RT Journal Article SR Electronic T1 Mitochondrial stress response triggered by defects in protein synthesis quality control JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e201800219 DO 10.26508/lsa.201800219 VO 2 IS 1 A1 Uwe Richter A1 Kah Ying Ng A1 Fumi Suomi A1 Paula Marttinen A1 Taina Turunen A1 Christopher Jackson A1 Anu Suomalainen A1 Helena Vihinen A1 Eija Jokitalo A1 Tuula A Nyman A1 Marita A Isokallio A1 James B Stewart A1 Cecilia Mancini A1 Alfredo Brusco A1 Sara Seneca A1 Anne Lombès A1 Robert W Taylor A1 Brendan J Battersby YR 2019 UL https://www.life-science-alliance.org/content/2/1/e201800219.abstract AB Mitochondria have a compartmentalized gene expression system dedicated to the synthesis of membrane proteins essential for oxidative phosphorylation. Responsive quality control mechanisms are needed to ensure that aberrant protein synthesis does not disrupt mitochondrial function. Pathogenic mutations that impede the function of the mitochondrial matrix quality control protease complex composed of AFG3L2 and paraplegin cause a multifaceted clinical syndrome. At the cell and molecular level, defects to this quality control complex are defined by impairment to mitochondrial form and function. Here, we establish the etiology of these phenotypes. We show how disruptions to the quality control of mitochondrial protein synthesis trigger a sequential stress response characterized first by OMA1 activation followed by loss of mitochondrial ribosomes and by remodelling of mitochondrial inner membrane ultrastructure. Inhibiting mitochondrial protein synthesis with chloramphenicol completely blocks this stress response. Together, our data establish a mechanism linking major cell biological phenotypes of AFG3L2 pathogenesis and show how modulation of mitochondrial protein synthesis can exert a beneficial effect on organelle homeostasis.