USPatent applicationPatented

Methods and compositions for regulating RNA import into mitochondria

Granted 19 Jan 2016 · 3 office actions

Life of the application

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Abstract

Disclosed herein are methods of manipulating the processing, targeting, and/or internalization of a nucleic acid molecule. Also disclosed are recombinant and/or isolated nucleic acid molecules having a first nucleic acid sequence, which is a wild-type sequence or an altered sequence, directly or indirectly linked to a second nucleic acid sequence which is a mitochondria localization sequence, an RNA import sequence, or a combination thereof, and methods of using thereof.

Description

51 parts
›CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. Patent Application Ser. No. 61/481,890, filed 3 May 2011, and U.S. Patent Application Ser. No. 61/577,300, filed 19 Dec. 2011, both of which are herein incorporated by reference in their entirety.

›ACKNOWLEDGEMENT OF GOVERNMENT SUPPORT

This invention was made with Government support of Grant No. CA107300 and GM073981, awarded by the National Institutes of Health. The Government has certain rights in the invention.

›REFERENCE TO A SEQUENCE LISTING SUBMITTED VIA EFS-WEB

The content of the ASCII text file of the sequence listing named “20120503 — 034044 — 087_ST25” which is 8.6 kb in size was created on 6 Mar. 2012 and electronically submitted via EFS-Web herewith the application is incorporated herein by reference in its entirety.

›BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates generally to targeting nucleic acid molecules and mitochondrial diseases and disorders.

2. Description of the Related Art

RNA import into mammalian mitochondria is considered essential for replication, transcription, and translation of the mitochondrial genome and mutations in the human mitochondrial genome are implicated in a plethora of human conditions, such as neurodegenerative and cardiovascular diseases, muscular disorders, and the process of aging. See e.g. Wallace (1994) PNAS USA 91: 8739-8746; and Kyriakouli et al. (2008) Gene Ther 15: 1017-1023. Unfortunately, RNA import pathways and factors that control RNA import are poorly understood. In addition, the in vivo rescue of function in mitochondria with mt-tRNA mutations has proven challenging (Alfonzo & Soll (2009) Biol Chem 390: 717-722). Thus, prior art methods of rescuing mitochondrial function due to defects in mitochondrial genomes have been restricted to correcting the defects by using foreign protein factors or large multi-subunit aggregates to introduce non-native tRNAs into cells, and these methods have low efficiency and poor reproducibility in disease-relevant settings. See e.g. Kolesnikova et al. (2004) Hum Mol Genet 13: 2519-2534; Mahata et al. (2006) Science 314: 471-474; and Kolesnikova et al. (2000) Science 289: 1931-1933.

Consequently, a need exists for methods and compositions for treating deleterious mitochondrial DNA (mtDNA) alterations.

›SUMMARY OF THE INVENTION · 1 of 2

The present invention provides a recombinant and/or isolated nucleic acid molecule which comprises, consists essentially of, or consists of a first nucleic acid sequence which may be a wild-type sequence (of a gene or a fragment or complement thereof) or an altered sequence, i.e. a wild-type sequence having one or more mutations, substitutions, and/or deletions (e.g. tRNA with an altered tRNA aminocyl stem) directly or indirectly linked to a second nucleic acid sequence selected from the group consisting of: (1) a mitochondria localization sequence, (2) an RNA import sequence, or (3) a combination thereof. As used herein, the term “recombinant” is used to indicate that the nucleic acid molecule has been engineered using recombinant techniques to combine the first nucleic acid sequence and the second nucleic acid sequence into one contiguous sequence. The first and second nucleic acid sequences may be directly linked (which means that there are no intervening bases between the sequences) or indirectly linked (which means that there may be one or more bases between the sequences). As used herein, the term “isolated” refers to a nucleic acid molecule that is in an environment that is different from its native environment in which the nucleic acid molecule naturally occurs. Isolated nucleic acid molecules include those having nucleotides or other molecules flanking at least one end that is not native to the given nucleic acid molecule. For example, nucleic acid molecule A, as it is found in nature, has sequence B at its 5′ end and sequence C at its 3′ end. When nucleic acid molecule A does not have sequence B at its 5′ end and/or sequence C at its 3′ end, it is considered to be “isolated”. As used herein, references to nucleic acid molecules, bases and nucleotides include RNA molecules, bases and ribonucleotides. As used herein, an “altered tRNA aminoacyl stem” refers to a tRNA aminoacyl stem that has been elongated and/or modified such that the bases form base pairs rather than a bubble due to unmatched bases. In some embodiments, the RNA import sequence is selected from the group consisting of: (a) SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:38, SEQ ID NO:39, and complementary sequences thereto; (b) sequences having about 15-30 nucleotides and about 95-99%, preferably 96-99%, more preferably 97-99%, most preferably 98-99%, sequence identity to SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:38, SEQ ID NO:39, and complementary sequences thereto; and (c) sequences which are about 15-30 nucleotides long and comprise SEQ ID NO:39 or its complement, and wherein the sequences are capable of forming a single stem-loop. In some embodiments, the mitochondrial localization sequence is mammalian. In some embodiments, the mitochondrial localization sequence has 80-100%, preferably 85-100%, more preferably 90-100%, even more preferably 95-100%, or most preferably 97-100%, sequence identity to SEQ ID NO:34 or its complement. A first sequence having a given percent (%) sequence identity with respect to a second sequence is defined as the percentage of amino acid residues (or nucleotide bases) in the first sequence that are identical with the amino acid residues (or nucleotide bases) in the second sequence, after aligning the first and second sequences and introducing gaps, if necessary, to achieve the maximum percent sequence identity, and not considering any conservative substitutions as part of the sequence identity. Alignment for purposes of determining percent amino acid sequence identity can be achieved in various ways that are within the skill in the art, for instance, using publicly available computer software such as ALIGN, ALIGN-2, Megalign (DNASTAR) or BLAST (e.g., Blast, Blast-2, WU-Blast-2) software. Those skilled in the art can determine appropriate parameters for measuring alignment, including any algorithms needed to achieve maximal alignment over the full length of the sequences being compared. For example, the % identity values used herein are generated using WU-BLAST-2 (Altschul et al., Methods in Enzymology 266: 460-480 (1996). Most of the WU-BLAST-2 search parameters are set to the default values. For purposes herein, the default parameters of the BLAST alignment tools available online at blast.ncbi.nlm.nih.gov/Blast.cgi were used. In some embodiments, the altered tRNA aminoacyl stem has a sequence that is substantially similar to a wild-type aminoacyl stem or its complement but contains nucleotide substitutions and/or additions which result in nucleotide pairing along the tRNA aminoacyl stem. As used herein, the term “wild-type sequence” refers to a gene or fragment thereof that is most frequently observed in a population and is thus arbitrarily designed the “normal” or “wild-type” form. In contrast, the terms “modified”, “mutant”, or “altered” sequence is one that has one or more substitutions, mutations, alterations, deletions or changes in the sequence and/or its functional characteristics as compared to the corresponding wild-type sequence. It is noted that naturally-occurring mutants can be isolated; these are identified by the fact that they have altered characteristics when compared to the wild-type sequence. As used herein, the term “gene” refers to a nucleic acid (e.g. RNA, DNA) sequence that comprises coding sequences necessary for the downstream production of a product such as a protein. In some embodiments, the first nucleic acid sequence and the second nucleic acid sequence are not natively associated with each other. In other words, the combination of the first and second nucleic acid sequences do not naturally occur operably linked to each other in nature.

