mRNA therapy corrects defective glutathione metabolism and restores ureagenesis in preclinical argininosuccinic aciduria

The urea cycle enzyme argininosuccinate lyase (ASL) enables the clearance of neurotoxic ammonia and the biosynthesis of arginine. Patients with ASL deficiency present with argininosuccinic aciduria, an inherited metabolic disease with hyperammonemia and a systemic phenotype coinciding with neurocognitive impairment and chronic liver disease. Here, we describe the dysregulation of glutathione biosynthesis and upstream cysteine utilization in ASL-deficient patients and mice using targeted metabolomics and in vivo positron emission tomography (PET) imaging using (S)-4-(3-18F-fluoropropyl)-l-glutamate ([18F]FSPG). Up-regulation of cysteine metabolism contrasted with glutathione depletion and down-regulated antioxidant pathways. To assess hepatic glutathione dysregulation and liver disease, we present [18F]FSPG PET as a noninvasive diagnostic tool to monitor therapeutic response in argininosuccinic aciduria. Human hASL mRNA encapsulated in lipid nanoparticles improved glutathione metabolism and chronic liver disease. In addition, hASL mRNA therapy corrected and rescued the neonatal and adult Asl-deficient mouse phenotypes, respectively, enhancing ureagenesis. These findings provide mechanistic insights in liver glutathione metabolism and support clinical translation of mRNA therapy for argininosuccinic aciduria.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Science translational medicine - 16(2024), 729 vom: 10. Jan., Seite eadh1334

Sprache:

Englisch

Beteiligte Personen:

Gurung, Sonam [VerfasserIn]
Timmermand, Oskar Vilhelmsson [VerfasserIn]
Perocheau, Dany [VerfasserIn]
Gil-Martinez, Ana Luisa [VerfasserIn]
Minnion, Magdalena [VerfasserIn]
Touramanidou, Loukia [VerfasserIn]
Fang, Sherry [VerfasserIn]
Messina, Martina [VerfasserIn]
Khalil, Youssef [VerfasserIn]
Spiewak, Justyna [VerfasserIn]
Barber, Abigail R [VerfasserIn]
Edwards, Richard S [VerfasserIn]
Pinto, Patricia Lipari [VerfasserIn]
Finn, Patrick F [VerfasserIn]
Cavedon, Alex [VerfasserIn]
Siddiqui, Summar [VerfasserIn]
Rice, Lisa [VerfasserIn]
Martini, Paolo G V [VerfasserIn]
Ridout, Deborah [VerfasserIn]
Heywood, Wendy [VerfasserIn]
Hargreaves, Ian [VerfasserIn]
Heales, Simon [VerfasserIn]
Mills, Philippa B [VerfasserIn]
Waddington, Simon N [VerfasserIn]
Gissen, Paul [VerfasserIn]
Eaton, Simon [VerfasserIn]
Ryten, Mina [VerfasserIn]
Feelisch, Martin [VerfasserIn]
Frassetto, Andrea [VerfasserIn]
Witney, Timothy H [VerfasserIn]
Baruteau, Julien [VerfasserIn]

Links:

Volltext

Themen:

Cysteine
GAN16C9B8O
Glutathione
Journal Article
K848JZ4886

Anmerkungen:

Date Completed 12.01.2024

Date Revised 13.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1126/scitranslmed.adh1334

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366891677