Cited by 13Metabolism and Genetic DisordersAmino Acid Enzymes and MetabolismNeuroscience and Neuropharmacology Research

Deficient brain GABA metabolism leads to widespread impairments of astrocyte and oligodendrocyte function

Open access
Andersen, Jens V., Marian, Oana C., Qvist, Filippa L., Westi, Emil W., Aldana, Blanca I., Schousboe, Arne, Don, Anthony S., Skotte, Niels H. +1 more·2024·Glia

Abstract

The neurometabolic disorder succinic semialdehyde dehydrogenase (SSADH) deficiency leads to great neurochemical imbalances and severe neurological manifestations. The cause of the disease is loss of function of the enzyme SSADH, leading to impaired metabolism of the principal inhibitory neurotransmitter GABA. Despite the known identity of the enzymatic deficit, the underlying pathology of SSADH deficiency remains unclear. To uncover new mechanisms of the disease, we performed an untargeted integrative analysis of cerebral protein expression, functional metabolism, and lipid composition in a genetic mouse model of SSADH deficiency (ALDH5A1 knockout mice). Our proteomic analysis revealed a clear regional vulnerability, as protein alterations primarily manifested in the hippocampus and cerebral cortex of the ALDH5A1 knockout mice. These regions displayed aberrant expression of proteins linked to amino acid homeostasis, mitochondria, glial function, and myelination. Stable isotope tracing in acutely isolated brain slices demonstrated an overall maintained oxidative metabolism of glucose, but a selective decrease in astrocyte metabolic activity in the cerebral cortex of ALDH5A1 knockout mice. In contrast, an elevated capacity of oxidative glutamine metabolism was observed in the ALDH5A1 knockout brain, which may serve as a neuronal compensation of impaired astrocyte glutamine provision. In addition to reduced expression of critical oligodendrocyte proteins, a severe depletion of myelin‐enriched sphingolipids was found in the brains of ALDH5A1 knockout mice, suggesting degeneration of myelin. Altogether, our study highlights that impaired astrocyte and oligodendrocyte function is intimately linked to SSADH deficiency pathology, suggesting that selective targeting of glial cells may hold therapeutic potential in this disease.

AI snapshot

Written from the paper’s full text.

TL;DR

Deficient GABA metabolism in ALDH5A1 knockout mice causes regional brain proteomic, metabolic, and lipidomic changes centered on astrocytes and oligodendrocytes. The study links SSADH deficiency pathology to impaired astrocyte energetics, altered glutamate/glutamine metabolism, and myelin lipid depletion.

Key findings

  • Regional proteomic vulnerability: 7,615 protein groups identified; 169 proteins increased and 200 decreased across brain regions, with cortex, hippocampus, and cerebellum showing 157, 296, and 20 changes, respectively. Seven proteins were upregulated and five downregulated in all three regions.
  • Amino acid imbalance: GABA increased 6.3-fold in cerebral cortex and 5.7-fold in hippocampus; glutamine decreased 2.0-fold in cortex and 1.5-fold in hippocampus; aspartate, serine, alanine, and taurine were also elevated.
  • Metabolic impairments: oxidative glucose metabolism was maintained, but [1,2-13C]acetate metabolism was reduced in ALDH5A1 KO cerebral cortical slices, indicating impaired astrocyte energetics; [U-13C]glutamine direct metabolism was elevated in cortex and hippocampus, while hippocampal [U-13C]glutamate metabolism was reduced.
  • Lipid/myelin disruption: 525 unique lipid species quantified; cortex had 166 altered lipids (36 increased, 130 decreased) and hippocampus had 143 altered lipids (16 increased, 127 decreased). Myelin-enriched Hex1Cer and sulfatides were reduced, alongside lower MBP, MAG, MOG, and PLP1 protein expression.

