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Publication : The fate of medium-chain fatty acids in very long-chain acyl‑CoA dehydrogenase deficiency (VLCADD): A matter of sex?

First Author  Wehbe Z Year  2019
Journal  Biochim Biophys Acta Mol Cell Biol Lipids Volume  1864
Issue  11 Pages  1591-1605
PubMed ID  31394165 Mgi Jnum  J:280085
Mgi Id  MGI:6361789 Doi  10.1016/j.bbalip.2019.08.001
Citation  Wehbe Z, et al. (2019) The fate of medium-chain fatty acids in very long-chain acylCoA dehydrogenase deficiency (VLCADD): A matter of sex?. Biochim Biophys Acta Mol Cell Biol Lipids 1864(11):1591-1605
abstractText  Medium-chain-triglycerides (MCT) are widely applied in the treatment of long-chain fatty acid oxidation disorders (lcFAOD). Long-term treatment with MCT led to a sexually dimorphic response in the mouse model of very-long-chain-acyl-CoA-dehydrogenase-deficiency (VLCAD(-/-)) with the subsequent development of a metabolic syndrome in female mice. In order to evaluate the molecular mechanisms responsible for this sex specific response we performed a comprehensive metabolic phenotyping, SILAC-based quantitative proteomics and characterized the involved signaling pathways by western blot analysis and gene expression. WT and VLCAD(-/-) mice showed strong sex-dependent differences in basal metabolism and expression of proteins involved in the distinct metabolic pathways, even more prominent after treatment with octanoate. The investigation of molecular mechanisms responsible for the sexual dimorphisms delineated the selective activation of the ERK/mTORc1 signaling pathway leading to an increased biosynthesis and elongation of fatty acids in VLCAD(-/-) females. In contrast, octanoate induced the activation of ERK/PPARgamma pathway and the subsequent upregulation of peroxisomal betaoxidation in males. We here provide first evidence that sex has to be considered as important variable in disease phenotype. These findings may have implications on treatment strategies in the different sexes.
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