Artigo Acesso aberto Revisado por pares

Impaired ATP Synthase Assembly Associated with a Mutation in the Human ATP Synthase Subunit 6 Gene

2001; Elsevier BV; Volume: 276; Issue: 9 Linguagem: Inglês

10.1074/jbc.m008114200

ISSN

1083-351X

Autores

Leo Nijtmans, Nadine S. Henderson, Giuseppe Attardi, Ian Holt,

Tópico(s)

Photosynthetic Processes and Mechanisms

Resumo

Mutations in human mitochondrial DNA are a well recognized cause of disease. A mutation at nucleotide position 8993 of human mitochondrial DNA, located within the gene for ATP synthase subunit 6, is associated with the neurological muscle weakness, ataxia, and retinitis pigmentosa (NARP) syndrome. To enable analysis of this mutation in control nuclear backgrounds, two different cell lines were transformed with mitochondria carrying NARP mutant mitochondrial DNA. Transformant cell lines had decreased ATP synthesis capacity, and many also had abnormally high levels of two ATP synthase sub-complexes, one of which was F1-ATPase. A combination of metabolic labeling and immunoblotting experiments indicated that assembly of ATP synthase was slowed and that the assembled holoenzyme was unstable in cells carrying NARP mutant mitochondrial DNA compared with control cells. These findings indicate that altered assembly and stability of ATP synthase are underlying molecular defects associated with the NARP mutation in subunit 6 of ATP synthase, yet intrinsic enzyme activity is also compromised. Mutations in human mitochondrial DNA are a well recognized cause of disease. A mutation at nucleotide position 8993 of human mitochondrial DNA, located within the gene for ATP synthase subunit 6, is associated with the neurological muscle weakness, ataxia, and retinitis pigmentosa (NARP) syndrome. To enable analysis of this mutation in control nuclear backgrounds, two different cell lines were transformed with mitochondria carrying NARP mutant mitochondrial DNA. Transformant cell lines had decreased ATP synthesis capacity, and many also had abnormally high levels of two ATP synthase sub-complexes, one of which was F1-ATPase. A combination of metabolic labeling and immunoblotting experiments indicated that assembly of ATP synthase was slowed and that the assembled holoenzyme was unstable in cells carrying NARP mutant mitochondrial DNA compared with control cells. These findings indicate that altered assembly and stability of ATP synthase are underlying molecular defects associated with the NARP mutation in subunit 6 of ATP synthase, yet intrinsic enzyme activity is also compromised. mitochondrial DNA neurological muscle weakness, ataxia, and retinitis pigmentosa blue native-polyacrylamide gel electrophoresis 2-[bis(2-hydroxyethyl)amino]-2-(hydroxymethyl)propane-1,3-diol Dulbecco's modified Eagle's medium 4-morpholinepropanesulfonic acid oxidative phosphorylation ATP synthase (or complex V) is the enzyme of aerobic ATP production. It is located in the inner mitochondrial membrane of eukaryotic cells together with four respiratory chain enzymes that generate the proton motive force, which in turn drives ATP synthesis. ATP synthase comprises a rotary catalytic portion, F1-ATPase, whose structure has been solved (1Abrahams J.P. Leslie A.G. Lutter R. Walker J.E. Nature. 1994; 370: 621-628Crossref PubMed Scopus (2719) Google Scholar), a transmembrane portion F0, and two stalks that link F1 and F0. Two of the subunits of the F0 portion of ATP synthase, subunits 6 and 8 (or subunit a and A6L), are encoded in mitochondrial DNA in all animal cells. Specific inhibition of mitochondrial translation (including subunits 6 and 8) by drug treatment leads to accumulation of two ATP synthase assembly intermediates and a concomitant decrease in holoenzyme in human cultured cells (2Nijtmans L.G. Klement P. Houstek J.,. van den Bogert C. Biochim. Biophys. Acta. 1995; 1272: 190-198Crossref PubMed Scopus (67) Google Scholar). One of the earliest disease-associated point mutations of mtDNA1 to be described was localized to ATP synthase subunit 6 gene, hereafter called A6 (3Holt I.J. Harding A.E. Petty R.K. Morgan-Hughes J.A. Am. J. Hum. Genet. 1990; 46: 428-433PubMed Google Scholar). The mutation, a thymine to guanine transversion at nucleotide position 8993 of human mtDNA, hereafter termed T8993G, predicts substitution of a highly conserved leucine by arginine at amino acid position 156. The mutation was found in a family presenting with neurogenic muscle weakness, ataxia, and retinitis pigmentosa, a syndrome termed NARP. There was good correlation between mutant load and disease severity (3Holt I.J. Harding A.E. Petty R.K. Morgan-Hughes J.A. Am. J. Hum. Genet. 