Frequency and Pathophysiology of Acute Liver Failure in Ornithine Transcarbamylase Deficiency (OTCD)

BackgroundAcute liver failure (ALF) has been reported in ornithine transcarbamylase deficiency (OTCD) and other urea cycle disorders (UCD). The frequency of ALF in OTCD is not well-defined and the pathogenesis is not known.AimTo evaluate the prevalence of ALF in OTCD, we analyzed the Swiss patient cohort. Laboratory data from 37 individuals, 27 females and 10 males, diagnosed between 12/1991 and 03/2015, were reviewed for evidence of ALF. In parallel, we performed cell culture studies using human primary hepatocytes from a single patient treated with ammonium chloride in order to investigate the inhibitory potential of ammonia on hepatic protein synthesis.ResultsMore than 50% of Swiss patients with OTCD had liver involvement with ALF at least once in the course of disease. Elevated levels of ammonia often correlated with (laboratory) coagulopathy as reflected by increased values for international normalized ratio (INR) and low levels of hepatic coagulation factors which did not respond to vitamin K. In contrast, liver transaminases remained normal in several cases despite massive hyperammonemia and liver involvement as assessed by pathological INR values. In our in vitro studies, treatment of human primary hepatocytes with ammonium chloride for 48 hours resulted in a reduction of albumin synthesis and secretion by approximately 40%.ConclusionIn conclusion, ALF is a common complication of OTCD, which may not always lead to severe symptoms and may therefore be underdiagnosed. Cell culture experiments suggest an ammonia-induced inhibition of hepatic protein synthesis, thus providing a possible pathophysiological explanation for hyperammonemia-associated ALF.     

Regulation of gonadotrophin secretion in rams from birth to sexual maturity. I. Plasma LH, FSH and testosterone levels.

Plasma LH, FSH and testosterone concentrations were measured by radioimmunoassays in male crossbred Merino/Corriedale sheep from birth to 45 weeks of age. FSH levels were 11 and 22 ng/ml at birth, increased to peak levels (mean value of 47 ng/ml) at 5 weeks and fluctuated between 25 and 35 ng/ml for the next 40 weeks. Similarly, LH (less than 0-5 ng/ml) and testosterone (less than 38 ng/100 ml) levels were low at birth and were significantly elevated by 5 weeks of age. LH values varied betwen 0-9 and 3-0 ng/ml for the next 30 weeks and then a secondary rise occurred reaching levels of 2-4 ng/ml by the 41st week after birth. Concentrations of LH subsequently fell to levels observed in adult rams. Testosterone levels rose gradually between the 5th and the 25th week, and then increased rapidly to values of 270-517 ng/100 ml by the 41st week after birth, a time coincident with the peak LH levels. Histological examination of testicular biopsies demonstrated that Sertoli cell maturation occurred 17-21 weeks after birth and was followed by activation of spermatogenesis leading to the presence of spermatozoa in the seminiferous epithelium by 39-42 weeks of age.     

Birth of a biome: insights into the assembly and maintenance of the Australian arid zone biota

The integration of phylogenetics, phylogeography and palaeoenvironmental studies is providing major insights into the historical forces that have shaped the Earth's biomes. Yet our present view is biased towards arctic and temperate/tropical forest regions, with very little focus on the extensive arid regions of the planet. The Australian arid zone is one of the largest desert landform systems in the world, with a unique, diverse and relatively well-studied biota. With foci on palaeoenvironmental and molecular data, we here review what is known about the assembly and maintenance of this biome in the context of its physical history, and in comparison with other mesic biomes. Aridification of Australia began in the Mid-Miocene, around 15 million years, but fully arid landforms in central Australia appeared much later, around 1-4 million years. Dated molecular phylogenies of diverse taxa show the deepest divergences of arid-adapted taxa from the Mid-Miocene, consistent with the onset of desiccation. There is evidence of arid-adapted taxa evolving from mesic-adapted ancestors, and also of speciation within the arid zone. There is no evidence for an increase in speciation rate during the Pleistocene, and most arid-zone species lineages date to the Pliocene or earlier. The last 0.8 million years have seen major fluctuations of the arid zone, with large areas covered by mobile sand dunes during glacial maxima. Some large, vagile taxa show patterns of recent expansion and migration throughout the arid zone, in parallel with the ice sheet-imposed range shifts in Northern Hemisphere taxa. Yet other taxa show high lineage diversity and strong phylogeographical structure, indicating persistence in multiple localised refugia over several glacial maxima. Similar to the Northern Hemisphere, Pleistocene range shifts have produced suture zones, creating the opportunity for diversification and speciation through hybridisation, polyploidy and parthenogenesis. This review highlights the opportunities that development of arid conditions provides for rapid and diverse evolutionary radiations, and re-enforces the emerging view that Pleistocene environmental change can have diverse impacts on genetic structure and diversity in different biomes. There is a clear need for more detailed and targeted phylogeographical studies of Australia's arid biota and we suggest a framework and a set of a priori hypotheses by which to proceed.     

