Metabolic pathways energy, brain

Nehlig, A. Age-dependent pathways of brain energy metabolism the suckling rat, a natural model of the ketogenic diet. Epilepsy Res. 37 211-221,1999. 

MPTP is also metabolized by other routes involving cytochromes P-450, FAD-dependent monooxygenases, and aldehyde oxidase. However, these seem to be detoxication pathways, as they divert MPTP away from uptake and metabolism in the brain. However, MPTP may inhibit its own metabolism by cytochromes P-450 and thereby reduce one means of detoxication. This example illustrates the importance of structure and physicochemical properties in toxicology. MPTP is sufficiently lipophilic to cross the blood-brain barrier and gain access to the astrocytes. The structure of the metabolite is important for uptake via the dopamine system, hence localizing the compound to a particular type of neuron. Again, uptake into mitochondria is presumably a function of structure, as a specific energy-dependent carrier is involved. 

Fig. 2.3 Proposed scheme of the metabohc side of HIF-1 regulation through ketosis. The inhibition of the PHD reaction by an intermediate of energy metabolism, succinate, as a result of ketone body utilization by brain. The relationship of the metabolic pathways of glucose and ketone bodies entering the citric acid cycle and HlF-1 is illustrated. In contrast to glucose metabolism, increased ketone metabolism results in elevated levels of mitochondrial succinate, which is transported out of the mitochondria into the cytosol resulting in the inhibition of PHD and thus stabilization of HIF-1...

With such an extensive knowledge base, what is the present state of our understanding of the mechanisms of this disorder Not unexpectedly, initial studies, primarily in experimental animal models, focused on the known metabolic pathways which involve thiamine. Indeed, the classical studies of Peters in 1930 (Peters, 1969) showed lactate accumulation in the brainstem of thiamine deficient birds with normalization of this in vitro when thiamine was added to the tissue. This led to the concept of the biochemical lesion of the brain in thiamine deficiency. The enzymes which depend on thiamine are shown in Fig. 14.1. They are transketolase, pyruvate and a-ketoglutarate dehydrogenase. Transketolase is involved in the pentose phosphate pathway needed to form nucleic acids and membrane lipids, including myelin. The ketoacid dehydrogenases are key enzymes of the Krebs cycle needed for energy (ATP) synthesis and also to form acetylcholine via Acetyl CoA synthesis. Decrease in activity of this cycle would result in anaerobic metabolism and lead to lactate formation (i.e., tissue acidosis) (Fig. 14.1). 

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