학술논문

Loss of function of SLC25A46 causes lethal congenital pontocerebellar hypoplasia.
Document Type
article
Source
Brain. 139(11)
Subject
Biomedical and Clinical Sciences
Neurosciences
Genetics
Pediatric
Orphan Drug
Neurodegenerative
Rare Diseases
Brain Disorders
Congenital Structural Anomalies
Aetiology
2.1 Biological and endogenous factors
Neurological
Amino Acids
Animals
Animals
Genetically Modified
Brain
Cell Line
Transformed
Cells
Cultured
Cerebellar Diseases
Cohort Studies
Embryo
Nonmammalian
Female
Genetic Predisposition to Disease
Humans
Infant
Magnetic Resonance Imaging
Male
Mitochondria
Mitochondrial Dynamics
Mitochondrial Proteins
Models
Molecular
Mutation
Phosphate Transport Proteins
Polymorphism
Single Nucleotide
Zebrafish
pontocerebellar hypoplasia
SLC25A46
mitochondria
optic atrophy spectrum disorder
Medical and Health Sciences
Psychology and Cognitive Sciences
Neurology & Neurosurgery
Biomedical and clinical sciences
Health sciences
Psychology
Language
Abstract
Disturbed mitochondrial fusion and fission have been linked to various neurodegenerative disorders. In siblings from two unrelated families who died soon after birth with a profound neurodevelopmental disorder characterized by pontocerebellar hypoplasia and apnoea, we discovered a missense mutation and an exonic deletion in the SLC25A46 gene encoding a mitochondrial protein recently implicated in optic atrophy spectrum disorder. We performed functional studies that confirmed the mitochondrial localization and pro-fission properties of SLC25A46. Knockdown of slc24a46 expression in zebrafish embryos caused brain malformation, spinal motor neuron loss, and poor motility. At the cellular level, we observed abnormally elongated mitochondria, which was rescued by co-injection of the wild-type but not the mutant slc25a46 mRNA. Conversely, overexpression of the wild-type protein led to mitochondrial fragmentation and disruption of the mitochondrial network. In contrast to mutations causing non-lethal optic atrophy, missense mutations causing lethal congenital pontocerebellar hypoplasia markedly destabilize the protein. Indeed, the clinical severity appears inversely correlated with the relative stability of the mutant protein. This genotype-phenotype correlation underscores the importance of SLC25A46 and fine tuning of mitochondrial fission and fusion in pontocerebellar hypoplasia and central neurodevelopment in addition to optic and peripheral neuropathy across the life span.