Extreme sequential polyandry insures against nest failure in a frog

Sequential polyandry may evolve as an insurance mechanism to reduce the risk of choosing a mate that is infertile, closely related, genetically inferior or incompatible, but polyandry also might insure against nest failure in unpredictable environments. Most animals are oviparous, and in species where males provide nest sites whose quality varies substantially and unpredictably, polyandrous females might insure offspring success by distributing their eggs across multiple nests. Here, we test this hypothesis in a wild population of an Australian terrestrial toadlet, a polyandrous species, where males construct nests and remain with broods. We found that females partitioned their eggs across the nests of two to eight males and that more polyandrous females gained a significant increase in mean offspring survivorship. Our results provide evidence for the most extreme case of sequential polyandry yet discovered in a vertebrate and also suggest that insurance against nest failure might favour the evolution of polyandry. We propose that insurance against nest failure might be widespread among oviparous taxa and provide an important explanation for the prevalence of sequential polyandry in nature.     

Functional Characterization of Phospholipid N-Methyltransferases from Arabidopsis and Soybean

Phospholipid N-methyltransferase (PLMT) enzymes catalyze the S-adenosylmethionine-dependent methylation of ethanolamine-containing phospholipids to produce the abundant membrane lipid phosphatidylcholine (PtdCho). In mammals and yeast, PLMT activities are required for the de novo synthesis of the choline headgroup found in PtdCho. PLMT enzyme activities have also been reported in plants, yet their roles in PtdCho biosynthesis are less clear because most plants can produce the choline headgroup entirely via soluble substrates, initiated by the methylation of free ethanolamine-phosphate. To gain further insights into the function of PLMT enzymes in plants, we isolated PLMT cDNAs from Arabidopsis and soybean (Glycine max) based upon primary amino acid sequence homology to the rat PLMT, phosphatidylethanolamine N-methyltransferase. Using a heterologous yeast expression system, it was shown that plant PLMTs methylate phosphatidylmonomethylethanolamine and phosphatidyldimethylethanolamine but cannot utilize phosphatidylethanolamine as a substrate. Identification of an Arabidopsis line containing a knock-out dissociator transposon insertion within the single copy AtPLMT gene allowed us to investigate the consequences of loss of PLMT function. Although the accumulation of the PLMT substrates phosphatidylmonomethylethanolamine and phosphatidyldimethylethanolamine was considerably elevated in the atplmt knock-out line, PtdCho levels remained normal, and no obvious differences were observed in plant morphology or development under standard growth conditions. However, because the metabolic routes through which PtdCho is synthesized in plants vary greatly among differing species, it is predicted that the degree with which PtdCho synthesis is dependent upon PLMT activities will also vary widely throughout the plant kingdom.Phosphatidylcholine (PtdCho)2 is the most abundant phospholipid in most non-plastid membranes of eukaryotes. PtdCho biosynthesis has been studied intensively in plants not only because of its importance as a structural membrane lipid, but also because of its role as a precursor to important lipid-based signaling molecules, such as phosphatidic acid, and phospholipase A₂-derived free fatty acids (1). The choline headgroup of PtdCho serves multiple functions as well. In addition to being an essential human nutrient (2), in many plant species choline can be oxidized to produce the potent osmoprotectant glycine betaine (3, 4).For over 2 decades it has been apparent that there are fundamental differences between the manner in which PtdCho is produced in plants versus how it is synthesized in mammals and fungi. In the latter two systems, PtdCho can be formed through two distinct pathways as follows: (a) the “nucleotide pathway” in which free choline is incorporated in PtdCho using CDP-choline as an intermediate, and (b) the “methylation pathway” whereby PtdCho is produced directly from phosphatidylethanolamine (PtdEtn) via three sequential methylation reactions using S-adenosylmethionine (AdoMet) as the methyl donor (5, 6). In contrast, PtdCho biosynthesis in plants occurs through a branched pathway that utilizes components of both the nucleotide and methylation pathways (7). The greatest distinction between the contrasting mechanisms of PtdCho biosynthesis can be attributed to the presence of plant enzymes that are capable of converting ethanolamine headgroups to choline at the phospho-base level, activities that are absent in mammals and yeast. Conversely, mammals and fungi possess methylation enzymes that act directly on PtdEtn, a reaction that cannot be detected in most plant systems investigated (reviewed in Ref. 7).A diagram of the most widely accepted model of phosphoamino alcohol biosynthesis in plants is shown in Fig. 1. Similar to animals and yeast, free choline can be directly incorporated into PtdCho via nucleotide pathway enzymes in plants. In the absence of choline, however, the