Methods

  • ALDH5A1 knockout and wild-type littermate mice were used at 16–18 days of age; total n = 53 mice (26 KO: 12 male, 14 female; 27 wild-type: 17 male, 10 female). Proteomics used 8 KO and 10 wild-type mice; amino acid analysis 10 KO and 10 wild-type; brain slice isotope tracing 8 KO and 7 wild-type; lipidomics 10 KO and 10 wild-type.
  • Untargeted regional proteomics was performed on cerebral cortex, hippocampus, and cerebellum using diaPASEF timsTOF mass spectrometry with Spectronaut and Clinical Knowledge Graph analysis. Amino acids were quantified by HPLC, stable isotope tracing used acutely isolated brain slices with [U-13C]GABA, [U-13C]glucose, [1,2-13C]acetate, [U-13C]glutamate, or [U-13C]glutamine followed by GC-MS, and untargeted lipidomics used LC-MS.
  • Statistical comparisons used two-tailed unpaired Student’s t-tests with Benjamini-Hochberg correction at FDR < 0.05; data are presented as mean ± SEM, with PCA, hierarchical clustering, and enrichment analyses for proteomic data.

Limitations

  • The paper states that microglia were not addressed and must be investigated in SSADH deficiency; it also notes that the cerebellum showed few proteomic changes but may still be involved in the disease.
  • The paper states that no randomization was applied because two defined littermate groups were used continuously, and KO mice were studied at 16–18 days of age to avoid generalized seizures.
  • Evident from the text: findings are from a genetic mouse model only, with no human tissue or causal validation; several analyses rely on modest sample sizes (n = 7–10 per group), and sex-specific effects are not reported despite inclusion of both sexes.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1002/glia.24585

Cites

86 of 86 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

8 of 25 cited sources checked · 4 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Elevated GFAP expression has been observed in ALDH5A1 KO mice and patient brain tissue.

    “Elevated GFAP expression, a marker of astrogliosis, has been observed in both ALDH5A1 KO mice (Brown, Gibson, et al., 2020;Hogema et al., 2001) and patient brain tissue (Walters et al., 2021).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Brown, Gibson, et al., 2020

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Hogema et al., 2001 source
    • cites Walters et al., 2021 source

      The Results report reactive astrogliosis in the patient’s cortex and hippocampus, assessed by GFAP immunohistochemistry. This supports the patient-brain finding, but the paper does not report a measured increase in GFAP expression. The mouse finding has separate citations and is not the part attributed to Walters et al. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • Premisecitation

    Astrocytes become reactive in SSADH deficiency.

    “Astrocytes become reactive in SSADH deficiency (Brown, Gibson, et al., 2020;Hogema et al., 2001;Walters et al., 2021)”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Brown, Gibson, et al., 2020

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Hogema et al., 2001 source
    • cites Walters et al., 2021 source
  • Premisecitation

    Loss of SSADH function leads to an increased number of morphologically abnormal mitochondria in the brain.

    “Loss of SSADH function leads to an increased number of morphologically abnormal mitochondria in the brain (Lakhani et al., 2014)”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Lakhani et al., 2014 source

      The Results report increased mitochondrial numbers in the brains of SSADH-deficient mice, but the morphological differences measured by electron microscopy were in liver mitochondria. The Discussion likewise identifies larger mitochondria specifically in the liver; our copy does not establish that the brain mitochondria were morphologically abnormal. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • Premisecitation

    Elevated aspartate levels have been confirmed in cerebrospinal fluid and brain tissue of SSADH deficient patients.

    “elevated aspartate levels have been confirmed in both cerebrospinal fluid and brain tissue of SSADH deficient patients (Kirby, Walters, Brown, et al., 2020;Peters et al., 2023)”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites Kirby, Walters, Brown, et al., 2020 source

      The Results (Amino acid analyses using the MassTrak system; page not provided) report significantly elevated aspartic acid in the patient's brain tissue. The paper does not report elevated aspartate in cerebrospinal fluid, so it supports only the brain-tissue part of the claim. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites Peters et al., 2023 source
  • Interpretationcitation

    Increased levels of sphingosines indicate elevated myelin metabolism in ALDH5A1 KO mice.

