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Parkinson's disease
Parkinson's disease (PD), a common age-associated neurodegenerative disorder, is characterized by the preferential loss of dopamine-secreting neurons in the substantia nigra and the accumulation of intraneuronal inclusions (Lewy bodies). Although the aetiology of PD is heterogeneous and pathogenic mutations have been identified in various genes, mitochondrial dysfunction appears to have a prevalent role in the pathogenesis of the disease (Mandemakers et al, 2007). A role of protein QC within mitochondria is suggested by the finding of heterozygous missense mutations in HTRA2/OMI in sporadic cases of PD. HtrA2, homologous to bacterial Deg proteases, is localized in the mitochondrial intermembrane space and protects against mitochondrial stress. HtrA2 may act as a QC enzyme and degrade misfolded polypeptides in the mitochondrial intermembrane space or, in analogy to bacterial DegS, be part of an adaptive stress signalling cascade. HtrA2 is released from the intermembrane space of mitochondria during apoptosis (Suzuki et al, 2001). However, HtrA2-deficient mice show neurodegeneration and Parkinson-like phenotypes, but did not provide evidence for a pro-apoptotic function of HtrA2 (Jones et al, 2003; Martins et al, 2004).
Intriguingly, HtrA2 associates with PINK1, a serine/threonine kinase, which has been found to be mutated in PD patients (Plun-Favreau et al, 2007). Both PINK1 and HtrA2 appear to act along the same stress-protective pathway. PINK1 is required for phosphorylation of HtrA2, which increases its proteolytic activity in vitro (Plun-Favreau et al, 2007). While it remains to be clarified whether HtrA2 is a PINK1 substrate, PINK1-mediated phosphorylation has been demonstrated for TRAP1, a putative molecular chaperone with significant homology to the HSP90AA1 family (Pridgeon et al, 2007). PINK1-mediated phosphorylation of TRAP1 is induced by oxidative stress. Overexpression of PINK1, on the other hand, protects cells from apoptosis induced by oxidative stress, suggesting that PINK1 and TRAP1 are part of an anti-apoptotic signalling cascade (Pridgeon et al, 2007). Thus, although neither the physiological role of HtrA2 nor of TRAP1 has been defined, an intimate link among mitochondrial QC, stress signalling and PINK1-associated PD pathogenesis is emerging. Interestingly, Parkin has been genetically linked to PINK and functions downstream as an E3 ubiquitin ligase (Clark et al, 2006; Park et al, 2006; Exner et al, 2007). Therefore, although substrates are largely unknown, Parkin is functionally linked to mitochondria (Dodson and Guo, 2007).
Hereditary spastic paraplegia
Mutations in a subunit of the m-AAA protease, termed paraplegin, cause an autosomal recessive form of hereditary spastic paraplegia (HSP) (Casari et al, 1998). HSP is a genetically heterogeneous group of neurological disorders that is characterized by progressive and cell-specific axononal degeneration of cortical motor neurons starting from their distal extremities (Soderblom and Blackstone, 2006). The pathogenic mechanism is presently not understood but the retrograde mode of degeneration suggests that mitochondria at synaptic endings are affected initially. Paraplegin constitutes a subunit of a hetero-oligomeric m-AAA isoenzyme, which can substitute for QC and regulatory functions of the yeast m-AAA protease (Atorino et al, 2003; Koppen et al, 2007). Accordingly, mitochondrial dysfunction and axonal degeneration in the absence of paraplegin may result from the accumulation of non-degraded, misfolded inner membrane proteins or impaired regulatory steps during mitochondrial biogenesis, or both. It is of interest in this context that mutations in the chaperone HSP60, localized in the mitochondrial matrix, have been described to cause an autosomal dominant form of HSP (Hansen et al, 2002), suggesting that an impaired mitochondrial QC can indeed cause axonal degeneration.
Insights into the pathogenesis of HSP came from a paraplegin-deficient murine model that recapitulates main clinical features of HSP (Ferreirinha et al, 2004). While RC deficiencies were not apparent, enlarged and structurally abnormal mitochondria accumulated in synaptic terminals of motor neurons at early stages, correlating with the onset of motor impairment. These abnormalities become more prominent with age and involve also proximal regions. It is conceivable that the accumulation of aberrant mitochondria leads to clogging and subsequent swelling of axons, as fission and dynamic changes in mitochondrial morphology affect axonal transport (Rugarli and Langer, 2006). Moreover, an impaired axonal transport of enlarged mitochondria may also affect their autophagic degradation, which requires retrograde transport because of the paucity of lysosomes at synaptic endings (Hollenbeck, 1993).
