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Published on: June 23, 2023
Abnormal calcium homeostasis and mitochondrial polarization in a human encephalomyopathy
A M Moudy1, S D Handran, M P Goldberg
1Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110.
Abstract:
Patients with several inherited human encephalomyopathies exhibit systemic and neurological symptoms in association with specific mitochondrial mutations. The mechanisms by which these mitochondrial mutations result in cellular injury have not been elucidated. One potential cause of neuronal vulnerability is an inability to effectively buffer intracellular calcium. We report that fibroblasts from patients with one specific inherited encephalomyopathy, MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) syndrome, have elevated levels of ionized calcium and cannot normally sequester calcium influxes. Quantitative fluorescence imaging demonstrated that this abnormality was associated with a relative decrease in mitochondrial membrane potential compared to control fibroblasts. This documentation of pathological calcium homeostasis in a genetic neurological disease extends the calcium hypothesis of toxic cell injury to human mitochondrial encephalomyopathies.
Insights
Mitochondrial encephalomyopathies like MELAS syndrome impair calcium buffering in cells. This cellular calcium imbalance, linked to decreased mitochondrial function, contributes to neurological injury in these genetic disorders.
Area of Science:
- Neuroscience
- Mitochondrial Biology
- Genetics
Background:
- Inherited encephalomyopathies involve mitochondrial mutations causing neurological symptoms.
- The cellular mechanisms of injury in these disorders remain unclear.
- Intracellular calcium dysregulation is a potential factor in neuronal vulnerability.
Purpose of the Study:
- To investigate calcium homeostasis in fibroblasts from patients with MELAS syndrome.
- To determine the relationship between mitochondrial function and calcium handling in this genetic neurological disease.
Main Methods:
- Utilized fibroblasts from MELAS syndrome patients and control subjects.
- Employed quantitative fluorescence imaging to assess ionized calcium levels and mitochondrial membrane potential.
- Measured the capacity to sequester calcium influxes.
Main Results:
- Fibroblasts from MELAS patients exhibited elevated ionized calcium levels.
- These cells demonstrated an impaired ability to buffer calcium influxes.
- A decreased mitochondrial membrane potential correlated with the calcium handling abnormality.
Conclusions:
- Pathological calcium homeostasis is a feature of MELAS syndrome, a genetic neurological disease.
- This finding supports the calcium hypothesis of toxic cell injury in human mitochondrial encephalomyopathies.
- Mitochondrial dysfunction directly impacts cellular calcium buffering capacity.
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