    “However, the increased levels of sphingosines also indicate elevated myelin metabolism, as sphingosines provide the backbone of Hex1Cer and sulfatides, and thus accumulate when sphingolipids are broken down (Marian et al., 2023).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Marian et al., 2023 source

      The Discussion (page unavailable) calls sphingosine a sphingolipid catabolic intermediate and says its increase could reflect accelerated myelin breakdown. It also says accumulation could instead result from blocked lysosomal catabolism; the paper does not establish elevated myelin metabolism in ALDH5A1 knockout mice. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims. 18
  • Classified as probably not a substantial claim. 6
  • The quote only partly states this claim. 1
  • May combine two claims.

    Premisecitation

    SSADH deficiency is caused by loss-of-function mutations in the SSADH enzyme, leading to impaired metabolism of the principal inhibitory neurotransmitter GABA.

    “The cause of the disease is loss of function of the enzyme SSADH, leading to impaired metabolism of the principal inhibitory neurotransmitter GABA.”
    • Also stated in: § 1 | INTRODUCTION · plain
      “The most common disorder of GABA metabolism is SSADH deficiency, which can be caused by multiple loss-of-function mutations in the SSADH enzyme (Didiášová et al., 2020).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Didiášová et al., 2020 source
  • May combine two claims.

    Findingown data

    Some effects were restricted to specific brain regions, including selective reduction of astrocyte energy metabolism in cerebral cortex and perturbed hippocampal glutamate metabolism in ALDH5A1 KO hippocampus.

    “Some effects were restricted to specific brain regions, including a selective reduction of astrocyte energy metabolism in the cerebral cortex and perturbed hippocampal glutamate metabolism in the ALDH5A1 KO hippocampus.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    In total, 7615 protein groups were identified (cerebral cortex: 7481; hippocampus: 6948; cerebellum: 6079) with strong reproducibility between samples (Pearson correlation: 0.94-0.96).

    “In total, we identified 7615 protein groups (cerebral cortex: 7481; hippocampus: 6948; cerebellum: 6079) (Figure S1A) with strong reproducibility between samples (Pearson correlation: 0.94-0.96).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Several protein changes overlapped between the cerebral cortex and hippocampus of ALDH5A1 KO mice (35 upregulated proteins and 45 down-regulated proteins), whereas the cerebellum displayed no individual overlap with these regions.

    “In addition, several proteins changes overlapped between the cerebral cortex and hippocampus of ALDH5A1 KO mice (35 upregulated proteins and 45 down-regulated proteins), whereas the cerebellum displayed no individual overlap with these regions (Figure 1b).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingnone given

    Glial protein expression, metabolism, and lipid homeostasis were all greatly affected in the ALDH5A1 KO brain.

    “Glial protein expression, metabolism, and lipid homeostasis were all greatly affected in the ALDH5A1 KO brain.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Several specific phospholipid species were elevated in the cerebral cortex of ALDH5A1 KO mice, indicating disrupted lipid metabolism.

    “Several specific phospholipid species were elevated in the cerebral cortex of ALDH5A1 KO mice, indicating disrupted lipid metabolism.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    ALDH5A1 KO mice show elevated expression of proteins related to L-serine synthesis and increased serine levels.

    “We report elevated expression of proteins related to L-serine synthesis, coinciding with increased serine levels”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Findingown data

    GABA accumulation was confirmed in the ALDH5A1 KO mouse model.

    “which was confirmed in our mouse model.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    45% and 80% of all sulfatide species are reduced in the ALDH5A1 KO cerebral cortex and hippocampus, respectively.

    “This was also the case for 45% and 80% of all sulfatide species in the ALDH5A1 KO cerebral cortex and hippocampus, respectively.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ALDH5A1 KO mice show increased cerebral aspartate levels, whereas previous studies reported unchanged aspartate amounts.

    “Previous studies have reported unchanged aspartate amounts in the ALDH5A1 KO brain (Gibson et al., 2002;Gupta et al., 2004;Hogema et al., 2001), whereas we observed increased cerebral aspartate levels.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Gibson et al., 2002 source
    • cites Gupta et al., 2004 source
    • cites Hogema et al., 2001 source
  • May combine two claims.

    Findingown data

    ALDH5A1 KO mice show lower expression of the GABA synthesizing enzyme GAD and reduced GABA B receptor subunit GABBR2.

