Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disorders

Abstract Urea cycle disorders (UCD) are inherited defects in clearance of waste nitrogen with high morbidity and mortality. Novel and more effective therapies for UCD are needed. Studies in mice with constitutive activation of autophagy unravelled Beclin‐1 as druggable candidate for therapy of hyper...

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Main Authors: Leandro R Soria, Sonam Gurung, Giulia De Sabbata, Dany P Perocheau, Angela De Angelis, Gemma Bruno, Elena Polishchuk, Debora Paris, Paola Cuomo, Andrea Motta, Michael Orford, Youssef Khalil, Simon Eaton, Philippa B Mills, Simon N Waddington, Carmine Settembre, Andrés F Muro, Julien Baruteau, Nicola Brunetti‐Pierri
Format: Article
Language:English
Published: Springer Nature 2020-12-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.202013158
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author Leandro R Soria
Sonam Gurung
Giulia De Sabbata
Dany P Perocheau
Angela De Angelis
Gemma Bruno
Elena Polishchuk
Debora Paris
Paola Cuomo
Andrea Motta
Michael Orford
Youssef Khalil
Simon Eaton
Philippa B Mills
Simon N Waddington
Carmine Settembre
Andrés F Muro
Julien Baruteau
Nicola Brunetti‐Pierri
author_facet Leandro R Soria
Sonam Gurung
Giulia De Sabbata
Dany P Perocheau
Angela De Angelis
Gemma Bruno
Elena Polishchuk
Debora Paris
Paola Cuomo
Andrea Motta
Michael Orford
Youssef Khalil
Simon Eaton
Philippa B Mills
Simon N Waddington
Carmine Settembre
Andrés F Muro
Julien Baruteau
Nicola Brunetti‐Pierri
author_sort Leandro R Soria
collection DOAJ
description Abstract Urea cycle disorders (UCD) are inherited defects in clearance of waste nitrogen with high morbidity and mortality. Novel and more effective therapies for UCD are needed. Studies in mice with constitutive activation of autophagy unravelled Beclin‐1 as druggable candidate for therapy of hyperammonemia. Next, we investigated efficacy of cell‐penetrating autophagy‐inducing Tat‐Beclin‐1 (TB‐1) peptide for therapy of the two most common UCD, namely ornithine transcarbamylase (OTC) and argininosuccinate lyase (ASL) deficiencies. TB‐1 reduced urinary orotic acid and improved survival under protein‐rich diet in spf‐ash mice, a model of OTC deficiency (proximal UCD). In AslNeo/Neo mice, a model of ASL deficiency (distal UCD), TB‐1 increased ureagenesis, reduced argininosuccinate, and improved survival. Moreover, it alleviated hepatocellular injury and decreased both cytoplasmic and nuclear glycogen accumulation in AslNeo/Neo mice. In conclusion, Beclin‐1‐dependent activation of autophagy improved biochemical and clinical phenotypes of proximal and distal defects of the urea cycle.
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spelling doaj-art-19085dda865a4f648e70bb866bfbf0bc2025-08-20T03:46:11ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842020-12-0113211410.15252/emmm.202013158Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disordersLeandro R Soria0Sonam Gurung1Giulia De Sabbata2Dany P Perocheau3Angela De Angelis4Gemma Bruno5Elena Polishchuk6Debora Paris7Paola Cuomo8Andrea Motta9Michael Orford10Youssef Khalil11Simon Eaton12Philippa B Mills13Simon N Waddington14Carmine Settembre15Andrés F Muro16Julien Baruteau17Nicola Brunetti‐Pierri18Telethon Institute of Genetics and MedicineUCL Great Ormond Street Institute of Child HealthInternational Centre for Genetic Engineering and BiotechnologyUCL Great Ormond Street Institute of Child HealthTelethon Institute of Genetics and MedicineTelethon Institute of Genetics and MedicineTelethon Institute of Genetics and MedicineInstitute of Biomolecular Chemistry, National Research CouncilInstitute of Biomolecular Chemistry, National Research CouncilInstitute of Biomolecular Chemistry, National Research CouncilUCL Great Ormond Street Institute of Child HealthUCL Great Ormond Street Institute of Child HealthUCL Great Ormond Street Institute of Child HealthUCL Great Ormond Street Institute of Child HealthUCL Great Ormond Street Institute of Child HealthTelethon Institute of Genetics and MedicineInternational Centre for Genetic Engineering and BiotechnologyUCL Great Ormond Street Institute of Child HealthTelethon Institute of Genetics and MedicineAbstract Urea cycle disorders (UCD) are inherited defects in clearance of waste nitrogen with high morbidity and mortality. Novel and more effective therapies for UCD are needed. Studies in mice with constitutive activation of autophagy unravelled Beclin‐1 as druggable candidate for therapy of hyperammonemia. Next, we investigated efficacy of cell‐penetrating autophagy‐inducing Tat‐Beclin‐1 (TB‐1) peptide for therapy of the two most common UCD, namely ornithine transcarbamylase (OTC) and argininosuccinate lyase (ASL) deficiencies. TB‐1 reduced urinary orotic acid and improved survival under protein‐rich diet in spf‐ash mice, a model of OTC deficiency (proximal UCD). In AslNeo/Neo mice, a model of ASL deficiency (distal UCD), TB‐1 increased ureagenesis, reduced argininosuccinate, and improved survival. Moreover, it alleviated hepatocellular injury and decreased both cytoplasmic and nuclear glycogen accumulation in AslNeo/Neo mice. In conclusion, Beclin‐1‐dependent activation of autophagy improved biochemical and clinical phenotypes of proximal and distal defects of the urea cycle.https://doi.org/10.15252/emmm.202013158argininosuccinic aciduriaautophagyOTC deficiencyTat‐Beclin‐1 peptideurea cycle disorders
spellingShingle Leandro R Soria
Sonam Gurung
Giulia De Sabbata
Dany P Perocheau
Angela De Angelis
Gemma Bruno
Elena Polishchuk
Debora Paris
Paola Cuomo
Andrea Motta
Michael Orford
Youssef Khalil
Simon Eaton
Philippa B Mills
Simon N Waddington
Carmine Settembre
Andrés F Muro
Julien Baruteau
Nicola Brunetti‐Pierri
Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disorders
EMBO Molecular Medicine
argininosuccinic aciduria
autophagy
OTC deficiency
Tat‐Beclin‐1 peptide
urea cycle disorders
title Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disorders
title_full Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disorders
title_fullStr Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disorders
title_full_unstemmed Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disorders
title_short Beclin‐1‐mediated activation of autophagy improves proximal and distal urea cycle disorders
title_sort beclin 1 mediated activation of autophagy improves proximal and distal urea cycle disorders
topic argininosuccinic aciduria
autophagy
OTC deficiency
Tat‐Beclin‐1 peptide
urea cycle disorders
url https://doi.org/10.15252/emmm.202013158
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