Glutaric Acidemia Type 1 (GA1), also called Glutaric Aciduria Type 1, is a rare autosomal recessive metabolic disorder. It is caused by changes in the Gcdh gene. These changes affect how the body breaks down amino acids The Gcdh gene encodes the mitochondrial enzyme glutaryl-CoA dehydrogenase (GCDH), which plays a critical role in lysine, hydroxylysine, and tryptophan metabolism.
Mutations disrupting GCDH activity leads to abnormal accumulation of organic acid metabolites such as glutaric acid (GA), 3-hydroxyglutaric acid (3-OH-GA), and glutarylcarnitine (C5DC) in the body. This buildup results in metabolic problems that primarily affect the nervous system and can cause neurodegenerative damage.
The global rate of GA1 is about 1 in 100,000. In children, the rate is around 1 in 30,000 to 1 in 100,000. However, there are significant variances based on ethnicity and region. Infants and children with GA1 may initially develop normally, but face higher risks of developing acute encephalopathy triggered by infections, vaccinations, or surgeries. This often leads to irreversible striatal damage, with high mortality and disability rates.
Figure 1. Mechanism of brain injury in GA1 disease.[2]
Glutaryl-CoA dehydrogenase (GCDH) is a mitochondrial enzyme belonging to the dehydrogenase/decarboxylase enzyme family that is required for L-lysine, L-hydroxylysine, and L-tryptophan metabolism. GCDH is primarily located in the mitochondria of metabolically active tissues such as the liver, kidneys, and brain.
GCDH prevents toxic metabolite accumulation by catalyzing the oxidation of glutaryl-CoA to glutaconyl-CoA, which is then further decarboxylated to crotonyl-CoA. This process is a key step in the catabolism of lysine, hydroxylysine, and tryptophan. These are essential amino acids whose metabolic byproducts need to be removed quickly to prevent toxic buildup in the body. Furthermore, GCDH deficiency disrupts metabolic pathways, compromising energy supply and impacting highly energy-dependent tissues like the brain.
In the absence of GCDH, glutaryl-CoA is improperly metabolized. This leads to the accumulation of harmful compounds such as GA, 3-OH-GA, and C5DC. These metabolites are highly toxic to the central nervous system, especially in the striatal region, potentially causing neuronal damage, vacuolization, and inflammatory responses.[3-5] Clinical manifestations include macrocephaly, progressive dystonia, and motor dysfunction, with severe cases potentially being fatal.
Figure 2. Disruption of lysine and tryptophan metabolism in GA1.[5]
To study GA1 and develop potential therapies, researchers rely on genetically modified mouse models that can mimic human disease pathogenesis and pathology. Studies have shown that Gcdh knockout mice (Gcdh KO mice) exhibit biochemical phenotypes highly similar to human GA1 disease.
Gcdh KO mice demonstrate:
Gcdh Knockout mice that survive to adulthood often exhibit severe neuropathological changes, including neuronal loss, vacuolization, and intraventricular hemorrhage.[8-9] Because of their close resemblance to human GA1 pathology, Gcdh KO mice are invaluable for:
Figure 3. Gcdh KO mice used for preclinical efficacy evaluation of AAV-mediated supplementation therapy [10]
Cyagen’s Gcdh knockout (KO) mouse model is engineered to accurately replicate the metabolic issues seen in human GA1. This makes it a valuable tool for studying how the disease progresses and testing treatment options. We developed the Gcdh KO mouse model (Product ID: C001594) by knocking out the Gcdh gene to enable studies of GA1 and other Gcdh-related metabolic disorders.
The Gcdh KO mouse model accumulates significant amounts of glutaric acid (GA) in plasma, brain, and liver tissues, exhibiting typical biochemical phenotypes of Glutaric Acidemia Type 1 (GA1) compared to wild-type mice. This model is an ideal tool for a variety of applications, including:
Figure 4. Comparison of GA levels in wild-type (WT) mice and Gcdh KO mice.
By using the Gcdh knockout mouse model, researchers can analyze metabolic disruptions, identify biomarkers, and assess the long-term neurological impact of GA1.
These models facilitate preclinical studies on dietary interventions, gene therapy, and small-molecule drugs targeting the Gcdh gene pathway.
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The Gcdh knockout mouse model is an indispensable tool for studying rare metabolic disorders like GA1. Cyagen provides high-quality, genetically engineered mouse models to support research on Gcdh gene function, disease progression, and therapeutic innovation. By providing customized genetic modifications and comprehensive preclinical research services, Cyagen supports advancements in metabolic disorder treatments and precision medicine.
