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First published online May 14, 2007
doi: 10.1242/10.1242/jcs.03443
Commentary |
Center for Human Genetics, K.U.Leuven and Department of Molecular and Developmental Genetics, VIB, Herestraat 49, 3000 Leuven, Belgium
* Author for correspondence (e-mail: Bart.destrooper{at}med.kuleuven.be)
Accepted 13 March 2007
| Summary |
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Key words: Neurodegenerative, Mitochondria, Oxidative stress, Parkinson disease, OXPHOS, Apoptosis, Mitochondrial dynamics
| Introduction |
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PD is a chronically progressive, age-related neurodegenerative disease characterized by progressive resting tremor, rigidity, bradykinesia, gait disturbance, postural instability and dementia. A major neuro-pathological feature is the degeneration of dopamine neurons in the substantia nigra pars compacta (SNc) and in other brainstem regions. The loss of inhibitory dopaminergic innervation causes over-activity of the subthalamic nucleus and the globus pallidus, which causes the movement symptoms (Obeso et al., 2000
). Lewy bodies are a second neuropathologic feature of PD. These are eosinophilic cellular inclusions comprising a dense core of filamentous material surrounded by a halo of fibrils, which mainly consists of
-synuclein (see below) (Cookson, 2005
).
Several hypotheses for the progressive and selective neurodegeneration in PD have been proposed. Mitochondrial dysfunction, however, has been linked with PD for a long time. In the early 1980s, a group of young designer-drug abusers showed PD-like symptoms upon exposure to MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine), a synthetic by-product of heroin production (Langston et al., 1983
). The active metabolite of MPTP, MPP+, selectively enters dopaminergic neurons via the dopamine transporter and potently inhibits mitochondrial complex I (Vila and Przedborski, 2003
). This results in increased oxidative stress, intracellular Ca2+ levels and excitotoxicity, and decreased energy production, eventually culminating in neuronal damage and death. Exposure to rotenone, another complex I inhibitor, produces a similar phenotype in rodents (Betarbet et al., 2000
; Manning-Bog et al., 2002
; Sherer et al., 2003
). Furthermore, particular mitochondrial DNA (mtDNA) polymorphisms and haplotypes are associated with risk of PD (Autere et al., 2004
; Pyle et al., 2005
; van der Walt et al., 2003
), and mutations in mtDNA or in the nuclear-encoded mtDNA polymerase-G (POLG) cause PD-like symptoms (Luoma et al., 2004
). Finally, dopaminergic neurons in the SNc are particularly sensitive to somatic mtDNA mutations, and accumulation of these is greater in PD patients compared with age-matched controls (Bender et al., 2006
; Kraytsberg et al., 2006
). A critical threshold of approximately 60% mutated mtDNA molecules must be reached to cause dopaminergic neuronal cell death (Rossignol et al., 2003
). The remaining unaffected mtDNA molecules cannot produce sufficient quantities of proteins such as cytochrome c oxidase (COX), and the respiratory chain becomes deficient.
Recently, several rare forms of inherited PD have been recognized (Polymeropoulos et al., 1997
). The identification of the genes mutated has provided a major boost in our understanding of the molecular mechanism(s) causing PD disease. Below, we briefly summarize the salient features of the proteins encoded by these genes [SNCA (encoding
-synuclein), PARK2 (encoding parkin) PARK7 (encoding PARK7; also known and hereafter referred to as DJ-1), PINK1 (encoding the PTEN induced putative kinase 1 PINK1) and LRRK2 (encoding the leucine-rich repeat kinase 2 LRRK2)] and then focus on the evidence that mutations in these genes impinge on mitochondrial function.