methylation of Etn-phosphate represents the first committed step in PtdCho biosynthesis. The resulting monomethylethanolamine-phosphate (MMEtn-P) metabolite can be further methylated at the phospho-base level to produce Cho-P. Alternatively, MMEtn-P can be incorporated into phosphatidylmonomethylethanolamine (PtdMMEtn) via the cytidylyltransferase and amino alcohol phosphotransferase activities of the nucleotide pathway and then methylated at the phosphatidyl-base level to complete the synthesis of PtdCho (Fig. 1). The extent with which PtdCho is formed by the flow of metabolites through phospho-bases as opposed to phosphatidyl-bases varies greatly among different plant species. In most higher plants, it is likely that the methylation of the phosphoamino alcohol headgroups involves the flow of metabolites through both branches of the pathway, as has been shown in species such as barley, carrot, and tobacco (3, 8, 9). Nevertheless, examples have also been reported where only one of the branches appears to be utilized. In Lemna paucicostata, for example, the methylation steps in PtdCho biosynthesis were shown to occur almost exclusively at the phospho-base level (10). At the other end of the spectrum is soybean, where all methylations beyond the initial formation of MMEtn-P were reported to occur on phosphatidyl-bases (8, 11). The tremendous variability observed among plants with regard to PtdCho formation is also exemplified by a study conducted by Williams and Harwood (12) where it was shown that the predominant route of PtdCho synthesis in olive culture cells involved the first two methylation reactions taking place at the phospho-base level (producing dimethylethanolamine phosphate) and the final methylation occurring on a phosphatidyldimethylethanolamine (PtdDMEtn) substrate.Open in a separate windowFIGURE 1.Phosphatidylcholine biosynthetic pathways. Steps common to plants, mammals, and yeast are indicated by black arrows. Dashed arrows indicate pathways specific to plants. Methylation of PtdEtn, which occurs in mammals and yeast, is indicated by on open arrow. Enzymes catalyzing phosphoamino alcohol methylation reactions in plants, mammals, and yeast are indicated.Our understanding on the mechanisms by which plants synthesize PtdCho and regulate its accumulation has been further enhanced as the genes encoding the various steps of the phosphoamino alcohol pathway have been isolated and characterized. For example, molecular characterizations led to the conclusion that all of the amino alcohol phosphotransferase reactions depicted in Fig. 1 can be mediated by the product of a single gene (designated AAPT1) that displays a broad substrate specificity (13, 14). Similarly, it was the isolation of the phosphoethanolamine methyltransferase (PEAMT) genes from Arabidopsis and spinach that led to the discovery that all three phospho-base methylation reactions could be catalyzed by a single enzyme (15, 16). Inhibition of PEAMT gene function in Arabidopsis through T-DNA insertion or co-suppression revealed unexpected associations between the phosphoamino alcohol pathway and root development, salt hypersensitivity, and male sterility (17, 18).Although most of the reactions depicted in Fig. 1 have been characterized at the molecular genetic level, conspicuously absent is information on the plant genes/enzymes responsible for the methylation reactions conducted at the phosphatidyl-base level. In contrast, these reactions are among the most well characterized in animals and yeast, catalyzed by enzymes commonly referred to as phospholipid N-methyltransferases (PLMTs). In mammals, the 18-kDa integral membrane protein phosphatidylethanolamine N-methyltransferase (PEMT) is a PLMT that is expressed primarily in the liver (19). PEMT catalyzes all three of the methylation reactions needed to convert PtdEtn to PtdCho. Yeast uses two distinct PLMT enzymes to catalyze the three methylation reactions as follows: Cho2p/Pem1p that mediates the direct methylation of PtdEtn to produce PtdMMEtn (20, 21), and Opi3p/Pem2p, an enzyme homologous to the mammalian PEMT, that primarily catalyzes the methylation of PtdMMEtn to PtdDMEtn and PtdDMEtn to PtdCho, the final two steps of the methylation pathway (20, 22). PLMT activities are critical in both of these systems. Mice possessing pemt knock-out mutations are completely dependent on dietary choline for survival, and they display abnormal levels of choline metabolites within the liver and develop hepatic steatosis even when fed diets supplemented with choline (23). Yeast lacking PLMT activities (cho2/opi3 double mutants) are obligate choline auxotrophs, unable to synthesize PtdCho de novo in the absence of exogenous choline.To gain a greater understanding of the specific function of PLMT reactions in higher plants, and their contribution toward PtdCho biosynthesis, we cloned and characterized PLMT homologs from Arabidopsis and soybean. By expressing the candidate cDNAs in yeast, we were able to confirm that they encoded functional PLMT activities as well as to establish their substrate specificities. We also identified a mutant Arabidopsis line containing a knock-out allele in the single copy PLMT gene found in the Arabidopsis genome, allowing us to characterize the consequences of loss of gene function in this model species.     

