Abstract
Mitofusin 2 (MFN2) is a protein of the mitochondrial outer membrane that belongs to a family of highly conserved dynamin-related GTPases. It is implicated in several intracellular pathways; however, its main role is the regulation of mitochondrial dynamics, in particular mitochondrial fusion. Mutations in MFN2 are associated with Charcot–Marie–Tooth disease type 2A (CMT2A), a neurological disorder characterized by a wide spectrum of clinical features, primarily a motor sensory neuropathy. The cellular and molecular mechanisms by which MFN2 mutations lead to neuronal degeneration are largely unknown, and there is currently no cure for patients. Here, we present the most recent in vitro and in vivo models of CMT2A and the more promising therapeutic approaches under development. These models and therapies may represent relevant tools for the study and recovery of defective mitochondrial dynamics that seem to play a significant role in the pathogenesis of other more common neurodegenerative diseases.
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Abbreviations
- CMT:
-
Charcot–Marie–Tooth disease
- MCNV:
-
Motor nerve conduction velocity
- MNs:
-
Motor neurons
- SNs:
-
Sensory neurons
- IPSCs:
-
Induced pluripotent stem cells
- ASO:
-
Antisense oligonucleotide
- RNAi:
-
RNA interference
- CRISPR:
-
Clustered regularly interspersed short palindromic repeats
- Cas9:
-
Caspase 9
- KO:
-
Knockout
References
Züchner S, Mersiyanova IV, Muglia M, Bissar-Tadmouri N, Rochelle J, Dadali EL, Zappia M, Nelis E et al (2004) Mutations in the mitochondrial GTPase mitofusin 2 cause Charcot-Marie-Tooth neuropathy type 2A. Nat Genet 36(5):449–451
Stuppia G, Rizzo F, Riboldi G, Del Bo R, Nizzardo M, Simone C et al (2015) MFN2-related neuropathies: clinical features, molecular pathogenesis and therapeutic perspectives. J Neurol Sci 356(1–2):7–18. Available from: https://doi.org/10.1016/j.jns.2015.05.033
Braathen GJ, Sand JC, Lobato A, Høyer H, Russell MB (2011) Genetic epidemiology of Charcot-Marie-Tooth in the general population. Eur J Neurol 18(1):39–48
Barreto LCLS, Oliveira FS, Nunes PS, De França Costa IMP, Garcez CA, Goes GM et al (2016) Epidemiologic study of Charcot-Marie-Tooth disease: a systematic review. Neuroepidemiology 46(3):157–165
Bergamin G, Boaretto F, Briani C, Pegoraro E, Cacciavillani M, Martinuzzi A, Muglia M, Vettori A et al (2014) Mutation analysis of MFN2, GJB1, MPZ and PMP22 in Italian patients with axonal Charcot-Marie-Tooth disease. NeuroMolecular Med 16(3):540–550
Verhoeven K, Claeys KG, Züchner S, Schröder JM, Weis J, Ceuterick C et al (2006) MFN2 mutation distribution and genotype/phenotype correlation in Charcot-Marie-Tooth type 2. Brain 129(8):2093–2102
Feely SME, Laura M, Siskind CE, Sottile S, Davis M, Gibbons VS, Reilly MM, Shy ME (2011) MFN2 mutations cause severe phenotypes in most patients with CMT2A. Neurology 76(20):1690–1696
Piscosquito G, Saveri P, Magri S, Ciano C, Di Bella D, Milani M et al (2015) Mutational mechanisms in MFN2 -related neuropathy: compound heterozygosity for recessive and semidominant mutations. J Peripher Nerv Syst 20(4):380–386
Nicholson GA, Magdelaine C, Zhu D, Grew S, Ryan MM, Sturtz F, Vallat JM, Ouvrier RA (2008) Severe early-onset axonal neuropathy with homozygous and compound heterozygous MFN2 mutations. Neurology 70:1678–1681