1990; 46: 428-433PubMed Google Scholar). This was further documented when it was shown that very high levels of T8993G mutant mtDNA were associated with a severe neurodegenerative disease of childhood (maternally inherited Leigh syndrome, or MILS) (4Tatuch Y. Christodoulou J. Feigenbaum A. Clarke J.T. Wherret J. Smith C. Rudd N. Petrova-Benedict R. Robinson B.H. Am. J. Hum. Genet. 1992; 50: 852-858PubMed Google Scholar). The T8993G mtDNA mutation is found in ∼15% of patients with a mitochondrial disorder whose disease has been clearly linked to a point mutation in mtDNA. 2M. Zeviani, personal communication. 2M. Zeviani, personal communication.Considered collectively, mitochondrial disorders are among the commonest neurological diseases; therefore the mutation is of considerable clinical importance. In the current structural model of mitochondrial ATP synthase, the enzyme represents a rotary motor (1Abrahams J.P. Leslie A.G. Lutter R. Walker J.E. Nature. 1994; 370: 621-628Crossref PubMed Scopus (2719) Google Scholar). A6 forms part of one of the stators, and subunit c forms the rotor (5Elston T. Wang H. Oster G. Nature. 1998; 391: 510-513Crossref PubMed Scopus (438) Google Scholar). The T8993G mtDNA mutation predicts an arginine for leucine substitution in the fourth helix of A6, a region that is believed to interact with subunit c. A second point mutation at nucleotide position 8993 changes leucine to proline and is associated with a similar phenotype in patients (6de Vries D.D. van Engelen B.G. Gabreels F.J. Ruitenbeek W. van Oost B.A. Ann. Neurol. 1993; 34: 410-412Crossref PubMed Scopus (229) Google Scholar). Thus, it is likely that any amino acid substitution in this region that induces a conformational change will perturb holoenzyme activity, assembly, or stability. The T8993G mtDNA mutation did not appear to alter ATP hydrolysis activity (4Tatuch Y. Christodoulou J. Feigenbaum A. Clarke J.T. Wherret J. Smith C. Rudd N. Petrova-Benedict R. Robinson B.H. Am. J. Hum. Genet. 1992; 50: 852-858PubMed Google Scholar) but did decrease ATP synthesis in digitonin-permeabilized cells (7Tatuch Y. Robinson B.H. Biochem. Biophys. Res. Commun. 1993; 192: 124-128Crossref PubMed Scopus (117) Google Scholar). Subsequently, Wallace and co-workers (8Trounce I. Neill S. Wallace D.C. Proc. Natl. Acad. Sci. U. S. A. 1994; 91: 8334-8338Crossref PubMed Scopus (171) Google Scholar) use 143B osteosarcoma cells that lack mtDNA (ρo cells) as recipients of mitochondria carrying T8993G mtDNA. They found that mitochondria with T8993G mtDNA, isolated from this control nuclear background, had reduced state III respiration, indicative of decreased ATP synthase activity. In another study, muscle mitochondria harboring T8993G mtDNA were shown to contain sub-complexes of ATP synthase, raising the possibility that the underlying defect in this disease was holoenzyme assembly or stability (9Houstek J. Klement P. Hermanska J. Houstkova H. Hansikova H. Van den Bogert C. Zeman J. Biochim. Biophys. Acta. 1995; 1271: 349-357Crossref PubMed Scopus (94) Google Scholar). Here we demonstrate for the first time that mutant subunit A6 of ATP synthase is linked to impaired assembly of complex V in human cells. The standard cell culture medium in this study was Dulbecco's modified Eagle's medium (DMEM) containing 4.5 g/liter glucose, 110 mg/liter pyruvate, with 10% fetal bovine serum. Tissue culture reagents were purchased from Life Technologies, Inc. The osteosarcoma 143B TK− cells and cybrids were supplemented with 100 μg/ml bromodeoxyuridine. The ρo cells derived from the osteosarcoma 143B cell line (143B.206) and the lung carcinoma cell line (A549.B2) were in addition supplemented with 50 μg/ml uridine. The absence of mtDNA from both these cell lines has been shown previously by Southern blotting and polymerase chain reaction (10King M.P. Attardi G. Science. 1989; 246: 500-503Crossref PubMed Scopus (1431) Google Scholar, 11Bodnar A.G. Cooper J.M. Holt I.J. Leonard J.V. Schapira A.H. Am. J. Hum. Genet. 