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Publication : Effects of clofibrate and KH176 on life span and motor function in mitochondrial complex I-deficient mice.

First Author  Frambach SJCM Year  2020
Journal  Biochim Biophys Acta Mol Basis Dis Volume  1866
Issue  6 Pages  165727
PubMed ID  32070771 Mgi Jnum  J:293965
Mgi Id  MGI:6450618 Doi  10.1016/j.bbadis.2020.165727
Citation  Frambach SJCM, et al. (2020) Effects of clofibrate and KH176 on life span and motor function in mitochondrial complex I-deficient mice. Biochim Biophys Acta Mol Basis Dis 1866(6):165727
abstractText  Mitochondrial complex I (CI), the first multiprotein enzyme complex of the OXPHOS system, executes a major role in cellular ATP generation. Consequently, dysfunction of this complex has been linked to inherited metabolic disorders, including Leigh disease (LD), an often fatal disease in early life. Development of clinical effective treatments for LD remains challenging due to the complex pathophysiological nature. Treatment with the peroxisome proliferation-activated receptor (PPAR) agonist bezafibrate improved disease phenotype in several mitochondrial disease mouse models mediated via enhanced mitochondrial biogenesis and fatty acid beta-oxidation. However, the therapeutic potential of this mixed PPAR (alpha, delta/beta, gamma) agonist is severely hampered by hepatotoxicity, which is possibly caused by activation of PPARgamma. Here, we aimed to investigate the effects of the PPARalpha-specific fibrate clofibrate in mitochondrial CI-deficient (Ndufs4(-/-)) mice. Clofibrate increased lifespan and motor function of Ndufs4(-/-) mice, while only marginal hepatotoxic effects were observed. Due to the complex clinical and cellular phenotype of CI-deficiency, we also aimed to investigate the therapeutic potential of clofibrate combined with the redox modulator KH176. As described previously, single treatment with KH176 was beneficial, however, combining clofibrate with KH176 did not result in an additive effect on disease phenotype in Ndufs4(-/-) mice. Overall, both drugs have promising, but independent and nonadditive, properties for the pharmacological treatment of CI-deficiency-related mitochondrial diseases.
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