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Intermediaries of branched chain amino acid metabolism induce fetal hemoglobin, and repress SOX6 and BCL11A, in definitive erythroid cells.

Abstract
High levels of fetal hemoglobin (HbF) can ameliorate human β-globin gene disorders. The short chain fatty acid butyrate is the paradigmatic metabolic intermediary that induces HbF. Inherited disorders of branched-chain amino acid (BCAA) metabolism have been associated with supranormal HbF levels beyond infancy, e.g., propionic acidemia (PA) and methylmalonic acidemia (MMA). We tested intermediaries of BCAA metabolism for their effects on definitive erythropoiesis. Like butyrate, the elevated BCAA intermediaries isovalerate, isobutyrate, and propionate, induce fetal globin gene expression in murine EryD in vitro, are associated with bulk histone H3 hyperacylation, and repress the transcription of key gamma globin regulatory factors, notably BCL11A and SOX6. Metabolic intermediaries that are elevated in Maple Syrup Urine Disease (MSUD) affect none of these processes. Percent HbF and gamma (γ) chain isoforms were also measured in non-anemic, therapeutically optimized subjects with MSUD (Group I, n=6) or with Isovaleric Acidemia (IVA), MMA, or PA (Group II, n=5). Mean HbF was 0.24 ± 0.15% in Group I and 0.87 ± 0.13% in Group II (p=.01); only the Gγ isoform was detected. We conclude that a family of biochemically related intermediaries of branched chain amino acid metabolism induces fetal hemoglobin during definitive erythropoiesis, with mechanisms that mirror those so far identified for butyrate.
AuthorsShay Karkashon, Radha Raghupathy, Himanshu Bhatia, Amrita Dutta, Sonja Hess, Jaimie Higgs, Cynthia J Tifft, Jane A Little
JournalBlood cells, molecules & diseases (Blood Cells Mol Dis) Vol. 55 Issue 2 Pg. 161-7 (Aug 2015) ISSN: 1096-0961 [Electronic] United States
PMID26142333 (Publication Type: Journal Article)
CopyrightCopyright © 2015 Elsevier Inc. All rights reserved.
Chemical References
  • Amino Acids, Branched-Chain
  • BCL11A protein, human
  • Carrier Proteins
  • Histones
  • Nuclear Proteins
  • Repressor Proteins
  • SOX6 protein, human
  • SOXD Transcription Factors
  • gamma-Globins
  • Fetal Hemoglobin
Topics
  • Acetylation
  • Amino Acids, Branched-Chain (metabolism)
  • Carrier Proteins (metabolism)
  • Child
  • Child, Preschool
  • Erythroid Cells (metabolism)
  • Fetal Hemoglobin (genetics, metabolism)
  • Gene Expression
  • Histones (metabolism)
  • Humans
  • Nuclear Proteins (metabolism)
  • Repressor Proteins
  • SOXD Transcription Factors (metabolism)
  • gamma-Globins (genetics, metabolism)

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