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Loss of cardiolipin leads to perturbation of mitochondrial and

cellular iron homeostasis

Miriam L. Greenberg

Wayne State University

Detroit, MI USA

Barth syndrome – a life-threatening

X-linked disorder

• cardioskeletal myopathy

• growth retardation

• neutropenia

Barth et al., 1983. An X-linked mitochondrial disease affecting cardiac

muscle, skeletal muscle and neutrophil leucocytes. J. Neurol. Sci.

62:327-355.

Peter Barth

THE DISORDER

Bione et al., 1996. A novel X-linked gene, G4.5, is responsible

for Barth syndrome. Nat. Genet. 12:385-389.

G4.5 (tafazzin) is responsible for Barth

syndrome

THE GENE

• Decreased CL

• Increased MLCL (monolyso-CL)

• Decreased unsaturated fatty acyl CL species

Barth syndrome is a disorder of

cardiolipin remodeling

Vreken et al., 2000. Defective remodeling of cardiolipin and phosphatidylglycerol in Barth syndrome. Biochem. Biophys. Res. Comm. 279:378-382.

THE BIOCHEMICAL DEFECT

L4-CL deficiency in Barth syndrome

Schlame et al. 2002. Deficiency of tetralinoleoyl-cardiolipin in Barth

syndrome. Ann. Neurol. 51: 634-7

THE BIOCHEMICAL DEFECT

Clinical phenotypes vary widely in Barth syndrome

asymptomatic death in infancy

TAZ

MOLECULAR BASIS OF THE PATHOLOGY?

RELATIONSHIP OF GENOTYPE TO PHENOTYPE?

Molecular mechanisms underlying monogenic diseases

• “There are major problems associated with dissecting the molecular basis of even simple monogenic diseases caused by mutations in a single gene.

• Principal among these are the modifying effects of other genes… This results in marked variations in the symptoms of patients with the same disease.

• Of the 1500 or so monogenic diseases for which the mutated gene has been identified, there are only a few where the effects of other genes on disease pathogenesis have been studied.”

Peltonen and McKusick Science 2001 291:1224-1229

Functions of cardiolipin may elucidate mechanisms underlying the pathology and

identify physiological modifiers

PGP PGS1

CDP-DG PG CL (premature) CRD1

MLCL CL (mature) TAZ1 P

CLD1

GEP4

Advantages of the yeast model

Yeast mutants are available for all yeast genes, including every step of CL synthesis. The pathway is conserved. Yeast are amenable to genetic and genomic analyses.

• Decreased CL

• Increased MLCL (monolyso-CL)

• Decreased unsaturated fatty acyl CL species

Barth syndrome is a disorder of

cardiolipin remodeling

Vreken et al., 2000. Defective remodeling of cardiolipin and phosphatidylglycerol in Barth syndrome. Biochem. Biophys. Res. Comm. 279:378-382.

THE BIOCHEMICAL DEFECT

Functions of CL may elucidate mechanisms underlying pathology and identify physiological modifiers

vacuolar function

PKC signaling

mitochondrial protein import

life span/stress response

cell integrity cell division

mitochondrial fusion

mitochondrial bioenergetics

iron homeostasis

Vishal Gohil Vinay Patil

Microarray analysis: Increased expression of iron regulon genes in crd1D

Gene crd1Δ Cellular function

FIT1 3.07 Retention of siderophore-iron

FIT2 17.57 Retention of siderophore-iron

FIT3 33.84 Retention of siderophore-iron

FET3 6.94 High-affinity iron uptake

FTR1 2.50 High affinity iron permease

ARN1 2.72 Transporter of siderophore-iron chelates

ARN4 2.29 Ferric enterobactin transporter

TIS11 2.95 Degradation of mRNA upon iron starvation

FIT1-3

FRE1-4

Fe (III)

Siderophore

Fe (III)

Fe (II)

Mitochondrion

Fe (II)

Vacuole

The iron regulon controls cellular iron homeostasis Siderophores

bind iron

Reductases reduce

ferric to ferrous iron

Permeases transport

iron

Fold

ch

ange

/AC

T1

AFT1 regulated iron regulon is up-regulated in crd1Δ

0

1

2

3

4

5

6

7

8

9

10

11

12

AFT1 FIT1 FIT2 FIT3 ARN1 ARN2 ARN3 FET3 FTR1

WT

crd1Δ

Does loss of CL lead to defective iron homeostasis?

• Perturbation of mitochondrial iron levels?

• Decreased growth on media with high iron?

• Sensitivity to ROS inducing agents?

crd1Δ has increased mitochondrial iron levels

0

20

40

60

80

100

120

140

160

WT crd1Δ

Mit

och

on

dri

al ir

on

leve

ls

% o

f W

T *

crd1Δ

crd1Δ is sensitive to iron

WT crd1Δ

0

2

5

7

FeSO4

(mM)

glycerol/ethanol 30˚C

10

crd1Δ is sensitive to hydrogen peroxide

H2O2

(mM)

0.2 0.25 0.275

0.3

0.325

0

WT crd1Δ

Loss of CL leads to defective iron homeostasis

• Perturbation of mitochondrial metal levels

• Decreased growth on media with high iron

• Sensitivity to ROS inducing agents

What is the mechanism linking loss of CL to

defective iron homeostasis?

