Impaired complex I repair causes recessive Leber's hereditary optic neuropathy
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Impaired complex I repair causes recessive Leber's hereditary optic neuropathy. / Stenton, Sarah L; Sheremet, Natalia L; Catarino, Claudia B; Andreeva, Natalia A; Assouline, Zahra; Barboni, Piero; Barel, Ortal; Berutti, Riccardo; Bychkov, Igor; Caporali, Leonardo; Capristo, Mariantonietta; Carbonelli, Michele; Cascavilla, Maria L; Charbel Issa, Peter; Freisinger, Peter; Gerber, Sylvie; Ghezzi, Daniele; Graf, Elisabeth; Heidler, Juliana; Hempel, Maja; Heon, Elise; Itkis, Yulya S; Javasky, Elisheva; Kaplan, Josseline; Kopajtich, Robert; Kornblum, Cornelia; Kovacs-Nagy, Reka; Krylova, Tatiana D; Kunz, Wolfram S; La Morgia, Chiara; Lamperti, Costanza; Ludwig, Christina; Malacarne, Pedro F; Maresca, Alessandra; Mayr, Johannes A; Meisterknecht, Jana; Nevinitsyna, Tatiana A; Palombo, Flavia; Pode-Shakked, Ben; Shmelkova, Maria S; Strom, Tim M; Tagliavini, Francesca; Tzadok, Michal; van der Ven, Amelie T; Vignal-Clermont, Catherine; Wagner, Matias; Zakharova, Ekaterina Y; Zhorzholadze, Nino V; Rozet, Jean-Michel; Carelli, Valerio; Tsygankova, Polina G; Klopstock, Thomas; Wittig, Ilka; Prokisch, Holger.
in: J CLIN INVEST, Jahrgang 131, Nr. 6, e138267, 15.03.2021.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impaired complex I repair causes recessive Leber's hereditary optic neuropathy
AU - Stenton, Sarah L
AU - Sheremet, Natalia L
AU - Catarino, Claudia B
AU - Andreeva, Natalia A
AU - Assouline, Zahra
AU - Barboni, Piero
AU - Barel, Ortal
AU - Berutti, Riccardo
AU - Bychkov, Igor
AU - Caporali, Leonardo
AU - Capristo, Mariantonietta
AU - Carbonelli, Michele
AU - Cascavilla, Maria L
AU - Charbel Issa, Peter
AU - Freisinger, Peter
AU - Gerber, Sylvie
AU - Ghezzi, Daniele
AU - Graf, Elisabeth
AU - Heidler, Juliana
AU - Hempel, Maja
AU - Heon, Elise
AU - Itkis, Yulya S
AU - Javasky, Elisheva
AU - Kaplan, Josseline
AU - Kopajtich, Robert
AU - Kornblum, Cornelia
AU - Kovacs-Nagy, Reka
AU - Krylova, Tatiana D
AU - Kunz, Wolfram S
AU - La Morgia, Chiara
AU - Lamperti, Costanza
AU - Ludwig, Christina
AU - Malacarne, Pedro F
AU - Maresca, Alessandra
AU - Mayr, Johannes A
AU - Meisterknecht, Jana
AU - Nevinitsyna, Tatiana A
AU - Palombo, Flavia
AU - Pode-Shakked, Ben
AU - Shmelkova, Maria S
AU - Strom, Tim M
AU - Tagliavini, Francesca
AU - Tzadok, Michal
AU - van der Ven, Amelie T
AU - Vignal-Clermont, Catherine
AU - Wagner, Matias
AU - Zakharova, Ekaterina Y
AU - Zhorzholadze, Nino V
AU - Rozet, Jean-Michel
AU - Carelli, Valerio
AU - Tsygankova, Polina G
AU - Klopstock, Thomas
AU - Wittig, Ilka
AU - Prokisch, Holger
PY - 2021/3/15
Y1 - 2021/3/15
N2 - Leber's hereditary optic neuropathy (LHON) is the most frequent mitochondrial disease and was the first to be genetically defined by a point mutation in mitochondrial DNA (mtDNA). A molecular diagnosis is achieved in up to 95% of cases, the vast majority of which are accounted for by 3 mutations within mitochondrial complex I subunit-encoding genes in the mtDNA (mtLHON). Here, we resolve the enigma of LHON in the absence of pathogenic mtDNA mutations. We describe biallelic mutations in a nuclear encoded gene, DNAJC30, in 33 unsolved patients from 29 families and establish an autosomal recessive mode of inheritance for LHON (arLHON), which to date has been a prime example of a maternally inherited disorder. Remarkably, all hallmarks of mtLHON were recapitulated, including incomplete penetrance, male predominance, and significant idebenone responsivity. Moreover, by tracking protein turnover in patient-derived cell lines and a DNAJC30-knockout cellular model, we measured reduced turnover of specific complex I N-module subunits and a resultant impairment of complex I function. These results demonstrate that DNAJC30 is a chaperone protein needed for the efficient exchange of complex I subunits exposed to reactive oxygen species and integral to a mitochondrial complex I repair mechanism, thereby providing the first example to our knowledge of a disease resulting from impaired exchange of assembled respiratory chain subunits.
AB - Leber's hereditary optic neuropathy (LHON) is the most frequent mitochondrial disease and was the first to be genetically defined by a point mutation in mitochondrial DNA (mtDNA). A molecular diagnosis is achieved in up to 95% of cases, the vast majority of which are accounted for by 3 mutations within mitochondrial complex I subunit-encoding genes in the mtDNA (mtLHON). Here, we resolve the enigma of LHON in the absence of pathogenic mtDNA mutations. We describe biallelic mutations in a nuclear encoded gene, DNAJC30, in 33 unsolved patients from 29 families and establish an autosomal recessive mode of inheritance for LHON (arLHON), which to date has been a prime example of a maternally inherited disorder. Remarkably, all hallmarks of mtLHON were recapitulated, including incomplete penetrance, male predominance, and significant idebenone responsivity. Moreover, by tracking protein turnover in patient-derived cell lines and a DNAJC30-knockout cellular model, we measured reduced turnover of specific complex I N-module subunits and a resultant impairment of complex I function. These results demonstrate that DNAJC30 is a chaperone protein needed for the efficient exchange of complex I subunits exposed to reactive oxygen species and integral to a mitochondrial complex I repair mechanism, thereby providing the first example to our knowledge of a disease resulting from impaired exchange of assembled respiratory chain subunits.
KW - Adolescent
KW - Adult
KW - Cell Line
KW - Child, Preschool
KW - Electron Transport Complex I/chemistry
KW - Female
KW - Gene Knockout Techniques
KW - Genes, Recessive
KW - HSP40 Heat-Shock Proteins/deficiency
KW - Homozygote
KW - Humans
KW - Male
KW - Middle Aged
KW - Mutation
KW - Optic Atrophy, Hereditary, Leber/genetics
KW - Pedigree
KW - Penetrance
KW - Phenotype
KW - Protein Subunits
KW - Reactive Oxygen Species/metabolism
KW - Young Adult
U2 - 10.1172/JCI138267
DO - 10.1172/JCI138267
M3 - SCORING: Journal article
C2 - 33465056
VL - 131
JO - J CLIN INVEST
JF - J CLIN INVEST
SN - 0021-9738
IS - 6
M1 - e138267
ER -