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Abstract
Life-threatening hyperammonemia occurs in both inherited and acquired liver diseases affecting ureagenesis, the main pathway for detoxification of neurotoxic ammonia in mammals. Protein O-GlcNAcylation is a reversible and nutrient-sensitive post-translational modification using as substrate UDP-GlcNAc, the end-product of hexosamine biosynthesis pathway. Here we show that increased liver UDP-GlcNAc during hyperammonemia increases protein O-GlcNAcylation and enhances ureagenesis. Mechanistically, O-GlcNAcylation on specific threonine residues increased the catalytic efficiency for ammonia of carbamoyl phosphate synthetase 1 (CPS1), the rate-limiting enzyme in ureagenesis. Pharmacological inhibition of O-GlcNAcase, the enzyme removing O-GlcNAc from proteins, resulted in clinically relevant reductions of systemic ammonia in both genetic (hypomorphic mouse model of propionic acidemia) and acquired (thioacetamide-induced acute liver failure) mouse models of liver diseases. In conclusion, by fine-tuned control of ammonia entry into ureagenesis, hepatic O-GlcNAcylation of CPS1 increases ammonia detoxification and is a novel target for therapy of hyperammonemia in both genetic and acquired diseases.
Original language | English |
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Article number | 5212 |
Number of pages | 14 |
Journal | Nature Communications |
Volume | 13 |
DOIs | |
Publication status | Published - 5 Sept 2022 |
Keywords
- Acetylglucosamine
- Ammonia/metabolism
- Animals
- Carbamoyl-Phosphate Synthase (Ammonia)/genetics
- Disease Models, Animal
- Hyperammonemia/genetics
- Mammals/metabolism
- Mice
- N-Acetylglucosaminyltransferases/genetics
- Propionic Acidemia
- Protein Processing, Post-Translational
- Urea/metabolism
- Uridine Diphosphate/metabolism
ASJC Scopus subject areas
- General
- General Physics and Astronomy
- General Chemistry
- General Biochemistry,Genetics and Molecular Biology
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- 1 Finished
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Molecular Mechanisms of O-GICNAC Signalling (Investigator award)
van Aalten, D. (Investigator)
1/03/16 → 28/02/22
Project: Research