1993; 53: 663-669PubMed Google Scholar). Enucleation of cells was achieved by inverting 35-mm tissue culture plates, 70–90% confluent, in 95% DMEM, 5% fetal bovine serum with 10 μg/ml cytochalasin B (Calbiochem) and centrifuging at 7,000 × g for 20 min. The resultant cytoplast lawn was incubated for 3 h at 37 °C with ∼8 × 105ρo cells. The addition of 50% w/v polyethylene glycol 1500, 45% DMEM, 5% Me2SO induced cell-cytoplast fusion. After 1 min, the cells were washed twice in 90% DMEM, 10% Me2SO and three times in DMEM alone and incubated overnight in 90% DMEM, 10% fetal bovine serum without uridine. Putative transformant cells were re-plated on 90-mm dishes in 90% DMEM, 10% fetal bovine serum without uridine. Individual colonies were picked ∼14 days later using glass rings. Cytoplast-ρocell fusion was performed between NARP fetal fibroblasts after enucleation and osteosarcoma or lung carcinoma ρo cells. Transformant osteosarcoma cybrids carrying mtDNA molecules derived from NARP fetal fibroblasts were designated 206.8993. Equivalent lung carcinoma cybrids were denoted B2.8993. In addition, cybrids carrying mtDNA from a control subject were generated by the same protocol and designated 206.con (osteosarcoma cybrids) or B2.con (lung carcinoma cybrids). Blue native electrophoresis (BN-PAGE) and second dimension SDS-PAGE were performed using the method of Schagger and Von Jagow (13Schagger H. von Jagow G. Anal. Biochem. 1991; 199: 223-231Crossref PubMed Scopus (1882) Google Scholar) and Schagger et al. (14Schagger H. Cramer W.A. von Jagow G. Anal. Biochem. 1994; 217: 220-230Crossref PubMed Scopus (1026) Google Scholar). Mitochondrial samples were prepared by incubating 5 × 106 cells in 200 μl of phosphate-buffered saline with 2 mg/ml digitonin for 10 min on ice. The solution was centrifuged at 12,000 × g for 4 min at 4 °C, and the resultant crude mitochondrial pellet was washed once with phosphate-buffered saline, re-centrifuged, and stored at −70 °C. Immediately before electrophoresis, the mitochondrial pellet was resuspended in 100 μl of 1.5 m 6-aminohexanoic acid, 50 mm Bis-Tris, pH 7.0, with 20 μl of 10%n-dodecyl maltoside and incubated on ice for 15 min. After centrifugation at 12,000 × g for 20 min at 4 °C, the supernatant was mixed with 10 μl of 5% Serva Blue G in 1m 6-aminohexanoic acid, and equal amounts of protein, as determined by the Bradford method (15Bradford M.M. Anal. Biochem. 1976; 72: 248-254Crossref PubMed Scopus (211983) Google Scholar), were added to each lane of a 5–13% gradient gel. Pulse-chase experiments were performed as described previously. (16Nijtmans L.G. Barth P.G. Lincke C.R. Van Galen M.J. Zwart R. Klement P. Bolhuis P.A. Ruitenbeek W. Wanders R.J. Van den Bogert C. Biochim. Biophys. Acta. 1995; 1270: 193-201Crossref PubMed Scopus (22) Google Scholar). Exponentially growing cells in DMEM without methionine (ICN) were incubated with [35S]methionine at a final concentration of 20 μCi/ml. After chase times of 0, 1, 3, 6, and 18, h cells were harvested and used to prepare crude mitochondrial fractions (17Nijtmans L.G. Taanman J.W. Muijsers A.O. Speijer D. Van den Bogert C. Eur. J. Biochem. 1998; 254: 389-394Crossref PubMed Scopus (203) Google Scholar) for two-dimensional BN-PAGE. The gels were fixed, treated with AmplifyTM (Amersham Pharmacia Biotech) according to the protocol of the manufacturer, dried, and exposed to x-ray film for 1–24 h at −70 °C. Alternatively, in some instances labeled protein was transferred to Hybond-C membrane and exposed to x-ray film, as for the dried gels, after which the membrane was blocked and immunoblotted with antibody to subunits of F1-ATPase. A Molecular Dynamics Personal Densitometer SI was used to quantify the relative amounts of each complex. The rate of ATP synthesis in cybrids was determined using the method of (18Wanders R.J. Ruiter J.P. Wijburg F.A. Biochim. Biophys. Acta. 1993; 1181: 219-222Crossref PubMed Scopus (68) Google Scholar). Briefly, cells were harvested and resuspended at 1 × 106 cells/ml in incubation buffer including 20 μg/ml digitonin. Permeabilized cells were incubated with succinate (5 mm) and rotenone (4 μg/ml) for 15 min at 37 °C. Reactions were stopped by the addition of perchloric acid. After incubation on ice for 2 min, samples were centrifuged at 13,000 ×g for 2 min, and the supernatants were neutralized with 2m KOH, 0.6 m MOPS. The samples were re-centrifuged, and 1–5-μl aliquots of the final supernatant combined with 50 μl of ATP monitoring reagent (Bio-Orbit, Turku, Finland). The amount of light detected in a luminometer was converted to moles of ATP with reference to ATP standards after deducting the signal obtained from the corresponding ρo cells (osteosarcoma or lung carcinoma). Thus, the values obtained reflect ATP synthesis activity that was specific to oxidative phosphorylation (OP). Histochemical staining of ATP hydrolysis activity in blue native polyacrylamide gels was performed according to Zerbetto et al. (19Zerbetto E. Vergani L. Dabbeni-Sala F. Electrophoresis. 1997; 18: 2059-2064Crossref PubMed Scopus (253) Google Scholar). Growth rates were assessed either by direct counting of trypsinized cells on a Neubauer counting chamber or using a tetrazolium salt (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) that acts as a vital dye. (20Mosmann T. J. Immunol. Methods. 