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OPA1 Deficiency Impairs NGF Signaling and Drives Sympathetic Neurodegeneration.
Marco Ronfini1, Valentina Prando1, Vittoria Di Mauro1
1Department of Biomedical Sciences, University of Padova, Padova, Italy; Veneto Institute of Molecular Medicine, Padova, Italy.
JACC. Basic to Translational Science
|February 24, 2026
Summary
Dominant optic atrophy causes heart problems through peripheral sympathetic neurodegeneration. Restoring nerve growth factor and mitochondrial function in these nerves may treat cardiac autonomic disorders.
Area of Science:
- Neuroscience
- Cardiology
- Genetics
Background:
- Dominant optic atrophy (DOA) is linked to optic nerve degeneration.
- Cardiac dysfunction can arise from neurological conditions.
- The neuro-cardiac axis in DOA is not well understood.
Purpose of the Study:
- To investigate the role of peripheral sympathetic neurodegeneration in cardiac dysfunction in DOA.
- To elucidate the underlying mechanisms of this neuro-cardiac link.
Main Methods:
- Studied optic atrophy factor-1 (Opa1) haploinsufficiency in a mouse model.
- Assessed mitochondrial dynamics and neurotrophic signaling in sympathetic neurons.
- Evaluated cardiac function and autonomic control.
Main Results:
- Opa1 haploinsufficiency led to peripheral sympathetic neurodegeneration.
- Disrupted mitochondrial dynamics and impaired neurotrophic signaling were observed.
- Sympathetic denervation resulted in cardiac arrhythmias and dysfunction.
Conclusions:
- Peripheral sympathetic neurodegeneration is a key driver of cardiac dysfunction in dominant optic atrophy.
- Restoring nerve growth factor transport and mitochondrial health in sympathetic neurons is a potential therapeutic strategy.
- Understanding neuro-cardiac crosstalk is crucial for treating neurogenic cardiac diseases.
Keywords:
dominant optic atrophymitochondrianerve growth factoroptic atrophy factor-1sympathetic neuronsMore Related Videos
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