lecture 28 Flashcards

1
Q

What are mitochondria?

A
  • the power plants of the cell
  • outer membrane and tightly folded inner membrane
  • role in energy generation
    fuel + oxygen → energy (ATP)
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2
Q

What is our power requirement at rest?

A
  • 100kcal/hour = 116W
  • O2 consumption 380L/day
  • 65kg ATP/day (=$3m worth)
  • MIM surface area = 14,000 m^2
  • brain: 2% of weight, 20% of energy use
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3
Q

What happens if they don’t work?

A
  • excerise intolerance at mildest end
  • lack of energy in the muscles/poor work capacity
  • any symptom, any organ or tissue, any age, any mode of inheritence

hearing
- sensorineural deafness

visual

  • death of optic nerve
  • cataracts
  • retinitis pigmentosa

bone marrow

  • all blood cell types
  • myelodysplasia
  • siderblastic anaemia
  • thrombocytopenia
  • cyclic neutropenia

heart

  • cardiomyopathy
  • hypertrophic
  • conduction defects
  • fibrosis

kidney

  • tubules
  • glomeruli
  • widespread

GIT

  • liver failure
  • chronic diarrhoea
  • villous atrophy
  • pseudo-obstruction
  • paragangliomas: benign tumours of the carotid body (oxygen sensing organ)
  • dysfunction in specific glands e.g. thyroid
  • facial dysmorphism
  • hypertrichosis (excess hair)

pancreas

  • insulin secretion defects
  • exocrine dysfunction
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4
Q

What is leigh disease?

A
  • the most common mitochondrial disease of childhood
  • typically healthy until ~6 months
  • progressive, episodic neurodegenerative disorder
  • motor and or intellectual regression with signs of brainstem dysfunction
  • focal symmetric spongiform lesions in CNS
    → demyelination, gliosis, capillary proliferation
  • see holes lighting up e.g. in basal ganglia
  • loss of myelin
  • overgrowth of glia
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5
Q

What do mitochondria look like?

A
  • football shape in hepatocyte
  • typical 0.4 x 2.3 µm length
  • tightly folded inner membrane
  • enourmous SA for proteins to sit on
  • football structure from textbooks
  • more like a filamentous network that is dynamic
  • constantly undergoing fission and fusion
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6
Q

What is the distribution of mitochondria in the muscle?

A
  • w/i and w/o muscle fibre
  • in subsarcolemmal space
  • 2% fast muscle fibres
  • 8% slow muscle fibres
  • 20% liver
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7
Q

What is the endosymbiont hypothesis?

A
  • primitive aerobic bacterium phagocytosed by a fermentative eukaryotic cell
    → symbiosis and gradual loss of mtDNA functions
  • mtDNA circular, lacks histones
  • inner membrane bacterial-like
  • rRNA is chloramphenical S, emetine R: i.e. ribosomes more like bacterial ribosomes than eukaryotic
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8
Q

What is the genetic content of the nucleus?

A
  • 23 chromosome pairs
  • 20,000 genes
  • inherit half from each parent
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9
Q

What is the genetic content of mitochondria?

A
  • 1 chromosome
  • 37 genes
  • inherited from mother only
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10
Q

How many genes encode mitochondrial proteins?

A
  • 37 mtDNA genes
  • 1000-1500 genes
  • 5-10% of our genes encode mitochondrial proteins
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11
Q

WHy are mitochondrial disorders complicated?

A

consider other well known genetic disorders e.g. CF

  • 1 protein, 1 gene, 1 common mutation
  • 1 type of inheritance (autosomal recessive)
  • screened for at birth

mito disorders comprise > 150 different monogenic diseases

adult-onset mito disorders

  • ~70% maternally inherited mtDNA mutations
  • autosomal dominant, sporadic, autosomal recessive

childhood-onset mito disorders

  • ~30% maternally inherited mtDNA mutations
  • mostly autosomal recessive
  • some sporadic, X-linked, autosomal dominant
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12
Q

What is the mitochondrial DNA?