-Synuclein
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-Synuclein (Fig. 1A) is a natively unfolded protein that upon binding to lipid can form oligomeric or amyloidogenic filaments. Fibrillar forms of
-synuclein are the major structural component of Lewy bodies, providing compelling evidence that it plays a major role in the pathogenesis of PD (Spillantini et al., 1998
-synuclein (A30P, E46K, A53T), and gene duplications and triplications have been identified in familial cases of PD (reviewed in Savitt et al., 2006
-Synuclein is localized predominantly in synaptic terminals and in the cytosol. Although its normal function is not quite clear, studies in zebra finch indicate a potential role in synaptic plasticity (George et al., 1995
-synuclein at synapses has come from studies in mice lacking
-synuclein or both
-synuclein and β-synuclein. Although one study demonstrated dramatic loss of synaptic reserve vesicles and an increase in synaptic depression in
-synuclein-null mice (Sncatm1Nbm) (Cabin et al., 2002
-synuclein and β-synuclein (Sncatm1Sud-Sncbtm1Sud) show no defects in synaptic plasticity and synaptic vesicle cycling. These mice, however, do show a 20% reduction in brain dopamine levels, which is not observed in single-knockout mice and points towards functional redundancy between these proteins (Chandra et al., 2004
-synuclein remains debated, although a role in synaptic integrity seems likely. Indeed, loss of
-synuclein accelerates degeneration of presynaptic terminals in mice lacking Dnajc5 (Dnajc5tm1Sud), encoding the chaperone protein cystein-string protein
(CSP
). Thus, Snca and Dnajc5 are in a genetic pathway important for the integrity of synaptic nerve terminals (Chandra et al., 2005
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-synuclein display disappointingly few symptoms relevant to PD (reviewed in Fleming et al., 2005
-synuclein in Drosophila melanogaster results in adult-onset loss of dopaminergic neurons, the appearance of filamentous intraneuronal inclusions containing
-synuclein and locomotory dysfunction. This model closely recapitulates the essential features of the human disorder (Bilen and Bonini, 2005
-synuclein can lead to neuronal cell death. SNCA overexpression might block ER-Golgi trafficking (Cooper et al., 2006
-synuclein-induced toxicity. Similar pathological mechanisms might be involved in synaptic vesicle transport (Cooper et al., 2006
-synuclein in Lewy bodies in PD and is often deficient in dopaminergic nerve terminals in the striatum (Ihara et al., 2003
-Synuclein appears to interact with Sept4, and dopaminergic neurons deficient in Sept4 become more susceptible to further dysfunction and degeneration in PD (Ihara et al., 2007
-synuclein are components of presynaptic complexes at the dopaminergic terminals, and that lack of the physiological association with Sept4 facilitates self-aggregation of
-synuclein. | Specific sensitivity of dopaminergic neurons to mitochondrial stress |
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-synuclein toxicity? Dopamine is inherently unstable and can generate reactive oxygen species (ROS) and, via monoamine oxidase (MAO), H2O2 (Lotharius et al., 2002
-synuclein aggregation (Galvin, 2006
-synuclein adducts stabilize
-synuclein protofibrils (Conway et al., 2001
Although there is no evidence for mitochondrial localization of
-synuclein, overexpression of mutant
-synuclein sensitizes neurons to oxidative stress and damage by dopamine metabolites and mitochondrial toxins such as MPP+ and 6-hydroxydopamine, resulting in increased protein carbonylation and lipid peroxidation in vitro and in vivo (Orth et al., 2003
). Interestingly,
-synuclein-knockout mice (Sncatm1Wtd, Sncatm1Sud, (Sncatm1Ros1) mice have marked resistance to MPTP and other mitochondrial toxins, such as malonate and 3-nitropropionic acid (Dauer et al., 2002
; Fornai et al., 2005
; Klivenyi et al., 2006
).
-Synuclein deficiency seems to result in a reduction of oxidative stress and, in addition, it has been proposed that
-synuclein oligomers generate pore-like structures (Lashuel et al., 2002
), which might disrupt the membranes of organelles such as mitochondria.
| Parkin |
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Parkin also impacts on mitochondrial function. The Drosophila parkin-null (park25) mutant displays reduced lifespan, excessive apoptosis, flight muscle degeneration and male sterility. Microscopy shows swollen mitochondria and severe disruption and disintegration of the cristae (Greene et al., 2003
). Microarray analysis revealed upregulation of genes involved in oxidative stress and electron transport, including an orthologue of the mammalian peripheral benzodiazepine receptor (PBR), which is localized at mitochondria (both mitochondrial inner and outer membrane localization have been reported) and protects against ROS (Casellas et al., 2002
; Greene et al., 2005
; Mukherjee and Das, 1989
). A genomic screen in the park25 flies identified loss-of-function of glutathione S-transferase (GstS1) as one of the strongest enhancers of fly death (Greene et al., 2005
). GSTS1 is an important antioxidant and flies lacking the genes encoding both parkin and GSTS1 display progressive degeneration of dopaminergic neurons and increased oxidative damage (Whitworth et al., 2005
). Loss of parkin in mice (Park2tm1shm) results in increased dopamine levels and reduced synaptic excitability in the striatum, and behavioral defects (Goldberg et al., 2003
). Remarkably, reduced expression of several proteins involved in mitochondrial function and oxidative stress, including subunits of complexes I and IV, is observed as well (Palacino et al., 2004
). Mitochondria isolated from the striatum of Park2tm1shm mice have decreased mitochondrial respiratory capacity and show evidence of increased formation of lipid by-products of ROS, such as protein carbonyls and lipid peroxides (Palacino et al., 2004
). Intriguingly, parkin deficiency alone is not sufficient to cause neurodegeneration, which suggests additional unknown triggers are important for the disease process (Goldberg et al., 2003
; Itier et al., 2003
; Perez and Palmiter, 2005
).