In some embodiments, the present invention provides a method of manipulating the processing, targeting, and/or internalization of a nucleic acid molecule which comprises, consists essentially of, or consists of one or more of the following steps: altering its nucleic acid sequence to thereby enable the nucleic acid molecule to escape the nucleus of a cell without being processed, or prevent it from being targeted to a location other than mitochondria; providing a mitochondria localization sequence that is directly or indirectly linked to the nucleic acid molecule to thereby cause the nucleic acid molecule to localize in the proximity of a mitochondrion; and providing an RNA import sequence that is directly or indirectly linked to the nucleic acid molecule to thereby cause the nucleic acid molecule to be internalized by a mitochondrion. In these embodiments, the nucleic acid molecule may be the first nucleic acid sequence as set forth above and the sequence that is linked thereto may be the second sequence as set forth above in paragraph [14]. In some embodiments, the nucleic acid molecule, i.e. first nucleic acid sequence, is a nucleus-encoded non-coding RNA such as micro-RNA and riboenzyme. In some embodiments, the nucleic acid molecule, i.e. first nucleic acid sequence, is a wild-type sequence of a gene (or fragment thereof) or its complement in the mitochondrial genome of a mammalian subject.

›SUMMARY OF THE INVENTION · 2 of 2

In some embodiments, the present invention provides a method of treating a mitochondrial disease caused by a mutation in a gene or its complement in the mitochondrial genome of a mammalian subject which comprises, consists essentially of, or consists of administering to the subject a recombinant and/or isolated nucleic acid molecule of the present invention, i.e. one which comprises, consists essentially of, or consists of a first nucleic acid sequence, which may be a wild-type or an altered sequence, directly or indirectly linked to a second nucleic acid sequence selected from the group consisting of: (1) a mitochondria localization sequence, (2) an RNA import sequence, or (3 a combination thereof, wherein the first nucleic acid sequence is the wild-type sequence of the gene or its complement. In some embodiments, the mitochondrial disease is myoclonic epilepsy with ragged red fibers (MERRF) or mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS).

The present invention also provides vectors and host cells which comprise, consist essentially of, or consist of a recombinant and/or isolated nucleic acid molecule of the present invention.

According to the present invention, the first nucleic acid sequence may be DNA or RNA. Similarly, in some embodiments, the RNA import sequence and/or the mitochondria localization sequence may be in their DNA form, e.g. in the case of the vector form of the recombinant nucleic acid molecule. In some embodiments, the recombinant nucleic acid molecule is a DNA:RNA hybrid.

Both the foregoing general description and the following detailed description are exemplary and explanatory only and are intended to provide further explanation of the invention as claimed. The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute part of this specification, illustrate several embodiments of the invention, and together with the description serve to explain the principles of the invention.

›DESCRIPTION OF THE DRAWINGS · 1 of 4

This invention is further understood by reference to the drawings wherein:

FIGS. 1A-1D show that PNPASE assembles into a trimeric complex. FIG. 1A is an immunoblot showing that the PNPASE-HisPC retroviral construct was stably expressed in HEK293 cells. FIG. 1B is a gel showing purified PNPASE-HisPC isolated from HEK293 cell mitochondria. FIG. 1C is an immunoblot showing PNPASE in a complex of about 240 kDa when expressed in yeast. FIG. 1D is an immunoblot showing PNPASE-HisPC assembles into the same complex as endogenous PNPASE in HEK293 cells.