A
  • double stranded circle
  • 16 569 base pairs
  • 13 protein-coding genes
  • 22 tRNA genes
  • 2 rRNA genes
  • genes in the mtDNA can’t be read properly by the cytosolic machiner
  • chock full of genes
  • some overlapping
  • heavy strand
  • no introns
  • interspersed with tRNA
  • 7 of the 44 subunits of complex I
  • complex III and IV, 1 and 3 respectively
  • complex V has a couple of subunits
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13
Q

What is the mtDNA morbidity map?

A
  • pathogenic point mutations found in 35 of 37 mtDNA genes
    MELAS: mito encephalomyopathy, lactic acidosis and stroke-like episodes (typically kids at puberty collapsing/constant seizures)
  • 80% of the time caused a mutation in the teran A leucine gene
  • bunch of other genes in which mutations can cause the same condition
  • allelic heterogeneity
    LHON: leber’s hereditary optic neuropathy
  • typically characterised by sudden onset of blindness
  • most often caused by mutation in ND4 subunit gene, subunit of complex I, 50% of the time
  • mutations in several other genes can cause same presentation

not just one gene causing one clinicical presentation, and not just one clinical presentation being caused by one clinical presentation

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14
Q

What are unique features of mtDNA?

A
  • maternal inheritance
    • mtDNA genes are identical
    • nucluear gene gene alleles only 1/256th of great^6 grandmother
    • haplogroup K - 16,000 ybp, northern europe
    • haplogroup U - 40000 yp, south central asia
  • multiple copies (2 to 10/mito and 50, 200,000/cell)
  • high mutation rate (~10-fold higher than nucleus)
  • used to track female populations around the world
  • mt haplogroups used in tracking human migration and in forensics
  • heteroplasmy
    → co-existence of mutant and wildtype mtDNA
  • threshold effect
    → minimum critical proportion of mutant mtDNAs needed for each tissue to become dysfunctional
  • mtDNA bottleneck
    → in early oogenesis, a small number of genomes are “selected” to repopulate the oocyte, allowing rapid shifts in heterplasmy (resets the biological clock?)
    → mitochondrial numbers decrease and then increase, most of the time you’d clean out the mutant
  • tissue specific segregation/selection
    → variation b/w tissues because amount of a mutation has increased in one cell lineage and not others in embryogenesis, or more oftenly selection for or against mutation
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15
Q

Why is there maternal inheritance ?

A
  • in ovum there are 200,000 mitochondira
  • sperm 50mt DNA
  • in midpiece of sperm
  • paternal mitochondria are tagged with ubiquitin
  • one documented incidence of paternally inherited mitochondrial disease: exception that proves the rule
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16
Q

What is the probability of severe outcome in mutant load?

A
  • 45% → < 5%
  • 63% → 25%
  • 71% → 50%
  • 78% → 75%
  • 92% → >95%
17
Q

What is OXPHOS genetics?

A
  • mtDNA heteroplasmy, the bottleneck and threshold effect
  • mother with mild or no symptoms → small number of mother’s mitochondria, selected randomly, goes into each early egg cell → contribution from mother + contribution from father = possible outcome
  • mother’s cells may have 20% mutant mitochondria → cells that will become egg cells → mature egg cells (80% mutant, 50% mutant, 20% mutant) + sperm cells (no mitochondria) = child with severe disease? or child with mild disease? or child with no disease?
18
Q

What is Kearn-sayre syndrome?

A
  • external ophthalmoplegia, retinitis pigmentosa, heart block or ataxia
  • vastly different amounts of mutation in different tissues
  • e.g. muscle 30%, liver 60%, fibroblast 1%
19
Q

What is the evidence for OXPHOS defects?

A

Evidence

  • clinical
  • metabolic
  • histology
  • OXPHOS enzymes
  • DNA

Diagnosis

  • definite
  • probable
  • possible
  • unlikely
20
Q

What is histology of mito diagnosis?

A
  • cytochrome c oxidase (Complex IV or COX) histochemistry and single fibre PCR
21
Q

What is an example of investigating a patient?

A

Patient:

  • clinical: leigh syndrome
  • metabolic: lactate 3.8mM (NR A

RFLP

tests aren’t 100% sensitive