Cyagen collaborates extensively with leading pharmaceutical companies, biotechnology firms, and academic research institutions worldwide to develop a comprehensive range of metabolic disease models. Our gene modeling experts have developed disease models related to metabolic conditions such as liver disease, obesity, diabetes, hyperuricemia, and atherosclerosis, accelerating research and drug discovery efforts in these fields.
Product Number | Product Name | Strain Background | Application |
C001507 | B6J-Apoe KO | C57BL/6JCya | Atherosclerosis, Hypercholesterolemia, Metabolic Dysfunction-Associated Steatohepatitis (MASH) |
C001067 | APOE | C57BL/6NCya | Atherosclerosis |
C001291 | B6-db/db | C57BL/6JCya | High Blood Sugar and Obesity |
C001392 | Ldlr KO (em) | C57BL/6JCya | Familial Hypercholesterolemia |
C001368 | B6-ob/ob(Lep KO) | C57BL/6JCya | Type 2 Diabetes and Obesity |
C001232 | Uox KO | C57BL/6JCya | Hyperuricemia |
C001267 | Atp7b KO | C57BL/6NCya | Copper Metabolism Disorder, Wilson's Disease |
C001265 | Foxj1 KO | C57BL/6NCya | Primary Ciliary Dyskinesia |
C001266 | Usp26 KO | C57BL/6NCya | Klinefelter Syndrome |
C001273 | Fah KO | C57BL/6NCya | Phenylketonuria Type 1 |
C001383 | Alb-Cre/LSL-hLPA | C57BL/6NCya | Cardiovascular Targets |
C001421 | B6-hGLP-1R | C57BL/6NCya | Metabolic Targets |
C001400 | B6J-hANGPTL3 | C57BL/6JCya | Metabolic Targets |
C001493 | FVB-Abcb1a&Abcb1b DKO (Mdr1a/b KO) | FVB | Diseases Related to Blood-Brain Barrier Permeability |
C001532 | Serping1 KO | C57BL/6JCya | Hereditary Angioedema(HAE) |
C001549 | DIO-B6-M | C57BL/6NCya | Research on diet-induced obesity, diabetes, inflammation, fatty liver, and other metabolic diseases; drug development, screening, and preclinical efficacy evaluation for obesity. |
C001553 | B6-RCL-hLPA/Alb-cre/TG(APOB) | C57BL/6NCya | Familial hypercholesterolemia (FH); atherosclerotic cardiovascular disease (ASCVD); other cardiovascular diseases (CVD). |
C001560 | Pah KO | C57BL/6JCya | Phenylketonuria (PKU) |
I001220 | B6-hPCSK9/Apoe KO | C57BL/6Cya | Research on PCSK9-targeted drug development; studies on metabolic diseases such as hyperlipidemia, stroke, coronary heart disease, and familial hypercholesterolemia (FH). |
I001223 | Gla KO | C57BL/6NCya | Fabry Disease (FD) |
C001583 | FVB-Pcca KO/hPCCA*A138T | FVB/NJCya | Propionic Acidemia (PA) |
C001590 | FVB-Abcb4 KO | FVB/NJCya | Progressive Familial Intrahepatic Cholestasis Type 3 (PFIC3) |
C001594 | Gcdh KO | C57BL/6JCya | Glutaric aciduria type I (GA1) |
C001600 | B6-hINHBE/ob | C57BL/6NCya; C57BL/6JCya | Type 2 Diabetes, Obesity, and Metabolic Disorders Associated with Improper Fat Distribution and Storage |
C001601 | B6-hGLP-1R/ob | C57BL/6NCya; C57BL/6JCya | Type 2 Diabetes and Obesity |
C001591 | Alb-hLPA/B6-TG(APOB) | C57BL/6NCya; C57BL/6JCya | Familial hypercholesterolemia (FH); atherosclerotic cardiovascular disease (ASCVD); other cardiovascular diseases (CVD) |
References:
[1]Li Q, Yang C, Feng L, Zhao Y, Su Y, Liu H, Men H, Huang Y, Körner H, Wang X. Glutaric Acidemia, Pathogenesis and Nutritional Therapy. Front Nutr. 2021 Dec 15;8:704984.
[2]Wajner, M. (2022). Glutaric Acidemia Type 1: An Inherited Neurometabolic Disorder of Intoxication. In: Kostrzewa, R.M. (eds) Handbook of Neurotoxicity. Springer, Cham.
