RT Journal Article SR Electronic T1 Plasmalogen loss caused by remodeling deficiency in mitochondria JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e201900348 DO 10.26508/lsa.201900348 VO 2 IS 4 A1 Tomohiro Kimura A1 Atsuko K Kimura A1 Mindong Ren A1 Vernon Monteiro A1 Yang Xu A1 Bob Berno A1 Michael Schlame A1 Richard M Epand YR 2019 UL https://www.life-science-alliance.org/content/2/4/e201900348.abstract 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.