1983; 65: 55-63Crossref PubMed Scopus (45064) Google Scholar). Cells were grown in DMEM with 4.5 g/liter glucose or DMEM with 0.9 g/liter galactose substituted for glucose. Intact cell oxygen consumption rates were determined in a Clark-type oxygen electrode from 500–1000 μl of 5 × 106cells/ml in RPMI 1640 medium without glucose (Life Technologies). Oxygen consumption rates were expressed as fmol of O2/min/cell. The addition of carbonyl cyanidep-chlorophenylhydrazone or carbonyl cyanidep-trifluoromethoxyphenylhydrazone during an experiment led to an increase in the rate of oxygen consumption in all cells tested (data not shown), indicating that the assay was measuring coupled respiration. DNA extraction, amplification, electrophoresis, blotting, and hybridization were as described (39Sambrook J. Fritsch E.F. Maniatis T. Molecular Cloning: A Laboratory Manual. 2nd Ed. Cold Spring Harbor Laboratory, Cold Spring Harbor, NY1990Google Scholar). For quantification of the level of mutant mtDNA, DNA was extracted from ∼5 × 106 cells and digested with AvaI, and the restriction fragments were separated on 1% agarose gels. After Southern blotting, filters were probed with total purified human mtDNA. Mitochondrial translation products were labeled specifically by incubating 106 cells with 250 μCi/ml [35S]methionine (PerkinElmer Life Sciences) for 30–60 min in the presence of 10 μg/ml emetine, as described previously (21Chomyn A. Meola G. Bresolin N. Lai S.T. Scarlato G. Attardi G. Mol. Cell. Biol. 1991; 11: 2236-2244Crossref PubMed Scopus (273) Google Scholar). Mitochondria carrying NARP mutant mtDNA were transferred from human fetal fibroblasts to lung carcinoma or osteosarcoma cells that lacked endogenous mtDNA by cell-cytoplast fusion. The donor mitochondria from fetal fibroblasts contained exclusively mutant (T8993G) mtDNA, and sequencing of the genes encoding ATP synthase subunits 8 and 6 revealed no other novel mutations (data not shown). Mitochondrial transformant cells (cybrids) were selected by their ability to grow in the absence of uridine, in contrast to ρo cells, which are auxotrophic for uridine (10King M.P. Attardi G. Science. 1989; 246: 500-503Crossref PubMed Scopus (1431) Google Scholar). Screening of transformant cell lines for the presence of mutant mtDNA revealed that all cybrids examined contained exclusively T8993G mutant mtDNA (data not shown). Immunoblotting of BN-PAGE and two-dimensional BN-PAGE/SDS-PAGE (Figs.1 and 2, respectively) with F1-ATPase antibody revealed an abnormal amount of sub-complexes of mitochondrial ATP synthase in some lung carcinoma NARP cybrids and all osteosarcoma NARP cybrids examined. These sub-complexes are F1-ATPase and a sub-complex, denoted V*, which contains F1-ATPase and an unknown number of copies of subunit c (2Nijtmans L.G. Klement P. Houstek J.,. van den Bogert C. Biochim. Biophys. Acta. 1995; 1272: 190-198Crossref PubMed Scopus (67) Google Scholar,9Houstek J. Klement P. Hermanska J. Houstkova H. Hansikova H. Van den Bogert C. Zeman J. Biochim. Biophys. Acta. 1995; 1271: 349-357Crossref PubMed Scopus (94) Google Scholar). Sub-complex V* was present in ρo cells (Fig. 1,lane 8, and Fig. 2, lane 4) and must therefore lack subunits A6 and A8, which are encoded in mtDNA. V* is also known to lack subunit b of F0F1-ATPase (9Houstek J. Klement P. Hermanska J. Houstkova H. Hansikova H. Van den Bogert C. Zeman J. Biochim. Biophys. Acta. 1995; 1271: 349-357Crossref PubMed Scopus (94) Google Scholar). Free F1-ATPase has been described previously in ρo cells (23Buchet K. Godinot C. J. Biol. Chem. 1998; 273: 22983-22989Abstract Full Text Full Text PDF PubMed Scopus (200) Google Scholar) and is known to accumulate together with V* in cells where mitochondrial translation has been inhibited (2Nijtmans L.G. Klement P. Houstek J.,. van den Bogert C. Biochim. Biophys. Acta. 1995; 1272: 190-198Crossref PubMed Scopus (67) Google Scholar). Interestingly, a sub-complex of ATP synthase has been crystallized recently that comprises F1-ATPase and a ring of 10 copies of subunit c (22Stock D. Leslie A.G. Walker J.E. Science. 