in mitochondrial fusion and fssion were seen. High superoxide levels were found in all cells and were decreased by treatment with JP4-039, while the respiratory chain activity was increased by this antioxidant in cells in which it was impaired. The content of VDAC1 and IP3R, proteins involved in ER-mitochondria communication, was decreased, while DDIT3, a marker of ER stress, and apoptosis were increased in all cell lines. These data demonstrate that previously unrecognized broad disturbances of cellular function are involved in the pathophysiology of ETHE1 and MOCS1 defciencies, and that reduction of mitochondrial superoxide by JP4-039 is a promising strategy for adjuvant therapy of these disorders

Myelin disruption, neuroinflammation, and oxidative stress induced by sulfite in the striatum of rats are mitigated by the pan-PPAR agonist bezafibrate

Sulfite predominantly accumulates in the brain of patients with isolated sulfite oxidase (ISOD) and molybdenum cofactor (MoCD) deficiencies. Patients present with severe neurological symptoms and basal ganglia alterations, the pathophysiology of which is not fully established. Therapies are ineffective. To elucidate the pathomechanisms of ISOD and MoCD, we investigated the effects of intrastriatal administration of sulfite on myelin structure, neuroinflammation, and oxidative stress in rat striatum. Sulfite administration decreased FluoromyelinTM and myelin basic protein staining, suggesting myelin abnormalities. Sulfite also increased the staining of NG2, a protein marker of oligodendrocyte progenitor cells. In line with this, sulfite also reduced the viability of MO3.13 cells, which express oligodendroglial markers. Furthermore, sulfite altered the expression of interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-10 (IL-10), cyclooxygenase-2 (COX-2), inducible nitric oxide synthase (iNOS) and heme oxygenase-1 (HO-1), indicating neuroinflammation and redox homeostasis disturbances. Iba1 staining, another marker of neuroinflammation, was also increased by sulfite. These data suggest that myelin changes and neuroinflammation induced by sulfite contribute to the pathophysiology of ISOD and MoCD. Notably, post-treatment with bezafibrate (BEZ), a pan-PPAR agonist, mitigated alterations in myelin markers and Iba1 staining, and IL-1β, IL-6, iNOS and HO-1 expression in the striatum. MO3.13 cell viability decrease was further prevented. Moreover, pretreatment with BEZ also attenuated some effects. These findings show the modulation of PPAR as a potential opportunity for therapeutic intervention in these disorders

Physical Exercise During Pregnancy Prevents Cognitive Impairment Induced by Amyloid-ß in Adult Offspring Rats

Alzheimer’s disease (AD) is the main aging-associated neurodegenerative disorder and is characterized by mitochondrial dysfunction, oxidative stress, synaptic failure, and cognitive decline. It has been a challenge to find disease course-modifying treatments. However, several studies demonstrated that regular physical activity and exercise are capable of promoting brain health by improving the cognitive function. Maternal lifestyle, including regular exercise during pregnancy, has also been shown to influence fetal development and disease susceptibility in adulthood through fetal metabolism programming. Here, we investigated the potential neuroprotective role of regular maternal swimming, before and during pregnancy, against amyloid-β neurotoxicity in the adult offspring. Behavioral and neurochemical analyses were performed 14 days after male offspring received a single, bilateral, intracerebroventricular (icv) injection of amyloid-β oligomers (AβOs). AβOs-injected rats of the sedentary maternal group exhibited learning and memory deficits, along with reduced synaptophysin, brain-derived neurotrophic factor (BDNF) levels, and alterations of mitochondrial function. Strikingly, the offspring of the sedentary maternal group had AβOs-induced behavioral alterations that were prevented by maternal exercise. This effect was accompanied by preventing the alteration of synaptophysin levels in the offspring of exercised dams. Additionally, offspring of the maternal exercise group exhibited an augmentation of functional mitochondria, as indicated by increases in mitochondrial mass and membrane potential, α-ketoglutarate dehydrogenase, and cytochrome c oxidase enzymes activities. Moreover, maternal exercise during pregnancy induced long-lasting modulation of fusion and fission proteins, Mfn1 and Drp1, respectively. Overall, our data demonstrates a potential protective effect of exercise during pregnancy against AβOs-induced neurotoxicity in the adult offspring brain, by mitigating the neurodegenerative process triggered by Alzheimer-associated AβOs through programming the brain metabolism.This study was supported by the Pró-Reitoria de Pesquisa/Universidade Federal do Rio Grande do Sul (PROPESQ/UFRGS). CPK is a PhD Postgraduate student in Biological Sciences – Biochemistry receiving grants from the Brazilian agency Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). CM received grants from CNPq (Universal 442406/2014-2 and INCT 465671/2014-4)

Can glutathione be a biomarker for suicide risk in women 18 months postpartum?

