Altered expression of mitochondrial DNA (mtDNA) occurs in ageing and a range of human pathologies (for example, inborn errors of metabolism, neurodegeneration and cancer). Here we describe first-in-class specific inhibitors of mitochondrial transcription (IMTs) that target the human mitochondrial RNA polymerase (POLRMT), which is essential for biogenesis of the oxidative phosphorylation (OXPHOS) system1,2,3,4,5,6. The IMTs efficiently impair mtDNA transcription in a reconstituted recombinant system and cause a dose-dependent inhibition of mtDNA expression and OXPHOS in cell lines. To verify the cellular target, we performed exome sequencing of mutagenized cells and identified a cluster of amino acid substitutions in POLRMT that cause resistance to IMTs. We obtained a cryo-electron microscopy (cryo-EM) structure of POLRMT bound to an IMT, which further defined the allosteric binding site near the active centre cleft of POLRMT. The growth of cancer cells and the persistence of therapy-resistant cancer stem cells has previously been reported to depend on OXPHOS7,8,9,10,11,12,13,14,15,16,17, and we therefore investigated whether IMTs have anti-tumour effects. Four weeks of oral treatment with an IMT is well-tolerated in mice and does not cause OXPHOS dysfunction or toxicity in normal tissues, despite inducing a strong anti-tumour response in xenografts of human cancer cells. In summary, IMTs provide a potent and specific chemical biology tool to study the role of mtDNA expression in physiology and disease.
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All relevant data generated and analysed in this study are included in the Article. Uncropped gels are provided in Supplementary Fig. 1. Publicly available datasets used in this study are the human proteome database (UP000005640, UniProt) and POLRMT structures (PBD codes 5OLA and 4BOC). Further information and requests for unique reagents should be directed to the corresponding authors. Proteomics data and R scripts for analysis have been deposited in PRIDE with the dataset identifier PXD018426. The electron microscopy maps have been deposited with the Electron Microscopy Data Bank (accession code EMD-11679) and the structural model of POLRMT bound to IMT1B has been deposited in the PDB (accession code 7A8P). Source data are provided with this paper.
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This work was supported by the Max Planck Society, the Swedish Research Council (2015-00418 to N.-G.L., 2013-3621 to M.F., 2012-2583 to C.M.G.), Swedish Cancer Foundation (to M.F., C.M.G. and N.-G.L.), the Knut and Alice Wallenberg foundation (to M.F., C.M.G. and N.-G.L.), the Deutsche Forschungsgemeinschaft (SFB1218/A06 to N.-G.L.), European Research Council (Advanced Grant 2016-741366 to N.-G.L.) and grants from the Swedish state under the agreement between the Swedish government and the county councils, the ALF agreement to M.F. (ALFGBG-727491), C.M.G. (ALFGBG-728151) and N.-G.L. (SLL2018.0471). P.C. was supported by the Deutsche Forschungsgemeinschaft (SFB860, SPP1935), the European Research Council (advanced investigator grant TRANSREGULON, grant agreement no. 693023), the Volkswagen Foundation and Germany’s Excellence Strategy (EXC 2067/1- 390729940). H.S.H. was supported by the Deutsche Forschungsgemeinschaft (FOR2848). We thank N. Hochhard and S. Miethe for technical assistance; M. del Pilar Miranda for assistance; T. Colby, A. Taha, Y. Hinze, S. Perin and C. Edlich-Muth for support; I. Ivanov at Oncolead for providing cell panel data; C. Dienemann for assistance with cryo-EM data collection and processing; and Y. Chen for providing purified RNA polymerase II.
The IMT compound intellectual property is published as WO 2019/057821 and has been licensed by the Max Planck Society and the Lead Discovery Center GmbH.
Peer review information Nature thanks Navdeep Chandel, Angela Koehler and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. Peer reviewer reports are available.