The mechanism by which parkin might regulate mitochondrial function remains unclear. Loss-of-function of this E3 ligase might lead to accumulation of oxidatively damaged proteins. Various putative parkin substrates, such as CDCrel-1/Sept5, CDCrel-2/Sept4, Pael-R, cyclin E, synphilin-1, p38/JTV1 and FBP1, accumulate in parkin-associated PD, whereas only p38/JTV1 and FBP1 also accumulate in sporadic PD and parkin knockout (Park2tm1Tmd) mice, which suggests these might be genuine parkin substrates (reviewed in Moore et al., 2005a
). None of these is localized to mitochondria, and their accumulation might only indirectly affect mitochondrial function. However, recently parkin has been shown to ubiquitylate the PD-associated protein LRRK2 (see below), which in turn activates auto-ubiquitylation of parkin (Smith et al., 2005
). Interestingly, West and co-workers have shown that approximately 10% is localized to the mitochondrial outer membrane (West et al., 2005
). Parkin itself is sensitive to oxidative stress: dopamine-quinone and s-nitrosylation covalently modify it and inactivate its E3 ligase activity (Chung et al., 2004
; LaVoie et al., 2005
). This suggests the possibility of a feedback loop and a more general mechanism for parkin dysfunction in the pathogenesis of sporadic PD. A genetic interaction between parkin and the mitochondrial kinase Pink1 in D. melanogaster (see below) provides further evidence for parkin deficiency playing a general role in PD via mitochondria (Clark et al., 2006
; Park et al., 2006
; Yang et al., 2006
). Recent data also show that parkin and Pink1 might physically interact (Moore, 2006
). Although the mitochondrial localization of Pink1 is clear (see below), it is still debated whether parkin is associated with mitochondria.
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| DJ-1 |
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Some of the protective actions of DJ-1 might occur at the transcriptional level (Bonifati et al., 2003
). DJ-1 binds to PIAS proteins, a family of SUMO-1 ligases that modulate the activity of various transcription factors (Takahashi et al., 2001
). Junn et al. show that wild-type DJ-1 sequesters Daxx in the nucleus, preventing it from binding and activating its effector kinase apoptosis signal-regulating kinase 1 (Ask1) in the cytoplasm (Junn et al., 2005
). Others show that DJ-1 is a transcriptional co-activator that interacts with the nuclear proteins p54nrb and PSF (Xu et al., 2005
) again to protect against apoptosis. DJ-1 also stabilizes the antioxidant transcriptional master regulator Nrf2 (Clements et al., 2006
) by preventing association with its inhibitor protein Keap1. Interestingly, Nrf2 is located in the nucleus in PD nigral neurons (Ramsey et al., 2007
). DJ-1 might thus act as a transcriptional co-factor that regulates the response to oxidative stress. In addition, the cysteine sulfinic acid modification of DJ-1 might enhance its association with mitochondria (Canet-Aviles et al., 2004
), and oxidative stress promotes its interaction with parkin, linking DJ-1 and parkin in a common pathway (Moore et al., 2005b
). Thus, DJ-1 may play a crucial role both sensing and conferring protection against a range of oxidative stressors, using different mechanisms. Flies and mice deficient in the gene encoding DJ-1 are indeed more susceptible to oxidative toxins (Kim et al., 2005
; Menzies et al., 2005
; Meulener et al., 2005
; Park et al., 2005
; Yang et al., 2005
). Circumstantial evidence thus strongly indicates that DJ-1 directly or indirectly protects against mitochondrial dysfunction.
