Inhibition by propionyl-coenzyme A of N-acetylglutamate synthetase in rat liver mitochondria. A possible explanation for hyperammonemia in propionic and methylmalonic acidemia

F. X. Coude, L. Sweetman, W. L. Nyhan

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157 Scopus citations

Abstract

In the search for the mechanism by which hyperammonemia complicates propionic and methylmalonic acidemia the effects of a series of acylcoenzyme A (CoA) derivatives were studied on the activity of N-acetylglutamate synthetase in rat liver mitochondria using acetyl-CoA as substrate. Propionyl-CoA was found to be a competitive inhibitor. The inhibition constant of 0.71 mM is in the range of concentrations of propionate found in the serum of patients with propionic and methylmalonic acidemia. Propionyl-CoA was also found to be a substrate for N-acetylglutamate synthetase, forming N-propionylglutamate. This compound was a weak activator of rat liver carbamoylphosphate synthetase; the activation constant was 1.1 mM as compared with 0.12 mM for N-acetylglutamate. A decreased level of N-acetylglutamate in liver mitochondria that would follow inhibition of N-acetylglutamate synthetase by propionyl-CoA would be expected to lead to hyperammonemia. Methylmalonyl-CoA, tiglyl-CoA, and isovaleryl-CoA at a concentration of 3 mM caused 30-70% inhibition of N-acetylglutamate synthetase. The latter two compounds are readily detoxified by the formation of N-acylglycine conjugates in liver, which may prevent large accumulations and could explain why hyperammonemia is not characteristic of patients with β-ketothiolase deficiency or isovaleric acidemia in whom these compounds would be expected to be elevated.

Original languageEnglish (US)
Pages (from-to)1544-1551
Number of pages8
JournalJournal of Clinical Investigation
Volume64
Issue number6
DOIs
StatePublished - 1979
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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