Polke JM, Laura M, Pareyson D, Taroni F, Milani M, Bergamin G, Gibbons VS, Houlden H et al (2011) Recessive axonal Charcot-Marie-Tooth disease due to compound heterozygous mitofusin 2 mutations. Neurology 77:168–173
Tan CA, Rabideau M, Blevins A, Westbrook MJ, Ekstein T, Nykamp K, Deucher A, Harper A et al (2016) Autosomal recessive MFN2-related Charcot-Marie-Tooth disease with diaphragmatic weakness: case report and literature review. Am J Med Genet 170(6):1580–1584
Zhu D, Kennerson ML, Walizada G, Vance JM, Nicholson GA (2005) Charcot-Marie-Tooth with pyramidal signs is genetically heterogeneous: families with and without MFN2 mutations. Neurology 65:496–497
Züchner S, De Jonghe P, Jordanova A, Claeys KG, Guergueltcheva V, Cherninkova S et al (2006) Axonal neuropathy with optic atrophy is caused by mutations in mitofusin 2. Ann Neurol 59(2):276–281
Filadi R, Pendin D, Pizzo P (2018) Mitofusin 2: from functions to disease. Cell Death Dis 9(3). Available from: https://doi.org/10.1038/s41419-017-0023-6
Chandhok G, Lazarou M, Neumann B (2017) Structure, function, and regulation of mitofusin-2 in health and disease. Biol Rev 61
El Fissi N, Rojo M, Aouane A, Karatas E, Poliacikova G, David C, Royet J, Rival T (2018) Mitofusin gain and loss of function drive pathogenesis in Drosophila models of CMT2A neuropathy. EMBO Rep 19:e45241. Available from: https://doi.org/10.15252/embr.201745241
Bombelli F, Stojkovic T, Dubourg O, Echaniz-Laguna A, Tardieu S, Larcher K, Amati-Bonneau P, Latour P et al (2014) Charcot-Marie-Tooth disease type 2A from typical to rare phenotypic and genotypic features. JAMA Neurol 71:1036–1042
Lawson VH, Graham BV, Flanigan KM (2005) Clinical and electrophysiologic features of CMT2A with mutations in the mitofusin 2 gene. Neurology 65(2):197–204
Takahashi K, Yamanaka S (2006) Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell 126(4):663–676
Saporta MA, Dang V, Volfson D, Zou B, Xie XS, Adebola A et al (2015) Axonal Charcot-Marie-Tooth disease patient-derived motor neurons demonstrate disease-specific phenotypes including abnormal electrophysiological properties. Exp Neurol 263:190–199
Rizzo F, Ronchi D, Salani S, Nizzardo M, Fortunato F, Bordoni A, Stuppia G, del Bo R et al (2016) Selective mitochondrial depletion, apoptosis resistance, and increased mitophagy in human Charcot-Marie-Tooth 2A motor neurons. Hum Mol Genet 25(19):4266–4281
Cartoni R, Arnaud E, Médard JJ, Poirot O, Courvoisier DS, Chrast R, Martinou JC (2010) Expression of mitofusin 2R94Q in a transgenic mouse leads to Charcot-Marie-Tooth neuropathy type 2A. Brain. 133(5):1460–1469
Bannerman P, Burns T, Xu J, Miers L, Pleasure D (2016) Mice hemizygous for a pathogenic mitofusin- 2 allele exhibit hind limb/foot gait deficits and phenotypic perturbations in nerve and muscle. PLoS One 11(12):17–22
Chen H, Detmer SA, Ewald AJ, Griffin EE, Fraser SE, Chan DC (2003) Mitofusins Mfn1 and Mfn2 coordinately regulate mitochondrial fusion and are essential for embryonic development. J Cell Biol 160(2):189–200
Misko A, Jiang S, Wegorzewska I, Milbrandt J, Baloh RH (2010) Mitofusin 2 is necessary for transport of axonal mitochondria and interacts with the Miro/Milton complex. J Neurosci 30(12):4232–4240. Available from: https://doi.org/10.1523/JNEUROSCI.6248-09.2010
