1996
DOI: 10.1016/0014-5793(96)00267-0
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Binding of a valproate metabolite to the trifunctional protein of fatty acid oxidation

Abstract: The anti-convulsant drug valproate causes hepatic failure in a small percentage of patients. We now report that the valproate metabolite 2,4-dien-valproate binds (ICs0 = 42 IxM) to the cx-subunit of the trifunctional protein responsible for the second and third steps in the mitochondrial ]]-oxidation of fatty acids. Binding of valproate itself, or of the metabolites 2-envalproate, 4-en-valproate or 3-hydroxy-4-en-valproate, is considerably weaker. We conclude that valproate-induced hepatotoxicity may be due in… Show more

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Cited by 24 publications
(16 citation statements)
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References 11 publications
(17 reference statements)
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“…A reduced activity of complex IV associated with VPA treatment not only explains impaired oxidation of succinate and L-glutamate but also that of palmitate, as observed in this study (Table 3). On the other hand, the reduced activity of mitochondrial ␤-oxidation, which has been described in other studies assessing hepatic toxicity of VPA (Turnbull et al, 1983;Baldwin et al, 1996), can be explained most probably by interactions of toxic metabolites of VPA with enzymes involved in ␤-oxidation (Ito et al, 1990;Baldwin et al, 1996). A comparison of palmitate oxidation in vivo and in vitro reveals that in vivo, ␤-oxidation was only impaired in VPAtreated jvs ϩ/Ϫ mice, whereas in vitro, palmitate oxidation was also reduced in liver mitochondria from VPA-treated wild-type mice.…”
Section: Discussionmentioning
confidence: 97%
“…A reduced activity of complex IV associated with VPA treatment not only explains impaired oxidation of succinate and L-glutamate but also that of palmitate, as observed in this study (Table 3). On the other hand, the reduced activity of mitochondrial ␤-oxidation, which has been described in other studies assessing hepatic toxicity of VPA (Turnbull et al, 1983;Baldwin et al, 1996), can be explained most probably by interactions of toxic metabolites of VPA with enzymes involved in ␤-oxidation (Ito et al, 1990;Baldwin et al, 1996). A comparison of palmitate oxidation in vivo and in vitro reveals that in vivo, ␤-oxidation was only impaired in VPAtreated jvs ϩ/Ϫ mice, whereas in vitro, palmitate oxidation was also reduced in liver mitochondria from VPA-treated wild-type mice.…”
Section: Discussionmentioning
confidence: 97%
“…Complete resolution of the four VPA acyl-CoA intermediates was achieved with the HPLC system used. The mean (relative standard deviation, rsd %) of the retention times obtained in interday (n ϭ 7) experiments for the standards by order of elution were, respectively: 3-OH-valproyl-CoA, 11.77 min (12.0%); 3-keto-valproyl-CoA, 12.23 min (10.9%); ⌬ 2(E) -valproyl-CoA, 16.36 min (6.9 %); valproyl-CoA, 16.95 min (6.6 %).…”
Section: Quantification Of Intramitochondrial Levels Of Vpa-acyl-coa mentioning
confidence: 99%
“…Furthermore, the enzymatic basis for the inhibition of fatty acid oxidation by VPA has not been resolved unambiguously. It is important to stress that most of the reported in vitro studies have been performed with the drug and its metabolites in their free acid form (see, e.g., 16,17). Remarkably, very few studies have been performed with the actual CoA esters and, if done, these studies were mainly limited to valproyl-CoA (5,6,13).…”
mentioning
confidence: 99%
“…The S-CoA ester of 3-oxo-⌬ 2,4 -VPA (Fig. 22) has been proposed as an ultimate hepatotoxic species (Baillie, 1988;Baldwin et al, 1996), and both ⌬ 4 -VPA and ⌬ 2,4 -VPA are hepatotoxins in rats (Kesterson et al, 1984). An intramolecular deuterium isotope effect (ϳ6) has been observed on the cytochrome P450-mediated oxidation of VPA to ⌬ 4 -VPA using 4,4-2 H-VPA as a substrate ).…”
Section: Fig 21 Partial Scheme For the Metabolism Of Phenacetin Viamentioning
confidence: 99%