[3]Schuurmans IME, Dimitrov B, Schröter J, Ribes A, de la Fuente RP, Zamora B, van Karnebeek CDM, Kölker S, Garanto A. Exploring genotype-phenotype correlations in glutaric aciduria type 1. J Inherit Metab Dis. 2023 May;46(3):371-390.
[4]Boy N, Mühlhausen C, Maier EM, Ballhausen D, Baumgartner MR, Beblo S, Burgard P, Chapman KA, Dobbelaere D, Heringer-Seifert J, Fleissner S, Grohmann-Held K, Hahn G, Harting I, Hoffmann GF, Jochum F, Karall D, Konstantopoulous V, Krawinkel MB, Lindner M, Märtner EMC, Nuoffer JM, Okun JG, Plecko B, Posset R, Sahm K, Scholl-Bürgi S, Thimm E, Walter M, Williams M, Vom Dahl S, Ziagaki A, Zschocke J, Kölker S. Recommendations for diagnosing and managing individuals with glutaric aciduria type 1: Third revision. J Inherit Metab Dis. 2023 May;46(3):482-519.
[5]Li Q, Yang C, Feng L, Zhao Y, Su Y, Liu H, Men H, Huang Y, Körner H, Wang X. Glutaric Acidemia, Pathogenesis and Nutritional Therapy. Front Nutr. 2021 Dec 15;8:704984.
[6]Koeller DM, Woontner M, Crnic LS, Kleinschmidt-DeMasters B, Stephens J, Hunt EL, Goodman SI. Biochemical, pathologic and behavioral analysis of a mouse model of glutaric acidemia type I. Hum Mol Genet. 2002 Feb 15;11(4):347-57.
[7]Keyser B, Glatzel M, Stellmer F, Kortmann B, Lukacs Z, Kölker S, Sauer SW, Muschol N, Herdering W, Thiem J, Goodman SI, Koeller DM, Ullrich K, Braulke T, Mühlhausen C. Transport and distribution of 3-hydroxyglutaric acid before and during induced encephalopathic crises in a mouse model of glutaric aciduria type 1. Biochim Biophys Acta. 2008 Jun;1782(6):385-90.
[8]Zinnanti WJ, Lazovic J, Wolpert EB, Antonetti DA, Smith MB, Connor JR, Woontner M, Goodman SI, Cheng KC. A diet-induced mouse model for glutaric aciduria type I. Brain. 2006 Apr;129(Pt 4):899-910.
[9]Seminotti B, Amaral AU, da Rosa MS, Fernandes CG, Leipnitz G, Olivera-Bravo S, Barbeito L, Ribeiro CA, de Souza DO, Woontner M, Goodman SI, Koeller DM, Wajner M. Disruption of brain redox homeostasis in glutaryl-CoA dehydrogenase deficient mice treated with high dietary lysine supplementation. Mol Genet Metab. 2013 Jan;108(1):30-9.
[10]Mateu-Bosch A, Segur-Bailach E, Muñoz-Moreno E, Barallobre MJ, Arbonés ML, Gea-Sorlí S, Tort F, Ribes A, García-Villoria J, Fillat C. Systemic delivery of AAV-GCDH ameliorates HLD-induced phenotype in a glutaric aciduria type I mouse model. Mol Ther Methods Clin Dev. 2024 Jun 4;32(3):101276.
[11]Barzi M, Johnson CG, Chen T, Rodriguiz RM, Hemmingsen M, Gonzalez TJ, Rosales A, Beasley J, Peck CK, Ma Y, Stiles AR, Wood TC, Maeso-Diaz R, Diehl AM, Young SP, Everitt JI, Wetsel WC, Lagor WR, Bissig-Choisat B, Asokan A, El-Gharbawy A, Bissig KD. Rescue of glutaric aciduria type I in mice by liver-directed therapies. Sci Transl Med. 2023 Apr 19;15(692):eadf4086.
[12]Wagner GR, Bhatt DP, O'Connell TM, Thompson JW, Dubois LG, Backos DS, Yang H, Mitchell GA, Ilkayeva OR, Stevens RD, Grimsrud PA, Hirschey MD. A Class of Reactive Acyl-CoA Species Reveals the Non-enzymatic Origins of Protein Acylation. Cell Metab. 2017 Apr 4;25(4):823-837.e8.
[13]Sauer SW, Opp S, Komatsuzaki S, Blank AE, Mittelbronn M, Burgard P, Koeller DM, Okun JG, Kölker S. Multifactorial modulation of susceptibility to l-lysine in an animal model of glutaric aciduria type I. Biochim Biophys Acta. 2015 May;1852(5):768-77.