1. Impaired complex I repair causes recessive Leber’s hereditary optic neuropathy
- Author
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Yulya S. Itkis, Maja Hempel, Ben Pode-Shakked, Piero Barboni, N.L. Sheremet, Polina G. Tsygankova, Riccardo Berutti, Valerio Carelli, Chiara La Morgia, Daniele Ghezzi, Leonardo Caporali, Jean-Michel Rozet, Natalia A. Andreeva, Amelie T van der Ven, Peter Charbel Issa, Wolfram S. Kunz, Sarah L. Stenton, Claudia B. Catarino, Johannes A. Mayr, Matias Wagner, Maria Lucia Cascavilla, Flavia Palombo, Reka Kovacs-Nagy, Ilka Wittig, Alessandra Maresca, Pedro Felipe Malacarne, Thomas Klopstock, Costanza Lamperti, Sylvie Gerber, Cornelia Kornblum, Holger Prokisch, Nino V. Zhorzholadze, Jana Meisterknecht, Robert Kopajtich, Tatiana A. Nevinitsyna, Ekaterina Zakharova, Michele Carbonelli, Tatiana D. Krylova, Michal Tzadok, Elisabeth Graf, Zahra Assouline, Francesca Tagliavini, Josseline Kaplan, Maria S. Shmelkova, Mariantonietta Capristo, Elise Héon, Ortal Barel, Peter Freisinger, Elisheva Javasky, Igor Bychkov, Christina Ludwig, Tim M. Strom, Catherine Vignal-Clermont, Juliana Heidler, Stenton S.L., Sheremet N.L., Catarino C.B., Andreeva N.A., Assouline Z., Barboni P., Barel O., Berutti R., Bychkov I., Caporali L., Capristo M., Carbonelli M., Cascavilla M.L., Charbel Issa P., Freisinger P., Gerber S., Ghezzi D., Graf E., Heidler J., Hempel M., Heon E., Itkis Y.S., Javasky E., Kaplan J., Kopajtich R., Kornblum C., Kovacs-Nagy R., Krylova T.D., Kunz W.S., La Morgia C., Lamperti C., Ludwig C., Malacarne P.F., Maresca A., Mayr J.A., Meisterknecht J., Nevinitsyna T.A., Palombo F., Pode-Shakked B., Shmelkova M.S., Strom T.M., Tagliavini F., Tzadok M., Van der Ven A.T., Vignal-Clermont C., Wagner M., Zakharova E.Y., Zhorzholadze N.V., Rozet J.-M., Carelli V., Tsygankova P.G., Klopstock T., Wittig I., and Prokisch H.
- Subjects
Male ,0301 basic medicine ,chemistry [Electron Transport Complex I] ,genetic structures ,deficiency [HSP40 Heat-Shock Proteins] ,Genetic disease ,Respiratory chain ,Penetrance ,metabolism [Optic Atrophy, Hereditary, Leber] ,Gene Knockout Techniques ,metabolism [HSP40 Heat-Shock Proteins] ,0302 clinical medicine ,Idebenone ,metabolism [Reactive Oxygen Species] ,Protein Subunit ,Genetics ,Homozygote ,Gene Knockout Technique ,Leber's hereditary optic neuropathy ,General Medicine ,Middle Aged ,Pedigree ,Phenotype ,Child, Preschool ,030220 oncology & carcinogenesis ,Female ,Reactive Oxygen Specie ,genetics [HSP40 Heat-Shock Proteins] ,Genetic diseases ,Human ,medicine.drug ,Adult ,congenital, hereditary, and neonatal diseases and abnormalities ,Mitochondrial DNA ,Adolescent ,Mitochondrial disease ,Genes, Recessive ,Optic Atrophy, Hereditary, Leber ,Biology ,Cell Line ,Young Adult ,03 medical and health sciences ,Genetic ,medicine ,Humans ,ddc:610 ,metabolism [Electron Transport Complex I] ,Gene ,Electron Transport Complex I ,Point mutation ,nutritional and metabolic diseases ,HSP40 Heat-Shock Proteins ,medicine.disease ,eye diseases ,Protein Subunits ,030104 developmental biology ,genetics [Optic Atrophy, Hereditary, Leber] ,Mutation ,Commentary ,HSP40 Heat-Shock Protein ,Reactive Oxygen Species ,Neuroscience - Abstract
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.
- Published
- 2021
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