Combined treatment with oral metronidazole and N-acetylcysteine is effective in ethylmalonic encephalopathy

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Carlo Viscomi
  • Alberto B. Burlina
  • Imad Dweikat
  • Mario Savoiardo
  • Costanza Lamperti
  • Tatjana Hildebrandt
  • Valeria Tiranti
  • Massimo Zeviani

Research Organisations

External Research Organisations

  • Istituto Nazionale Neurologico C Besta, Milan
  • University of Padova
  • Al Makassed Hospital
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Details

Original languageEnglish
Pages (from-to)869-871
Number of pages3
JournalNature medicine
Volume16
Issue number8
Publication statusPublished - Aug 2010

Abstract

Ethylmalonic encephalopathy is caused by mutations in ETHE1, a mitochondrial matrix sulfur dioxygenase, leading to failure to detoxify sulfide, a product of intestinal anaerobes and, in trace amounts, tissues. Metronidazole, a bactericide, or N-acetylcysteine, a precursor of sulfide-buffering glutathione, substantially prolonged the lifespan of Ethe1-deficient mice, with the combined treatment being additive. The same dual treatment caused marked clinical improvement in five affected children, with hardly any adverse or side effects.

ASJC Scopus subject areas

Cite this

Combined treatment with oral metronidazole and N-acetylcysteine is effective in ethylmalonic encephalopathy. / Viscomi, Carlo; Burlina, Alberto B.; Dweikat, Imad et al.
In: Nature medicine, Vol. 16, No. 8, 08.2010, p. 869-871.

Research output: Contribution to journalArticleResearchpeer review

Viscomi, C, Burlina, AB, Dweikat, I, Savoiardo, M, Lamperti, C, Hildebrandt, T, Tiranti, V & Zeviani, M 2010, 'Combined treatment with oral metronidazole and N-acetylcysteine is effective in ethylmalonic encephalopathy', Nature medicine, vol. 16, no. 8, pp. 869-871. https://doi.org/10.1038/nm.2188
Viscomi, C., Burlina, A. B., Dweikat, I., Savoiardo, M., Lamperti, C., Hildebrandt, T., Tiranti, V., & Zeviani, M. (2010). Combined treatment with oral metronidazole and N-acetylcysteine is effective in ethylmalonic encephalopathy. Nature medicine, 16(8), 869-871. https://doi.org/10.1038/nm.2188
Viscomi C, Burlina AB, Dweikat I, Savoiardo M, Lamperti C, Hildebrandt T et al. Combined treatment with oral metronidazole and N-acetylcysteine is effective in ethylmalonic encephalopathy. Nature medicine. 2010 Aug;16(8):869-871. doi: 10.1038/nm.2188
Viscomi, Carlo ; Burlina, Alberto B. ; Dweikat, Imad et al. / Combined treatment with oral metronidazole and N-acetylcysteine is effective in ethylmalonic encephalopathy. In: Nature medicine. 2010 ; Vol. 16, No. 8. pp. 869-871.
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AU - Tiranti, Valeria

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