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Publication : Mitochondria transfer-based therapies reduce the morbidity and mortality of Leigh syndrome.

First Author  Nakai R Year  2024
Journal  Nat Metab PubMed ID  39223312
Mgi Jnum  J:354532 Mgi Id  MGI:7735047
Doi  10.1038/s42255-024-01125-5 Citation  Nakai R, et al. (2024) Mitochondria transfer-based therapies reduce the morbidity and mortality of Leigh syndrome. Nat Metab
abstractText  Mitochondria transfer is a recently described phenomenon in which donor cells deliver mitochondria to acceptor cells(1-3). One possible consequence of mitochondria transfer is energetic support of neighbouring cells; for example, exogenous healthy mitochondria can rescue cell-intrinsic defects in mitochondrial metabolism in cultured rho(0) cells or Ndufs4(-)(/-) peritoneal macrophages(4-7). Exposing haematopoietic stem cells to purified mitochondria before autologous haematopoietic stem cell transplantation allowed for treatment of anaemia in patients with large-scale mitochondrial DNA mutations(8,9), and mitochondria transplantation was shown to minimize ischaemic damage to the heart(10-12), brain(13-15) and limbs(16). However, the therapeutic potential of using mitochondria transfer-based therapies to treat inherited mitochondrial diseases is unclear. Here we demonstrate improved morbidity and mortality of the Ndufs4(-)(/-) mouse model of Leigh syndrome (LS) in multiple treatment paradigms associated with mitochondria transfer. Transplantation of bone marrow from wild-type mice, which is associated with release of haematopoietic cell-derived extracellular mitochondria into circulation and transfer of mitochondria to host cells in multiple organs, ameliorates LS in mice. Furthermore, administering isolated mitochondria from wild-type mice extends lifespan, improves neurological function and increases energy expenditure of Ndufs4(-)(/-) mice, whereas mitochondria from Ndufs4(-)(/-) mice did not improve neurological function. Finally, we demonstrate that cross-species administration of human mitochondria to Ndufs4(-)(/-) mice also improves LS. These data suggest that mitochondria transfer-related approaches can be harnessed to treat mitochondrial diseases, such as LS.
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