Synergistic induction of cell death in liver tumor cells by TRAIL and chemotherapeutic drugs via the BH3-only proteins Bim and Bid

Although death receptors and chemotherapeutic drugs activate distinct apoptosis signaling cascades, crosstalk between the extrinsic and intrinsic apoptosis pathway has been recognized as an important amplification mechanism. Best known in this regard is the amplification of the Fas (CD95) signal in hepatocytes via caspase 8-mediated cleavage of Bid and activation of the mitochondrial apoptosis pathway. Recent evidence, however, indicates that activation of other BH3-only proteins may also be critical for the crosstalk between death receptors and mitochondrial triggers. In this study, we show that TNF-related apoptosis-inducing ligand (TRAIL) and chemotherapeutic drugs synergistically induce apoptosis in various transformed and untransformed liver-derived cell lines, as well as in primary human hepatocytes. Both, preincubation with TRAIL as well as chemotherapeutic drugs could sensitize cells for apoptosis induction by the other respective trigger. TRAIL induced a strong and long lasting activation of Jun kinase, and activation of the BH3-only protein Bim. Consequently, synergistic induction of apoptosis by TRAIL and chemotherapeutic drugs was dependent on Jun kinase activity, and expression of Bim and Bid. These findings confirm a previously defined role of TRAIL and Bim in the regulation of hepatocyte apoptosis, and demonstrate that the TRAIL–Jun kinase–Bim axis is a major and important apoptosis amplification pathway in primary hepatocytes and liver tumor cells.     

Suberoylanilide hydroxamic acid, a potent histone deacetylase inhibitor; its X-ray crystal structure and solid state and solution studies of its Zn(II), Ni(II), Cu(II) and Fe(III) complexes

Reaction of the potent hydroxamate-based histone deacetylase (HDAC) inhibitor, suberoylanilide hydroxamic acid (SAHA), with hydrated metal salts of Fe(III), Cu(II), Ni(II) and Zn(II) yielded a tris-hydroxamato complex in the case of Fe(III) and bis-hydroxamato complexes in the case of Cu(II), Ni(II) and Zn(II) both in the solid state and in solution. Reaction of the secondary hydroxamic acid, N-Me-SAHA, also yielded a tris-hydroxamato complex in the case of Fe(III) and bis-hydroxamato complexes in the case of Cu(II), Ni(II) and Zn(II) in solution. These metal complexes have the hydroxamato moiety coordinated in an O,O’-bidentate fashion. Stability constants of the metal complexes formed with SAHA and N-Me-SAHA in a DMSO/H₂O 70/30%(v/v) mixture are described. A novel crystal structure of SAHA together with a novel synthesis for N-Me-SAHA are also reported.     

Recognition of nucleophile-treated alpha 2-macroglobulin by the alveolar macrophage alpha-macroglobulin . protease complex receptor

Rabbit alveolar macrophages exhibit high affinity surface receptors which recognize alpha 2-macroglobulin . protease complexes but not native alpha 2- macroglobulin. Binding of alpha 2-macroglobulin . protease complexes to surface receptors is independent of the protease used to form the complex. In this communication, we demonstrate that treatment of human alpha 2-macroglobulin with nucleophilic agents (methyl amine, ammonium salts) converts native alpha 2-macroglobulin into a form recognized by the surface receptor for alpha 2-macroglobulin protease complexes. Analysis of the concentration dependency of ligand binding revealed that the surface receptor did not distinguish between nucleophile-treated alpha 2-macroglobulin and alpha 2-macroglobulin . protease complexes. These results are consistent with the hypothesis that proteases or nucleophilic agents effect the hydrolysis of an internal thiol-ester bond (Tack, B. F., Harrison, R. A., Janatova, J., Thomas, M. L., and Prahl, J. W. (1980) Proc. Natl. Acad. Sci. U. S. A. 77, 5764-5768), leading to an alteration in alpha 2-macroglobulin conformation. The altered conformation results in recognition of the alpha 2-macroglobulin by surface receptors.