Mutation in the MICOS subunit gene APOO (MIC26) associated with an X-linked recessive mitochondrial myopathy, lactic

Cristiane Benincá1,2, Vanessa Zanette2, Michele Brischigliaro3

  • 1Medical Research Council, Mitochondrial Biology Unit, Cambridge, Cambridgeshire, UK.

Abstract

Insights

A mutation in the APOO gene disrupts MIC26 protein, impairing mitochondrial structure and function, leading to severe neuromuscular and developmental disorders in a human family and model organisms.

Area of Science:

  • Mitochondrial biology
  • Genetics
  • Neuroscience

Background:

  • Mitochondria generate ATP via oxidative phosphorylation in the inner mitochondrial membrane (IMM).
  • The mitochondrial contact site and organising system (MICOS) complex maintains IMM architecture.
  • APOO encodes MIC26, a MICOS component with an incompletely understood role in assembly and maintenance.

Purpose of the Study:

  • Investigate the function of MIC26 in mitochondrial maintenance.
  • Identify genetic variants in APOO associated with severe developmental disorders.
  • Elucidate the molecular mechanisms linking APOO mutations to mitochondrial dysfunction.

Main Methods:

  • Whole exome sequencing in a family with affected members.
  • Analysis of patient-derived skin fibroblasts.
  • Creation and analysis of knockout models in yeast and Drosophila melanogaster.

Main Results:

  • A pathogenic c.350T>C variant in APOO, causing an I117T substitution in MIC26, was identified.
  • The mutation led to impaired MIC26 processing, faulty IMM insertion, altered MICOS assembly, and cristae junction disruption.
  • MIC26 dysfunction caused mitochondrial structural and functional deficits in yeast and Drosophila models.

Conclusions:

  • This study reports the first pathogenic mutation in APOO, linking it to altered MICOS assembly and neuromuscular impairment.
  • MIC26 is crucial for MICOS assembly and stability in humans, yeast, and flies.
  • APOO mutations represent a novel cause of mitochondrial disease.

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