Center for Mitochondrial and Epigenomic Medicine, Division of Human Genetics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104.
Division of Child Neurology, Children's Hospital of Philadelphia, Philadelphia, PA 19104.
Proc Natl Acad Sci U S A. 2021 Feb 9;118(6). doi: 10.1073/pnas.2021429118.
Autism spectrum disorders (ASDs) are characterized by a deficit in social communication, pathologic repetitive behaviors, restricted interests, and electroencephalogram (EEG) aberrations. While exhaustive analysis of nuclear DNA (nDNA) variation has revealed hundreds of copy number variants (CNVs) and loss-of-function (LOF) mutations, no unifying hypothesis as to the pathophysiology of ASD has yet emerged. Based on biochemical and physiological analyses, it has been hypothesized that ASD may be the result of a systemic mitochondrial deficiency with brain-specific manifestations. This proposal has been supported by recent mitochondrial DNA (mtDNA) analyses identifying both germline and somatic mtDNA variants in ASD. If mitochondrial defects do predispose to ASD, then mice with certain mtDNA mutations should present with autism endophenotypes. To test this prediction, we examined a mouse strain harboring an mtDNA gene missense mutation (P25L). This mouse manifests impaired social interactions, increased repetitive behaviors and anxiety, EEG alterations, and a decreased seizure threshold, in the absence of reduced hippocampal interneuron numbers. EEG aberrations were most pronounced in the cortex followed by the hippocampus. Aberrations in mitochondrial respiratory function and reactive oxygen species (ROS) levels were also most pronounced in the cortex followed by the hippocampus, but absent in the olfactory bulb. These data demonstrate that mild systemic mitochondrial defects can result in ASD without apparent neuroanatomical defects and that systemic mitochondrial mutations can cause tissue-specific brain defects accompanied by regional neurophysiological alterations.
自闭症谱系障碍(ASD)的特征是社交沟通障碍、病理性重复行为、兴趣受限以及脑电图(EEG)异常。尽管对核 DNA(nDNA)变异的详尽分析已经揭示了数百种拷贝数变异(CNV)和功能丧失(LOF)突变,但尚未出现关于 ASD 病理生理学的统一假说。基于生化和生理分析,有人假设 ASD 可能是大脑特异性表现的系统性线粒体缺陷的结果。最近的线粒体 DNA(mtDNA)分析支持了这一假设,该分析在 ASD 中鉴定出了种系和体细胞 mtDNA 变异体。如果线粒体缺陷确实导致 ASD,那么具有某些 mtDNA 突变的小鼠应该表现出自闭症的表型。为了验证这一预测,我们检查了一种携带有 mtDNA 基因错义突变(P25L)的小鼠品系。这种小鼠表现出社交互动受损、重复行为和焦虑增加、EEG 改变以及癫痫发作阈值降低,而海马区中间神经元数量没有减少。EEG 异常在皮质中最为明显,其次是海马区。线粒体呼吸功能和活性氧(ROS)水平的异常在皮质中最为明显,其次是海马区,但在嗅球中不存在。这些数据表明,轻度系统性线粒体缺陷可导致 ASD,而无明显神经解剖缺陷,且系统性线粒体突变可导致伴有区域性神经生理改变的组织特异性脑缺陷。