Elsevier

Mitochondrion

Volume 11, Issue 6, November 2011, Pages 954-963
Mitochondrion

Restoration of complex V deficiency caused by a novel deletion in the human TMEM70 gene normalizes mitochondrial morphology

https://doi.org/10.1016/j.mito.2011.08.012Get rights and content

Abstract

We report a fragmented mitochondrial network and swollen and irregularly shaped mitochondria with partial to complete loss of the cristae in fibroblasts of a patient with a novel TMEM70 gene deletion, which could be completely restored by complementation of the TMEM70 genetic defect. Comparative genomics analysis predicted the topology of TMEM70 in the inner mitochondrial membrane, which could be confirmed by immunogold labeling experiments, and showed that the TMEM70 gene is not restricted to higher multi-cellular eukaryotes. This study demonstrates that the role of complex V in mitochondrial cristae morphology applies to human mitochondrial disease pathology.

Highlights

► We report a complex V deficient patient due to a novel homozygous TMEM70 deletion. ► Mitochondria are swollen and irregularly shaped with loss of cristae. ► The mitochondrial network is fragmented.► Mitochondrial morphology is restored by complementation of the TMEM70 defect. ► TMEM70 is not restricted to higher multi-cellular eukaryotes.

Introduction

Complex V (or the mitochondrial (mt) ATP synthase, EC 3.6.3.14), uses the proton gradient to generate ATP during oxidative phosphorylation. Complex V is a multisubunit complex consisting of two functional domains, F1 and Fo, connected by two stalks. The catalytic F1 domain is composed of subunits α, β, γ, δ, ε and a loosely attached IF1 inhibitor protein. The membrane-embedded Fo domain consists of an additional ten subunits, a (or subunit 6), b, c, d, e, f, g, OSCP, A6L (or subunit 8), and F6 and functions as a proton channel (Collinson et al., 1996, Houstek et al., 2009). Subunits 6 and 8 of the F0 domain are encoded by the mtDNA genes MT-ATP6 and MT-ATP8, respectively. All other complex V subunits are encoded by the nuclear DNA. Mitochondria are enclosed by a double membrane. The inner membrane is composed of two subdomains: the inner boundary membrane and the cristae membrane. Cristae are invaginations of the inner membrane that are connected to the inner boundary membrane by narrow tubular structures, so-called crista junctions (Frey et al., 2002). It has been shown that complex V of mammalian mitochondria is arranged in long rows of dimeric supercomplexes (Strauss et al., 2008). Ribbons of complex V dimers are common to all eukaryotes (Strauss et al., 2008). The role of complex V dimers in the formation of tubular cristae has been hypothesized by Allen (1995). The link between the dimerization of mitochondrial complex V, through subunits e, g, and – as described just recently – subunits i, k, and the biogenesis of cristae has been provided by studying yeast cells (Paumard et al., 2002, Wagner et al., 2010). Complex V oligomers are found either on the crest of lamellae, or along the length of tubular cristae and introduce a positive curvature to the inner mitochondrial membrane (Strauss et al., 2008). In a recent yeast study, this effect has been shown to be attributed to the action of subunit e and subunit g (Rabl et al., 2009). Moreover, it has been suggested that the formation of cristae and crista junctions in mitochondria depends on antagonism between Fcj1 (formation of crista junction protein 1) and subunits e and g (Rabl et al., 2009). In HeLa cells, it has been shown that IF1 overexpression increases mitochondrial cristae formation and dimerization of complex V (Campanella et al., 2008). Other components such as prohibitins or OPA1 or others yet to be identified also could contribute to crista junction and cristae tip formation (Rabl et al., 2009, Zick et al., 2009). Complex V mutations have been described in MT-ATP6 (see, among many others, (Morava et al., 2006)), in MT-ATP8 (Jonckheere et al., 2008), in the nuclear encoded F1-specific assembly gene ATP12 (De Meirleir et al., 2004), and in the nuclear encoded structural subunit ε (ATP5E) (Mayr et al., 2010). A common splice site mutation and an isolated frameshift mutation were described in the TMEM70 gene particularly in a homogeneous ethnic group (Romanies), and it has been shown that TMEM70 is required to maintain normal expression levels of complex V (Cizkova et al., 2008). The TMEM70 gene, located on chromosome 8q21.11, consists of three exons and encodes a 260 amino acid (AA) protein, transmembrane protein 70. GFP-tagged TMEM70 has been shown to be localized in mitochondria (Calvo et al., 2006). The exact molecular function of the TMEM70 protein is not known at present (Houstek et al., 2009), although it has been suggested that TMEM70 is involved in complex V biogenesis (Cizkova et al., 2008). TMEM70 homologues have been found in genomes of multi-cellular eukaryotes and plants, while it has been described to be absent from yeast and other fungi (Houstek et al., 2009).

