Glycolate Oxidase Is a Safe and Efficient Target for Substrate Reduction Therapy in a Mouse Model of Primary Hyperoxaluria Type I

Mol Ther. 2016 Apr;24(4):719-25. doi: 10.1038/mt.2015.224. Epub 2015 Dec 22.

Abstract

Primary hyperoxaluria type 1 (PH1) is caused by deficient alanine-glyoxylate aminotransferase, the human peroxisomal enzyme that detoxifies glyoxylate. Glycolate is one of the best-known substrates leading to glyoxylate production, via peroxisomal glycolate oxidase (GO). Using genetically modified mice, we herein report GO as a safe and efficient target for substrate reduction therapy (SRT) in PH1. We first generated a GO-deficient mouse (Hao1(-/-)) that presented high urine glycolate levels but no additional phenotype. Next, we produced double KO mice (Agxt1(-/-) Hao1(-/-)) that showed low levels of oxalate excretion compared with hyperoxaluric mice model (Agxt1(-/-)). Previous studies have identified some GO inhibitors, such as 4-carboxy-5-[(4-chlorophenyl)sulfanyl]-1,2,3-thiadiazole (CCPST). We herein report that CCPST inhibits GO in Agxt1(-/-) hepatocytes and significantly reduces their oxalate production, starting at 25 µM. We also tested the ability of orally administered CCPST to reduce oxalate excretion in Agxt1(-/-) mice, showing that 30-50% reduction in urine oxalate can be achieved. In summary, we present proof-of-concept evidence for SRT in PH1. These encouraging results should be followed by a medicinal chemistry programme that might yield more potent GO inhibitors and eventually could result in a pharmacological treatment for this rare and severe inborn error of metabolism.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcohol Oxidoreductases / antagonists & inhibitors
  • Alcohol Oxidoreductases / genetics*
  • Alcohol Oxidoreductases / metabolism
  • Animals
  • Cells, Cultured
  • Disease Models, Animal
  • Gene Knockout Techniques
  • Glyoxylates / urine
  • Hepatocytes / drug effects
  • Hepatocytes / enzymology
  • Humans
  • Hyperoxaluria, Primary / drug therapy*
  • Hyperoxaluria, Primary / genetics
  • Hyperoxaluria, Primary / urine
  • Mice
  • Thiadiazoles / administration & dosage*
  • Thiadiazoles / pharmacology
  • Transaminases / deficiency*

Substances

  • 4-carboxy-5-((4-chlorophenyl)sulfanyl)-1,2,3-thiadiazole
  • Glyoxylates
  • Thiadiazoles
  • Alcohol Oxidoreductases
  • glycollate oxidase
  • Transaminases
  • Alanine-glyoxylate transaminase
  • glyoxylic acid

Supplementary concepts

  • Primary hyperoxaluria type 1