Factors that cause increased expression of the iron regulon

• Iron starvation

• Iron-sulfur (Fe-S) biogenesis defects

Iron-sulfur (Fe-S) clusters

[3Fe-4S] [2Fe-2S]

[4Fe-4S] Cluster

disassembly

Cluster interconversion

Rouault Cell 2005

Fe-S clusters are essential co-factors in energy metabolism

Rouault Cell 2008

Mitochondrion

Nfs1/Isd11

Ala Cys

pmf

Iron (Fe2+)

Isu1/2 Isu1/2 Scaffold

Mrs3/4

Ssq1-ATP, Jac1

Grx5

Yah1

NADH

Yfh1

Mitochondrial Fe/S proteins

Holo

Apo

Aconitase, [4Fe-4S]

From Roland Lill

Mge1 Respiratory complexes

Fe-S cluster biogenesis

Step 1: synthesis of the Isu/Fe-S scaffold

Step 2: transfer of Fe-S cluster to apoenzyme

Atm1 mediates the export of Fe-S co-factors for cytoplasmic Fe-S biosynthesis

ISC

as

sem

bly

Fe

S2- Atm1

From Roland Lill

Cytoplasmic Fe-S biosynthesis

Cardiolipin stimulates ATPase activity of Atm1

Kunhke Mol Memb Biol 2006

a

Is perturbation of iron homeostasis in crd1D due to decreased Atm1 activity?

Prediction:

• Overexpression of Atm1 rescues the iron-associated defects in crd1D

0

0.5

1

1.5

2

2.5

3

WT+empty WT+ ATM1 crdΔ1+ empty crd1Δ+ ATM1

FET3

FIT2

FIT3

Fold

ch

ange

/AC

T1

Overexpression of ATM1 does NOT restore WT iron regulon levels to crd1Δ

+ vector + ATM1 + vector + ATM1

WT crd1Δ

Is perturbation of iron homeostasis in crd1D due to defects in mitochondrial Fe-S cluster biogenesis?

Predictions:

• crd1D exhibits decreased activity of Fe-S enzymes

• crd1D is sensitive to further perturbation of Fe-S synthesis

• crd1D exhibits up-regulation of Fe-S scaffold (characteristic of Fe-S perturbation)

Is perturbation of iron homeostasis in crd1D due to defects in mitochondrial Fe-S cluster biogenesis?

Predictions:

• crd1D exhibits decreased activity of Fe-S enzymes

• crd1D is sensitive to further perturbation of Fe-S synthesis

• crd1D exhibits up-regulation of Fe-S scaffold (characteristic of Fe-S perturbation)

0

20

40

60

80

100

120

WT crd1Δ

Act

ivit

y (%

of

WT)

Succinate dehydrogenase Ubiquinol-cytochrome c oxidoreductase Aconitase

crd1Δ WT

crd1Δ has decreased activities of mitochondrial Fe-S enzymes

* *

*

0

20

40

60

80

100

120

WT crd1Δ

Act

ivit

y %

of

WT

Isopropylmalate isomerase

Sulfite reductase

crd1Δ

crd1Δ has decreased activities of cytoplasmic Fe-S enzymes

* *

WT

Decreased cytoplasmic Fe-S enzyme activities lead to amino acid auxotrophies in crd1Δ

• sulfite reductase (Met5, Met10) - methionine synthesis

• isopropylmalate isomerase (Leu1) - leucine synthesis

crd1Δ WT

35°C

SD-g

luco

se

+Met

hio

nin

e

-Me

thio

nin

e

crd1Δ shows methionine auxotrophy at elevated temperature

crd1Δ WT

37°C

SD-g

luco

se +L

eu

cin

e

-Le

uci

ne

crd1Δ shows leucine auxotrophy at elevated temperature

Is perturbation of iron homeostasis in crd1D due to defects in mitochondrial Fe-S cluster biogenesis?

Predictions:

• crd1D DOES exhibit decreased activity of Fe-S enzymes

• crd1D is sensitive to further perturbation of Fe-S synthesis – synthetic genetic interaction with Isu

• crd1D exhibits up-regulation of Fe-S scaffold (characteristic of Fe-S perturbation)

Mitochondrion

Nfs1/Isd11

Ala Cys

pmf

Iron (Fe2+)

Isu1/2 Isu1/2 Scaffold

Mrs3/4

Ssq1-ATP, Jac1

Grx5

Yah1

NADH

Yfh1

Mitochondrial Fe/S proteins

Holo

Apo

Aconitase, [4Fe-4S]

From Roland Lill

Mge1 Respiratory complexes

Fe-S (iron sulfur) cluster biogenesis

Step 1: synthesis of the Isu/Fe-S scaffold

Step 2: transfer of Fe-S cluster to apoenzyme

The isu1 mutant exacerbates the growth defect of crd1D

WT

crd1

isu1

crd1isu1

Is perturbation of iron homeostasis in crd1D due to defects in mitochondrial Fe-S cluster biogenesis?