FIGS. 2A-2C schematically show the recombinant strategy for disrupting the Pnpt1 gene. FIG. 2A schematically shows the targeting construct which encodes PNPASE. The targeting construct was generated using two loxP sites (triangles) flanking exon 2 of the mouse Pnpt1 gene. Between exon 2 and the 3′ loxP site, a PGK-NEO selection cassette was inserted into intron 2. Exon 2 and the PGK-NEO cassette were deleted by backcrossing the mice with CMV CRE or Alb CRE (Albumin promoter) deleting strains (C57BL/6). Excision of the 35 by exon 2 sequence generates a Pnpt1 mRNA that translates out-of-frame with multiple downstream stop codons in exons 3, 4, and 6. S=SnaB1. FIG. 2B shows a PCR genotyping schematic (left) and a PCR agarose gel (right) of wild type (WT) and loxP flanked Pnpt1 exon 2 (neo-flox) genomic tail DNA. FIG. 2C shows a PCR genotyping schematic (left) and a touch-down PCR agarose gel (right) of liver genomic DNA from Alb CRE/WT /Pnpt1 neo-flox/neo-flox ×Alb WT/WT /Pnpt1 neo-flox/neo-flox breeding to generate hepatocyte-specific Pnpt1 HepKO (HepKO) mice.

FIG. 3A-3F evidence that excision of Pnpt1 exon 2 generates truncated PNPASE transcript in HepKO liver cells and mouse embryonic fibroblasts (MEFs). FIG. 3A is an RT-PCR schematic for excision of the Pnpt1 exon 2 by hepatocyte-specific Alb CRE . FIG. 3B is an agarose RT-PCR gel showing WT and HepKO Pnpt1 (KO) RNA transcripts. The age of sex matched littermate mice in weeks is listed above the genotype for each lane. FIG. 3C shows the RNA sequences (listed as DNA) isolated from week 15 (SEQ ID NO:1) and week 7.3 (SEQ ID NO:2) HepKO mouse livers (arrows in FIG. 3B ) and the first of many predicted stop codons in Pnpt1 exon 3 (boxed). FIG. 3D is an RT-PCR schematic for excision of the Pnpt1 exon 2 by a CMV CRE expressing retrovirus. FIG. 3E is an agarose RT-PCR gel showing MEFs with loxP flanked Pnpt1 exon 2 (Flox) and MEFs infected with CMV CRE retrovirus (KO-1, KO-2) analyzed for Pnpt1 RNA transcripts. FIG. 3F shows the RNA sequences isolated from KO-1 (SEQ ID NO:3) and KO-2 (SEQ ID NO:4) MEFs (the bands with the arrows in FIG. 3E ) and the first of many predicted stop codons in Pnpt1 exon 3 (boxed).

FIGS. 4A-4E evidence that deletion of Pnpt1 in hepatocytes impairs mitochondrial function. FIG. 4A shows the breeding strategy and results for generating a PNPASE KO mouse. FIG. 4B shows hepatocyte-specific Pnpt1 KO (HepKO) expression in 4-week old mice. Top: QPCR for liver Pnpt1 expression using an exon 2-exon 3 primer pair versus a primer pair within exon 28. Bottom: PNPASE immunoblot from 4-week old WT and HepKO mouse livers. FIG. 4C shows that HepKO mitochondria have altered cristae. Left: TEM micrographs of 6-week old littermate livers shows circular, smooth HepKO IM cristae in contrast to linear, stacked cristae of WT mitochondria. Right: Analysis of cristae morphology in which a single normal cristae within a mitochondrion was scored as normal. Indet=indeterminate. FIG. 4D shows decreased respiration in isolated HepKO mitochondria. Respiratory activities are shown normalized to citrate synthase (CS) activity. FIG. 4E shows decreased mature mtRNAs in HEK293 cells with RNAi to PNPT1.

FIGS. 5A-5D show that HepKO liver mitochondria do not efficiently process mtRNA precursors. FIG. 5A is a gel of proteins translated from mtRNAs of HepKO liver cells in organello. WT and HepKO mitochondria (100 μg) were treated with micrococcal nuclease S7, and in organello translation was performed using [ 35 S]-MET. The TOM40 immunoblot shows equivalent mitochondria in each assay. FIG. 5B schematically shows the RT-PCR primers and expected fragments. FIG. 5C shows a Northern blot of mtRNA from WT and HepKO mouse liver mitochondria using a Cox1 or Cox3 DNA probe. * marks larger precursor mtRNAs and the arrow shows the mature mtRNA. FIG. 5D is a blot showing the steady-state expression of nuclear (TOM40, MORTALIN, TIM23, and BAP37) and mitochondrial (COX3 and ND6) encoded proteins in WT and HepKO liver mitochondria.

FIG. 6A-6B show mtRNA processing is impaired in PNPASE KO MEFs. FIG. 6A (lower) is a gel showing RNA isolated from WT and PNPASE KO MEF mitochondria following DNase I treatment. RT-PCR was performed for Cox1 and Cox2 with primers highlighted in the schematic (upper) and separated on a 1.5% agarose gel. As a control, samples treated with DNase I followed by RT-PCR verified that DNA was not amplified in the PCR reaction (data not shown). FIG. 6B (lower) shows the Atp8/6 and Cox2 mtRNA transcripts using the same approach as in FIG. 6A with distinct primer pairs for Atp8/6. * is a non-specific band.

FIGS. 7A-7D show that RNase P RNA binds to PNPASE and may function in PNPASE-dependent tRNA processing. FIG. 7A (left) is a gel showing RNase P RNA isolated from WT and HepKO liver mitochondria following nuclease treatment. RT-PCR was performed with primers that amplify nuclear-encoded RNase P RNA (212-bp). FIG. 7A (right) shows QPCR analysis of RNase P RNA expression relative to TOM40 protein in isolated mitochondria. FIG. 7B are gels showing PNPASE-HisPC (PNP) or TIM23-HisPC (TIM23) purified from stably-transfected HEK293 cells. Candidate interacting RNAs that co-purified in the final eluate with PNPASE-HisPC and TIM23-HisPC were identified by primer-specific RT-PCR. T is the total lysate (0.3% of the reaction) before mitochondrial purification and B is the bound fraction. Note that only RNase P RNA bound to PNPASE-HisPC (lane 4). FIG. 7C shows RNA dependent RNase P RNase activity is involved in processing of abutted tRNA precursors. Single tRNA precursors or abutted tRNA precursors were incubated with mitoplast extract (10 μg) of WT liver mitochondria treated with Nuclease or without the treatment. A MORTALIN immunoblot shows equivalent mitoplast extract in each assay. FIG. 7D shows the processing of abutted tRNA precursors is less efficient by mitoplast extract of HepKO liver mitochondria. The enzymatic assay was performed as described for FIG. 7C .

