Dichloroacetate protects against sulfur mustard-induced neurotoxicity via the PDK/PDH axis and Akt/Nrf2 pathway

Shanshan Zhang1, Yin Gong2, Jinfeng Cen1

  • 1Faculty of Naval Medicine, Naval Medical University, Shanghai, 200433, China.

PubMed

Insights

Dichloroacetate (DCA) shows promise as an antidote for sulfur mustard (SM) neurotoxicity. It protects neurons by targeting mitochondrial dysfunction via the PDK/PDH axis and Akt/Nrf2 pathway.

Area of Science:

  • Toxicology
  • Neuroscience
  • Mitochondrial Biology

Background:

  • Sulfur mustard (SM) poses a significant public health risk, causing neurotoxicity and psychiatric distress.
  • Mitochondrial dysfunction is a key mechanism in SM-induced cellular damage.
  • Neurotoxic mechanisms of SM and potential antidotes remain underexplored.

Purpose of the Study:

  • To screen mitochondrion-targeted compounds for antidotes against SM-induced neurotoxicity.
  • To investigate the protective effects of dichloroacetate (DCA) against SM neurotoxicity.

Main Methods:

  • Screening of mitochondrion-targeted compounds.
  • In vitro and in vivo experiments to assess neuronal survival and mitochondrial function.
  • Molecular analysis of the pyruvate dehydrogenase kinase (PDK)/pyruvate dehydrogenase (PDH) axis and the Akt/Nrf2 pathway.

Main Results:

  • Dichloroacetate (DCA) significantly reduced neuronal death caused by SM exposure.
  • DCA maintained normal mitochondrial morphology and function in neurons.
  • DCA functions by inhibiting PDK, upregulating PDH, and activating the Akt/Nrf2 pathway.

Conclusions:

  • DCA demonstrates neuroprotective effects against sulfur mustard toxicity.
  • The protective mechanism involves the PDK/PDH axis and the Akt/Nrf2 signaling pathway.
  • DCA is a potential novel antidote for SM poisoning.