1999; 286: 1700-1705Crossref PubMed Scopus (1073) Google Scholar); however, it is not known if this ATP synthase derivative and V* are equivalent. All the NARP cybrid cell lines contained at least some fully assembled complex V (Figs. 1 and2). As the cybrids were homoplasmic for the T8993G NARP mutation, the complex V holoenzyme in these cells must contain mutant subunit 6.Figure 2ATP synthase appeared structurally normal in some lung carcinoma NARP cybrids, whereas complex V sub-complexes were always present in osteosarcoma NARP cybrids. Each panelis a mitochondrial membrane sample separated in the first dimension by BN-PAGE (left to right) and subsequently in a second dimension 12% denaturing SDS-PAG (top to bottom). Protein was transferred to solid support and immunoblotted with the same F1-ATPase antibodies used in Fig. 1. Panel 1, 143B osteosarcoma mitochondrial; panels 2 and 3, typical osteosarcoma NARP cybrids (two of five screened) showing increased amounts of F1-ATPase and V*. Panel 4, mitochondria derived from 206 ρo osteosarcoma cells.Panels 5–8, four lung carcinoma NARP cybrids, two of which appeared structurally normal (panels 7 and 8), whereas two displayed abnormally high levels of F1-ATPase and V* (panels 5 and 6).View Large Image Figure ViewerDownload Hi-res image Download (PPT) Re-cloning a NARP lung carcinoma cybrid gave rise to sub-clones with an identical pattern of sub-complexes to the parental cell line (Fig. 1), suggesting that the population of cells was homogenous. That is, the result argues against the idea that some cells contained high levels of sub-complexes, whereas others contained exclusively holoenzyme. Sub-complexes of complex V were present at very low levels or undetectable in three of five NARP lung carcinoma cybrids (clones A, D, and E), two of which are shown in Fig. 2. Where no sub-complexes of complex V were detected, the total amount of complex V holoenzyme was similar in NARP cybrids and control cells, suggesting that there was no significant alteration in the amount of complex V in NARP cybrids. The interclonal variability, in the amount of complex V sub-complexes, among the B2.8993 cybrids may reflect differences in the nuclear gene composition or activity (involving, e.g. assembly factors, chaperones, or nuclear-encoded subunits) among lung carcinoma ρ0 cells. Such nuclear heterogeneity has been observed previously for osteosarcoma ρ0 cells (24Chomyn A. Lai S.T. Shakeley R. Bresolin N. Scarlato G. Attardi G. Am. J. Hum. Genet. 1994; 54: 966-974PubMed Google Scholar). There was some experiment-to-experiment variation in the amount of sub-complexes for a given clone. The extent of the variation is shown in Fig. 3 for osteosarcoma clone 206.8993 A. Note that the relative amounts of all three complexes, complex V holoenzyme, V*, and F1-ATPase, varied not merely the ratio of holoenzyme to sub-complexes. The most common result is shown in Fig. 3, panel 1, where the proportions of holoenzyme, V*, and free F1-ATPase were 75, 12, and 13%, respectively. In the most extreme case, free F1-ATPase accounted for approximately half the total H+-ATPase (47%), whereas ATP synthase holoenzyme represented only 37% of the total (Fig. 3,panel 3). No such variation was observed in control cells, where holoenzyme always accounted for at least 95% of H+-ATPase. These results indicate either that the phenotype fluctuates over time in NARP cybrids or, more likely, that mutant containing complex V is less stable than wild-type ATP synthase. All the NARP cybrid cell lines remained homoplasmic mutant throughout the course of the study. Both the interclonal variability among the lung carcinoma NARP cybrids and the sensitivity to the conditions of isolation and sample preparation of the holoenzyme from the same NARP cybrid point to the critical role of leucine 156 in the assembly and stability of the ATP synthase complex. As a further test of the possible effects of the T8993G mutation, [35S]methionine pulse-chase experiments were performed followed by two-dimensional BN-PAGE of labeled proteins. ATP synthase, F1-ATPase, and V* were distinguishable (Fig.4), and their relative representation could be deduced by comparing the labeling of α and β subunits of F1-ATPase, since these subunits are constituents of all three complexes. First, lung carcinoma NARP cybrids A and D were analyzed, as these did not give appreciable amounts of steady-state sub-complexes. After a 1-h chase, labeled sub-complexes were detected in lung carcinoma NARP cybrid cells, whereas these were largely absent from control cells. In particular, V* was detectable in lung carcinoma NARP cybrids, whereas labeled V* was not seen in control cells (Fig.4 A, panels 1–3). V* was not detectable by immunoblotting in any of the mitochondrial preparations from these lung carcinoma NARP cybrids or controls (Fig. 4 B), a finding that established the labeled V* and F1-ATPase as assembly, rather than breakdown, intermediates. We conclude that the transition from V* sub-complex to ATP synthase holoenzyme is impeded in cells carrying mutant A6. In cells that had been incubated for 3–18 h after removal of [35S]methionine, almost all the labeled