›DESCRIPTION OF THE DRAWINGS · 2 of 4

FIGS. 8A-8B show that PNPASE binds RNase P and MRP RNAs and affects the processing of linked tRNAs in vivo. FIG. 8A are gels showing that PNPASE-HisPC, but not TIM23-HisPC, bound in vitro transcribed and imported RNase P and MRP RNAs, but not control mitochondrial RNA, in cross-linking IP assays. Briefly, radiolabeled RNA substrates were incubated with mitochondria containing PNPASE-HisPC. The samples were UV-crosslinked and PNPASE-HisPC purified using Ni-NTA bead (Qiagen, Valencia, Calif.). FIG. 8B are gels showing that the in vivo processing and separation of an endogenous paired tRNA his tRNA ser substrate was inhibited in HepKO compared to WT liver mitochondria, whereas a linked 12s rRNA-tRNA val substrate was processed equivalently.

FIGS. 9A-9D show that added human PNPASE does not alter yeast physiology. FIG. 9A is an immunoblot showing human PNPT1 encoding PNPASE was expressed in S. cerevisiae under the control of the CUP1 promoter (PNP) using methods known in the art. See Rainey et al. (2006) Mol Cell Biol 26:8488-8497. Yeast were also transduced with an empty vector control (Vec). Anti-PNPASE antibody and an anti-PORIN antibody were used show the expression of PNPASE and equal loading of mitochondria. FIG. 9B are pictures showing that the mitochondrial morphology of control and PNPASE-expressing yeast strains was visually equivalent, as determined by MitoTracker Red staining (Invitrogen brand of Life Technologies, Carlsbad, Calif.). FIG. 9C is a graph showing the growth kinetics, determined over a 10-hr time period, of PNPASE-expressing and control yeast strains diluted to an OD 600 of 0.1. FIG. 9D graphically shows the viability, by a standard colony survival assay, over 5 days of PNPASE-expressing and control yeast strains.

FIGS. 10A-10D show that PNPASE augments RNase P, 5S rRNA, and MRP RNA import into yeast mitochondria. FIG. 10A (upper) is a gel showing in vitro transcribed human RNase P RNA incubated with yeast mitochondria expressing human PNPT1 (PNP) or an empty vector (Vec) control. Non-imported RNA was digested with nuclease and the imported RNA was detected by RT-PCR. PNPT1-expressing mitochondria without added RNase P RNA was included as a specificity control for import and RT-PCR (lane 2—Std, 1% of the reaction). FIG. 10A (lower) is an immunoblot showing a control having equivalent total mitochondrial nucleic acid in each reaction. FIG. 10B (upper) is a gel showing, as in FIG. 9A , cytosolic human GAPDH RNA used as a substrate, (middle) is an immunoblot showing a control having equivalent total mitochondrial nucleic acid in each reaction, and (lower) is a Western blot showing PNPASE and PORIN expression having equivalent mitochondria in each import assay. FIG. 10C shows RNase P RNA is imported into mitochondrial matrix. Mitochondria were subjected to osmotic shock, fractionated by centrifugation into soluble (S) and pellet (P) fractions, followed by proteinase K and nuclease additions where indicated. The pellet fraction was solubilized with Triton X-100 to expose the matrix. Localization was determined by RT-PCR for RNase P RNA and immunoblot for KDH (matrix) and cyt b 2 (IMS) proteins. FIG. 10D (upper) shows radiolabeled RNase P, MRP, 5S rRNA, and GAPDH human RNAs which were in vitro transcribed and then incubated with yeast mitochondria expressing PNPASE or an empty vector control. Non-imported RNA was digested with nuclease, followed by RNA isolation, separation on a urea acrylamide gel, and autoradiography. Import reactions were repeated with 1× and 2× amounts of RNA, and (lower) a control showing equivalent total mitochondrial nucleic acid in each reaction. FIG. 10E (upper) is an immunoblot showing, as in FIG. 10A , RNase P RNA except that the mitochondrial membrane potential (Δψ) was dissipated prior to import, and (lower) a control showing equivalent total mitochondrial nucleic acid in each reaction.

FIGS. 11A-11C show that PNPASE mutations that inactivate RNA processing do not affect RNA import or stability. FIG. 11A (upper) shows a schematic for the positions of point mutations made in the PNPASE protein. Listed are the in vitro effects of mutations on 3′ polymerase and RNA degrading activities as reported by Portnoy et al. (2008) RNA 14: 297-309. FIG. 11A (middle) shows an immunoblot of import reactions performed as in FIG. 10A . Radiolabeled RNase P RNA was incubated with isolated yeast mitochondria expressing an empty vector or the listed PNPASE constructs. FIG. 11A (lower) shows the PNPASE mutants were expressed at the similar level as the wild-type PNPASE and also assembled into same size complex in yeast. A PORIN immunoblot confirms the co-localization of PNPASE WT and mutants in yeast mitochondria. The assembly state of WT and point mutant PNPASE was determined by solubilization with 1% digitonin and separation on a 6-16% BN gel, followed by PNPASE immunoblot. FIG. 11B (upper) show gels of WT and S484A PNPASE purified from yeast mitochondria using immunoprecipitation. FIG. 11B (lower) show gels of WT or S484A mutant PNPASE was incubated with radiolabeled RNase P RNA for 10 min at 25° C. to assess degradation activity. The asterisk marks degradation products. FIG. 11 C (left) is a gel showing the stability of RNase P RNA imported into mitochondria. FIG. 11C (right) graphically shows the amount of remaining RNase P RNA corresponding to the time after import; n=3.

