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Published on: June 16, 2023
Mitochondrial hsp60 chaperonopathy causes an autosomal-recessive neurodegenerative disorder linked to brain
Daniella Magen1, Costa Georgopoulos, Peter Bross
1Pediatric Nephrology Unit, Rambam Health Care Campus, Haifa 31096, Israel.
Abstract:
Hypomyelinating leukodystrophies (HMLs) are disorders involving aberrant myelin formation. The prototype of primary HMLs is the X-linked Pelizaeus-Merzbacher disease (PMD) caused by mutations in PLP1. Recently, homozygous mutations in GJA12 encoding connexin 47 were found in patients with autosomal-recessive Pelizaeus-Merzbacher-like disease (PMLD). However, many patients of both genders with PMLD carry neither PLP1 nor GJA12 mutations. We report a consanguineous Israeli Bedouin kindred with clinical and radiological findings compatible with PMLD, in which linkage to PLP1 and GJA12 was excluded. Using homozygosity mapping and mutation analysis, we have identified a homozygous missense mutation (D29G) not previously described in HSPD1, encoding the mitochondrial heat-shock protein 60 (Hsp60) in all affected individuals. The D29G mutation completely segregates with the disease-associated phenotype. The pathogenic effect of D29G on Hsp60-chaperonin activity was verified by an in vivo E. coli complementation assay, which demonstrated compromised ability of the D29G-Hsp60 mutant protein to support E. coli survival, especially at high temperatures. The disorder, which we have termed MitCHAP-60 disease, can be distinguished from spastic paraplegia 13 (SPG13), another Hsp60-associated autosomal-dominant neurodegenerative disorder, by its autosomal-recessive inheritance pattern, as well as by its early-onset, profound cerebral involvement and lethality. Our findings suggest that Hsp60 defects can cause neurodegenerative pathologies of varying severity, not previously suspected on the basis of the SPG13 phenotype. These findings should help to clarify the important role of Hsp60 in myelinogenesis and neurodegeneration.
Insights
A novel mutation in the heat-shock protein 60 (Hsp60) gene causes an autosomal-recessive leukodystrophy. This discovery expands our understanding of Hsp60
Area of Science:
- Neurogenetics
- Molecular Biology
- Cellular Biology
Background:
- Hypomyelinating leukodystrophies (HMLs) are a group of rare genetic disorders characterized by abnormal myelin formation.
- Pelizaeus-Merzbacher disease (PMD) and autosomal-recessive Pelizaeus-Merzbacher-like disease (PMLD) are primary HMLs linked to mutations in PLP1 and GJA12, respectively.
- However, numerous PMLD cases remain genetically unexplained, indicating other causative genes.
Purpose of the Study:
- To identify the genetic cause of an unexplained autosomal-recessive leukodystrophy in a consanguineous kindred.
- To investigate the role of mitochondrial heat-shock protein 60 (Hsp60) in the pathogenesis of this novel leukodystrophy.
Main Methods:
- Homozygosity mapping and mutation analysis were employed to identify the causative gene.
- A homozygous missense mutation (D29G) in the HSPD1 gene, encoding Hsp60, was identified.
- Functional validation of the mutation's pathogenicity was performed using an in vivo E. coli complementation assay.
Main Results:
- A novel homozygous missense mutation (D29G) in HSPD1 was identified in affected individuals, segregating with the disease phenotype.
- The D29G mutation impaired Hsp60 chaperonin activity, as evidenced by compromised E. coli survival, particularly at elevated temperatures.
- The identified disorder, termed MitCHAP-60 disease, presents with early-onset, severe cerebral involvement and lethality, distinguishing it from SPG13.
Conclusions:
- Defects in Hsp60 can cause severe autosomal-recessive neurodegenerative disorders, including a novel form of hypomyelinating leukodystrophy.
- This finding highlights the critical role of Hsp60 in myelinogenesis and neuroprotection.
- The study expands the spectrum of Hsp60-associated neurodegenerative pathologies.
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