Non ketotic hyperglycinemia (NKH) is an inborn error of
glycine metabolism caused by mutations in the genes encoding
glycine cleavage system proteins. Classic NKH has a neonatal onset, and patients present with severe neurodegeneration. Although
glycine accumulation has been implicated in NKH pathophysiology, the exact mechanisms underlying the neurological damage and white matter alterations remain unclear. We investigated the effects of
glycine in the brain of neonatal rats and MO3.13 oligodendroglial cells.
Glycine decreased
myelin basic protein (MBP) and
myelin-associated glycoprotein (MAG) in the corpus callosum and striatum of rats on post-natal day (PND) 15.
Glycine also reduced neuroglycan 2 (NG2) and
N-methyl-d-aspartate receptor subunit 1 (NR1) in the cerebral cortex and striatum on PND15. Moreover,
glycine reduced striatal
glutamate aspartate transporter 1 (GLAST) content and neuronal nucleus (NeuN), and increased
glial fibrillary acidic protein (GFAP) on PND15.
Glycine also increased DCFH oxidation and
malondialdehyde levels and decreased GSH concentrations in the cerebral cortex and striatum on PND6, but not on PND15.
Glycine further reduced viability but did not alter DCFH oxidation and GSH levels in MO3.13 cells after 48- and 72-h incubation. These data indicate that impairment of myelin structure and glutamatergic system and induction of oxidative stress are involved in the neuropathophysiology of NKH.