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Extended data figures and tables
a, Overview of the high-throughput screening procedure for IMTs. b, Chemical structure of IMT1 (LDC195943). c, Differential scanning fluorimetry performed in the presence IMT1. The shift in melting temperature (ΔTm) is plotted against the IMT1 concentration (n = 2 independent experiments). d, Template used in the single ribonucleotide incorporation and MST assays. NT2, non-template strand; TS2, template strand; R14, 14-mer RNA. e, Representative gels used for the determination of Michaelis–Menten kinetics in Fig. 1c. The P32-labelled 14-mer scaffold and the extended 15-mer product are indicated. A representative image of n = 3 independent experiments is shown. f, Residuals of the fits to the steady-state POLRMT kinetics data. g, Single nucleotide incorporation at varying substrate concentrations in the presence of 0–10 μM IMT1 (mean values of n = 2 independent experiments). h, In vitro promoter-dependent transcription on linear LSP and supercoiled circular LSP templates in the presence of 0–10 μM IMT1B. A representative image of n = 2 independent experiments is shown. Quantification is shown in Fig. 1d. i, A concentration-dependent decrease in binding affinity (Kd) was observed between POLRMT and a RNA–DNA scaffold at increasing levels of IMT1B (mean ± s.d., n = 3 independent experiments). j, Raw MST traces. Source data
a, Mitochondrial transcript levels of ND1 after 6 h and 4 d of IMT1 treatment (mean ± s.e.m., n = 3–4 biological replicates, two-way ANOVA, Sidak’s multiple comparisons test, DMSO–IMT1). b, mtDNA levels after IMT1 treatment (mean ± s.e.m., n = 3 (144 h, 192 h), 4 (4 h, 6 h, 96 h), 6 (24 h, 48 h, 72 h) or 8 (DMSO) biological replicates). c, Immunoblot analysis of OXPHOS protein levels after IMT1 treatment (30 μg per lane). A representative image of n = 3 independent experiments is shown. d, Quantitative proteomics of IMT1 treatment over time (n = 5 biological replicates). Within each time point, IMT-treated samples were compared to control samples (DMSO). Changes in the protein levels of OXPHOS complexes, mitoribosomal subunits and cytosolic ribosomes are plotted as log2-transformed change in abundance relative to control over time. The exact values for median, upper and lower box hinge and upper and lower whiskers are shown in Supplementary Table 6 (compound IMT1). e, Intact cell respiration in HeLa cells after IMT1 exposure. Basal respiration, leak respiration and maximum respiration was determined (mean ± s.e.m.; n = 4 independent measurements, two-way ANOVA, Sidak’s multiple comparisons test, respective DMSO control–IMT1). f, Comparison of ND1 transcript levels after IMT1 (Extended Data Fig. 2a) and IMT1B (Fig. 1f) treatment in HeLa and A2780 cells. Dashed lines indicate ND1 transcript levels in DMSO-treated controls. Source data
a–c, Single ribonucleotide incorporation assay using the template displayed in Extended Data Fig. 1d. IMT1B inhibits POLRMT, but does not affect RPO41 (a), T7 RNA polymerase (b) or E. coli RNA polymerase (c). The first lane in each panel is template only, without added enzyme. Representative images from n = 3 independent experiments are shown. d, IMT1B does not inhibit cDNA synthesis by RevertAid reverse transcriptase. Reverse transcriptase was omitted in the second lane. A representative image from n = 3 independent experiments is shown. e, Primer extension assay of POLRMT and RNA polymerase II performed in the presence of increasing concentrations of IMT1B. A representative image from n = 3 independent experiments is shown. f, IMT treatment does not affect the expression of nuclear RNA polymerase targets. HeLa and A2780 cells were treated with either DMSO or IMT1, IMT1B and a commercially available IMT (con IMT) used as a control. mRNA levels of polymerase targets (RNA Pol I: 18S, 28S; RNA Pol II: POLRMT, β-actin; RNA Pol III: 5S; POLRMT: ND1, CYTB, COX1) are given as mean ± s.e.m. (n = 4 (con IMT) or 5 (IMT1, IMT1B) biological replicates, two-way ANOVA, Sidak’s multiple comparisons test, DMSO–respective IMT treatment). g, IMT1B does not inhibit POLγ primer elongation. The input template for POLγ is 