MELAS-Derived Neurons Functionally Improve by Mitochondrial Transfer from Highly Purified Mesenchymal Stem Cells

Lu Liu1, Jiahao Yang1, Yoshinori Otani2

  • 1Department of Pediatrics, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo 693-8501, Japan.

Insights

Highly purified mesenchymal stem cells (RECs) can donate functional mitochondria to neurons affected by MELAS syndrome. This mitochondrial transfer shows promise as a therapeutic strategy for neurological dysfunction in MELAS.

Area of Science:

  • Neuroscience
  • Mitochondrial Biology
  • Stem Cell Therapy

Background:

  • Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episode (MELAS) syndrome is a common inherited mitochondrial disease causing neuronal damage.
  • Current treatments for MELAS are limited, highlighting the need for novel therapeutic approaches.
  • Previous research indicated mesenchymal stem cells (RECs) can restore mitochondrial function in deficient cells.

Purpose of the Study:

  • To investigate if exogenous mitochondria can be donated to MELAS neurons.
  • To determine the efficacy of RECs versus mesenchymal stem cells (MSCs) in mitochondrial transfer.
  • To assess the functional recovery of MELAS neurons following mitochondrial donation.

Main Methods:

  • Neurons with impaired mitochondrial function were generated from MELAS patients using induced pluripotent stem cells (iPSCs).
  • MELAS neurons were co-cultured with RECs and MSCs under both contact and non-contact conditions.
  • Mitochondrial function was assessed by measuring membrane potential, ATP/ROS production, calcium storage, and oxygen consumption.

Main Results:

  • Both RECs and MSCs successfully donated mitochondria to MELAS neurons, with RECs demonstrating superior transfer efficiency.
  • REC-mediated mitochondrial transfer significantly restored key mitochondrial functions in MELAS neurons.
  • Improved mitochondrial function was sustained for at least three weeks post-transfer.

Conclusions:

  • Exogenous mitochondria, particularly from RECs, can be effectively transferred to MELAS neurons.
  • REC-mediated mitochondrial donation shows potential as a therapeutic strategy for MELAS-associated neurological dysfunction.
  • This study provides evidence for mitochondrial transfer as a viable approach for treating inherited mitochondrial diseases.