Targeting NAD(+) Metabolism as Interventions for Mitochondrial Disease
SCIENTIFIC REPORTS
Authors: Lee, Chi Fung; Caudal, Arianne; Abell, Lauren; Gowda, G. A. Nagana; Tian, Rong
Abstract
Leigh syndrome is a mitochondrial disease characterized by neurological disorders, metabolic abnormality and premature death. There is no cure for Leigh syndrome; therefore, new therapeutic targets are urgently needed. In Ndufs4-KO mice, a mouse model of Leigh syndrome, we found that Complex I deficiency led to declines in NAD(+) levels and NAD(+) redox imbalance. We tested the hypothesis that elevation of NAD(+) levels would benefit Ndufs4-KO mice. Administration of NAD(+) precursor, nicotinamide mononucleotide (NMN) extended lifespan of Ndufs4-KO mice and attenuated lactic acidosis. NMN increased lifespan by normalizing NAD(+) redox imbalance and lowering HIF1a accumulation in Ndufs4-KO skeletal muscle without affecting the brain. NMN up-regulated alpha-ketoglutarate (KG) levels in Ndufs4-KO muscle, a metabolite essential for HIF1a degradation. To test whether supplementation of KG can treat Ndufs4-KO mice, a cell-permeable KG, dimethyl ketoglutarate (DMKG) was administered. DMKG extended lifespan of Ndufs4-KO mice and delayed onset of neurological phenotype. This study identified therapeutic mechanisms that can be targeted pharmacologically to treat Leigh syndrome.
Activation of the cAMP cascade in human fibroblast cultures rescues the activity of oxidatively damaged complex I
FREE RADICAL BIOLOGY AND MEDICINE
Authors: De Rasmo, Domenico; Signorile, Anna; Larizza, Maria; Pacelli, Consiglia; Cocco, Tiziana; Papa, Sergio
Abstract
A study of the relationship between cAMP/PKA-dependent phosphorylation and oxidative damage of subunits of complex I of the mitochondrial respiratory chain is presented. It is shown that, in fibroblast cultures, PKA-mediated phosphorylation of the NDUFS4 subunit of complex I rescues the activity of the oxidatively damaged complex. Evidence is presented showing that this effect is mediated by phosphorylation-dependent exchange of carbonylated NDUFS4 subunit in the assembled complex with the de novo synthesized subunit. These results indicate a potential use for beta-adrenoceptor agonists in preventing/reversing the detrimental effects of oxidative stress in the mitochondrial respiratory system. (C) 2011 Elsevier Inc. All rights reserved.