FIGS. 12A-12G show that a stem-loop structure mediates PNPASE-dependent RNA import. FIG. 12A is a schematic depiction of human RNase P RNA and deletion fragments. FIG. 12B is a gel showing the import of full length RNase P RNA into yeast mitochondria expressing PNPASE (PNP) or control (Vec) vectors. FIG. 12C is a gel showing the import of the indicated RNase P RNA fragments. FIG. 12D is a gel showing the import of RNase P RNA fragments RPf3 and RPf4. FIG. 12E is a gel showing the import of human GAPDH mRNA or GAPDH mRNA with control (CR), MRP RNA, or RNase P (RP) RNA 20 nt sequences (as set forth in FIG. 12F ) fused to the 5′ end. FIG. 12F shows the secondary structures and sequences of mitochondrial RNA targeting signals in RNase P (RP) and MRP (MRP) RNAs. A random sequence (CR) was used as a control (SEQ ID NO:5). As shown, MRP is SEQ ID NO:6 and RNase P (RP) is SEQ ID NO:7. FIG. 12G is a gel showing the tRNA with the RP import sequence interacts with PNPASE during import. Upper panel is a control showing equal amount of RNAs were used. Isolated mitochondria from HEK293 cells stably expressing IMS-localized PNPASE-HisPC or TIM23-HisPC (control) were subjected to incubation with [ 32 P]-CTP labeled CR-tRNA trp or RP-tRNA trp , followed by UV-cross linking, tag-IP, separation by SDS-PAGE, and autoradiography.

›DESCRIPTION OF THE DRAWINGS · 3 of 4

FIGS. 13A-13D show that PNPASE augments RNA import into yeast and mammalian mitochondria in vitro. FIG. 13A (upper) shows a human RNase P RNA yeast expression construct driven by the RPM1 RNA promoter, NME1. FIG. 13A (lower) is a gel showing the levels of RNAs in yeast mitochondria. Mitochondria from yeast expressing human RNase P RNA and either PNPASE (PNP) or an empty vector (Vec) were isolated and treated with nuclease. RNA was then isolated from the total cell lysate or from nuclease-treated mitochondria (Mito) and analyzed by primer-specific RT-PCR. FIG. 13B graphically shows the abundance from QPCR for Cox1 and RNase P RNAs isolated from mitochondria in FIG. 13A , normalized to the total mitochondrial RNA obtained. FIG. 13C are immunoblots showing radiolabeled, in vitro transcribed RNase P RNA was imported into mitochondria from MEF cell lines WT (expressing mouse PNPASE, mPNP), Pnpt1 knockout (KO), PNPT1 over-expression (expressing mPNP and hPNP), or Pnpt1 knockout plus PNPT1 over-expression (expressing hPNP). FIG. 13C (upper) is an immunoblot for mouse and human PNPASE expression. FIG. 13C (middle) is an immunoblot of β-ACTIN, a loading control. FIG. 13C (lower) is an autoradiogram of RNase P RNA import into isolated MEF mitochondria. FIG. 13D shows gels of radiolabeled, in vitro transcribed RNAs that were incubated with WT or HepKO liver mitochondria for 10 min at 25° C. Non-imported RNA was removed with nuclease, followed by RNA isolation and separation on a urea-acrylamide gel. Import reactions were repeated with 1× and 2× amounts of synthesized RNAs. The TOM40 immunoblot served as a mitochondrial loading control.

FIGS. 14A-14E show that the stem-loop of RNase P RNA is involved in in vivo import into mitochondria and in vitro transcribed MRP RNA undergoes a PNPASE-dependent import and processing in MEF mitochondria. FIG. 14A is a schematic of intact human RNase P RNA (SEQ ID NO:7) and RNase P RNA with its stem-loop replaced by the control random 20 nt RNA sequence, CR (SEQ ID NO:5). Mitochondria from yeast expressing human RNase P RNA ( FIG. 14B ) or CR-RNase P RNA ( FIG. 14C ) and either PNPT1 (PNP) or an empty vector control (Vec) were isolated and treated with nuclease. RNA was then isolated from the total cell lysate or from nuclease-treated mitochondria (Mito) and analyzed by RT-PCR using primers for RNase P, HOT13, or RPM1 RNAs. FIG. 14D is a graph showing the amount of RNase P or CR-RNase P RNAs isolated from mitochondria in FIG. 14B , normalized to the total mitochondrial RNA obtained. FIG. 14E schematically shows how MRP RNA was engineered to contain a BamH1 site and 3 nt (GAG) sequence on its 3′-terminus to differentiate exogenous from endogenous MRP RNA. Following PNPASE-dependent import into isolated MEF mitochondria, the RNA was isolated, cloned and sequenced, revealing that the tagged exogenous and imported MRP RNA was processed at the correct site ( FIG. 14E the sequencing data). The sequences shown from top to bottom are SEQ ID NO:8, SEQ ID NO:9, and SEQ ID NO:10.

FIGS. 15A-15B show that the H1 RNA import sequence regulates mitochondrial import of mt-tRNA precursors. FIG. 15A is an immunoblot from 6-week old WT and HepKO mouse livers showing about a 50% reduction in PNPASE expression. FIG. 15B are gels of radiolabeled mt-tRNA precursors with (top) or without (middle) a 5′ H1 20-ribonucleotide predicted stem-loop sequence (designated RP) that were in vitro transcribed and incubated with WT or HepKO liver mitochondria. Non-imported RNA was digested with added nuclease, followed by RNA isolation, separation on a urea acrylamide gel, and autoradiography. Import reactions were repeated with 1× and 2× amounts of mt-tRNA. FIG. 15B (lower) are control gels showing equivalent amounts of mitochondria as used in the imports as revealed by separation of total mitochondrial nucleic acids.