Predictions:

• crd1D DOES exhibit decreased activity of Fe-S enzymes

• crd1D IS sensitive to further perturbation of Fe-S synthesis – synthetic genetic interaction with Isu

• crd1D DOES exhibit up-regulation of Fe-S scaffold (characteristic of Fe-S perturbation)

Summary: Loss of CL leads to iron homeostasis defects and perturbation of Fe-S biogenesis

• Phenotypes associated with altered Fe levels – Increased mitochondrial Fe

– Sensitivity to iron

– Sensitivity to peroxide

• Fe-S associated defects – Decreased activities of mitochondrial and cytoplasmic

Fe-S enzymes

– Synthetic interaction with Fe/S scaffold mutant Isu1

– Phenotypes associated with Fe-S defects (increased expression of Isu1)

Nucleus

Cytosol

Mitochondrion

Fe

Cyt Fe-S

Aft1

Aco1

III

Fe-S biogenesis

CL

Fe

Iron regulon

Aft1

II

Proposed model: Loss of CL leads to perturbation of mitochondrial and cellular iron homeostasis

Cardiolipin is required for optimal mitochondrial protein import

Jiang et al. 2000. Absence of Cardiolipin in the crd1 Null Mutant Results in Decreased Mitochondrial Membrane Potential and Reduced Mitochondrial Function. J. Biol. Chem., 275, 22387-22394.

Gebert et al., 2009. Mitochondrial Cardiolipin Involved in

Outer Membrane Protein Biogenesis: Implications for Barth Syndrome. Current Biol. 19, 2133-2139.

Possible mechanism linking cardiolipin to defective iron homeostasis - defective import of proteins involved in Fe-S biogenesis

What are the consequences of Fe-S defects?

TCA Cycle

Succinate dehydrogenase

Aconitase

Perturbation of the TCA cycle

Pyruvate

THE CELL, 4th edition

TCA Cycle

Succinate dehydrogenase

Aconitase

Secondary metabolic effects Alanine

Cysteine

Glycine

Serine

Threonine

Tryptophan

Pyruvate

Aspartate

Asparagine

Aspartate

Phenylalanine

Tyrosine

Isoleucine

Methionine

Threonine

Valine

Isoleucine

Leucine

Tryptophan

Glutamate

Glutamine

Histidine

Proline Arginine

THE CELL, 4th edition

TCA Cycle

Succinate dehydrogenase

Aconitase

Secondary metabolic effects

Pyruvate

Glutamate

THE CELL, 4th edition

Supplementation of glutamate restores growth of crd1Δ at elevated temperature

Aberrant plasma TCA cycle intermediates in BTHS patients

Data from Richard Kelley

Aberrant plasma amino acids in BTHS patients

Data from Richard Kelley

ISCU (iron sulfur cluster assembly protein) mutation in humans leads to myopathy

• Clinical Manifestation and a New ISCU Mutation in Iron–Sulfur Cluster Deficiency Myopathy (Kollberg Brain 2009).

• Splice Mutation in the Iron-Sulfur Cluster Scaffold Protein ISCU Causes

Myopathy with Exercise Intolerance (Mochel Amer J Hum Gen 2008). • Myopathy with Lactic Acidosis is Linked to Chromosome 12q23.3–24.11

and Caused by an Intron Mutation in the ISCU Gene Resulting in a Splicing Defect (Olsson Human Molec Gen 2008).

• Reversal of Iron-Induced Dilated Cardiomyopathy During Therapy With

Deferasirox in Beta-Thalassemia (Trad Pediat Blood Cancer 2008). • Mitochondrial Myopathy with Succinate Dehydrogenase and Aconitase

Deficiency Abnormalities of Several Iron-Sulfur Proteins (Hall J Clin Inv 1993).

Loss of cardiolipin

defective Fe-S biogenesis

perturbation of the TCA cycle

secondary metabolic dysfunction

MOLECULAR BASIS OF THE PATHOLOGY?

RELATIONSHIP OF GENOTYPE TO PHENOTYPE?

Future directions

• Elucidate mechanisms linking cardiolipin to Fe-S biogenesis

• Determine consequences of TCA cycle perturbation in cardiolipin deficient cells

• Characterize role of cardiolipin in acetyl CoA synthesis and b-oxidation

Acknowledgements

Collaborators:

Dennis R. Winge

Jennifer L. Fox

Vinay Patil

Vishal Gohil

Support:

NIH

Barth Syndrome Foundation

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