Friday, May 29, 2009

Neuroprotective and Supposed Antidepressant-Like Effects of Sodium Butyrate: Relevance to HMB Research and Energy Metabolism

A lot of these articles showing that butyrate (usually administered or used in vitro as sodium butyrate, or SB), a short-chain fatty acid similar in structure to HMB (3-hydroxy-3-methylbutyrate or 3-hydroxyisovalerate, discussed in the two previous postings), reduces the degradation of numerous proteins by proteasomes are relevant to research on HMB. There are many similarities among the effects of butyrate and HMB. HMB is thought to exert its anticatabolic effects by inhibiting proteasomal activity (http://scholar.google.com/scholar?num=100&hl=en&lr=&q=proteasome+methylbutyrate+OR+%223-hydroxyisovalerate%22) and also by acting as a precursor of HMG-CoA and of cholesterol. The extent to which an HMB-induced increase in cholesterol formation contributes to the HMB-induced inhibition of proteasomal activity is unknown. SB is a nonselective inhibitor of histone deacetylase enzymes in vitro, and its histone deacetylase inhibitory effect, at least in vitro, is thought to contribute to its inhibition of TNF-alpha-induced NFkappaB (NFkB) transcription factor [a.k.a. the "Rel" family of subunits that form the dimers that comprise NFkB transcription factors: (http://scholar.google.com/scholar?num=100&hl=en&lr=&q=RelA+RelB)] activation in the cytosol (Yin et al., 2001: (http://www.jbc.org/cgi/reprint/276/48/44641)(http://www.ncbi.nlm.nih.gov/pubmed/11572859?dopt=Abstract); (http://scholar.google.com/scholar?num=100&hl=en&lr=&q=%22sodium+butyrate%22+proteasome)]. Butyrate doesn't prevent the ubiquitination of IkB proteins (inhibitors of NFkB activation) but causes them to acccumulate as ubiquitin-conjugated proteins, without being degraded in proteasomes, evidently (Yin et al., 2001). HMB is also thought to exert anti-inflammatory effects by suppressing NFkB activation, as a result of the HMB-induced suppression of "proteasomal activity" [Baxter et al., 2005: (http://www.ncbi.nlm.nih.gov/pubmed/16006030)].

I don't doubt that some of those mechanisms are important, and a decrease in the activation of NFkB transcription factors can be antiproliferative and can downregulate the expression of numerous pro-inflammatory cytokines (cytokines that suppress mitochondrial functioning), etc., but SB is produced by microorganisms in the GI tract and is known to be the major energy substrate for colonocytes in the submucosal layers (I forget the terminology) of the colon (http://scholar.google.com/scholar?num=100&hl=en&lr=&q=%22sodium+butyrate%22+energy). The in vitro research probably uses bizarre conditions and shows that SB can induce apoptosis of colon cancer cells. It looks like SB is pro-apoptotic at high but not low concentrations (0.5 mM to 2 mM) [Singh et al., 1997: (http://carcin.oxfordjournals.org/cgi/reprint/18/6/1265.pdf)(http://www.ncbi.nlm.nih.gov/pubmed/9214612)]. But SB supposedly doesn't produce very strong histone deacetylase inhibition in the brain in vivo in animals, but it does produce neuroprotective effects in all sorts of different models (http://scholar.google.com/scholar?num=100&hl=en&lr=&q=%22sodium+butyrate%22+neurodegenerative+OR+neurological+OR+neuroprotective+OR+Parkinson%27s+OR+Huntington%27s+OR+ischemia+OR+ischaemia+OR+hypoxia+OR+anoxia). Sodium butyrate has also produced some "antidepressant-like" effects in animal models of depression (http://scholar.google.com/scholar?q=%22sodium+butyrate%22+antidepressant&hl=en&lr=). Sodium butyrate is also sold as a supplement (http://www.google.com/products?q=sodium+butyrate&hl=en&aq=f).

Anyway, I just put this information up here, but I have no idea what the dosage range would be. One would obviously want to discuss this type of thing with one's doctor, and the most obvious, potential problem would be the disturbances in phosphate or calcium homeostasis in response to something like this. The infusion of 3-hydroxybutyrate, a "ketone" that doesn't have a carbonyl group but is defined as being a ketone, and acetate, for example, can increase plasma bicarbonate, and this effect appears to be the result of the metabolism of the organic acids/fatty acids and not from effects on phosphate homeostasis, in some articles. But these organic anions can just have strange effects, and it's something to be aware. Many medications can affect acid-base homeostasis and could interact with sodium butyrate or HMB. Some anticonvulsants act as carbonic anhydrase inhibitors, for example, and could interact with these types of short-chain fatty acids (such as sodium butyrate) or branched-chain organic acids/fatty acids (such as HMB).

In my opinion, sodium butyrate probably acts mostly as an energy substrate, but that doesn't exclude other mechanisms. I also think the research on sodium butyrate is likely to be relevant to future research on the mechanisms of action of HMB. Both compounds inhibit proteasomal activity and may have overlapping or similar effects, but I don't think it's going to be as simple as testing HMB as a "histone deacetylase inhibitor." Histone acetylation is extraordinarily complex and dynamic, and to think that one can treat a multitude of conditions with histone deacetylase inhibitors is not realistic, in my opinion. Vitamin D receptor activation can increase histone acetylation (http://scholar.google.com/scholar?num=100&hl=en&lr=&q=%22vitamin+D%22+histone+acetyltransferase+OR+acetylation), much as sodium butyrate supposedly does (histone deacetylase inhibition leads to increases in the acetylation of histone proteins). But it's clear, in my opinion, that a lot of the effects of sodium butyrate cannot be explained in terms of histone acetylation.

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