TY - JOUR
T1 - Dysregulated mitophagy and mitochondrial organization in optic atrophy due to OPA1 mutations
AU - Liao, Chunyan
AU - Ashley, Neil
AU - Diot, Alan
AU - Morten, Karl
AU - Phadwal, Kanchan
AU - Williams, Andrew
AU - Fearnley, Ian
AU - Rosser, Lyndon
AU - Lowndes, Jo
AU - Fratter, Carl
AU - Ferguson, David J P
AU - Vay, Laura
AU - Quaghebeur, Gerardine
AU - Moroni, Isabella
AU - Bianchi, Stefania
AU - Lamperti, Costanza
AU - Downes, Susan M
AU - Sitarz, Kamil S
AU - Flannery, Padraig J
AU - Carver, Janet
AU - Dombi, Eszter
AU - East, Daniel
AU - Laura, Matilde
AU - Reilly, Mary M
AU - Mortiboys, Heather
AU - Prevo, Remko
AU - Campanella, Michelangelo
AU - Daniels, Matthew J
AU - Zeviani, Massimo
AU - Yu-Wai-Man, Patrick
AU - Simon, Anna Katharina
AU - Votruba, Marcela
AU - Poulton, Joanna
N1 - Copyright © 2016 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
PY - 2017/1/10
Y1 - 2017/1/10
N2 - OBJECTIVE: To investigate mitophagy in 5 patients with severe dominantly inherited optic atrophy (DOA), caused by depletion of OPA1 (a protein that is essential for mitochondrial fusion), compared with healthy controls.METHODS: Patients with severe DOA (DOA plus) had peripheral neuropathy, cognitive regression, and epilepsy in addition to loss of vision. We quantified mitophagy in dermal fibroblasts, using 2 high throughput imaging systems, by visualizing colocalization of mitochondrial fragments with engulfing autophagosomes.RESULTS: Fibroblasts from 3 biallelic OPA1(-/-) patients with severe DOA had increased mitochondrial fragmentation and mitochondrial DNA (mtDNA)-depleted cells due to decreased levels of OPA1 protein. Similarly, in siRNA-treated control fibroblasts, profound OPA1 knockdown caused mitochondrial fragmentation, loss of mtDNA, impaired mitochondrial function, and mitochondrial mislocalization. Compared to controls, basal mitophagy (abundance of autophagosomes colocalizing with mitochondria) was increased in (1) biallelic patients, (2) monoallelic patients with DOA plus, and (3) OPA1 siRNA-treated control cultures. Mitophagic flux was also increased. Genetic knockdown of the mitophagy protein ATG7 confirmed this by eliminating differences between patient and control fibroblasts.CONCLUSIONS: We demonstrated increased mitophagy and excessive mitochondrial fragmentation in primary human cultures associated with DOA plus due to biallelic OPA1 mutations. We previously found that increased mitophagy (mitochondrial recycling) was associated with visual loss in another mitochondrial optic neuropathy, Leber hereditary optic neuropathy (LHON). Combined with our LHON findings, this implicates excessive mitochondrial fragmentation, dysregulated mitophagy, and impaired response to energetic stress in the pathogenesis of mitochondrial optic neuropathies, potentially linked with mitochondrial mislocalization and mtDNA depletion.
AB - OBJECTIVE: To investigate mitophagy in 5 patients with severe dominantly inherited optic atrophy (DOA), caused by depletion of OPA1 (a protein that is essential for mitochondrial fusion), compared with healthy controls.METHODS: Patients with severe DOA (DOA plus) had peripheral neuropathy, cognitive regression, and epilepsy in addition to loss of vision. We quantified mitophagy in dermal fibroblasts, using 2 high throughput imaging systems, by visualizing colocalization of mitochondrial fragments with engulfing autophagosomes.RESULTS: Fibroblasts from 3 biallelic OPA1(-/-) patients with severe DOA had increased mitochondrial fragmentation and mitochondrial DNA (mtDNA)-depleted cells due to decreased levels of OPA1 protein. Similarly, in siRNA-treated control fibroblasts, profound OPA1 knockdown caused mitochondrial fragmentation, loss of mtDNA, impaired mitochondrial function, and mitochondrial mislocalization. Compared to controls, basal mitophagy (abundance of autophagosomes colocalizing with mitochondria) was increased in (1) biallelic patients, (2) monoallelic patients with DOA plus, and (3) OPA1 siRNA-treated control cultures. Mitophagic flux was also increased. Genetic knockdown of the mitophagy protein ATG7 confirmed this by eliminating differences between patient and control fibroblasts.CONCLUSIONS: We demonstrated increased mitophagy and excessive mitochondrial fragmentation in primary human cultures associated with DOA plus due to biallelic OPA1 mutations. We previously found that increased mitophagy (mitochondrial recycling) was associated with visual loss in another mitochondrial optic neuropathy, Leber hereditary optic neuropathy (LHON). Combined with our LHON findings, this implicates excessive mitochondrial fragmentation, dysregulated mitophagy, and impaired response to energetic stress in the pathogenesis of mitochondrial optic neuropathies, potentially linked with mitochondrial mislocalization and mtDNA depletion.
KW - Antioxidants/pharmacology
KW - Cells, Cultured
KW - Cognition Disorders/etiology
KW - DNA Mutational Analysis
KW - DNA, Mitochondrial/genetics
KW - Family Health
KW - Female
KW - Fibroblasts/drug effects
KW - GTP Phosphohydrolases/genetics
KW - Humans
KW - Male
KW - Membrane Potential, Mitochondrial/genetics
KW - Mitochondrial Proteins/genetics
KW - Mitophagy/genetics
KW - Mutation/genetics
KW - Optic Atrophy/complications
KW - Pedigree
KW - Protein Kinases/genetics
KW - RNA, Small Interfering/genetics
KW - Transfection
KW - Ubiquinone/analogs & derivatives
KW - Ubiquitin-Protein Ligases/genetics
U2 - 10.1212/WNL.0000000000003491
DO - 10.1212/WNL.0000000000003491
M3 - Article
C2 - 27974645
SN - 0028-3878
VL - 88
SP - 131
EP - 142
JO - Neurology
JF - Neurology
IS - 2
ER -