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Mitochondrial bioenergetics and cardiolipin remodeling abnormalities in mitochondrial trifunctional protein deficiency
Eduardo Vieira Neto, Meicheng Wang, Austin J. Szuminsky, Lethicia Ferraro, Erik Koppes, Yudong Wang, Clinton Van’t Land, Al-Walid Mohsen, Geancarlo Zanatta, Areeg H. El-Gharbawy, Tamil S. Anthonymuthu, Yulia Y. Tyurina, Vladimir A. Tyurin, Valerian Kagan, Hülya Bayır, Jerry Vockley
Eduardo Vieira Neto, Meicheng Wang, Austin J. Szuminsky, Lethicia Ferraro, Erik Koppes, Yudong Wang, Clinton Van’t Land, Al-Walid Mohsen, Geancarlo Zanatta, Areeg H. El-Gharbawy, Tamil S. Anthonymuthu, Yulia Y. Tyurina, Vladimir A. Tyurin, Valerian Kagan, Hülya Bayır, Jerry Vockley
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Research Article Genetics Metabolism

Mitochondrial bioenergetics and cardiolipin remodeling abnormalities in mitochondrial trifunctional protein deficiency

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Abstract

Mitochondrial trifunctional protein (TFP) deficiency is an inherited metabolic disorder leading to a block in long-chain fatty acid β-oxidation. Mutations in HADHA and HADHB, which encode the TFP α and β subunits, respectively, usually result in combined TFP deficiency. A single common mutation, HADHA c.1528G>C (p.E510Q), leads to isolated 3-hydroxyacyl-CoA dehydrogenase deficiency. TFP also catalyzes a step in the remodeling of cardiolipin (CL), a phospholipid critical to mitochondrial membrane stability and function. We explored the effect of mutations in TFP subunits on CL and other phospholipid content and composition and the consequences of these changes on mitochondrial bioenergetics in patient-derived fibroblasts. Abnormalities in these parameters varied extensively among different fibroblasts, and some cells were able to maintain basal oxygen consumption rates similar to controls. Although CL reduction was universally identified, a simultaneous increase in monolysocardiolipins was discrepant among cells. A similar profile was seen in liver mitochondria isolates from a TFP-deficient mouse model. Response to new potential drugs targeting CL metabolism might be dependent on patient genotype.

Authors

Eduardo Vieira Neto, Meicheng Wang, Austin J. Szuminsky, Lethicia Ferraro, Erik Koppes, Yudong Wang, Clinton Van’t Land, Al-Walid Mohsen, Geancarlo Zanatta, Areeg H. El-Gharbawy, Tamil S. Anthonymuthu, Yulia Y. Tyurina, Vladimir A. Tyurin, Valerian Kagan, Hülya Bayır, Jerry Vockley

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Figure 7

LC-MS/MS assessment of cardiolipins (CL), monolysocardiolipins (mCL), oxidized cardiolipins (CLox), and dilysocardiolipins (DLCL) in mitochondria isolated from TFP/LCHAD-deficient fibroblasts and controls (part I).

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LC-MS/MS assessment of cardiolipins (CL), monolysocardiolipins (mCL), ox...
(A) Quantification of CL. (B) Quantification of mCL. (C) Quantification of CLox. (D) Quantification of DLCL. (E) Calculated MLCL/CL ratios. The concentration of CL was higher in male and female controls than in TFP/LCHAD-deficient fibroblasts. mCL levels were higher in female than male controls. TFP/LCHAD-deficient fibroblasts from males had higher mCL concentrations, while those from females had lower mCL concentrations than their respective controls. A HADHA p.E510Q homozygous (FB822) and a HADHB compound heterozygous (FB861) cell line had increased levels of CLox compared with male controls, while all TFP/LCHAD-deficient fibroblasts from females had lower levels of CLox than their controls. DLCLs were decreased in a HADHA compound-heterozygous (FB864) cell line compared with female controls. MLCL/CL ratios were increased in all TFP-LCHAD-deficient fibroblasts, except in 2 cell lines from females, FB864 and FB854, HADHA and HADHB compound-heterozygous fibroblasts, respectively. Scatterplots with bars indicating means of 3 biological repeats with 3 technical repeats for male and female controls and female LCHAD-deficient fibroblasts, for all other cell lines means of 3 technical repeats. Statistical test: ordinary 1-way ANOVA followed by Holm-Šídák multiple comparisons test. SD shown by error bars. P values: *P ≤ 0.05, **P ≤ 0.01, ***P ≤ 0.001, ****P ≤ 0.0001, compared with FB826, a control cell line from a 40-year-old woman.

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