RESEARCH ARTICLE

Triheptanoin Protects Motor Neurons and Delays the Onset of Motor Symptoms in a Mouse Model of Amyotrophic Lateral Sclerosis Tesfaye W. Tefera1☯, Yide Wong1☯¤a, Mallory E. Barkl-Luke1, Shyuan T. Ngo1,2¤b, Nicola K. Thomas1, Tanya S. McDonald1, Karin Borges1*

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1 School of Biomedical Sciences, The University of Queensland, Brisbane, Queensland, Australia, 2 University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia ☯ These authors contributed equally to this work. ¤a Current address: Queensland Institute of Medical Research, Brisbane, Queensland, Australia ¤b Current address: Queensland Brain Institute, The University of Queensland, Brisbane, Queensland, Australia * [email protected]

OPEN ACCESS Citation: Tefera TW, Wong Y, Barkl-Luke ME, Ngo ST, Thomas NK, McDonald TS, et al. (2016) Triheptanoin Protects Motor Neurons and Delays the Onset of Motor Symptoms in a Mouse Model of Amyotrophic Lateral Sclerosis. PLoS ONE 11(8): e0161816. doi:10.1371/journal.pone.0161816 Editor: Firas H Kobeissy, University of Florida, UNITED STATES Received: November 12, 2015 Accepted: August 14, 2016 Published: August 26, 2016 Copyright: © 2016 Tefera et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the paper. Funding: STN is currently a Scott Sullivan Research Fellow funded by the MND and Me Foundation, The Queensland Brain Institute and The Royal Brisbane and Women’s Hospital Foundation. KB is funded by the Australian National Health and Medical Research Council (Grant 1044407). TWT and TSM receive UQI and APA scholarship support, respectively. Sasol and Ultragenyx Pharmaceuticals Inc. donated triheptanoin. The funders had no role in study design,

Abstract There is increasing evidence that energy metabolism is disturbed in Amyotrophic Lateral Sclerosis (ALS) patients and animal models. Treatment with triheptanoin, the triglyceride of heptanoate, is a promising approach to provide alternative fuel to improve oxidative phosphorylation and aid ATP generation. Heptanoate can be metabolized to propionyl-CoA, which after carboxylation can produce succinyl-CoA and thereby re-fill the tricarboxylic acid (TCA) cycle (anaplerosis). Here we tested the hypothesis that treatment with triheptanoin prevents motor neuron loss and delays the onset of disease symptoms in female mice overexpressing the mutant human SOD1G93A (hSOD1G93A) gene. When oral triheptanoin (35% of caloric content) was initiated at P35, motor neuron loss at 70 days of age was attenuated by 33%. In untreated hSOD1G93A mice, the loss of hind limb grip strength began at 16.7 weeks. Triheptanoin maintained hind limb grip strength for 2.8 weeks longer (p

Triheptanoin Protects Motor Neurons and Delays the Onset of Motor Symptoms in a Mouse Model of Amyotrophic Lateral Sclerosis.

There is increasing evidence that energy metabolism is disturbed in Amyotrophic Lateral Sclerosis (ALS) patients and animal models. Treatment with tri...
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