Evidence map›Paper›PMID 34635923›Full record

ArticleHuman molecular genetics2022

Threshold of heteroplasmic truncating MT-ATP6 mutation in reprogramming, Notch hyperactivation and motor neuron metabolism.

Sebastian Kenvin, Ruben Torregrosa-Muñumer, Marco Reidelbach, Jana Pennonen, Jeremi J Turkia, Erika Rannila, Jouni Kvist, Markus T Sainio, Nadine Huber, Sanna-Kaisa Herukka and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Human molecular genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Modelling mitochondrial diseases in neuronsJournal of neuromuscular diseases · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Disease models of Leigh syndrome: From yeast to organoids.Journal of inherited metabolic disease · 2024
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
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

16 authors at 3 institutions in 1 country.

Sebastian KenvinStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Ruben Torregrosa-MuñumerStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Marco ReidelbachDepartment of Physics, University of Helsinki, Finland.
Jana PennonenStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Jeremi J TurkiaStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Erika RannilaStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Jouni KvistStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Markus T SainioStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Nadine HuberA.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.
Sanna-Kaisa HerukkaDepartment of Neurology, Kuopio University Hospital, Kuopio, Finland.
Annakaisa HaapasaloA.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.
Mari AuranenClinical Neurosciences, Neurology, Helsinki University Hospital, Finland.
Ras TrokovicStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Vivek SharmaDepartment of Physics, University of Helsinki, Finland.
Emil YlikallioStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.
Henna TyynismaaStem Cells and Metabolism Research Program, Faculty of Medicine, University of Helsinki, Finland.ORCID 0000-0002-2493-2422
University of Helsinki · FIUniversity of Eastern Finland · FIHelsinki University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in mitochondrial DNA encoded subunit of ATP synthase, MT-ATP6, are frequent causes of neurological mitochondrial diseases with a range of phenotypes from Leigh syndrome and NARP to ataxias and neuropathies. Here we investigated the functional consequences of an unusual heteroplasmic truncating mutation m.9154C>T in MT-ATP6, which caused peripheral neuropathy, ataxia and IgA nephropathy. ATP synthase not only generates cellular ATP, but its dimerization is required for mitochondrial cristae formation. Accordingly, the MT-ATP6 truncating mutation impaired the assembly of ATP synthase and disrupted cristae morphology, supporting our molecular dynamics simulations that predicted destabilized a/c subunit subcomplex. Next, we modeled the effects of the truncating mutation using patient-specific induced pluripotent stem cells. Unexpectedly, depending on mutation heteroplasmy level, the truncation showed multiple threshold effects in cellular reprogramming, neurogenesis and in metabolism of mature motor neurons (MN). Interestingly, MN differentiation beyond progenitor stage was impaired by Notch hyperactivation in the MT-ATP6 mutant, but not by rotenone-induced inhibition of mitochondrial respiration, suggesting that altered mitochondrial morphology contributed to Notch hyperactivation. Finally, we also identified a lower mutation threshold for a metabolic shift in mature MN, affecting lactate utilization, which may be relevant for understanding the mechanisms of mitochondrial involvement in peripheral motor neuropathies. These results establish a critical and disease-relevant role for ATP synthase in human cell fate decisions and neuronal metabolism.

Indexed as

HeteroplasmyMitochondrial Proton-Translocating ATPasesAdenosine TriphosphateAtaxiaDNA, MitochondrialHumansMotor NeuronsMutationAdenosine TriphosphateDNA, MitochondrialMitochondrial Proton-Translocating ATPasesMT-ATP6 protein, human

Identifiers

PMID34635923
PMCPMC8947243
OpenAlexW3207031746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.