| PINK1 |
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| LRRK2 |
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Neurons that express PD-associated LRRK2 mutations also display prominent phospho-tau-positive inclusions that colocalize with the lysosomal marker LAMP1. The neurons ultimately undergo apoptosis (Macleod et al., 2006
). It is known that hyperphosphorylation of tau leads to aggregate formation and axonal/neuronal degeneration in many neurodegenerative diseases (reviewed in Lee et al., 2001
). Tau might be a molecular target for LRRK2 kinase activity, because the two proteins colocalize in inclusions. However, Macleod et al. have failed to detect evidence of direct phosphorylation of tau by LRRK2 in vitro and favor a model in which LRRK2 indirectly modifies tau through modulation of the activity of other kinases or phosphatases previously implicated in tau phosphorylation, such as GSK3β (Lee et al., 2001
). Additional studies will be necessary to pinpoint the action of LRRK2 in these signaling cascades.
Confocal studies in primary cortical neurons and ultrastructural analysis in rodent basal ganglia detect LRRK2 in association with membranous and vesicular structures such as lysosomes, endosomes, transport vesicles and mitochondria (Biskup et al., 2006
; West et al., 2005
). Subcellular fractionation confirms that approximately 10% of total LRRK2 is associated with the mitochondrial outer membrane in rodent brain (Biskup et al., 2006
; West et al., 2005
). LRRK2 might therefore have a role in mitochondrial physiology, although this remains speculation.
| Mitochondrial dynamics and neuronal dysfunction |
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Mutations in human mitofusin-2 (MFN2) cause Charcot-Marie-Tooth disease (Zuchner et al., 2004
). Mitofusins Mfn1 and Mfn2 are essential GTPases localized to the mitochondrial outer membrane. Both proteins form complexes in trans that tether mitochondria together, promoting mitochondrial fusion (Chen et al., 2003
; Koshiba et al., 2004
). Deletion of Mfn1 or Mfn2 results in mitochondrial fragmentation due to unbalanced fission (Chen et al., 2005
; Koshiba et al., 2004
). Optic atrophy 1 (OPA1) is another example of a protein involved in mitochondrial dynamics. Mutations in its gene are the major cause of genetic forms of blindness (Delettre et al., 2000
). OPA1 is a dynamin-related GTPase and localizes to the intermembrane space of mitochondria, where it is tightly associated with the inner membrane (Cereghetti and Scorrano, 2006
; Chan, 2006
; Olichon et al., 2002
). Interestingly, Opa1 interacts genetically with Mfn1, which suggests it coordinates the fusion reactions of outer and inner membranes (Cipolat et al., 2004
).
These proteins also affect the subcellular localization of mitochondria. Overexpression of Mfn1 in primary cultures of neurons results in decreased localization of mitochondria to dendritic spines, whereas overexpression of dynamin-1-like (Dnm1l, also known as Drp1), a protein involved in mitochondrial fission (see below), results in re-localization of mitochondria to the spines (Li et al., 2004
). Remarkably, mitochondrial and synaptic activities influence each other: repetitive depolarization results in fusion of mitochondria and their relocation to the spines.
Mitochondria are particularly abundant at the other sites of synapses: axons and synaptic terminals. They are probably needed there to provide the enormous amounts of ATP associated with the transmission of axon potentials. Loss-of-function mutations in the D. melanogaster genes encoding the coiled-coil protein Milton (Stowers et al., 2002
) or the Rho-related GTPase Miro (Guo et al., 2005
), which are both involved in transport of mitochondria along microtubules, lead to severe phenotypes characterized by partial or complete loss of neurotransmission. In a genetic screen for modifiers of synaptic neurotransmission, Verstreken et al. (Verstreken et al., 2005
) identified the D. melanogaster Dnm1l orthologue Drpl as essential for sustained neurotransmission during rapid stimulation. Drpl deficiency results in synaptic depletion of mitochondria, and although basic neurotransmission activity appears to be sustained, the lack of mitochondria makes it impossible to mobilize a reserve pool of neurotransmitter vesicles that is essential for rapid transmission. DNM1L is a cytoplasmic protein and needs FIS1, a mitochondrial outer membrane protein, to induce fission of mitochondria (Yoon et al., 2003
; Yu et al., 2005
). The process of fission and fusion thus depends on a complex molecular machinery, providing ample opportunities for speculation on potential roles of kinases such as LRRK2 and PINK1 in its regulation. Interestingly, the LRRK2 GTPase domain shares significant sequence similarity with the Rho GTPase domain of Miro (Guo et al., 2005
). Miro and Milton directly interact and this interaction is essential for anterograde transport of mitochondria (Glater et al., 2006
). Recently, mammalian orthologues of Milton have been identified, OIP106 and GRIF1 (also known as Trak1 and Trak2, respectively) (Brickley et al., 2005
; Fransson et al., 2006
). Interestingly, OIP106 is mutated in hypertonic mice, which show motor pathway defects in the central nervous system (Gilbert et al., 2006
).