Background: Suicide risk is prominent among the problems affecting populations, mainly due to the broad family, psychosocial and economic impact. Most individuals at suicidal risk have some mental disorder. There is considerable evidence that psychiatric disorders are accompanied by the activation of neuro-immune and neuro-oxidative pathways. The aim of the study is to evaluate the serum levels of oxidative stress biomarkers in women at risk of suicide after 18 months of postpartum. Methods: This is a case-control study, nested within a cohort study. From this cohort, 45 women [15 without mood disorders and 30 with mood disorders (Major depression and Bipolar disorder)] were selected at 18 months postpartum, the depression and suicide risk were assessed using the MiniInternational Neuropsychiatric Interview Plus (MINI-Plus) instrument, module A and C, respectively. Blood was collected and stored for later analysis of the reactive species (DCFH), superoxide dismutase (SOD), and glutathione reduced (GSH). For data analysis, the SPSS program was used. To compare the nominal covariates with the outcome GSH levels, the Student’s t-test or analysis of variance (ANOVA) was used. Spearman’s correlation was performed for analysis between the quantitative covariates and the outcome. To analyze the interaction between the factors, multiple linear regression was performed. Bonferroni analysis was used as an additional/secondary result to visualize differences in glutathione levels according to risk severity. After the adjusted analysis, p-values < 0.05 were considered statistically significant. Results: The percentage of suicide risk observed in our sample of women at 18 months postpartum was 24.4% (n = 11). After adjusting for the independent variables, only the presence of suicide risk remained associated with the outcome (β = 0.173; p = 0.007), low levels of GSH at 18 months after postpartum. Likewise, we verified the difference in GSH levels according to the degree of suicide risk, observing a significant association between the differences in glutathione means in the group of women with moderate to high risk compared to the reference group (no suicide risk) (p = 0.009). Conclusion: Our findings suggest that GSH may be a potential biomarker or etiologic factor in women at moderate to high risk of suicide

Efeitos do sulfito e do tiossulfato sobre a homeostase energética e redox e função mitocondrial em cérebro de ratos