FIGS. 16A-16B are graphs showing that import mt-tRNA precursors with the RP import sequence partially rescues the translation defect of isolated MERRF and MELAS mutant mitochondria. mt-tRNA precursors with or without RP were imported into isolated WT or MERRF ( FIG. 16A ) or MELAS ( FIG. 16B ) mitochondria from cybrid lines for 2 min. Following RNase A digestion of the non-imported mt-tRNA, mitochondria were pelleted and resuspended in an in organello translation buffer with radiolabeled methionine and cysteine for 30 min. Total 35 S incorporation was quantified by autoradiography.

FIGS. 17A-17C show that in vivo import of mitochondrial-coded-COX2 into mitochondria using the RP import sequence. FIG. 17A are diagrams of mCOX2 expression vectors. FIG. 17B is a gel showing mitochondria RNA isolated from HeLa cells expressing mCOX2 or RP-mCOX2. Mitoplasts were made with digitonin, followed by treatment with nuclease. RNA was then isolated from total cell lysates (Input) or from nuclease-treated mitoplasts (Mito) and analyzed by primer-specific RT-PCR. hCOX1 is a control for total and mitochondria-isolated RNAs. FIG. 17C is a Western blot showing that mitochondria isolated from mouse embryonic fibroblasts stably express hCOX2 or RP-hCOX2.

FIG. 18 shows that the RP-hCOX2 transcript but not hCOX2 transcript is imported into mitochondria when stably expressed in MEFs. Mitochondria were isolated from MEFs stably expressing hCOX2 or RP-hCOX2. Mitoplasts were generated by digitonin treatment, followed by nuclease addition to degrade RNA localized outside of the matrix. RNA was then isolated from total cell lysates (Input, without nuclease treatment) or from nuclease-treated mitoplasts (Mito) and analyzed by primer-specific RT-PCR. mCOX1 is a primer set for the mouse COX2 transcript and is included as a control for total and mitochondria-isolated RNAs.

FIGS. 19A-19C show that three elements, i.e. the extended stem, the RP import sequence, and MRPS12 3′-UTR, resulted in the rescue of mt-tRNA respiratory defects in vivo by the mt-tRNA precursors encoded in the nucleus. FIG. 19A is a schematic of the mt-tRNA precursors generated for the in vivo rescue assay. The single stem-loop is the H1 RNA import sequence, RP import sequence. The grey box indicates ribonucleotides that were changed to make tRNA precursors less susceptible to processing in the nucleus. The black box is the 3′-UTR of MRPS12 that localizes RNA to the vicinity of mitochondria. The stem-loop sequences shown are, from left to right, SEQ ID NO:40, SEQ ID NO:11, SEQ ID NO:41, SEQ ID NO:12, SEQ ID NO:42, SEQ ID NO:13, SEQ ID NO:42, and SEQ ID NO:14. The 3′-UTR of MRPS12sequence below the stem-loops is SEQ ID NO:15. FIG. 19B shows that tRNALys precursors lacking one or two of the three elements do not rescue the MERRF respiratory defect. FIG. 19C shows that tRNALys or tRNALeu precursors with all three elements rescue respiration in MERRF and MELAS cells.

›DESCRIPTION OF THE DRAWINGS · 4 of 4

FIGS. 20A-20C show the analysis of tRNA expression in the cytosol in control experiments for FIGS. 19A-19C . tRNAs were stably expressed in wild-type cells to analyze the export requirements to shuttle the tRNA from the nucleus to the cytosol. RNA was isolated from the cytosol fraction of the wild-type cells stably expressing tRNAs for Pre-RPLeu and Pre-RPLys ( FIG. 20A ) and for Pre-LeuRP and Pre-LysRP ( FIG. 20B ). Export was analyzed by RT-PCR using primers for processed tRNAs and their precursors or for precursors only. Controls include mature tRNAs for Leu and Lys, which were exported to the cytosol. FIG. 20C shows isolated tRNAs that were modified with the addition of several ribonucleotides adjacent to the aminoacyl stem (see the schematic in FIG. 19A ), designated LeuA, LysA, Pre-RPLeuA, and Pre-RPLysA. Export was analyzed as in FIGS. 20A and 20B .

FIGS. 21A-21C show that the rescue of respiration is due to restoration of mitochondrial translation. FIG. 21A is a gel showing in vivo mitochondrial translated proteins by the indicated stable cell lines. Mitochondrial translated proteins were separated by SDS-PAGE and visualized by autoradiography. FIG. 21B graphically shows the quantification of specific bands on gels from FIG. 21A . FIG. 21C are gels showing the steady-state levels of nuclear-encoded and mitochondrial-encoded proteins in WT, MERRF, and MELAS cells. TOMM40 and PNPASE served as loading controls.

›DETAILED DESCRIPTION OF THE INVENTION

The present invention is directed to methods and compositions for localizing and/or importing nucleic acid molecules, such as RNA and DNA, into mammalian mitochondria.

The results herein indicate that PNPASE is the first RNA import factor that mediates the translocation of specific RNAs into the mammalian mitochondrial matrix. As provided herein, PNPASE KO disrupts mitochondrial morphology and respiration in mouse liver cells, at least partially by inhibiting the import of RNAs that control the transcription and translation of the ETC proteins. The results herein also indicate that a nucleic acid component of the RNase P RNA processing complex is imported in vivo to process linked tRNAs in long mitochondrial transcripts. PNPASE mediated RNA delivery into the mitochondrial matrix and this import was augmented over background. Strikingly, PNPASE RNA import and RNA processing functions were separable and predicted stem-loop structures were identified in two imported RNAs that could transfer PNPASE-dependent import potential to non-imported RNAs.

