A ketogenic diet rescues the murine succinic semialdehyde dehydrogenase deficient phenotype

Exp Neurol. 2008 Apr;210(2):449-57. doi: 10.1016/j.expneurol.2007.11.015. Epub 2007 Nov 29.

Abstract

Succinic semialdehyde dehydrogenase (SSADH) deficiency is a heritable disorder of GABA degradation characterized by ataxia, psychomotor retardation and seizures. To date, there is no effective treatment for SSADH deficiency. We tested the hypothesis that a ketogenic diet (KD) would improve outcome in an animal model of SSADH deficiency, the SSADH knockout mouse (Aldh5a1-/-). Using a 4:1 ratio of fat to combined carbohydrate and protein KD we set out to compare the general phenotype, in vivo and in vitro electrophysiology and [35S]TBPS binding in both Aldh5a1-/- mice and control (Aldh5a1+/+) mice. We found that the KD prolonged the lifespan of mutant mice by >300% with normalization of ataxia, weight gain and EEG compared to mutants fed a control diet. Aldh5a1-/- mice showed significantly reduced mIPSC frequency in CA1 hippocampal neurons as well as significantly decreased [35S]TBPS binding in all brain areas examined. In KD fed mutants, mIPSC activity normalized and [35S]TBPS binding was restored in the cortex and hippocampus. The KD appears to reverse toward normal the perturbations seen in Aldh5a1-/- mice. Our data suggest that the KD may work in this model by restoring GABAergic inhibition. These data demonstrate a successful experimental treatment for murine SSADH deficiency using a KD, giving promise to the idea that the KD may be successful in the clinical treatment of SSADH deficiency.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Metabolism, Inborn Errors / complications
  • Amino Acid Metabolism, Inborn Errors / diet therapy*
  • Amino Acid Metabolism, Inborn Errors / genetics
  • Analysis of Variance
  • Animals
  • Animals, Newborn
  • Ataxia / etiology
  • Ataxia / genetics
  • Autoradiography
  • Body Weight / physiology
  • Brain / cytology
  • Bridged Bicyclo Compounds, Heterocyclic / metabolism
  • Diet, Carbohydrate-Restricted / methods*
  • Electroencephalography / methods
  • Excitatory Postsynaptic Potentials / drug effects
  • Excitatory Postsynaptic Potentials / physiology
  • Excitatory Postsynaptic Potentials / radiation effects
  • Fats / administration & dosage*
  • In Vitro Techniques
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neurons / drug effects
  • Neurons / physiology
  • Patch-Clamp Techniques / methods
  • Phenotype*
  • Succinate-Semialdehyde Dehydrogenase / deficiency*

Substances

  • Bridged Bicyclo Compounds, Heterocyclic
  • Fats
  • tert-butylbicyclophosphorothionate
  • Succinate-Semialdehyde Dehydrogenase