Section snippets

Case history

The boy, born at 40 weeks, was the third child of healthy consanguineous Iraqi parents with unremarkable family history. Two older siblings are healthy. Prenatal ultrasound revealed fetal ascites and oligohydramnion. He was small for gestational age (birth weight 2090 g, length 47 cm, head circumference 33 cm). Postnatal echocardiography was normal. He presented on day four of life with feeding difficulties and fever. Lactic acidosis was diagnosed (base excess –14.5 mmol/l) with a blood lactate of

Cell cultures

Fibroblasts were cultured in medium 199 (Gibco®, Invitrogen Corporation) supplemented with 10% fetal calf serum and penicillin/streptomycin (respectively 100 U/ml and 100 μg/ml). The amphotropic packaging cell line PA317 (# CRL-9078, LGC, Middlesex, UK) and Flp-In T-REx293 cells (Invitrogen) were grown in Dulbecco's Modified Eagle's Medium (DMEM) containing 4.5 g/l glucose, 10% fetal calf serum and penicillin/streptomycin (respectively 100 U/ml and 100 μg/ml). Inducible cell lines were selected on

Biochemical assays

Measurement of the MEGS capacity in muscle tissue showed both a severely decreased pyruvate oxidation rate and ATP production rate from oxidation of pyruvate (Table 2). Spectrophotometric analysis showed an undetectable complex V (mtATPase) activity in muscle tissue (0 mU/U Cytochrome Oxidase (COX), normal 169–482) and a combined deficiency of complex V (113 mU/U COX, normal 209–935) and complex I (60 mU/U COX, normal 110–260) in fibroblasts. The activities of the respiratory chain enzyme

Clinical phenotype

The patient described in this report shares common clinical features with the Gypsy patients harboring the common splice site mutation c.317-2A>G in the TMEM70 gene described before (Cizkova et al., 2008). He presented during the first week of life with lactic acidosis and hyperammonemia. Later, he developed non-progressive hypertrophic cardiomyopathy and psychomotor delay. The description of four novel mutations in the TMEM70 gene has confirmed and expanded this classical clinical picture with

Funding

This work was supported by a grant from the Prinses Beatrix Fonds [grant number OP-05-04] to AIJ and JS, grant IGE05003 from Senternovem to MH, a grant from the IGMD (Institute for Genetic and Metabolic Disease) of the Radboud University Nijmegen Medical Centre (RUNMC) to WJHK, an equipment grant of NWO (Netherlands Organization for Scientific Research, number: 911-02-008) and a grant from the Netherlands Genomics Initiative (Horizon Program) to RS. The authors confirm independence from the

Conflicts of interest

None.

Acknowledgments

The authors thank Ms L. Eshuis for technical assistance with the electron microscopy of the fibroblasts and Ms. M. Wijers-Rouw for technical assistance with the immunogold labeling study.

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    The study has been carried out in the Netherlands in accordance with the applicable rules concerning the review of research ethics committees (Commissie Mensgebonden Onderzoek Regio Arnhem-Nijmegen) and informed consent.

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