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ORIGINAL CONTRIBUTION Human NARP Mitochondrial Mutation Metabolism Corrected With -Ketoglutarate/Aspartate A Potential New Therapy Gianluca Sgarbi, PhD; Gabriella A. Casalena, PhD; Alessandra Baracca, PhD; Giorgio Lenaz, MD, PhD; Salvatore DiMauro, MD; Giancarlo Solaini, PhD Objective: To verify whether enhanced substrate-level tion by exposure to the ionophore gramicidin or were en- phosphorylation increases viability and adenosine 5- ergy challenged by oligomycin inhibition, their survival at triphosphate (ATP) content of cells with neuropathy, 72 hours was 5%, but this increased to 70% when the me- ataxia, and retinitis pigmentosa/maternally inherited Leigh dium was supplemented with-ketoglutarate/aspartate to syndrome (NARP/MILS) mitochondrial DNA muta- boost mitochondrial substrate-level phosphorylation. Ho- tions and ATP synthase dysfunction. moplasmic cybrids harboring the 8993T→G NARP mu- tation were also protected from death (75% vs 15% sur- Design: We used cell lines “poisoned” with oligomy- vival at 72 hours) by the supplemented medium and their cin, the specific inhibitor of ATP synthase, and “natu- ATP content was similar to controls. ral” models, including transmitochondrial human cell lines (cybrids) harboring 2 different pathogenic muta- Conclusions: These results show that ATP synthase– tions associated with the NARP/MILS phenotypes. deficient cells can be rescued by increasing mitochondrial substrate-level phosphorylation and suggest potential di-
JAMA Neurology – American Medical Association
Published: Aug 1, 2009
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