α and β subunits were incorporated into fully assembled complex V in both controls and lung carcinoma NARP cybrids (Fig. 4 A,panels 4–6, and data not shown). A similar assessment of osteosarcoma NARP cybrids also revealed differences between immunoblotting and metabolic labeling analyses. After chases of up to 3 h, the ratio of sub-complexes to holoenzyme was higher for newly synthesized [35S]methionine-labeled complexes (66:34) than for the steady-state level (30:70) determined by blotting with F1-ATPase antibody (Fig. 5,A and B). Thus, although all the newly synthesized (radiolabeled) α and β subunits had been incorporated into ATP synthase holoenzyme in control cells after 3 h, one-third remained as sub-complexes in osteosarcoma cybrids carrying NARP mutant mtDNA. After an 18-h chase, the ratio was similar by both methods in osteosarcoma NARP cybrid and the control cells (Fig. 5, Aand B). These findings indicate that the assembly defect was common to both nuclear backgrounds, yet was more marked in the osteosarcoma than the lung carcinoma background given that labeled sub-complexes, which could not be ascribed to disassembly, were detected after a 3-h chase only in the former cell type. Measurement of ATP synthesis in digitonin-permeabilized cells indicated a decrease of approximately one-third in lung carcinoma NARP cybrids compared with the parental control cell line (Fig.6). As stated above, some of the cybrids analyzed (B2.8993A and -D) contained few if any sub-complexes on BN-PAGE analysis, like the control cells. Therefore, the ATP synthesis capacity of holoenzyme containing mutant A6 must itself be impaired. The ATP synthesis capacity of osteosarcoma NARP cybrids was approximately half that of control cells (Fig. 6), suggesting that the mutation may be more deleterious in the osteosarcoma nuclear background than that of A549 lung carcinoma cells. The F1-ATPase inhibitory protein (IF1) is believed to regulate ATP synthase (25Klein G. Satre M. Dianoux A.C. Vignais P.V. Biochemistry. 1980; 19: 2919-2925Crossref PubMed Scopus (91) Google Scholar, 26Penin F. Di Pietro A. Godinot C. Gautheron D.C. Biochemistry. 1988; 27: 8969-8974Crossref PubMed Scopus (19) Google Scholar); therefore, we tested whether there was a discernible difference between the amounts of IF1 in control, NARP, or ρo cells. No significant difference was observed (Fig.7). IF1 was found to be associated with sub-complexes of ATP synthase as well as with the holoenzyme (Fig. 7). Nevertheless F1-ATPase consistently displayed higher in-gel ATP hydrolysis activity than holoenzyme (Fig.8), suggesting that subunits of the F0 portion of ATP synthase restrict ATP hydrolysis.Figure 8In-gel assay of ATP hydrolysis revealed higher activity for free F1-ATPase than ATP synthase holoenzyme. Equivalent amounts of mitochondrial membrane protein were separated as in Fig. 1. After BN-PAGE, ATP hydrolysis activity was measured in-gel according to the protocol of (19Zerbetto E. Vergani L. Dabbeni-Sala F. Electrophoresis. 1997; 18: 2059-2064Crossref PubMed Scopus (253) Google Scholar). Lane 1, parental osteosarcoma cells; lane 2, an osteosarcoma NARP cybrid; lane 3, osteosarcoma ρo cells. The signal from F1-ATPase (lane 3) was severalfold higher than that from holoenzyme (lane 1). The absence of signal from the NARP cybrid holoenzyme implies a complete loss of ATP hydrolysis activity; however, this is misleading, as there was a sharp threshold effect for the in-gel assay, i.e. loading half the amount of control protein led to complete loss of signal.View Large Image Figure ViewerDownload Hi-res image Download (PPT) Although assays of holoenzyme integrity and the permeabilized cell assay clearly indicated defects of complex V, the T8993G mtDNA mutation had no appreciable phenotypic effect upon intact lung carcinoma or osteosarcoma cybrids. Specifically, there was no significant decrease in oxygen consumption of coupled intact cells carrying T8993G mtDNA compared with controls (Fig. 9). Nor was there any significant increase in lactate-to-pyruvate ratio in spent medium (data not shown). The growth rate of NARP and control cybrids over periods of 7–9 days were indistinguishable, even in medium where galactose was substituted for glucose (data not shown). In contrast, ρo cells and cells with high levels of “A3243G” mutant mtDNA died in galactose medium. 