    “We found lower expression of the GABA synthesizing enzyme GAD, together with reduced GABA B receptor subunit (GABBR2) expression in the ALDH5A1 KO mice.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Seven proteins (GFAP, APOE, SLC7A5, OAT, CIRBP, MGST1, and SDHAF4) were upregulated in all three regions, whereas five proteins (ALDH5A1, MAG, ERMN, GSN, and PLEKHB1) were universally down-regulated in the ALDH5A1 KO brain.

    “Of these, the expression of 7 proteins (GFAP, APOE, SLC7A5, OAT, CIRBP, MGST1, and SDHAF4) were upregulated in all three regions, whereas 5 proteins (ALDH5A1, MAG, ERMN, GSN, and PLEKHB1) were universally down-regulated in the ALDH5A1 KO brain.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The perturbed proteome in ALDH5A1 KO mice is supported by disrupted brain amino acid levels, impaired astrocyte metabolism, and altered lipid composition.

    “The perturbed proteome was supported by disrupted brain amino acids levels, impaired astrocyte metabolism, and altered lipid composition of the ALDH5A1 KO mice”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The ALDH5A1 KO hippocampus displayed decreased expression of GLUL and GYS1, whereas PCX expression was elevated.

    “including decreased expression of the astrocytic enzymes glutamine synthetase (GLUL) and glycogen synthase (GYS1), whereas pyruvate carboxylase (PCX) expression was elevated.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Several astrocyte-specific proteins were dysregulated in ALDH5A1 KO mice, including upregulated GFAP and decreased PYGM.

    “several astrocyte-specific proteins were dysregulated including upregulated expression of glial fibrillary acidic protein (GFAP), whereas glycogen phosphorylase (PYGM) expression was decreased.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In total, 169 proteins displayed increased expression, whereas 200 proteins showed lower expression in ALDH5A1 KO mice.

    “In total, 169 proteins displayed increased expression, whereas 200 proteins showed lower expression in the ALDH5A1 KO mice.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    No randomization was applied because two defined littermate groups (ALDH5A1 KO and wild-type) were used continuously for the experiments.

    “No randomization was applied since two defined littermate groups (ALDH5A1 KO & wild-type) were used continuously for the experiments.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Investigators were blinded during sample analysis.

    “Investigators were blinded during sample analysis.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    HexCer and ST are myelin-enriched sphingolipids, suggesting critical dysregulation of myelin lipids in ALDH5A1 KO brain.

    “HexCer and ST are myelin-enriched sphingolipids suggesting a critical dysregulation of myelin lipids in the ALDH5A1 KO brain.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Glutamate metabolism is selectively impaired in the ALDH5A1 KO hippocampus, whereas the cerebral cortex was unaffected.

    “These results show that glutamate metabolism is selectively impaired in the ALDH5A1 KO hippocampus, whereas the cerebral cortex was unaffected.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Sample sizes were based on the variance of pilot studies and previous experiments.

    “Sample sizes were based on the variance of pilot studies and previous experiments.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Glutamine synthesis is the principal route of fixating ammonia in the brain.

    “glutamine synthesis is also the principal route of fixating ammonia in the brain (Andersen & Schousboe, 2023a).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Andersen & Schousboe, 2023a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Myelin is comprised of 70%-80% lipids.

    “As myelin is comprised of 70%-80% lipids (Schmitt et al., 2015), we finally sought to substantiate the dysregulated proteomic profile of myelination-related proteins in the ALDH5A1 KO mice (Figure 1c).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Schmitt et al., 2015

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationown data

    The proteome of the ALDH5A1 KO brain suggests a clear regional vulnerability of SSADH deficiency (hippocampus > cerebral cortex > > cerebellum) particularly affecting proteins related to amino acid homeostasis, energy metabolism, astrocyte function, and oligodendrocyte myelination.

    “Collectively, the proteome of the ALDH5A1 KO brain suggest a clear regional vulnerability of SSADH deficiency (hippocampus > cerebral cortex > > cerebellum) particularly affecting proteins related to amino acid homeostasis, energy metabolism, astrocyte function, and oligodendrocyte myelination.”
    Quote in the paperSubstantial claim
24 of 24
  • The paper relies on this without support.

