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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 3

MA-5 alleviates mitochondrial dysfunction and structural abnormalities in motor neurons derived from SOD1-ALS-iPSCs.

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MA-5 alleviates mitochondrial dysfunction and structural abnormalities i...
(A) Motor neurons differentiated from SOD1-ALS-iPSCs (2 patients; SOD-Pt1 and SOD-Pt2). Scale bars: 100 μm. Motor neuron markers: ISL1 (ISL LIM homeobox 1) and MAC2 (galectin 3). (B) A flux analyzer was used to assess mitochondrial function in motor neurons derived from SOD1-ALS-iPSCs and healthy controls (control, n = 4; SOD1, n = 4; SOD2, n = 5). Oxygen consumption rate (OCR) values were normalized to the protein concentration of the motor neurons. (C) ATP production at 6 hours after DMSO or MA-5 treatment (100 nM) in motor neurons from SOD1-ALS-iPSCs (n = 4, respectively). RLU, relative light units. (D) Mitochondrial malformation measured as the ratio of maximal length to width (100 mitochondria measured) in motor neurons from SOD1-ALS-iPSCs with or without MA-5 treatment (100 nM). (E) Mitochondrial movement velocity in motor neurons from SOD1-ALS-iPSCs (SOD-Pt1, n = 9; SOD-Pt2, n = 10) with or without MA-5 treatment (100 nM). Data are represented as mean ± SEM. *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. B was analyzed by 1-way ANOVA, while C–E were analyzed using unpaired 2-tailed t tests.

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