Carnitine effects on coenzyme a profiles in rat liver with hypoglycin inhibition of multiple dehydrogenases. Lieu, Yen K., Betty Y. L. Hsu, William A. Price, Barbara E. Corkey, Charles A. Stanley. Division of Endocrinology/Diabetes, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104; Department of Chemistry and Biochemistry, LaSalle University, Philadelphia, PA 19141; Diabetes and Metabolism Unit, Boston University School of Medicine, Boston, MA 02118
APStracts 3:0227E, 1996.
To examine the changes in coenzyme A profile and the possible corrective effects of carnitine supplementation in the genetic disorders of mitochondrial -oxidation, experiments were carried out using an inhibitor of multiple acyl-CoA dehydrogenase enzymes, methylenecyclopropaneacetic acid (MCPA), in rat hepatocytes. MCPA irreversibly inhibited ketone synthesis from straight-chain fatty acids (butyrate, octanoate, palmitate) and branch-chain fatty acids (a-ketoisocaproate) with a parallel 70-90% reduction of hepatocyte acetyl-CoA levels. Alone, MCPA or substrates halved free coenzyme A levels to 15% of total CoA and doubled short & medium-chain acyl-CoA levels to 30% of total CoA. With MCPA plus substrates combined, free CoA levels were 10% of total CoA and short & medium-chain acyl-CoA levels were 45% of total CoA. Comparable changes in coenzyme A profiles were found in a patient with a severe genetic defect in -oxidation. Neither the suppression of ketogenesis nor the alterations in coenzyme A profiles induced by MCPA inhibition could be corrected by carnitine supplementation.

Received 15 July 1996; accepted in final form 30 October 1996.
APS Manuscript Number E334-6.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 13 November 1996