Misko AL, Sasaki Y, Tuck E, Milbrandt J, Baloh RH (2012) Mitofusin2 mutations disrupt axonal mitochondrial positioning and promote axon degeneration. J Neurosci 32(12):4145–4155. Available from: https://doi.org/10.1523/JNEUROSCI.6338-11.2012
Bhandari P, Song M, Chen Y, Burelle Y, Dorn GW II (2014) Mitochondrial contagion induced by parkin deficiency in drosophila hearts and its containment by suppressing mitofusin. Circulation Research 114(2):257–265. Available from: https://doi.org/10.1161/CIRCRESAHA.114.302734
Vettori A, Bergamin G, Moro E, Vazza G, Polo G, Tiso N, Argenton F, Mostacciuolo ML (2011) Developmental defects and neuromuscular alterations due to mitofusin 2 gene (MFN2) silencing in zebrafish: a new model for Charcot-Marie-Tooth type 2A neuropathy. Neuromuscul Disord 21(1):58–67. Available from: https://doi.org/10.1016/j.nmd.2010.09.002
Chapman AL, Bennett EJ, Ramesh TM, De Vos KJ, Grierson AJ (2013) Axonal transport defects in a mitofusin 2 loss of function model of Charcot-Marie-Tooth disease in zebrafish. PLoS One 8(6)
Pareyson D, Saveri P, Pisciotta C (2017) New developments in Charcot–Marie–Tooth neuropathy and related diseases. Curr Opin Neurol 30:471–480
Eldridge CF, Bunge MB, Bunge RP (1989) Differentiation of axon-related Schwann cells in vitro: II. Control of myelin formation by basal lamina. J Neurosci 9(2):625–638
Gess B, Baets J, De Jonghe P, Reilly MM, Pareyson D, Young P (2015) Ascorbic acid for the treatment of Charcot-Marie-Tooth disease ( review ). Cochrane Database Syst Rev (12)
Sereda MW, Meyer Zu Hörste G, Suter U, Uzma N, Nave KA (2003) Therapeutic administration of progesterone antagonist in a model of Charcot-Marie-Tooth disease (CMT-1A). Nat Med 9(12):1533–1537
Chahbouni M, Lòpez MS, Molina-Carballo A, Haro D, Muñoz-Hoyos A, Fernàndez-Ortis M, Guerra-Librero A, Acuna-Castroviejo D (2017) Melatonin treatment reduces oxidative damage and normalizes plasma pro-inflammatory cytokines in patients suffering from Charcot-Marie-Tooth neuropathy: a pilot study in three children. Molecules 22(1728):1-14. Available from: https://doi.org/10.3390/molecules22101728
Smith CA, Chetlin RD, Gutmann L, Yeater RA, Alway SE (2006) Effects of exercise and creatine on myosin heavy chain isoform composition in patients with Charcot-Marie-Tooth disease. Muscle Nerve 34(5):586–594
Franco A, Kitsis RN, Fleischer JA, Gavathiotis E, Kornfeld OS, Gong G, Biris N, Benz A et al (2016) Correcting mitochondrial fusion by manipulating mitofusin conformations. Nature 540(7631):74–79. Available from: https://doi.org/10.1038/nature20156
Rocha AG, Franco A, Krezel AM, Rumsey JM, Alberti JM, Knight WC et al (2018) MFN2 agonists reverse mitochondrial defects in preclinical models of Charcot-Marie-Tooth disease type 2A. Science (80- ) 360(6386):336–341
Mendell JR, Al-Zaidy S, Shell R, Arnold WD, Rodino-Klapac LR, Prior TW et al (2017) Single-dose gene-replacement therapy for spinal muscular atrophy. N Engl J Med 377(18):1713–1722. Available from: https://doi.org/10.1056/NEJMoa1706198
Xu GX, Zhou H, Zhou S, Yu Y, Wu R, Xu Z (2005) An RNAi strategy for treatment of amyotrophic lateral sclerosis caused by mutant Cu,Zn superoxide dismutase. J Neurochem 92(2):362–367
Rinaldi C, Wood MJA (2017) Antisense oligonucleotides: the next frontier for treatment of neurological disorders. Nat Rev Neurol. Available from: https://doi.org/10.1038/nrneurol.2017.148.
