Selective mitophagy activation and protein aggregate accumulation in MTMR5/SBF1-deficient fibroblasts

Paola Zanfardino1, Alessandro Amati1, Stefano Doccini2

  • 1Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro, Bari, Italy.

Life Sciences
|September 25, 2025
PubMed
Abstract

Insights

Mutations in MTMR5/SBF1 cause Charcot-Marie-Tooth disease type 4B3 (CMT4B3). CMT4B3 fibroblasts show selective autophagy defects, with impaired macroautophagy but enhanced mitophagy, revealing insights into disease mechanisms.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Genetics

Background:

  • Charcot-Marie-Tooth disease type 4B3 (CMT4B3) is a rare, inherited neuropathy.
  • It stems from mutations in MTMR5/SBF1, affecting phosphoinositide metabolism and autophagy.
  • Understanding MTMR5/SBF1's role in autophagy is crucial for CMT4B3 pathogenesis.

Purpose of the Study:

  • Investigate the impact of MTMR5/SBF1 dysfunction on autophagy and mitophagy.
  • Examine the interplay between protein aggregates and autophagic machinery in CMT4B3.
  • Utilize patient-derived fibroblasts to study selective autophagy defects.

Main Methods:

  • Compared fibroblasts from a CMT4B3 patient with a healthy control.
  • Assessed autophagic flux using LC3B and SQSTM1.
  • Evaluated mitophagy via PINK1/PRKN recruitment and mitophagosome/autolysosome quantification.
  • Visualized protein aggregates and their colocalization with autophagic structures.

Main Results:

  • CMT4B3 fibroblasts exhibited normal basal macroautophagy.
  • Autophagy induction failed in response to mitochondrial stress or protein aggregates.
  • Mitophagy was significantly upregulated through the PINK1-PRKN pathway.

Conclusions:

  • MTMR5/SBF1 mutations cause an uncoupling between mitophagy and macroautophagy.
  • This suggests altered autophagic selectivity in CMT4B3.
  • Findings offer mechanistic insights into CMT4B3 pathogenesis and highlight patient fibroblasts for studying selective autophagy.

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