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Updated: Mar 27, 2026

Visualizing Mitophagy with Fluorescent Dyes for Mitochondria and Lysosome
Published on: November 30, 2022
NDPK-D (NM23-H4)-mediated externalization of cardiolipin enables elimination of depolarized mitochondria by mitophagy
V E Kagan1, J Jiang1, Z Huang1
1Department of Environmental and Occupational Health, Center for Free Radical and Antioxidant Health, University of Pittsburgh, Pittsburgh, PA, USA.
Abstract:
Mitophagy is critical for cell homeostasis. Externalization of the inner mitochondrial membrane phospholipid, cardiolipin (CL), to the surface of the outer mitochondrial membrane (OMM) was identified as a mitophageal signal recognized by the microtubule-associated protein 1 light chain 3. However, the CL-translocating machinery remains unknown. Here we demonstrate that a hexameric intermembrane space protein, NDPK-D (or NM23-H4), binds CL and facilitates its redistribution to the OMM. We found that mitophagy induced by a protonophoric uncoupler, carbonyl cyanide m-chlorophenylhydrazone (CCCP), caused externalization of CL to the surface of mitochondria in murine lung epithelial MLE-12 cells and human cervical adenocarcinoma HeLa cells. RNAi knockdown of endogenous NDPK-D decreased CCCP-induced CL externalization and mitochondrial degradation. A R90D NDPK-D mutant that does not bind CL was inactive in promoting mitophagy. Similarly, rotenone and 6-hydroxydopamine triggered mitophagy in SH-SY5Y cells was also suppressed by knocking down of NDPK-D. In situ proximity ligation assay (PLA) showed that mitophagy-inducing CL-transfer activity of NDPK-D is closely associated with the dynamin-like GTPase OPA1, implicating fission-fusion dynamics in mitophagy regulation.
Insights
NDPK-D protein facilitates cardiolipin externalization, a key signal for mitophagy, essential for cellular homeostasis. This discovery uncovers the machinery behind mitochondrial degradation.
Area of Science:
- Cell Biology
- Mitochondrial Biology
- Autophagy Research
Background:
- Mitophagy is crucial for maintaining cellular health and homeostasis.
- Cardiolipin (CL) externalization to the outer mitochondrial membrane (OMM) serves as a signal for mitophagy.
- The molecular machinery responsible for CL translocation remains unidentified.
Purpose of the Study:
- To identify the protein responsible for cardiolipin translocation during mitophagy.
- To elucidate the role of NDPK-D in CL externalization and mitophagy.
- To investigate the connection between mitochondrial dynamics and mitophagy.
Main Methods:
- Utilized RNAi knockdown to assess the function of NDPK-D in mitophagy.
- Employed a cardiolipin-binding mutant of NDPK-D to study its activity.
- Applied in situ proximity ligation assay (PLA) to examine protein interactions.
- Investigated mitophagy induction using CCCP, rotenone, and 6-hydroxydopamine in various cell lines.
Main Results:
- NDPK-D (NM23-H4) was identified as a hexameric protein that binds cardiolipin and facilitates its transfer to the OMM.
- CCCP-induced CL externalization and mitophagy were reduced upon NDPK-D knockdown.
- A non-CL-binding NDPK-D mutant failed to promote mitophagy.
- NDPK-D's mitophagy-inducing activity was linked to OPA1, suggesting a role for mitochondrial fission-fusion dynamics.
Conclusions:
- NDPK-D is a critical component of the CL-translocating machinery required for mitophagy.
- The study reveals a novel mechanism for regulating mitophagy through CL externalization.
- Mitochondrial dynamics, involving OPA1, are implicated in the regulation of NDPK-D-mediated mitophagy.
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