›A. PNPASE · 1 of 6

Mammalian polynucleotide phosphorylase (PNPASE), a 3′→5′ exoribonuclease and poly-A polymerase that uses phosphorolysis to degrade RNA, localizes in the mitochondrial intermembrane space (IMS). See Chen et al. (2007) Trends Cell Biol 17:600-608; Chen et al. (2006) Mol Cell Biol 26:8475-8487; and Rainey et al. (2006) Mol Cell Biol 26:8488-8497. The following experiments show that PNPASE plays an important role in importing RNA components into the mitochondrial matrix of mammalian mitochondria.

Methods and Materials

Protein and RNA Purification

For protein-RNA interactions, mitochondria (1 mg/ml) were solubilized in lysis buffer (300 mM NaCl, 10 mM imidazole, 10% glycerol, 0.25% Triton X-100, 2 mM DTT, 20 mM HEPES pH 6.6) containing protease inhibitor (Roche Applied Science, Indianapolis, Ind.) and RNase inhibitor (Invitrogen brand of Life Technologies, Carlsbad, Calif.). Insoluble material was removed by spinning and extracts transferred to microcentrifuge tubes. 50 μl of Ni 2+ NTA resin (Qiagen Inc., Valencia, Calif.) was incubated in 1 ml lysis buffer with 100 μg/ml ssDNA for 1 h at 4° C. The resin was then mixed with the mitochondrial lysates in the presence of 100 μg/ml ssDNA for 1 h at 4° C. After incubation, the resin was washed 10× with lysis buffer containing RNase inhibitor. The protein-RNA complex was eluted with elution buffer (300 mM NaCl, 10 mM imidazole, 10% glycerol, 0.25% Triton X-100, 20 mM citrate pH 5.5) containing RNase inhibitor. RNA was isolated from the eluate using TRIzol reagent (Invitrogen).

Isolation of Mitochondrial RNA and DNA.

Mitochondria (1 mg/ml) were treated with 25 mg/ml of micrococcal nuclease S7 in nuclease buffer (0.6 M Sorbitol, 20 mM MgCl 2 , 5 mM CaCl 2 , 20 mM Tris pH 8.0) for 30 min at 27° C. The reaction was stopped by addition of 20 mM EGTA. Mitochondria were collected and solubilized in SDS buffer (100 mM NaCl, 1% SDS, 20 mM Tris pH 7.4) at 65° C. for 5 min. RNA was purified using TRIzol reagent, and treated with RNase-free DNase I (Roche Applied Science) for 1 h at 37° C. DNase I was inactivated by heating at 65° C. for 10 min. Phenol-chloroform (EM Science, division of EM Industries, Inc., Gibbstown, N.J.) extractions were used for DNA purification from the mitochondrial lysates.

In Vitro Transcription

RNAs were synthesized as previously described (Portnoy et al. (2008) RNA 14: 297-309). For radiolabeled RNA synthesis, [ 32 P]-CTP (MP Biomedicals, Solon, Ohio) was incorporated. The RNAs were purified using TRIzol reagent.

RNA Import Assay

Yeast mitochondria were isolated from cells grown in selection medium until stationary phase and mammalian mitochondria were isolated as previously described (Chen et al. (2006) Mol Cell Biol 26:8475-8487; and Rainey et al. (2006) Mol Cell Biol 26:8488-8497). In vitro RNA import assays were performed in a 200-μl volume containing 0.5 μg of RNA, 100 μg of mitochondria, 0.6 M sorbitol, 2 mM KH 2 PO 4 , 50 mM KCl, 10 mM MgCl 2 , 2.5 mM EDTA, 5 mM L-methionine, 1 mg/ml BSA, 5 mM ATP, 2 mM DTT, 5 mM NADH, 50 mM HEPES, pH 7.1, at room temperature for 10 min. Mitochondria were spun at 11,000×g for 5 min and washed once with wash buffer (0.6 M sorbitol, 20 mM Tris, pH 8.0). Mitochondria were spun again and resuspended in 200 μl nuclease buffer containing 25 μg/ml of micrococcal nuclease S7 and incubated for 30 min at 27° C. Mitochondria were collected and solubilized in SDS buffer at 65° C. for 5 min. RNA was purified using TRIzol reagent. For import into mammalian mitochondria, 0.25 M sucrose instead of 0.6 M sorbitol, and 20 mM succinate instead of 5 mM NADH, were used. For import with radiolabeled RNA, the purified RNAs were analyzed by SDS-PAGE and autoradiography.

RNA Degradation Assay

The RNA processing activity of wild-type (WT) and mutant PNPASE was done as before (Portnoy et al. (2008) RNA 14: 297-309). [ 32 P]-RNA was incubated with the corresponding proteins in buffer E (20 mM HEPES, pH 7.9, 60 mM KCl, 12.5 mM MgCl 2 , 0.1 mM EDTA, 2 mM DTT, and 17% glycerol, 0.1 mM P i ) at 25° C. for 5 min. Following incubation, the RNA was isolated and analyzed by SDS-PAGE and autoradiography.