3,800-nt single-stranded DNA that becomes a 3,800-bp nicked circular template product when synthesized. A representative image from n = 3 independent experiments is shown. First lane, ddCTP control. h, In organello translation of freshly isolated mitochondria in the presence or absence of IMT1B. A representative image from n = 2 biological replicates is shown. i, Chemical structure of con IMT (SC-6238532), a structurally related analogue of IMTs. j, Differential scanning fluorimetry performed in the presence or absence of con IMT (n = 2 independent experiments). k, In vitro promoter-dependent transcription on linear LSP and supercoiled circular LSP templates was performed in the presence of 0–10 μM con IMT. A representative image from n = 2 independent experiments is shown. R/O, run-off transcript. l, Quantification of k. Mean values of n = 2 independent experiments are shown. m, Mitochondrial transcript levels of ND1 and CYTB determined after treatment of HeLa cells with different concentrations of con IMT for 6 h (mean ± s.e.m., n = 3, 4 (0.1 μM) or 5 (DMSO, 10 μM, 5 μM) biological replicates). n, mtDNA levels in HeLa cells treated with con IMT (mean ± s.e.m., n = 3, 4 (72 h) or 5 (DMSO) biological replicates). o, Immunoblot analysis of OXPHOS protein levels in HeLa cells treated with Con IMT for 4 d (20 μg per lane). A representative image from n = 2 independent experiments is shown. p, Quantitative proteomics of con IMT treatment over time (n = 5 biological replicates). Within each time point, treated samples were compared to control samples (DMSO). Changes in the protein levels of OXPHOS complexes, mitoribosomal subunits and cytosolic ribosomes are plotted as log2-transformed change in abundance relative to control over time. The exact values for median, upper and lower box hinge and upper and lower whiskers are shown in Supplementary Table 6 (compound con IMT). Source data
a, Schematic of the experimental workflow of the IMT-resistance screen using chemical mutagenesis. b, In vitro promoter-dependent transcription using the IMT-resistant L816Q and A821V POLRMT mutants in the presence of 0–10 μM IMT1B. A representative image from n = 2 independent experiments is shown. c, Quantification of b. Mean values of n = 2 independent experiments are shown. d, Inhibition of transcription initiation on IMT-resistant POLRMT mutants. In vitro transcription initiation was performed on linear LSP templates using wild-type and IMT-resistant POLRMT protein in the presence or absence of IMT1. A representative image from n = 2 independent experiments is shown. e, Increasing amounts of POLRMT do not rescue wild-type activity in the presence of IMT1B. In vitro promoter-dependent transcription on supercoiled circular LSP templates was performed in the presence of 10 μM IMT1B using increasing concentrations of wild-type or mutant POLRMT (L816Q or A821V). A representative image from n = 2 independent experiments is shown. f, Quantification of e. Mean values of n = 2 independent experiments are shown. g, Sanger sequencing of CRISPR–Cas9-engineered POLRMT mutations introduced into A2780 cells. h, Mitochondrial gene expression in POLRMT mutant cell lines (L796Q and L816Q, # denotes two independent clones). Data are expressed as fold of untreated wild-type control (DMSO) and given as mean ± s.e.m. (n = 7–9 biological replicates; two-way ANOVA, Sidak’s multiple comparisons test, DMSO–IMT1). Source data
a, Representative micrograph from 40° tilted data collection (n = 2,077 micrographs). b, Most populated classes from 2D classification using cryoSPARC 6. c, Cryo-EM processing workflow. d, Binding pocket of IMT1B between the POLRMT thumb and palm domains. POLRMT is shown as a translucent cartoon, and residues within 4 Å of IMT1B are shown as sticks. IMT1B was modelled on the basis of the cryo-EM density and chemical considerations (Methods). e, Fourier shell correlation plot. f, Angular distribution of particle views. g, Local resolution estimation calculated using RELION 3. The position of IMT1B is indicated with a red dashed box. h, Cryo-EM density around IMT1B. IMT1B is shown as sticks, and the cryo-EM density is shown as blue mesh with a carve of 2 Å.
