Biology subjects

Sinasac, D.

Publications and source records attributed to Sinasac, D..

3 recordsLinked to original sources

bioRxiv2020

Altered glutamine metabolism of cultured fibroblasts predicts severity of cardiac dysfunction in the dilated cardiomyopathy with ataxia syndrome (DCMA), a mitochondrial cardiomyopathy

Dilated cardiomyopathy with ataxia (DCMA) syndrome is a rare mitochondrial disorder caused by mutations in the poorly understood DNAJC19 gene. The clinical presentation of DCMA is very diverse with symptoms ranging from mild cardiac dysfunction to intractable heart failure leading to death in early childhood. Although several lines of evidence indicate that DCMA symptoms are linked to mitochondrial function, the molecular underpinnings of this disease are unclear and there is no way to predict which patients are at risk for developing life-threatening symptoms. To address this we developed a metabolic flux assay for assessing the metabolic function of mitochondria in dermal fibroblasts derived from DCMA patients. Using this approach we discovered that fibroblasts from patients with DCMA showed elevated glutamine uptake, increased glutamate and ammonium secretion, and elevated lactate production when compared to controls. Moreover, the magnitude of these metabolic perturbations was closely correlated with patient cardiac dysfunction. This clinical/metabolic correlation was confirmed in a second blinded cohort of DCMA fibroblasts. Moreover, our metabolic flux diagnostic strategy correctly differentiated severe from mild DCMA cases with only one incorrect patient classification (positive predictive value 1.0 and negative predictive value 0.83). These findings suggest that glutamine catabolism is abnormal in DCMA and may serve as an early biomarker for predicting clinical progression. One Sentence SummaryAlterations in glutamine and lactate metabolism in patient-derived dermal fibroblasts are associated with the severity of cardiomyopathy in DCMA.

cell biology↗

bioRxiv2019

SS-31 Reverses Mitochondrial Fragmentation in Fibroblasts from Patients with DCMA, a Mitochondrial Cardiomyopathy

ObjectivesWe used patient dermal fibroblasts to characterize the mitochondrial abnormalities associated with the dilated cardiomyopathy with ataxia syndrome (DCMA) and to study the effect of the mitochondrially-targeted peptide SS-31 as a potential novel therapeutic.\n\nBackgroundDCMA is an understudied autosomal recessive disorder thought to be related to Barth syndrome but caused by mutations in DNAJC19, a protein of unknown function localized to the mitochondria. The clinical disease is characterized by 3-methylglutaconic aciduria, dilated cardiomyopathy, abnormal neurological development and other heterogeneous features. Until recently no effective therapies had been identified and affected patients frequently died in early childhood from intractable heart failure.\n\nMethodsDermal fibroblasts from four pediatric patients with DCMA were used to establish parameters of mitochondrial dysfunction. Mitochondrial structure, reactive oxygen species (ROS) production, cardiolipin composition and gene expression were evaluated.\n\nResultsImmunocytochemistry with semi-automated quantification of mitochondrial structural metrics and transmission electron microscopy demonstrated mitochondria to be highly fragmented in DCMA fibroblasts compared to healthy control cells. Live-cell imaging demonstrated significantly increased ROS production in patient cells. These structural and functional abnormalities were reversed by treating DCMA fibroblasts with SS-31, a synthetic peptide that localizes to the inner mitochondrial membrane. Levels of cardiolipin were not significantly different between control and DCMA cells and were unaffected by SS-31 treatment.\n\nConclusionsOur results demonstrate the abnormal mitochondrial structure and function in fibroblasts from patients with DCMA and suggest that SS-31 may represent a potential therapy for this devastating disease.

cell biology↗

bioRxiv2018

PISD is a mitochondrial disease gene causing skeletal dysplasia, cataracts and white matter changes

Exome sequencing of two sisters with congenital cataracts, short stature and white matter changes identified compound heterozygous variants in the PISD gene, encoding the phosphatidylserine decarboxylase enzyme that converts phosphatidylserine (PS) to phosphatidylethanolamine (PE) in the inner mitochondrial membrane (IMM). Decreased conversion of PS to PE, and depletion of total cellular PE levels in patient fibroblasts are consistent with impaired PISD enzyme activity. Meanwhile, as evidence for mitochondrial dysfunction, patient fibroblasts exhibited more fragmented mitochondrial networks, enlarged lysosomes, decreased maximal oxygen consumption rates and increased sensitivity to 2-deoxyglucose. Moreover, treatment with lyso-PE, which can replenish the mitochondrial pool of PE, restored mitochondrial and lysosome morphology in patient fibroblasts. Functional characterization of the PISD mutations demonstrates that the maternal variant causes an alternative splice product. Meanwhile, the paternal variant impairs autocatalytic self-processing of the PISD protein required for its activity. Finally, evidence for impaired activity of mitochondrial IMM proteases explains why the phenotypes of these PISD patients resemble recently described \"mitochondrial chaperonopathies\". Collectively, these findings demonstrate that PISD is a novel mitochondrial disease gene.

molecular biology↗