Neurometabolic Diseases Laboratory, Institut d’Investigació Biomèdica de Bellvitge IDIBELL, L’Hospitalet de Llobregat, Barcelona, Catalonia, Spain.
Hum Mol Genet. 2013 Aug 15;22(16):3296-305. doi: 10.1093/hmg/ddt186. Epub 2013 Apr 20.
X-linked adrenoleukodystrophy (X-ALD) is an inherited metabolic disorder of the nervous system characterized by axonopathy in spinal cords and/or cerebral demyelination, adrenal insufficiency and accumulation of very long-chain fatty acids (VLCFAs) in plasma and tissues. The disease is caused by malfunction of the ABCD1 gene, which encodes a peroxisomal transporter of VLCFAs or VLCFA-CoA. In the mouse, Abcd1 loss causes late onset axonal degeneration in the spinal cord, associated with locomotor disability resembling the most common phenotype in patients, adrenomyeloneuropathy. We have formerly shown that an excess of the VLCFA C26:0 induces oxidative damage, which underlies the axonal degeneration exhibited by the Abcd1(-) mice. In the present study, we sought to investigate the noxious effects of C26:0 on mitochondria function. Our data indicate that in X-ALD patients' fibroblasts, excess of C26:0 generates mtDNA oxidation and specifically impairs oxidative phosphorylation (OXPHOS) triggering mitochondrial ROS production from electron transport chain complexes. This correlates with impaired complex V phosphorylative activity, as visualized by high-resolution respirometry on spinal cord slices of Abcd1(-) mice. Further, we identified a marked oxidation of key OXPHOS system subunits in Abcd1(-) mouse spinal cords at presymptomatic stages. Altogether, our results illustrate some of the mechanistic intricacies by which the excess of a fatty acid targeted to peroxisomes activates a deleterious process of oxidative damage to mitochondria, leading to a multifaceted dysfunction of this organelle. These findings may be of relevance for patient management while unveiling novel therapeutic targets for X-ALD.
X 连锁肾上腺脑白质营养不良(X-ALD)是一种遗传性神经系统代谢紊乱疾病,其特征是脊髓轴索病和/或脑脱髓鞘、肾上腺功能不全以及血浆和组织中极长链脂肪酸(VLCFAs)的积累。该疾病是由 ABCD1 基因突变引起的,该基因编码 VLCFAs 或 VLCFA-CoA 的过氧化物酶体转运蛋白。在小鼠中,Abcd1 缺失导致脊髓中晚期轴突变性,与运动障碍有关,类似于患者中最常见的表型——肾上腺脑白质营养不良。我们之前曾表明,过量的 VLCFA C26:0 会引起氧化损伤,这是 Abcd1(-) 小鼠中轴突变性的基础。在本研究中,我们试图研究 C26:0 对线粒体功能的有害影响。我们的数据表明,在 X-ALD 患者的成纤维细胞中,过量的 C26:0 会导致 mtDNA 氧化,并特异性地损害氧化磷酸化(OXPHOS),从而触发电子传递链复合物产生线粒体 ROS。这与复合物 V 磷酸化活性受损有关,这可以通过 Abcd1(-) 小鼠脊髓切片的高分辨率呼吸测定法观察到。此外,我们在 Abcd1(-) 小鼠脊髓的无症状阶段发现 OXPHOS 系统关键亚基的明显氧化。总之,我们的研究结果说明了过量的靶向过氧化物体的脂肪酸如何通过激活线粒体氧化损伤的有害过程来激活一些机制复杂性,导致该细胞器的多种功能障碍。这些发现可能与患者管理有关,同时为 X-ALD 揭示新的治疗靶点。