a, POLRMT silencing in HeLa cells affects cell viability. Cell viability was assessed using a ViCell Cell counter. Mean of n = 2 independent experiments is shown. NT, non-transfected. b, Immunoblot analysis of POLRMT levels 4 d after transfection (20 μg per lane). A representative image of n = 2 independent experiments is shown. c, Analysis of cancer cell proliferation using an SRB proliferation assay indicates that IMT1 treatment specifically inhibits cancer cell proliferation in a variety of cancer cell lines, but not in control cells. IC50 values of IMT1 on a panel of 89 cancer cell lines (grey) and primary cells (black, IMR90 lung fibroblasts and human PBMCs) are plotted. d, Cell growth in HeLa cells (IC50 = 0.838 μM), lung carcinoma cells (A594) (IC50 = 0.643 μM) and IMR90 lung fibroblast cells (IC50 > 30 μM) after IMT1 treatment was assessed using an SRB assay. e, Cytotoxicity against human (h)PBMCs (two different donors, left) or primary human hepatocytes (right) was assessed using the CellTiter-Glo assay at the indicated inhibitor concentrations (n = 2 independent experiments). Source data
a, ROS levels after IMT1 treatment in A2780 cells were determined using the Cellular ROS assay kit Orange (mean ± s.e.m., n = 5 biological replicates). b, Immunoblot analysis of the apoptosis marker cleaved PARP. A2780 cells were treated with IMT1 for the indicated time points and collected by trypsin treatment (attached). For later time points, cell culture supernatants were collected and detached or dead cells were isolated by centrifugation (supernatant) (20 μg per lane). A representative image of n = 3 independent experiments is shown. c, Heat maps illustrating the fold-change in protein levels in apoptosis (top, left), one-carbon pathway (bottom, left), degradation and stress response (right). d, Overview of changes in central carbon metabolism after IMT1 treatment. Changes in metabolite levels are given as fold of control at the indicated time points. Dark blue, minimum (0); dark red, maximum (2). e, Immunoblot analysis of the proliferation marker PCNA. A2780 cells were treated with IMT1B (+) or DMSO (−) for the indicated time points (20 μg per lane). A representative image of n = 2 independent experiments is shown. Source data
a, b, Pharmacokinetic (PK) parameters of IMT1B used in the in vivo studies: intravenous dosing (a) or oral dosing (b) (n = 3 biological replicates). t1/2, elimination half-life; Tmax, time to reach peak plasma concentration following drug administration (that is, Cmax); C0, concentration extrapolated to the origin; Cmax, peak plasma drug concentration; AUC 0–inf, area under the plasma concentration time curve from time zero to infinity; Vz, volume of distribution; CL, total plasma clearance; F, bioavailability. c, Mouse POLRMT is stabilized by IMT1B. Differential scanning fluorimetry performed in the presence or absence of IMT1B using human (left) or mouse (right) POLRMT (n = 2 independent experiments). The determined melting temperatures are given. d, IMT1B inhibits promotor-dependent transcription using mouse POLRMT in a concentration-dependent manner in vitro. In vitro promoter-dependent transcription on linear LSP and supercoiled circular LSP templates was performed in the presence of 0–10 μM IMT1B. A representative image of n = 2 independent experiments is shown. e, A2780 xenograft tumour growth in vivo (study 2). Mice were treated once per day with either vehicle (veh) or IMT1B (100 mg kg−1). Mean ± s.e.m.; n = 8 biological replicates, Mann–Whitney U test, exact significance, one-tailed, vehicle–IMT1B). f, IMT1B treatment inhibits DLD-1 xenograft tumour growth in vivo. Mice were treated once per day with either vehicle or IMT1B (100 mg kg−1). Mean ± s.e.m., n = 8 biological replicates, Mann–Whitney U test, exact significance, one-tailed, vehicle–IMT1B. g, Mean body weight of IMT1B-treated mice in comparison to vehicle-treated controls in the A2780 xenografts. Mean ± s.e.m., n = 8 biological replicates. h, IMT1B treatment induces no acute liver or kidney toxicity after four weeks of treatment. NMRI mice were treated with either vehicle or IMT1B for four weeks orally once per day. Blood was taken after fasting at the first day (baseline) and last day (4 weeks IMT) of treatment from the tail vein. Blood parameters analysed include alanine transaminase levels (ALT, in U l−1) and aspartate aminotransferase (AST, in U l−1) to determine liver toxicity as well as creatinine (CREA, in mg dl−1) to determine kidney toxicity. Data are presented as mean ± s.e.m., n = 4 biological replicates. i, IMT1B treatment does not affect blood count after IMT treatment. Female NMRI mice were treated with either vehicle or IMT1B for four weeks orally once per day. Blood was taken on the last day of the experiments and analysed for the abovementioned parameters. Data are presented as mean + s.e.m., n = 4 biological replicates. MCHC, mean corpuscular haemoglobin concentration; MCH, mean corpuscular haemoglobin; MCV, mean corpuscular volume. j, Mitochondrial DNA levels in tumour, liver and heart (mean ± s.e.m., n = 8 biological replicates). k, Immunoblot analysis of phosphorylated AMPK and ribosomal S6 protein levels in tumour tissue lysates. For determination of total AMPK levels, samples were run on a separate gel and processed in parallel (20 μg per lane). A representative image of n = 3 independent experiments is shown. Source data
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Bonekamp, N.A., Peter, B., Hillen, H.S. et al. Small-molecule inhibitors of human mitochondrial DNA transcription. Nature 588, 712–716 (2020). https://doi.org/10.1038/s41586-020-03048-z
Nature Reviews Drug Discovery (2021)