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Human Molecular Genetics Advance Access published online on September 5, 2008

Human Molecular Genetics, doi:10.1093/hmg/ddn280
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Infantile-onset spinocerebellar ataxia and mitochondrial recessive ataxia syndrome are associated with neuronal complex I defect and mtDNA depletion

Anna H. Hakonen1,{ddagger}, Steffi Goffart2,{ddagger}, Sanna Marjavaara1, Anders Paetau3, Helen Cooper2, Kimmo Mattila4, Milla Lampinen1, Antti Sajantila6, Tuula Lönnqvist5, Johannes N. Spelbrink2 and Anu Suomalainen1,7,*

1 Research Program of Molecular Neurology, Biomedicum-Helsinki, University of Helsinki, Finland 2 Institute of Medical Technology and Tampere University Hospital, Tampere, Finland 3 Department of Pathology, University of Helsinki, Helsinki, Finland 4 Center for Scientific Computing (CSC), Espoo, Finland 5 Department of Child Neurology, Hospital for Children and Adolescents, Helsinki University Central Hospital, Helsinki, Finland 6 Department of Forensic Medicine, University of Helsinki, Finland 7 Department of Neurology, Helsinki University Central Hospital, Finland

* Corresponding author: Anu Suomalainen, Biomedicum-Helsinki, Research Program of Molecular Neurology, r. c523B, p.o. Box 63, University of Helsinki, 00290 Helsinki, Finland. Tel +358 9 4717 1965, Fax +358 9 4717 1964, e-mail: anu.wartiovaara{at}helsinki.fi

Received July 17, 2008; Revised September 2, 2008; Accepted September 2, 2008

Infantile-onset spinocerebellar ataxia (IOSCA) is a severe neurodegenerative disorder caused by the recessive mutation in PEO1, leading to a Y508C change in the mitochondrial helicase Twinkle, in its helicase domain. However, no mitochondrial dysfunction has been found in this disease. We studied here the consequences of IOSCA for the central nervous system, as well as the in vitro performance of the IOSCA mutant protein. The results of the mtDNA analyses were compared to findings in a similar juvenile or adult-onset ataxia syndrome, mitochondrial recessive ataxia syndrome (MIRAS), caused by the W748S mutation in the mitochondrial DNA polymerase (POLG). We show here that IOSCA brain does not harbour mtDNA deletions or increased amount of mtDNA point mutations, whereas MIRAS brain shows multiple deletions of mtDNA. However, IOSCA, and to a lesser extent also MIRAS, show mtDNA depletion in the brain and the liver. In both diseases, especially large neurons show respiratory chain complex I deficiency, but also CIV is decreased in IOSCA. Helicase activity, hexamerization and nucleoid structure of the IOSCA mutant were, however, unaffected. The lack of in vitro helicase defect or cell culture phenotype suggest that Twinkle-Y508C dysfunction affects mtDNA maintenance in a highly context and cell-type specific manner. Our results indicate that IOSCA is a new member of the mitochondrial DNA depletion syndromes.


{ddagger} These authors contributed equally to this work.


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