MRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, UK.
Neuromuscular and Rare Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
EMBO Mol Med. 2018 Nov;10(11). doi: 10.15252/emmm.201708799.
The mTOR inhibitor rapamycin ameliorates the clinical and biochemical phenotype of mouse, worm, and cellular models of mitochondrial disease, via an unclear mechanism. Here, we show that prolonged rapamycin treatment improved motor endurance, corrected morphological abnormalities of muscle, and increased cytochrome c oxidase (COX) activity of a muscle-specific knockout mouse ( ). Rapamycin treatment restored autophagic flux, which was impaired in naïve muscle, and reduced the number of damaged mitochondria, which accumulated in untreated mice. Conversely, rilmenidine, an mTORC1-independent autophagy inducer, was ineffective on the myopathic features of animals. This stark difference supports the idea that inhibition of mTORC1 by rapamycin has a key role in the improvement of the mitochondrial function in muscle. In contrast to rilmenidine, rapamycin treatment also activated lysosomal biogenesis in muscle. This effect was associated with increased nuclear localization of TFEB, a master regulator of lysosomal biogenesis, which is inhibited by mTORC1-dependent phosphorylation. We propose that the coordinated activation of autophagic flux and lysosomal biogenesis contribute to the effective clearance of dysfunctional mitochondria by rapamycin.
mTOR 抑制剂雷帕霉素通过一种不明机制改善了线粒体疾病的小鼠、蠕虫和细胞模型的临床和生化表型。在这里,我们表明,长期雷帕霉素治疗可改善运动耐力,纠正肌肉形态异常,并增加肌肉特异性 KO 小鼠()的细胞色素 c 氧化酶(COX)活性。雷帕霉素治疗恢复了自噬流,而在未处理的 KO 肌肉中自噬流受损,并减少了堆积在未处理的 KO 小鼠中的受损线粒体的数量。相反,雷帕霉素的 mTORC1 非依赖性自噬诱导剂利美尼定对 KO 动物的肌肉病变特征无效。这种明显的差异支持这样一种观点,即雷帕霉素抑制 mTORC1 在改善 KO 肌肉中的线粒体功能方面起着关键作用。与利美尼定相反,雷帕霉素治疗还激活了肌肉中的溶酶体生物发生。这种作用与 TFEB 的核定位增加有关,TFEB 是溶酶体生物发生的主要调节剂,它被 mTORC1 依赖性磷酸化所抑制。我们提出,自噬流和溶酶体生物发生的协调激活有助于雷帕霉素有效地清除功能失调的线粒体。