Herrmann DN (2008) Experimental therapeutics in hereditary neuropathies: the past, the present, and the future. Neurotherapeutics. 5(4):507–515
Hoy SM (2017) Nusinersen: first global approval. Drugs. 77(4):473–479
Voelker R (2016) First DMD drug gains approval. JAMA 316(17):1756
Deng Y, Wang CC, Choy KW, Du Q, Chen J, Wang Q et al (2014) Therapeutic potentials of gene silencing by RNA interference: principles, challenges, and new strategies. Gene 538(2):217–227
Aagaard L, Rossi JJ (2007) RNAi therapeutics: principles, prospects and challenges. Adv Drug Deliv Rev 59(2–3):75–86
Lam JKW, Chow MYT, Zhang Y, Leung SWS (2015) siRNA versus miRNA as therapeutics for gene silencing. Mol Ther - Nucleic Acids 4(9):1–20
Cong L, Ran FA, Cox D, Lin S, Barretto R, Habib N, Hsu PD, Wu X, Jiang W, Marraffini LA, Zhang F (2013) Multiplex genome engineering using CRISPR/Cas systems. Science 339(6121):819-823. Available from: https://doi.org/10.1126/science.1231143
Zhan T, Rindtorff N, Betge J, Ebert MP, Boutros M (2018) CRISPR/Cas9 for cancer research and therapy. Semin Cancer Biol. Available from: https://doi.org/10.1016/j.semcancer.2018.04.001
Zhang XH, Tee LY, Wang XG, Huang QS, Yang SH (2015) Off-target effects in CRISPR/Cas9-mediated genome engineering. Mol Ther - Nucleic Acids 4(11):e264. Available from: https://doi.org/10.1038/mtna.2015.37
Liao HK, Hatanaka F, Araoka T, Reddy P, Wu MZ, Sui Y et al (2017) In vivo target gene activation via CRISPR/Cas9-mediated trans-epigenetic modulation. Cell 171(7):1495–1507.e15
Baylis F, McLeod M (2017) First-in-human phase 1 CRISPR gene editing cancer trials: are we ready? Curr Gene Ther 17:309–319. Available from: https://doi.org/10.2174/1566523217666171121165935
Joshi CR, Labhasetwar V, Ghorpade A (2017) Destination brain: The past, present, and future of therapeutic gene delivery. J NeuroImmune Pharmacol 12(1):51–83
DeVos SL, Miller T (2013) Direct intraventricular delivery of drugs to the rodent central nervous system. J Vis Exp.75:e50326. Available from: https://doi.org/10.3791/50326
Weinberg MS, Samulski RJ, McCown TJ (2013) Adeno-associated virus (AAV) gene therapy for neurological disease. Neuropharmacology 69:82–88. Available from: https://doi.org/10.1016/j.neuropharm.2012.03.004
Klein RL, Dayton RD, Leidenheimer NJ, Jansen K, Golde TE, Zweig RM (2006) Efficient neuronal gene transfer with AAV8 leads to neurotoxic levels of tau or green fluorescent proteins. Mol Ther 13(3):517–527. Available from: https://doi.org/10.1016/j.ymthe.2005.10.008
Markakis EA, Vives KP, Bober J, Leichtle S, Leranth C, Beecham J, Elsworth JD, Roth RH et al (2010) Comparative transduction efficiency of AAV vector serotypes 1-6 in the substantia nigra and striatum of the primate brain. Mol Ther 18(3):588–593. Available from: https://doi.org/10.1038/mt.2009.286
Hadaczek P, Forsayeth J, Mirek H, Munson K, Bringas J, Pivirotto P, McBride JL, Davidson BL, Bankiewicz KS (2009) Transduction of nonhuman primate brain with adeno-associated virus serotype 1: vector trafficking and immune response. Hum Gene Ther 20:225–237
Foust KD, Nurre E, Montgomery CL, Hernandez A, Chan CM, Kaspar BK (2009) Intravascular AAV9 preferentially targets neonatal neurons and adult astrocytes. Nat Biotechnol 27(1):59–65
Foust KD, Salazar DL, Likhite S, Ferraiuolo L, Ditsworth D, Ilieva H, Meyer K, Schmelzer L, Braun L, Cleveland DW, Kaspar BK (2013) Therapeutic AAV9-mediated suppression of mutant SOD1 slows disease progression and extends survival in models of inherited ALS. Molecular Therapy 21(12):2148–2159. Available from: https://doi.org/10.1038/mt.2013.211
Meyer K, Ferraiuolo L, Schmelzer L, Braun L, Mcgovern V, Likhite S et al (2015) Improving single injection CSF delivery of AAV9-mediated gene therapy for SMA: a dose–response study in mice and nonhuman primates. Mol Ther 23(3):477–487. Available from: https://doi.org/10.1038/mt.2014.210
Miyanohara A, Kamizato K, Juhas S, Juhasova J, Navarro M, Marsala S et al (2016) Potent spinal parenchymal AAV9-mediated gene delivery by subpial injection in adult rats and pigs. Mol Ther - Methods Clin Dev 3:16046. Available from: https://doi.org/10.1038/mtm.2016.46
