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Mitochonic acid 5 alleviates amyotrophic lateral sclerosis phenotypes via mitochondrial augmentation
Yoshitsugu Oikawa, Yuhan Luo, Naoki Suzuki, Tomoko Kasahara, Yoshiyasu Tongu, Yuki Yoshida, Tsukasa Tominari, Shogo Tanabe, Yoshiko Suto, Hitomi Kashiwagi, Saki Saito, Kensuke Ikeda, Chitose Suzuki, Arata Kuranaga, Tetsuya Akiyama, Satoru Morimoto, Yoshitsugu Aoki, Rieko Muramatsu, Tomoyoshi Soga, Masashi Aoki, Hideyuki Okano, Tetsuhiro Tanaka, Takaaki Abe, Erina Kuranaga, Takafumi Toyohara
Yoshitsugu Oikawa, Yuhan Luo, Naoki Suzuki, Tomoko Kasahara, Yoshiyasu Tongu, Yuki Yoshida, Tsukasa Tominari, Shogo Tanabe, Yoshiko Suto, Hitomi Kashiwagi, Saki Saito, Kensuke Ikeda, Chitose Suzuki, Arata Kuranaga, Tetsuya Akiyama, Satoru Morimoto, Yoshitsugu Aoki, Rieko Muramatsu, Tomoyoshi Soga, Masashi Aoki, Hideyuki Okano, Tetsuhiro Tanaka, Takaaki Abe, Erina Kuranaga, Takafumi Toyohara
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Research Article Metabolism Neuroscience

Mitochonic acid 5 alleviates amyotrophic lateral sclerosis phenotypes via mitochondrial augmentation

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Abstract

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease that urgently requires effective treatment. Mitochondrial dysfunction underlies ALS pathology and represents a potential therapeutic target. Here, we demonstrated the therapeutic potential of mitochonic acid 5 (MA-5), a novel mitochondria-targeted compound that ameliorated ALS phenotypes by enhancing mitochondrial function. In a Drosophila ALS model expressing a mutant human SOD1 (G85R), MA-5 significantly improved locomotor activity, with a trend toward restoration of mitochondrial integrity. In skin fibroblasts derived from ALS patients and motor neurons derived from induced pluripotent stem cells, MA-5 restored ATP production and increased mitochondrial motility. Multiomics analyses suggested that MA-5 modulated mitochondria-linked gene expression and downregulated the glycerophosphate shuttle, contributing to mitochondrial reactive oxygen species production. Transcriptomic analysis identified C7orf31 as a potential marker for monitoring the therapeutic effects of MA-5 and diagnosing ALS subtypes. These findings support MA-5 as a promising therapeutic candidate for ALS and propose C7orf31 as a potential biomarker for treatment monitoring and for disease subtyping.

Authors

Yoshitsugu Oikawa, Yuhan Luo, Naoki Suzuki, Tomoko Kasahara, Yoshiyasu Tongu, Yuki Yoshida, Tsukasa Tominari, Shogo Tanabe, Yoshiko Suto, Hitomi Kashiwagi, Saki Saito, Kensuke Ikeda, Chitose Suzuki, Arata Kuranaga, Tetsuya Akiyama, Satoru Morimoto, Yoshitsugu Aoki, Rieko Muramatsu, Tomoyoshi Soga, Masashi Aoki, Hideyuki Okano, Tetsuhiro Tanaka, Takaaki Abe, Erina Kuranaga, Takafumi Toyohara

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Figure 1

MA-5 ameliorates motor dysfunction and mitochondrial abnormalities in Drosophila ALS models.

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MA-5 ameliorates motor dysfunction and mitochondrial abnormalities in Dr...
(A) Experimental design of MA-5 administration in Drosophila. MA-5 was delivered through filter paper soaked with MA-5–containing sucrose solution. (B) Longitudinal climbing performance in control flies and hSOD1G85R ALS-model flies with or without MA-5 (10 or 100 nM). Climbing performance was evaluated from day 10 to day 40 (n = 8 vials/group at days 10 and 20; n = 11 vials/group at days 30 and 40) and analyzed by 2-way repeated-measures ANOVA with Bonferroni correction. (C) Kaplan-Meier survival analysis of adult-onset hSOD1G85R ALS-model flies with or without MA-5 (control, n = 194; vehicle, n = 110; MA-5 10 nM, n = 121; MA-5 100 nM, n = 122). Survival curves were compared by log-rank (Mantel-Cox) test. (D) Total ATP5A-positive mitochondrial area per motor neuron (n = 40 neurons from 4 flies/group), analyzed by 1-way ANOVA followed by Tukey’s multiple-comparison test. (E) Intracellular ATP levels in motor neurons measured with the ratiometric biosensor QUEEN-7μ (52) (control, n = 3 flies; hSOD1G85R, n = 4; hSOD1G85R + MA-5, n = 4), analyzed by 1-way ANOVA followed by Tukey’s honestly significant difference (HSD) post hoc test. Scale bars: 10 μm. (F) Mitochondrial membrane potential assessed by TMRE staining in larval ventral nerve cords (control, n = 27; hSOD1G85R, n = 25; hSOD1G85R + MA-5, n = 20; 5 independent experiments/group), analyzed by 1-way ANOVA followed by Tukey’s HSD post hoc test. Scale bar: 100 μm. Data are presented as mean ± SEM, except for the Kaplan-Meier survival curve in C. *P < 0.05, ****P < 0.0001. #P < 0.05 and ##P < 0.01 for comparisons between hSOD1G85R + vehicle and hSOD1G85R + MA-5 100 nM in B.

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