    The irreversible metabolism of GABA is exclusively facilitated by GABA-transaminase (GABA-T) and succinic semialdehyde dehydrogenase (SSADH).

    “the irreversible metabolism of GABA is exclusively facilitated by the two enzymes GABA-transaminase (GABA-T) and succinic semialdehyde dehydrogenase (SSADH).”
  • The paper relies on this without support.

    The combined action of GABA-T and SSADH converts the GABA carbon backbone into the TCA intermediate succinate for further oxidation.

    “The combined action of these enzymes converts the GABA carbon backbone into the tricarboxylic acid (TCA) intermediate succinate for further oxidation.”
  • The paper relies on this without support.

    Glial metabolism and function remain poorly investigated in SSADH deficiency.

    “Yet, glial metabolism and function remain poorly investigated in SSADH deficiency.”
  • The paper relies on this without support.

    Astrocytes metabolize GABA and glutamate extensively to support glutamine synthesis, subsequently aiding to replenish the neuronal GABA and glutamate pools.

    “Particularly astrocytes metabolize these two neurotransmitters extensively to support glutamine synthesis, subsequently aiding to replenish the neuronal GABA and glutamate pools.”
  • The paper relies on this without support.

    [1,2-13C]Acetate is primarily metabolized in astrocytes.

    “[1,2-13 C]Acetate is primarily metabolized in astrocytes, entering the TCA cycle as acetyl CoA M + 2 units”
  • The paper relies on this without support.

    Cellular uptake of [U-13C]glutamate leads to M+5 enrichment of the intracellular glutamate pool, reflecting glutamate uptake.

    “Cellular uptake of [U-13 C]glutamate leads to M + 5 enrichment of the intracellular glutamate pool reflecting glutamate uptake.”
  • The paper relies on this without support.

    [U-13C]Glutamine is converted into glutamate M+5 by phosphate-activated glutaminase (PAG) activity.

    “[U-13 C]Glutamine is converted into glutamate M + 5 by phosphate-activated glutaminase (PAG) activity”
  • The paper relies on this without support.

    In astrocytes, glutamate can be converted into glutamine by glutamine synthetase (GS).

    “In astrocytes, glutamate can be converted into glutamine by glutamine synthetase (GS).”
  • The paper relies on this without support.

    Elevated expression of glial fibrillary acid protein (GFAP) is indicative of reactive astrogliosis.

    “showing elevated expression of glial fibrillary acid protein (GFAP) indicative of reactive astrogliosis.”
9 of 9

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Authors
Andersen, J. V., Marian, O. C., Qvist, F. L., Westi, E. W., Aldana, B. I., Schousboe, A., Don, A. S., Skotte, N. H., & Wellendorph, P.
Affiliations
  • University of Copenhagen (DK)
  • The University of Sydney (AU)
Corresponding author
  • Andersen, Jens V.
  • Wellendorph, Petrine
Venue
Glia
Publisher
Wiley
Published
2024-06-20
Volume
72
Issue
10
Pages
1821-1839
ISSN
  • 0894-1491 (ISSN-L)
  • 1098-1136
OpenAlex
W4399858902
Cited by
13
References
86
Citations by year
2026: 7 · 2025: 5 · 2024: 1
FWCI
3.78
Type
journal article
Language
en
Open access
Locations
  • Glia (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
Funders
Novo Nordisk Fonden (NNF21OC0067835)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Amino Acid Enzymes and Metabolism
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords
succinic semialdehyde dehydrogenase deficiency, GABA metabolism, astrocyte function, myelin degeneration, sphingolipids, glutamine metabolism, amino acid homeostasis, mitochondrial metabolism, hippocampus, cerebral cortex, neurometabolic disorders
MeSH terms
Amino Acid Metabolism, Inborn Errors, Animals, Astrocytes, Brain, Developmental Disabilities, gamma-Aminobutyric Acid, Mice, Inbred C57BL, Oligodendroglia, Mice, Knockout, Succinate-Semialdehyde Dehydrogenase, Mice

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