Ameri H (2018) Prospect of retinal gene therapy following commercialization of voretigene neparvovec-rzyl for retinal dystrophy mediated by RPE65 mutation. J Curr Ophthalmol 30(1):1–2. Available from: https://doi.org/10.1016/j.joco.2018.01.006
Nizzardo M, Simone C, Rizzo F, Salani S, Dametti S, Rinchetti P et al (2015) Gene therapy rescues disease phenotype in a spinal muscular atrophy with respiratory distress type 1 (SMARD1) mouse model. Sci Adv 1(2):1–10
Johnson-Kerner BL, Roth L, Greene JP, Wichterle H, Sproule DM (2014) Giant axonal neuropathy: An updated perspective on its pathology and pathogenesis. Muscle Nerve 50(4):467–476
Sahenk Z, Nagaraja HN, McCracken BS, King WM, Freimer ML, Cedarbaum JM et al (2005) NT-3 promotes nerve regeneration and sensory improvement in CMT1A mouse models and in patients. Neurology. 65(5):681–689
Flax JD, Aurora S, Yang C, Simonin C, Wills AM, Billinghurst LL, Jendoubi M, Sidman RL et al (1998) Engraftable human neural stem cells respond to development cues, replace neurons, and express foreign genes. Nat Biotechnol 16(11):1033–1039
Corti S, Locatelli F, Papadimitriou D, Donadoni C, Del Bo R, Crimi M et al (2006) Transplanted ALDHhiSSCloneural stem cells generate motor neurons and delay disease progression of nmd mice, an animal model of SMARD1. Hum Mol Genet 15(2):167–187
Nizzardo M, Bucchia M, Ramirez A, Trombetta E, Bresolin N, Comi GP et al (2015) iPSC-derived LewisX+CXCR4+β1-integrin+ neural stem cells improve the amyotrophic lateral sclerosis phenotype by preserving motor neurons and muscle innervation in human and rodent models. Hum Mol Genet 25(15):3152–3163
Yang YM, Gupta SK, Kim KJ, Powers BE, Cerqueira A, Wainger BJ, Ngo HD, Rosowski KA et al (2013) A small molecule screen in stem-cell-derived motor neurons identifies a kinase inhibitor as a candidate therapeutic for ALS. Cell Stem Cell 12(6):713–726. Available from: https://doi.org/10.1016/j.stem.2013.04.003
Simone C, Nizzardo M, Rizzo F, Ruggieri M, Riboldi G, Salani S, Bucchia M, Bresolin N et al (2014) IPSC-derived neural stem cells act via kinase inhibition to exert neuroprotective effects in spinal muscular atrophy with respiratory distress type 1. Stem Cell Reports 3(2):297–311. Available from: https://doi.org/10.1016/j.stemcr.2014.06.004
Leal A, Ichim TE, Marleau AM, Lara F, Kaushal S, Riordan NH (2008) Immune effects of mesenchymal stem cells: Implications for Charcot-Marie-Tooth disease. Cell Immunol 253(1–2):11–15
Kimbrel EA, Lanza R (2015) Current status of pluripotent stem cells: moving the first therapies to the clinic. Nat Rev Drug Discov 14(10):681–692. Available from: https://doi.org/10.1038/nrd4738
Shi Y, Inoue H, Wu JC, Yamanaka S (2017) Induced pluripotent stem cell technology: a decade of progress. Nat Rev Drug Discov 16(2):115–130. Available from: https://doi.org/10.1038/nrd.2016.245
Murphy SM, Herrmann DN, McDermott MP, Scherer SS, Shy ME, Reilly MM et al (2011) Reliability of the CMT neuropathy score (second version) in Charcot-Marie-Tooth disease. J Peripher Nerv Syst 16(3):191–198
Cornett KMD, Menezes MP, Shy RR, Moroni I, Pagliano E, Pareyson D, Estilow T, Yum SW et al (2017) Natural history of Charcot-Marie-Tooth disease during childhood. Ann Neurol 82(3):353–359
Fledrich R, Mannil M, Leha A, Ehbrecht C, Solari A, Pelayo-Negro AL, Berciano J, Schlotter-Weigel B et al (2017) Biomarkers predict outcome in Charcot-Marie-Tooth disease 1A. J Neurol Neurosurg Psychiatry 88(11):941–952
Acknowledgements
We thank Associazione Progetto Mitofusina 2 Onlus and Associazione Amici del Centro Dino Ferrari for their support.
Funding
This study is supported by grant “Ricerca Corrente 2019: Analisi dei pathway molecolari condivisi coinvolti nella patogenesi delle malattie neurodegenerative mediante modelli in vitro basati su cellule staminali” from the Italian Ministry of Health.
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Barbullushi, K., Abati, E., Rizzo, F. et al. Disease Modeling and Therapeutic Strategies in CMT2A: State of the Art. Mol Neurobiol 56, 6460–6471 (2019). https://doi.org/10.1007/s12035-019-1533-2
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DOI: https://doi.org/10.1007/s12035-019-1533-2