3N. Hance and I. J. Holt, unpublished data. There was no measurable effect on mitochondrial translation in osteosarcoma cell cybrids with or without T8993G mtDNA (data not shown). In other experiments, incubation with reagents that induce oxidative stress (hydrogen peroxide and menadione) failed to differentiate NARP mutant and control cybrids. Finally, the cellular ATP:ADP ratio decreased dramatically in ρo lung carcinoma cells incubated for 30 min in the absence of glucose, whereas NARP cybrids maintained a ratio similar to control cybrids for at least 4 h (data not shown). Thus, the decrease in ATP synthesis capacity (Fig. 6) and increase in complex V sub-complexes (Fig. 2) in disrupted NARP cells are either of no consequence to growth, even under regimes that favor expression of a functional OP system, or else these in vitro observed abnormalities are compensated in intact cells. The absence of a marked OP phenotype in intact NARP cybrids was mirrored in cybrids containing partially duplicated mtDNA (27Holt I.J. Dunbar D.R. Jacobs H.T. Hum. Mol. Genet. 1997; 6: 1251-1260Crossref PubMed Scopus (85) Google Scholar). In contrast, earlier studies of A8344G (21Chomyn A. Meola G. Bresolin N. Lai S.T. Scarlato G. Attardi G. Mol. Cell. Biol. 1991; 11: 2236-2244Crossref PubMed Scopus (273) Google Scholar) and A3243G mutant mtDNA (28King M.P. Koga Y. Davidson M. Schon E.A. Mol. Cell. Biol. 1992; 12: 480-490Crossref PubMed Scopus (403) Google Scholar, 29Chomyn A. Martinuzzi A. Yoneda M. Daga A. Hurko O. Johns D. Lai S.T. Nonaka I. Angelini C. Attardi G. Proc. Natl. Acad. Sci. U. S. A. 1992; 89: 4221-4225Crossref PubMed Scopus (438) Google Scholar, 30Dunbar D.R. Moonie P.A. Zeviani M. Holt I.J. Hum. Mol. Genet. 1996; 5: 123-129Crossref PubMed Scopus (94) Google Scholar) and partial mtDNA deletions (31Hayashi J. Ohta S. Kikuchi A. Takemitsu M. Goto Y. Nonaka I. Proc. Natl. Acad. Sci. U. S. A. 1991; 88: 10614-10618Crossref PubMed Scopus (509) Google Scholar) demonstrate clear deleterious effects upon OP and mitochondrial translation of intact cybrid cells. Therefore, putative pathological mtDNA mutations cannot be excluded as a cause of disease based on absence of an OP phenotype in cultured cells. Human cells lacking mtDNA have been used widely to study the effects of putative pathological mtDNA mutations (e.g. Refs.8Trounce I. Neill S. Wallace D.C. Proc. Natl. Acad. Sci. U. S. A. 1994; 91: 8334-8338Crossref PubMed Scopus (171) Google Scholar, 21Chomyn A. Meola G. Bresolin N. Lai S.T. Scarlato G. Attardi G. Mol. Cell. 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A. 1995; 92: 6562-6566Crossref PubMed Scopus (171) Google Scholar). The genetic outcome of fusing cytoplast and ρo cells is to transfer mtDNA to a new nuclear background. Thus, mtDNA can be isolated from its host nuclear DNA, and any mitochondrial dysfunction in the transformant cells can be ascribed to mtDNA, where appropriate controls are in place. In this report, mtDNA carrying a presumed pathological mutation in subunit 6 of ATP synthase was transferred to two control nuclear backgrounds to assess its effects on mitochondrial structure and function. In both nuclear backgrounds tested, T8993G mutant mtDNA was associated with decreased complex V assembly and decreased ATP synthesis capacity. Because the effects were observed with NARP mutant mtDNA in two nuclear backgrounds, they can with confidence be attributed to the mutation. Despite these abnormalities there was no marked phenotype in intact cells with mutant ATP synthase. These findings are consistent with what is known of the T8993G mtDNA mutation and its associated diseases. The mutation resides in a gene encoding an essential subunit of ATP synthase and could therefore be expected to affect the intrinsic activity or amount of holoenzyme. Nevertheless, the effects of the mutation must necessarily be subtle, first, because substantial impairment of ATP synthase would be incompatible with life and, second, because the NARP mutation is highly tissue-specific in its effects. For instance, muscle pathology is absent in NARP, whereas it is present in association with a number of other pathological mtDNA mutations. Early studies assumed that the NARP/MILS (maternally inherited Leigh syndrome) T8993G mutation decreased ATP synthesis capacity directly by impairing proton flux through the F0 portion of the enzyme,i.e. caused a decrease in intrinsic enzyme activity. The finding that the mutation was associated with increased levels of sub-complexes of complex V suggested an alternative explanation, namely that perturbed assembly or stability could lead to a decrease in the total amount of holoenzyme (9Houstek J. Klement P. Hermanska J. Houstkova H. Hansikova H. Van den Bogert C. Zeman J. Biochim. Biophys. Acta. 1995; 1271: 349-357Crossref PubMed Scopus (94) Google Scholar). The results reported here indicate that sub-complexes of complex V are often present in isolated mitochondria