Evidence map›Paper›PMID 33771987›Full record

ArticleNature communications2021

Defective metabolic programming impairs early neuronal morphogenesis in neural cultures and an organoid model of Leigh syndrome.

Gizem Inak, Agnieszka Rybak-Wolf, Pawel Lisowski, Tancredi M Pentimalli, René Jüttner, Petar Glažar, Karan Uppal, Emanuela Bottani, Dario Brunetti, Christopher Secker and 23 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06967831 (Using iPSC Derived Human Basal Ganglia Neurons From Patients With Leigh Syndrome for Metabolic Studies, Assay Development, and Drug Repurposing.), which is not on this map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06967831 recruitingnot on this map

Using iPSC Derived Human Basal Ganglia Neurons From Patients With Leigh Syndrome for Metabolic Studies, Assay Development, and Drug Repurposing.

TypeobservationalSponsorCharite University, Berlin, GermanyRan2020 to 2030Enrolled80ConditionsLeigh Syndrome (Maternally Inherited, MILS), Leigh Syndrome (AR, AD, XR)Armsskin biopsy, generation of iPSCs, blood drawing, off-label compassionate drug use
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Modelling mitochondrial diseases in neuronsJournal of neuromuscular diseases · 2025
    Pooled it
  2. Article
  3. The role of impaired mitochondrial function in neurological manifestations of mitochondrial diseases.Mammalian genome : official journal of the International Mammalian Genome Society · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Mitochondrial complex I deficiency-associated diseases and models.Cellular and molecular life sciences : CMLS · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Organoids for Metabolic Disease Modeling.Journal of inherited metabolic disease · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Gizem InakMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.
Agnieszka Rybak-WolfBerlin Institute for Medical Systems Biology (BIMSB), Max Delbrück Center for Molecular Medicine (MDC), Hannoversche Str 28, 10115, Berlin, Germany.
Pawel LisowskiMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.
Tancredi M PentimalliBerlin Institute for Medical Systems Biology (BIMSB), Max Delbrück Center for Molecular Medicine (MDC), Hannoversche Str 28, 10115, Berlin, Germany.
René JüttnerMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.
Petar GlažarBerlin Institute for Medical Systems Biology (BIMSB), Max Delbrück Center for Molecular Medicine (MDC), Hannoversche Str 28, 10115, Berlin, Germany.
Karan UppalEmory University, Atlanta, GA, USA.
Emanuela BottaniDepartment of Diagnostics and Public Health, University of Verona, Verona, Italy.ORCID 0000-0003-1217-8722
Dario BrunettiMitochondrial Medicine Laboratory, Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy.ORCID 0000-0002-2740-9370
Christopher SeckerMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0002-7222-536X
Annika ZinkMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0002-8489-6339
David MeierhoferMax Planck Institute for Molecular Genetics, Berlin, Germany.ORCID 0000-0002-0170-868X
Marie-Thérèse HenkeMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0001-6572-1667
Monishita DeyMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0002-9987-575X
Ummi CiptasariMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0003-4577-3069
Barbara MlodyMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.
Tobias HahnMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.
Maria Berruezo-LlacunaMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.
Nikos KaraiskosBerlin Institute for Medical Systems Biology (BIMSB), Max Delbrück Center for Molecular Medicine (MDC), Hannoversche Str 28, 10115, Berlin, Germany.
Michela Di VirgilioMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0001-5189-0793
Johannes A MayrUniversity Children's Hospital, Paracelsus Medical University (PMU), Salzburg, Austria.ORCID 0000-0001-6970-336X
Saskia B WortmannUniversity Children's Hospital, Paracelsus Medical University (PMU), Salzburg, Austria.
Josef PrillerCharité - Universitätsmedizin Berlin, Department of Neuropsychiatry, Berlin, Germany.ORCID 0000-0001-7596-0979
Michael GotthardtMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0003-1788-3172
Dean P JonesEmory University, Atlanta, GA, USA.
Ertan MayatepekDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, Duesseldorf University Hospital, Medical Faculty, Heinrich Heine University, Duesseldorf, Germany.
Werner StenzelCharité - Universitätsmedizin, Department of Neuropathology, Berlin, Germany.
Sebastian DieckeMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0002-5219-5992
Ralf KühnMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0003-1694-9803
Erich E WankerMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany.ORCID 0000-0001-8072-1630
Nikolaus RajewskyBerlin Institute for Medical Systems Biology (BIMSB), Max Delbrück Center for Molecular Medicine (MDC), Hannoversche Str 28, 10115, Berlin, Germany. rajewsky@mdc-berlin.de.ORCID 0000-0002-4785-4332
Markus SchuelkeCharité - Universitätsmedizin Berlin, Department of Neuropediatrics, Berlin, Germany. markus.schuelke@charite.de.ORCID 0000-0003-2824-3891
Alessandro PrigioneMax Delbrück Center for Molecular Medicine (MDC), Berlin, Germany. alessandro.prigione@hhu.de.ORCID 0000-0001-9457-1952

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leigh syndrome (LS) is a severe manifestation of mitochondrial disease in children and is currently incurable. The lack of effective models hampers our understanding of the mechanisms underlying the neuronal pathology of LS. Using patient-derived induced pluripotent stem cells and CRISPR/Cas9 engineering, we developed a human model of LS caused by mutations in the complex IV assembly gene SURF1. Single-cell RNA-sequencing and multi-omics analysis revealed compromised neuronal morphogenesis in mutant neural cultures and brain organoids. The defects emerged at the level of neural progenitor cells (NPCs), which retained a glycolytic proliferative state that failed to instruct neuronal morphogenesis. LS NPCs carrying mutations in the complex I gene NDUFS4 recapitulated morphogenesis defects. SURF1 gene augmentation and PGC1A induction via bezafibrate treatment supported the metabolic programming of LS NPCs, leading to restored neuronal morphogenesis. Our findings provide mechanistic insights and suggest potential interventional strategies for a rare mitochondrial disease.

Indexed as

MutationCells, CulturedChild, PreschoolExome SequencingHumansInduced Pluripotent Stem CellsLeigh DiseaseMaleMembrane ProteinsMetabolomicsMitochondriaMitochondrial ProteinsMorphogenesisNeuronsOrganoidsProteomicsMembrane ProteinsMitochondrial ProteinsSurf-1 protein

Identifiers

PMID33771987
PMCPMC7997884

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.