O sulfito e o tiossulfato estão acumulados em tecidos e líquidos biológicos de pacientes afetados pela deficiência da sulfito oxidase (SO), uma enzima mitocondrial que catalisa a oxidação de sulfito derivado do metabolismo de aminoácidos sulfurados. A deficiência da SO é causada pela deficiência isolada da enzima SO ou por uma deficiência na rota de biossíntese de seu cofator molibdênio. Os indivíduos afetados por esta desordem apresentam disfunção neurológica progressiva, convulsões neonatais severas, subluxação do cristalino, hipotonia axial, hipertonicidade periférica e atraso no desenvolvimento, resultando geralmente em morte prematura. Considerando que a fisiopatologia do dano neurológico encontrado em pacientes deficientes para a SO ainda não está esclarecida, o objetivo do presente trabalho foi investigar os efeitos in vitro do sulfito e do tiossulfato sobre parâmetros de metabolismo energético e homeostase redox e mitocondrial em cérebro de ratos jovens. Inicialmente, verificamos que o sulfito inibe a atividade do complexo IV da cadeia respiratória, indicando que este composto prejudica o fluxo de elétrons, enquanto que o tiossulfato não afetou a atividade de nenhum dos complexos da cadeia respiratória em sobrenadantes de córtex cerebral. Também foi verificado que o sulfito e o tiossulfato diminuem a atividade da creatina quinase total (tCK) e de suas isoformas mitocondrial e citosólica, sugerindo que estes compostos prejudicam o tamponamento e a transferência de energia celular no cérebro. Além disso, melatonina, trolox (análogo solúvel do α-tocoferol), glutationa e o inibidor da óxido nítrico sintase Nω-nitro-L-arginina metil éster atenuaram ou preveniram totalmente a inibição da tCK induzida por sulfito e tiossulfato, sugerindo o envolvimento de espécies reativas de oxigênio e nitrogênio nestes efeitos. O sulfito e o tiossulfato também aumentaram a oxidação da 2’,7’-diclorofluorescina e inibiram a atividade da aconitase, enquanto que somente o sulfito aumentou a produção de peróxido de hidrogênio, reforçando o envolvimento de dano oxidativo nos efeitos provocados por estes metabólitos. Contudo, a atividade da enzima Na+,K+-ATPase sináptica não foi alterada pelo sulfito e tiossulfato. Em seguida, observamos que o sulfito dissipa o potencial de membrana mitocondrial na presença de Ca2+, de forma dose-dependente de sulfito e Ca2+ em preparações mitocondriais de cérebro de ratos. O sulfito também induziu inchamento e diminuiu a capacidade de retenção de Ca2+, os níveis de NAD(P)H na matriz e o imunoconteúdo de citocromo c em mitocôndrias quando Ca2+ estava presente no meio. Além disso, as alterações provocadas pelo sulfito foram prevenidas por rutênio vermelho, ciclosporina A e ADP, sugerindo que o sulfito induz transição da permeabilidade mitocondrial (MPT). Também foi verificado que dentre vários inibidores da MPT, incluindo antioxidantes, inibidores da fosfolipase A2 e o regente redutor ditiotreitol, apenas o agente alquilante de tióis N-etilmaleimida foi capaz de prevenir o inchamento mitocondrial causado por sulfito. O sulfito também diminuiu o conteúdo de grupamentos tiol de proteínas de membrana em preparações mitocondriais de cérebro, indicando que este composto age diretamente sobre grupamentos tiol contidos no poro de MPT. Assim, pode-se presumir que o prejuízo no metabolismo energético e na homeostase redox causados pelo sulfito e pelo tiossulfato e que a indução de MPT pelo sulfito podem estar envolvidos na disfunção neurológica observada nos portadores da deficiência da SO.Sulfite and thiosulfate accumulate in tissues and biological fluids of patients affected by the deficiency of sulfite oxidase (SO), which is a mitochondrial enzyme that catalyzes the oxidation of sulfite derived from the metabolism of sulfur amino acids. SO deficiency is caused by the isolated deficiency of the enzyme SO itself or by a deficiency in the biosynthetic pathway of its molybdenum cofactor. Individuals affected by this disorder present progressive neurological dysfunction, severe neonatal seizures, lens subluxation, axial hypotonia, limb hypertonicity and failure to thrive, resulting often in early childhood death. Considering that the pathophysiology of the neurological damage found in SO deficient patients has not been totally established, the aim of the present work was to investigate the in vitro effect of sulfite and thiosulfate on parameters of energy metabolism, as well as redox and mitochondrial homeostasis in rat brain. First, we verified that sulfite inhibited the activity of complex IV of the respiratory chain in cerebral cortex supernatants, indicating that this compound impairs the electron transfer flow, whereas thiosulfate did not affect any of the activities of the respiratory chain complexes. It was also found that sulfite and thiosulfate markedly decreased the activity of total creatine kinase (tCK) and its mitochondrial and cytosolic isoforms, suggesting that these compounds impair brain cellular energy buffering and transfer. Moreover, melatonin, trolox (soluble analogue of α-tocopherol), glutathione and the nitric oxide synthase inhibitor Nω-nitro-L-arginine methyl ester attenuated or fully prevented the inhibition of tCK induced by sulfite and thiosulfate, suggesting the involvement of reactive oxygen and nitrogen species in these effects. Sulfite and thiosulfate also increased 2’,7’-dichlorofluorescin oxidation and inhibited the activity of aconitase, whereas only sulfite increased hydrogen peroxide production, reinforcing the involvement of oxidative damage in the effects elicited by these metabolites. In contrast, synaptic Na+,K+-ATPase activity was not altered by sulfite and thiosulfate. Next, we observed that sulfite dissipates mitochondria membrane potential in the presence of Ca2+, in a sulfite and Ca2+ dose-dependent manner. Sulfite also induced swelling and decreased Ca2+ retention capacity, matrix NAD(P)H pool and cytochrome c immunocontent in mitochondria when Ca2+ was present in the medium. Furthermore, the alterations elicited by sulfite were prevented by ruthenium red, cyclosporine A and ADP, supporting the involvement of mitochondrial permeability transition (MPT) in these effects. It was also verified that among various MPT inhibitors, including antioxidants, phospholipase A2 inhibitors and the reductant reagent dithiothreitol, only the thiol alkylating agent N-ethylmaleimide was able to prevent the sulfite-elicited mitochondrial swelling. Moreover, sulfite decreased membrane protein thiol group content in brain mitochondria, indicating that this compound acts directly on MPT pore containing thiol groups. Taken together, it may be presumed that the mitochondrial energy and redox homeostasis impairment caused by sulfite and thiosulfate and MPT induced by sulfite may be involved in the neurological dysfunction observed in patients affected by SO deficiency