carrying the mutant form of A6 associated with NARP, yet irrespective of this, ATP synthesis capacity was decreased. Thus, it can be concluded that the function of ATP synthase holoenzyme containing mutant A6 is impaired. The metabolic labeling experiments indicated that NARP-containing cybrids were impaired in complex V assembly (Figs. 4 and 5). Nevertheless, it is unlikely that all the antibody-detected sub-complexes (Figs. Figure 1, Figure 2, Figure 3) represent assembly intermediates; some almost certainly arose via disassembly, given the considerable variation in the ratio of sub-complexes to holoenzyme that was observed (Fig. 3). Therefore, we posit that ATP synthase-containing mutant A6 is not only assembled less efficiently than wild type but also that it is less stable. Instability of mutant-containing holoenzyme might explain much of the reported variation (30–95%) in the degree of impairment of ATP synthesis capacity (Refs. 8Trounce I. Neill S. Wallace D.C. Proc. Natl. Acad. Sci. U. S. A. 1994; 91: 8334-8338Crossref PubMed Scopus (171) Google Scholar and 33Baracca A. Barogi S. Carelli V. Lenaz G. Solaini G. J. Biol. Chem. 2000; 275: 4177-4182Abstract Full Text Full Text PDF PubMed Scopus (94) Google Scholar and this report) and some of the phenotypic difference between intact and disrupted cells. Finally, formation of sub-complexes from disrupted holoenzyme is a reasonable explanation for the observation that there was little complex V holoenzyme in muscle mitochondrial preparations of NARP patients that displayed no muscle pathology (9Houstek J. Klement P. Hermanska J. Houstkova H. Hansikova H. Van den Bogert C. Zeman J. Biochim. Biophys. Acta. 1995; 1271: 349-357Crossref PubMed Scopus (94) Google Scholar), i.e. it was likely the result of the disassembly. In summary, to reconcile the apparently disparate findings in studies of the T8993G NARP mutation, we propose that complex V-containing mutant A6 has ≥70% normal ATP synthesis capacity in intact cells, yet the enzyme is assembled less efficiently and is less stable than that of wild-type cells. Ultimately, it will be necessary to develop a sensitive assay of ATP synthase for intact cells to determine the true extent of enzyme dysfunction in NARP. Recently it was reported that IF1 was not associated with F1-ATPase of a fibroblast ρ0 cell line (34Garcia J.J. Ogilvie I. Robinson B.H. Capaldi R.A. J. Biol. Chem. 2000; 275: 11075-11081Abstract Full Text Full Text PDF PubMed Scopus (96) Google Scholar), a result that is apparently at odds with the finding reported here. The discrepancy could reflect differences between ρ0 cell lines, although a more plausible explanation is that the osmotic shock procedure used by Garcia et al. (34Garcia J.J. Ogilvie I. Robinson B.H. Capaldi R.A. J. Biol. Chem. 2000; 275: 11075-11081Abstract Full Text Full Text PDF PubMed Scopus (96) Google Scholar) had a different effect on the mitochondria of ρ+ and ρ0 cells. Indeed, the apparent absence of IF1 may simply reflect the low yield of F1-ATPase obtained by this procedure, as the α and β subunits of F1-ATPase were in low abundance in the ρ0 cell H+-ATPase preparation of Garciaet al. (34Garcia J.J. Ogilvie I. Robinson B.H. Capaldi R.A. J. Biol. Chem. 2000; 275: 11075-11081Abstract Full Text Full Text PDF PubMed Scopus (96) Google Scholar). The combined ATP synthase abnormalities associated with NARP cybrids might become critical, for example, in particular neuronal cell types or genetic backgrounds, if the cellular environment accentuated the assembly or stability defects or increased ATP synthase turnover. In this context, it is noteworthy that there are differences in brain and muscle in the expression of isoforms of subunit c with which A6 interacts (35Gay N.J. Walker J.E. EMBO J. 1985; 4: 3519-3524Crossref PubMed Scopus (101) Google Scholar). Furthermore, IF1 is expressed at relatively high levels in developing rat brain compared with muscle (36Sangawa H. Himeda T. Shibata H. Higuti T. J. Biol. Chem. 1997; 272: 6034-6037Abstract Full Text Full Text PDF PubMed Scopus (23) Google Scholar). This observation suggests that ATP hydrolysis needs to be strictly controlled in developing brain and thereby offers an explanation of how increased levels of sub-complexes of complex V resulting from the presence of the T8993G mtDNA mutation might cause tissue-specific metabolic failure. I. Holt and L. Nijtmans acknowledge debt to the late Dr. Coby Van den Bogert and the late Professor Anita Harding. We thank Professor H. T. Jacobs for comments on the manuscript and Dr. John Walker who kindly provided IF1 antibody.

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