| Apoptosis and disturbances in energy metabolism in neurodegenerative disease |
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Mitochondrial fission is similarly closely associated with the apoptosis pathway: mitochondrial fragmentation occurs early in apoptosis, and inhibition of DNM1L or FIS1 can protect against cell death (Frank et al., 2001
; Lee et al., 2004
). Increased rates of apoptosis could theoretically contribute to neurodegeneration, although the evidence for apoptosis in human brain material remains controversial (Dauer and Przedborski, 2003
).
It is not clear to what extent fusion and fission contribute to the maintenance of the oxidative phosphorylation (OXPHOS) pathway. The mixing of DNA and protein content during fusion probably reduces the effect of accumulating mutations in mtDNA, possibly stabilizing mitochondrial performance. Again, this must be confirmed in animal model studies. Recently, Ekstrand et al. showed that the specific inactivation of mitochondrial transcription factor A (Tfam) in dopaminergic neurons leads to defects in the OXPHOS pathway that result in PD-like symptoms in mice (Ekstrand et al., 2007
). Evidence from studies of other genetic diseases corroborates the concept that disturbances of the OXPHOS system contribute to neurodegeneration. Mutations in frataxin (FXN) (Table 1) cause Friedreich ataxia (Wilson, 2006
). Deletion of the yeast orthologue of frataxin causes accumulation of iron in the mitochondria, loss of mtDNA and impaired OXPHOS activity (Koutnikova et al., 1997
; Wilson and Roof, 1997
). Additional studies have demonstrated severe deficiencies in the activities of Complexes I, II and III and aconitase, and iron accumulation in tissue from Friedreich ataxia patients (Rotig et al., 1997
).
Mutations in the human genes encoding HSP60 (HSPD1) and paraplegin (SPG7) (Table 1) cause hereditary spastic paraplegias. HSP60 is a mitochondrial matrix protein chaperone and plays a role in the folding and import of mitochondrial proteins (Casari et al., 1998
). Paraplegin is a subunit of a mitochondrial AAA protease and is localized to the inner mitochondrial membrane (Rugarli and Langer, 2006
). Patients with SPG7 mutations have compromised complex I activity and their cells display increased sensitivity to oxidative stress (Elleuch et al., 2006
). Apart from clearing misfolded protein, the protease is also involved in the activation of a mitochondrial ribosomal subunit (Nolden et al., 2005
).
Finally, OXPHOS impairment leading to neurodegeneration can also be caused by mutations in proteins that are not or only partially localized to mitochondria and therefore probably indirectly affect mitochondrial homeostasis (Table 1). For instance, reduced activity of several key components of the OXPHOS system, including complexes II, III and IV, occurs in Huntington disease at an advanced stage of the disorder (Browne and Beal, 2004
). Although the exact function of huntingtin protein remains unknown (Truant et al., 2006
), mutant huntingtin binds to several key transcription factors and co-activators, such as p53 (Bae et al., 2005
) and the peroxisome proliferator-activated receptor gamma coactivator 1
(PGC-1
) (Cui et al., 2006
). Repression of this transcription co-activator leads to impaired mitochondrial function and enhances the of pathogenesis Huntington disease (St-Pierre et al., 2006
).
| Conclusions and Perspectives |
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In vivo model systems for various neurodegenerative diseases provide a powerful tool to investigate genetic interactions and unravel a hypothetical genetic pathway involved in the (dys)regulation of mitochondrial function in neurodegenerative disease. In this respect, knockout and transgenic mutant mouse models of PINK1 and LRRK2 are eagerly awaited. Furthermore, it will be interesting to investigate whether proteins, such as PGC-1
, that are apparently involved in other neurodegenerative diseases are also of relevance in PD.
Finally, further work will significantly contribute to our knowledge of mitochondrial function. Challenging questions are whether mitochondria have tissue-specific features and whether one can therapeutically exploit mitochondrial function to treat neurodegenerative disease. The new genetic and cell biological studies in human and animals provide ample starting points for us to tackle these important challenges.
| Acknowledgments |
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