PMID- 31910296 OWN - NLM STAT- MEDLINE DCOM- 20201118 LR - 20201118 IS - 1873-474X (Electronic) IS - 0736-5748 (Linking) VI - 80 IP - 1 DP - 2020 Feb TI - Elevated levels of BDNF and cathepsin-d as possible peripheral markers of neurodegeneration in plasma of patients with glutaric acidemia type I. PG - 42-49 LID - 10.1002/jdn.10006 [doi] AB - Glutaric acidemia type I (GA1) is caused by severe deficiency of glutaryl-CoA dehydrogenase activity, resulting in an accumulation of glutaric acid and glutarylcarnitine (C5DC) in the organism. Patients affected by GA1 are asymptomatic in the neonate period but usually manifest chronically progressive neurodegeneration apart from severe encephalopathic crises associated with acute striatum necrosis. Neurological manifestations like dyskinesia, dystonia, hypotonia, muscle stiffness, and spasticity are present. Treatment is based on protein/lysine restriction and l-carnitine supplementation. In this work, we evaluated markers of neurodegeneration and inflammation, namely BDNF (brain-derived neurotrophic factor), NCAM (neuronal adhesion molecule), PDGF-AA (platelet-derived growth factor), and cathepsin-d in plasma of six treated GA1 patients. We first found marked increases of plasma C5DC concentrations in GA1 patients, as well as increased levels of the markers BDNF and cathepsin-d as compared to those of age-matched healthy children. Furthermore, C5DC concentrations were highly correlated with the levels of cathepsin-d. These results may demonstrate that brain tissue degeneration is present in GA1 patients and that there is a relationship between increased metabolites concentrations with this process. To the best of our knowledge, this is so far the first study showing altered peripheral parameters of neurodegeneration and inflammation in GA1 patients. CI - (c) 2020 International Society for Developmental Neuroscience. FAU - Guerreiro, Gilian AU - Guerreiro G AUID- ORCID: 0000-0003-0380-4808 AD - Faculdade de Farmacia, UFRGS, Porto Alegre, Brazil. AD - Servico de Genetica Medica, HCPA, UFRGS, Porto Alegre, Brazil. FAU - Diaz Jaques, Carlos Eduardo AU - Diaz Jaques CE AD - Programa de Pos-Graduacao em CB:Bioquimica, UFRGS, Porto Alegre, Brazil. FAU - Wajner, Moacir AU - Wajner M AD - Servico de Genetica Medica, HCPA, UFRGS, Porto Alegre, Brazil. AD - Programa de Pos-Graduacao em CB:Bioquimica, UFRGS, Porto Alegre, Brazil. FAU - Vargas, Carmen Regla AU - Vargas CR AD - Faculdade de Farmacia, UFRGS, Porto Alegre, Brazil. AD - Servico de Genetica Medica, HCPA, UFRGS, Porto Alegre, Brazil. AD - Programa de Pos-Graduacao em CB:Bioquimica, UFRGS, Porto Alegre, Brazil. AD - Programa de Pos-Graduacao em Ciencias Farmaceuticas, UFRGS, Porto Alegre, Brazil. LA - eng GR - FIPE/HCPA - 2016-0412/Fundo de Incentivo a Pesquisa e Eventos/ GR - CNPq - 309916/2017-8/Conselho Nacional de Desenvolvimento Cientifico e Tecnologico/ PT - Journal Article DEP - 20200116 PL - United States TA - Int J Dev Neurosci JT - International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience JID - 8401784 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Neural Cell Adhesion Molecules) RN - 0 (Platelet-Derived Growth Factor) RN - 0 (platelet-derived growth factor A) RN - EC 1.3.8.6 (Glutaryl-CoA Dehydrogenase) RN - EC 3.4.23.5 (Cathepsin D) RN - Glutaric Acidemia I SB - IM MH - Amino Acid Metabolism, Inborn Errors/*blood/complications MH - Biomarkers/blood MH - Brain Diseases, Metabolic/*blood/complications MH - Brain-Derived Neurotrophic Factor/*blood MH - Cathepsin D/*blood MH - Child MH - Child, Preschool MH - Female MH - Glutaryl-CoA Dehydrogenase/blood/*deficiency MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Nerve Degeneration/blood/*diagnosis/etiology MH - Neural Cell Adhesion Molecules/blood MH - Platelet-Derived Growth Factor/metabolism OTO - NOTNLM OT - brain-derived neurotrophic factor OT - glutaric aciduria type I OT - neurodegeneration EDAT- 2020/01/08 06:00 MHDA- 2020/11/20 06:00 CRDT- 2020/01/08 06:00 PHST- 2019/12/11 00:00 [received] PHST- 2019/12/13 00:00 [accepted] PHST- 2020/01/08 06:00 [pubmed] PHST- 2020/11/20 06:00 [medline] PHST- 2020/01/08 06:00 [entrez] AID - 10.1002/jdn.10006 [doi] PST - ppublish SO - Int J Dev Neurosci. 2020 Feb;80(1):42-49. doi: 10.1002/jdn.10006. Epub 2020 Jan 16.