2011
DOI: 10.1007/s10545-011-9408-3
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Morphologic evidence of diffuse vascular damage in human and in the experimental model of ethylmalonic encephalopathy

Abstract: Ethylmalonic encephalopathy (EE) is a rare autosomal recessive disorder characterized by early onset encephalopathy, chronic diarrhoea, petechiae, orthostatic acrocyanosis and defective cytochrome c oxidase (COX) in muscle and brain. High levels of lactic, ethylmalonic and methylsuccinic acids are detected in body fluids. EE is caused by mutations in ETHE1, a mitochondrial sulphur dioxygenase. By studying a suitable mouse model, we found that loss of ETHE1 leads to accumulation of sulphide, which is a poison f… Show more

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Cited by 37 publications
(26 citation statements)
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“…Inhibition of this pathway will prevent H 2 S binding to SQR and enable H 2 S and thiosulfate to accumulate. This has been shown in human and animal models of ETHE1 deficiencies (28,36,46,166).…”
Section: Effectors Of H 2 S Metabolismmentioning
confidence: 64%
“…Inhibition of this pathway will prevent H 2 S binding to SQR and enable H 2 S and thiosulfate to accumulate. This has been shown in human and animal models of ETHE1 deficiencies (28,36,46,166).…”
Section: Effectors Of H 2 S Metabolismmentioning
confidence: 64%
“…4). ETHE1 deficiency in either experimental animals or humans prevents H 2 S binding and is characterized by greatly elevated tissue H 2 S and thiosulfate (3,7,10,41). Because of the O 2 dependency of this reaction, hypoxia would be expected to achieve the same result.…”
Section: H 2 S Thiosulfate and Oxygen Sensingmentioning
confidence: 99%
“…The primary cause for the disease is a disruption of the mitochondrial sulfide detoxification pathway that oxidizes sulfide to either thiosulfate or sulfate in four steps catalyzed by sulfide:quinone oxidoreductase, ETHE1, a sulfurtransferase, and sulfite oxidase (Hildebrandt and Grieshaber, 2008;Tiranti et al, 2009). Increased sulfide concentrations in the bloodstream severely damage the vascular endothelium and thus cause the main symptoms of ethylmalonic encephalopathy: rapidly progressive necrosis in the brain, chronic diarrhea, and microangiopathy (Giordano et al, 2012). In addition, sulfide interferes with mitochondrial energy metabolism.…”
mentioning
confidence: 99%