PT - JOURNAL ARTICLE AU - Kelsey A Nolden AU - John M Egner AU - Jack J Collier AU - Oliver M Russell AU - Charlotte L Alston AU - Megan C Harwig AU - Michael E Widlansky AU - Souphatta Sasorith AU - Inês A Barbosa AU - Andrew GL Douglas AU - Julia Baptista AU - Mark Walker AU - Deirdre E Donnelly AU - Andrew A Morris AU - Hui Jeen Tan AU - Manju A Kurian AU - Kathleen Gorman AU - Santosh Mordekar AU - Charu Deshpande AU - Rajib Samanta AU - Robert McFarland AU - R Blake Hill AU - Robert W Taylor AU - Monika Oláhová TI - Novel <em>DNM1L</em> variants impair mitochondrial dynamics through divergent mechanisms AID - 10.26508/lsa.202101284 DP - 2022 Dec 01 TA - Life Science Alliance PG - e202101284 VI - 5 IP - 12 4099 - https://www.life-science-alliance.org/content/5/12/e202101284.short 4100 - https://www.life-science-alliance.org/content/5/12/e202101284.full SO - Life Sci. Alliance2022 Dec 01; 5 AB - Imbalances in mitochondrial and peroxisomal dynamics are associated with a spectrum of human neurological disorders. Mitochondrial and peroxisomal fission both involve dynamin-related protein 1 (DRP1) oligomerisation and membrane constriction, although the precise biophysical mechanisms by which distinct DRP1 variants affect the assembly and activity of different DRP1 domains remains largely unexplored. We analysed four unreported de novo heterozygous variants in the dynamin-1-like gene DNM1L, affecting different highly conserved DRP1 domains, leading to developmental delay, seizures, hypotonia, and/or rare cardiac complications in infancy. Single-nucleotide DRP1 stalk domain variants were found to correlate with more severe clinical phenotypes, with in vitro recombinant human DRP1 mutants demonstrating greater impairments in protein oligomerisation, DRP1-peroxisomal recruitment, and both mitochondrial and peroxisomal hyperfusion compared to GTPase or GTPase-effector domain variants. Importantly, we identified a novel mechanism of pathogenesis, where a p.Arg710Gly variant uncouples DRP1 assembly from assembly-stimulated GTP hydrolysis, providing mechanistic insight into how assembly-state information is transmitted to the GTPase domain. Together, these data reveal that discrete, pathological DNM1L variants impair mitochondrial network maintenance by divergent mechanisms.