While these findings could explain the accumulation of dysfunctional mitochondria at synaptic endings, they are difficult to reconcile with the proposed role of paraplegin for OPA1 processing. Impaired OPA1 cleavage in the absence of the paraplegin-containing m-AAA protease would impair fusion and cause fragmentation of mitochondria. This could facilitate their retrograde transport and autophagic degradation. Although functional mitochondria would be depleted at synapses, the presence of enlarged mitochondrial structures in the absence of paraplegin remains to be explained. Therefore, it appears that additional effects of paraplegin on mitochondrial fission or mitophagy must be envisioned.
Mitochondrial dynamics and neurodegeneration
The importance of mitochondrial dynamics for neuronal survival is illustrated directly by the identification of pathogenic mutations in components regulating mitochondrial dynamics. Mutations in OPA1 lead to dominant optic atrophy (Alexander et al, 2000; Delettre et al, 2000), the most commonly inherited optic neuropathy, characterized by the specific loss of retinal ganglion cells (Delettre et al, 2002). Moreover, Charcot–Marie–Tooth disease, a frequent peripheral neuropathy affecting both motor and sensory nerves (Züchner and Vance, 2005), is caused by mutations in MFN2 and GDAP1 (ganglioside-induced differentiation protein 1) localized in the mitochondrial outer membrane (Züchner et al, 2004; Niemann et al, 2005). While mutations of MFN2 inhibit fusion, inactivation of GDAP1 promotes fission of mitochondria.
A conditional mouse model allowing inactivation of MFN2 in the cerebellum of adult mice revealed that Purkinje cells are highly susceptible to mitochondrial fusion defects (Chen et al, 2007). In the absence of MFN2 and mitochondrial fusion, they accumulate fragmented mitochondria with an impaired respiratory activity, likely caused by the loss of mtDNA nucleoids. Interestingly, aberrant mitochondria are predominantly detectable in neuronal terminals of MFN2-deficient murine Purkinje cells (Chen et al, 2007). This is reminiscent of observations in paraplegin-deficient neurons and consistent with axonal transport deficiencies in the absence of MFN2 (Baloh et al, 2007).
The problem of tissue specificity
Although we are beginning to understand the selective vulnerability of neurons for mitochondrial damage, the striking tissue-specific consequences of pathogenic mutations in QC components including the mitochondrial fusion machinery remain difficult to explain. Multiple mechanisms can be envisioned that are not mutually exclusive. It is conceivable that certain cell types are more dependent on mitochondrial activities than others and therefore more susceptible to mitochondrial damage. This may include neurons with a high demand for mitochondrial transport, such as corticospinal motor neurons with long axons or Purkinje cells with highly branched dendrites. Others are inherently more exposed to stress and mitochondrial damage, such as dopamine-producing neurons affected in PD (Mandemakers et al, 2007). Moreover, functional redundancy and tissue-specific expression of different mitochondrial QC components could affect QC surveillance and the resistance of mitochondria against damage. For instance, the mitofusins MFN1 and MFN2 were detected in functionally redundant, homo- and hetero-oligomeric complexes (Chen et al, 2003). In murine Purkinje cells, MFN2 is more highly expressed than MFN1, providing an explanation for their selective vulnerability in CMT2A (Chen et al, 2007). Similarly, overlapping substrate specificity was demonstrated for homo- and hetero-oligomeric isoenzymes of the m-AAA protease in murine and human mitochondria (Koppen et al, 2007). AFG3L2, homologous to paraplegin, assembles with paraplegin into a hetero-oligomeric m-AAA protease, but can also form homo-oligomeric, proteolytically active complexes. Accordingly, homo-oligomeric AFG3L2 complexes may lessen phenotypic consequences of the loss of paraplegin in HSP. At the same time, differences in the relative abundance of AFG3L2 and paraplegin in different tissues, as observed in mouse, may relate to the tissue-specific defects observed in HSP patients (Koppen et al, 2007). If differences in the enzymatic properties or substrate specificity of homo- and hetero-oligomeric m-AAA isoenzymes exist, the situation may become even more complex. Thus, although recent years have seen considerable progress in our understanding of QC surveillance mechanisms, much remains to be learned before a molecular understanding of pathogenic consequences of mitochondrial damage can be reached.
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