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PHM 142 UNIT 9B Mitochondrial function in neurodegenerative disorders In autism, a neurodevelopmental disorder, we discussed preliminary studies suggestive of general impairment of mitochondrial function by unknown causes. Now we will examine mitochondrial function in neurodegenerative disorders where mitochondrial stress can cause nerve cell death. In some cases, such as Parkinson’s disease, the molecular mechanisms of mitochondria dysfunction are now being elucidated. 1 2 A mitochondrion harbors 2 to 10 copies of mtDNA. The mtDNA copy number is evaluated by the ratio of mtDNA to nuclear DNA. This copy number can be modulated according to the energy needs of the cell with changing physiological conditions, but not necessarily coupled with mitochondrial proliferation. For instance, increases in mtDNA copy number or mtDNA over-replication (without increases in the oxidative phosphorylation capacity) are observed in cells in response to oxidative stress. The higher mtDNA copy number in ASD could represent a compensatory mechanism to increase the number of wild-type mtDNA templates and maintain normal levels of mitochondrial transcripts. Alternatively, these mtDNA abnormalities could result from defective replication and/or repair of mtDNA of primary (genetic) or secondary (oxidative damage to single base pairs inflicted by free radicals) origins. Collectively, these results suggest that cumulative damage and oxidative stress over time may (through reduced capacity to generate functional mitochondria) influence the onset or severity of autism and its comorbid symptoms. 3 The number of mitochondrial proteins in mammals has been estimated to be about 1300. To date, pathogenic defects have been found in only a fraction of these proteins. Primary mitochondrial disease refers to disorders whose underlying genetic cause directly impairs RC composition or function. Secondary OXPHOS dysfunction, by contrast, has been described in a host of other genetic or environmental disorders, including other genetic disorders (i.e., Rett syndrome, other metabolic defects, chromosomal aneuploidies) or toxicities from drugs (i.e., valproate, statins, pesticides). The minimal prevalence of primary mitochondrial disease is one in 5000, although pathogenic mutations in mitochondrial DNA (mtDNA) may occur as frequently as one in 200 births. In the near future, developments in next generation sequencing technologies will make it possible to include high throughput sequence analysis in the diagnostic work-ups of mitochondrial patients. Often, the prediction of the pathogenicity of unknown genetic variants is not possible on the basis of sequence information alone. Usually, the level of heteroplasmy of the mtDNA variant is checked in different tissues of the patient and, in addition, in family members in the maternal lineage. 4 Summary of a new hypothesis on mitochondrial involvement in Parkinson’s disease (PD) Prominent pathological features of PD include mitochondrial dysfunction and the accumulation of protein inclusions into Lewybodies in dopaminergic neurons. Lewy bodies observed in PD brain tissue are proteinaceous intracellular inclusions containing ubiquitin and a-synuclein among many other components. These disease phenotypes could arise from impairments in the cellular quality control systems for mitochondria and cytoplasmic proteins involving mitochondrial fission/fusion dynamics, the ubiquitin– proteasome system, and the autophagy pathway. 5 6 - The loss of autophagy-related genes results in neurodegeneration and abnormal protein accumulation. Autophagy is a bulk lysosomal degradation pathway essential for the turnover of long-lived, misfolded or aggregated proteins, as well as damaged or excess organelles. The accumulation and aggregation of a-synuclein is a characteristic feature of PD. Over-expression of a-synuclein is thought to impair autophagy, suggesting the presence of a cycle of impairment and accumulation. Prior studies have shown that a-synuclein is degraded by chaperonemediated autophagy. - Neurotoxins affecting humans and also used in animal models of PD: MPTP, 6-hydroxy-dopamine (6-OHDA), rotenone, and paraquat >>> MPTP, a selective inhibitor of PD mitochondrial complex I (same for rotenone), directed researchers’ attention to pathological roles of mitochondria in PD and raised the possibility that environmental toxins affecting mitochondria might cause PD. Other mitochondrial toxins characterized as parkinsonism-inducing reagents include 6-OHDA, rotenone, and paraquat. Studies of animal models of PD induced with these toxins suggest that mitochondrial dysfunction and oxidative stress are important pathogenic mechanisms. In humans, reduced complex I activity has been reported in both post-mortem brain samples and platelets of sporadic/idiopathic PD cases. - The protein Parkin, mutated in the most common cause of recessive PD, may mediate the clearance of abnormal mitochondria through autophagy. Recent studies have revealed that genes associated with autosomal recessive forms of PD such as PINK1 and Parkin are directly involved in regulating mitochondrial morphology and maintenance, abnormality of which is also observed in the more common, idiopathic forms of PD. Note however that the 7 autosomal recessive PDs lack Lewy-body pathology that is characteristic of idiopathic PD. Mitochondrial fusion and fission events are required for the maintenance of a healthy mitochondrial population. Mitochondrial fusion is thought to facilitate the interchange of internal components such as copies of the mitochondrial genome, respiratory proteins and metabolic products. Mitochondrial fission likely plays a role in the removal of dysfunctional mitochondria with reduced mitochondrial membrane potential (Dcm), through an autophagy-lysosomal pathway named ‘mitophagy’. 8 9 PINK1 and Parkin are likely to be involved in the process of mito health. PINK1 normally has a short half-life in healthy mitochondria. Upon reduction of the Dcm, PINK1 is stabilized on the outer membrane; then accumulation of PINK1 induces the translocation of Parkin from the cytosol to the mitochondria, leading to Parkin-dependent ubiquitination and degradation of the mitochondrial proteins, and subsequent activation of the autophagy machinery. Ubiquitinated proteins of the mitochondria are shown as ovals with small orange circles. Recent studies of Parkin-deficient or PINK1-deficient mice have reported morphological and functional alterations of mitochondria in both neurons and astrocytes. Also, a missense mutation in another gene called PARL found in PD cases abolishes its PINK1-processing activity and the ensuing Parkinmediated mitophagy. 10 11 Regulation of mitophagy by PINK1 and Parkin (genes linked to PD) Current Opinion in Neurobiology 2011, 21:935–941 12 Legend for figure in next slide 13 14 The ubiquitin ligase parkin mediates resistance to intracellular pathogens. Manzanillo et al., 2013 Nature 501(7468):512-6 Abstract Ubiquitin-mediated targeting of intracellular bacteria to the autophagy pathway is a key innate defence mechanism against invading microbes, including the important human pathogen Mycobacterium tuberculosis. However, the ubiquitin ligases responsible for catalysing ubiquitin chains that surround intracellular bacteria are poorly understood. The parkin protein is a ubiquitin ligase with a well-established role in mitophagy, and mutations in the parkin gene (PARK2) lead to increased susceptibility to Parkinson's disease. Surprisingly, genetic polymorphisms in the PARK2 regulatory region are also associated with increased susceptibility to intracellular bacterial pathogens in humans, including Mycobacterium leprae and Salmonella enterica serovar Typhi, but the function of parkin in immunity has remained unexplored. Here we show that parkin has a role in ubiquitin-mediated autophagy of M. tuberculosis. Both parkin-deficient mice and flies are sensitive to various intracellular bacterial infections, indicating parkin has a conserved role in metazoan innate defence. Moreover, our work reveals an unexpected functional link between mitophagy and infectious disease. 15 New discovery by Manzanillo et al. 2013 New role of PARKIN (Park2) in macrophages and innate immunity (pathway b) 16 Bose and Beal, 2016 Fig. 1 17 Bose and Beal, 2016 Fig. 2 18 Bose and Beal, 2016 Fig. 3 19 Bose and Beal, 2016 Fig. 4 20