PT - JOURNAL ARTICLE AU - Tomohiro Kimura AU - Atsuko K Kimura AU - Mindong Ren AU - Vernon Monteiro AU - Yang Xu AU - Bob Berno AU - Michael Schlame AU - Richard M Epand TI - Plasmalogen loss caused by remodeling deficiency in mitochondria AID - 10.26508/lsa.201900348 DP - 2019 Aug 01 TA - Life Science Alliance PG - e201900348 VI - 2 IP - 4 4099 - https://www.life-science-alliance.org/content/2/4/e201900348.short 4100 - https://www.life-science-alliance.org/content/2/4/e201900348.full SO - Life Sci. Alliance2019 Aug 01; 2 AB - Lipid homeostasis is crucial in human health. Barth syndrome (BTHS), a life-threatening disease typically diagnosed with cardiomyopathy and neutropenia, is caused by mutations in the mitochondrial transacylase tafazzin. By high-resolution 31P nuclear magnetic resonance (NMR) with cryoprobe technology, recently we found a dramatic loss of choline plasmalogen in the tafazzin-knockdown (TAZ-KD) mouse heart, besides observing characteristic cardiolipin (CL) alterations in BTHS. In inner mitochondrial membrane where tafazzin locates, CL and diacyl phosphatidylethanolamine are known to be essential via lipid–protein interactions reflecting their cone shape for integrity of respiratory chain supercomplexes and cristae ultrastructure. Here, we investigate the TAZ-KD brain, liver, kidney, and lymphoblast from patients compared with controls. We identified common yet markedly cell type–dependent losses of ethanolamine plasmalogen as the dominant plasmalogen class therein. Tafazzin function thus critically relates to homeostasis of plasmalogen, which in the ethanolamine class has conceivably analogous and more potent molecular functions in mitochondria than diacyl phosphatidylethanolamine. The present discussion of a loss of plasmalogen–protein interaction applies to other diseases with mitochondrial plasmalogen loss and aberrant forms of this organelle, including Alzheimer's disease.