Mechanistic basis of hypermethioninemia

Amino Acids. 2016 Nov;48(11):2479-2489. doi: 10.1007/s00726-016-2302-4. Epub 2016 Jul 27.

Abstract

Hypermethioninemia is a condition defined as elevated plasma methionine levels and may be a consequence of different conditions that include non-genetic and genetic causes. In severe cases, hypermethioninemia may lead to development of neurological and hepatic impairments, but mechanisms are still not well elucidated. Therefore, this review aims to reunite the knowledge acquired about the methionine-induced brain and liver toxicity focusing on the results obtained by studies from patients, in vitro experiments, and in vivo animal models. In general, some studies have shown that methionine decreases Na+,K+-ATPase activity, induces oxidative stress, increases acetylcholinesterase activity, and leads to dendritic spine downregulation in brain. Concerning to liver, hypermethioninemia seems to provoke changes in cell morphology, lipid accumulation, oxidative stress, inflammation, and ATP depletion. It is possible to infer that oxidative damage is one of the most important mechanisms responsible for methionine toxicity, since different studies showed that this amino acid induces oxidative stress in brain and liver tissues. Besides, reactive oxygen species may mediate other alterations induced by methionine, such as the reduction in brain Na+,K+-ATPase activity, and liver inflammation.

Keywords: Brain; Hypermethioninemia; Liver; Methionine; Oxidative stress.

Publication types

  • Review

MeSH terms

  • Adenosine Triphosphate / genetics
  • Adenosine Triphosphate / metabolism
  • Amino Acid Metabolism, Inborn Errors / complications
  • Amino Acid Metabolism, Inborn Errors / genetics
  • Amino Acid Metabolism, Inborn Errors / metabolism*
  • Amino Acid Metabolism, Inborn Errors / pathology
  • Animals
  • Brain / metabolism*
  • Brain / pathology
  • Glycine N-Methyltransferase / deficiency*
  • Glycine N-Methyltransferase / genetics
  • Glycine N-Methyltransferase / metabolism
  • Humans
  • Inflammation / genetics
  • Inflammation / metabolism
  • Inflammation / pathology
  • Lipid Metabolism / genetics
  • Liver / metabolism*
  • Liver / pathology
  • Liver Diseases / etiology
  • Liver Diseases / genetics
  • Liver Diseases / metabolism*
  • Liver Diseases / pathology
  • Nervous System Diseases / etiology
  • Nervous System Diseases / genetics
  • Nervous System Diseases / metabolism*
  • Nervous System Diseases / pathology
  • Oxidative Stress / genetics
  • Reactive Oxygen Species / metabolism
  • Sodium-Potassium-Exchanging ATPase / genetics
  • Sodium-Potassium-Exchanging ATPase / metabolism

Substances

  • Reactive Oxygen Species
  • Adenosine Triphosphate
  • Glycine N-Methyltransferase
  • Sodium-Potassium-Exchanging ATPase

Supplementary concepts

  • Hypermethioninemia