Additional Procedures

Osmotic shock was performed by incubating mitochondria for 30 min on ice in 0.03 M sorbitol and 20 mM Hepes-KOH, pH 7.4 (Claypool et al. (2006) J Cell Biol 182: 937-950). Blue native gel electrophoresis was performed on a 6-16% linear polyacrylamide gradient using 50 μg of digitonin solubilized material (Chen et al. (2006) Mol Cell Biol 26:8475-8487). Northern blotting was performed as previously described (Tollervey at al. (1987) EMBO J 6:4169-4175). Total mtRNA was separated on a 12% agarose-formaldehyde gel and transferred to a nylon membrane. Hybridization was carried out with [ 32 P]-dCTP (MP Biomedicals) labeled DNA probes. In organello protein synthesis assays were performed as before (Stuart & Koehler (2007) Curr Protc Cell Biol Ch. 11, Unit 11.19) with minor changes on the composition of translation buffer. Specifically, 100 μg mouse liver mitochondria were incubated in 100 μl translation buffer (250 mM sucrose, 100 mM KCl, 1 mM MgCl 2 , 10 mM Tris pH 7.4, 10 mM K 2 HPO 4 pH 7.4, 10 mM glutamate, 10 mM malate, 5 mM NADH, 1 mM ADP, 1 mg/ml BSA, 100 μg/ml emetine, 100 μg/ml cycloheximide, and 30 μM of amino acid mix without methionine) with 5 μl of L-[ 35 S] methionine (MP Biomedicals) at 37° C. for 30 min. The mitochondria were then precipitated and proteins resolved by 12% SDS PAGE.

Results

PNPASE Forms a Trimer in Yeast and Mammalian Mitochondria

To examine PNPASE in the IMS, a co-immunoprecipitation (IP) assay was performed to identify potential binding partners. A 6×His-Protein-C (HisPC) tag was added to the C-terminus of PNPASE and stable PNPASE-HisPC expressing HEK293 cells were generated using methods known in the art. FIG. 1A is an immunoblot showing that the PNPASE-HisPC retroviral construct was stably expressed in HEK293 cells. Mitochondria were purified from WT (HEK293) and PNPASE-HisPC infected cells, followed by immunoblot detection with antibodies against PNPASE and the His-tag. TOM40 was used as a mitochondrial loading control. Purification of the PNPASE-HisPC protein complex was performed as previously described. See Claypool et al. (2008) J Cell Biol 182:937-950. FIG. 1B is a gel showing purified PNPASE-HisPC isolated from HEK293 cell mitochondria. PNPASE-HisPC isolated from HEK293 cell mitochondria were purified sequentially using Ni 2+ and Protein-C columns. Bound proteins were eluted, separated by SDS-PAGE, and visualized with Sypro® Ruby Protein stain (Invitrogen, Eugene, Oreg.). Proteins were identified by liquid chromatography-tandem mass spectrometry (LC-MS/MS) (data not shown). All of the identified bands originated from PNPASE, thereby indicating that PNPASE lacks partner proteins in vivo. Bands of molecular weights lower than the PNPASE monomers of about 85 kDa were likely degradation products.

›A. PNPASE · 2 of 6

The assembly state of PNPASE was also investigated. Mitochondria from yeast expressing human PNPASE (Rainey et al. (2006) Mol Cell Biol 26:8488-8497) were detergent solubilized and separated on blue-native (BN) gels. FIG. 1C is an immunoblot showing PNPASE in a complex of about 240 kDa similar to the trimeric complex of endogenous mouse hepatocyte PNPASE (Chen et al. (2006) Mol Cell Biol 26:8475-8487) and bacterially-expressed human PNPASE (French et al. (2007) Cancer Lett 248:198-210). Mitochondria were purified from yeast cells expressing human PNPASE and solubilized with 1% digitonin (Dig) or 0.5% dodecylmaltoside (DDM). Soluble proteins were separated on a 6-16% BN gel and PNPASE was detected by immunoblot. The PNPASE antibody did not cross-react with WT yeast mitochondria (first lane). FIG. 1D is an immunoblot showing PNPASE-HisPC from HEK293 mitochondria also migrated in a similarly-sized complex. The PNPASE-HisPC were solubilized with 1% digitonin (Dig) or 0.5% dodecylmaltoside (DDM) and the soluble proteins were separated on a 6-16% BN gel and detected by immunoblot. These results show that PNPASE assembles identically in yeast and mammalian mitochondria into a homo-oligomeric complex, a trimer or a “dimer of trimers” (Symmons et al. (2002) Trends Biochem Sci 27:11-18) and indicate that PNPASE may function similarly in yeast and mammalian mitochondria.

PNPT1 Knockout Cells Show Altered Mitochondrial Morphology and Impaired Respiration

Several approaches were used to determine the function of PNPASE in mitochondria. First, the gene encoding PNPASE (Pnpt1) was knocked out (KO) in C57BL/6 mice using methods known in the art. FIGS. 2A-2C show the recombinant strategy for disrupting the Pnpt1 gene and FIG. 3A-3E evidence that excision of Pnpt1 exon 2 generates truncated PNPASE in HepKO liver cells and MEFs.

FIGS. 4A-4E evidence that deletion of Pnpt1 in hepatocytes impairs mitochondrial function. As shown in FIG. 4A , (1) homozygous Pnpt1 neo-flox mice, in which exon 2 was flanked by loxP recombination sites, were viable and fertile, (2) a complete KO of Pnpt1 exon 2 was generated by crossing CMV CRE expressing mice with Pnpt1 WT/neo-flox heterozygotes followed by inter-crossing the Pnpt1 WT/KO progeny, and (3) Pnpt1 KO/KO mice were embryonic lethal. A liver-specific KO (HepKO) of Pnpt1 was generated by the cross Alb CRE/WT /Pnpt1 neo-flox/neo-flox ×Alb WT/WT /Pnpt1 neo-flox/neo-flox , which produced fertile progeny at the expected frequency. FIG. 4B shows hepatocyte-specific Pnpt1 KO (HepKO) expression in 4-week old mice. Quantitative real-time PCR (QPCR) from HepKO liver showed reduced Pnpt1 transcripts containing targeted exon 2 compared with those containing untargeted exon 28. PNPASE protein expression was also markedly reduced in HepKO liver compared with sex-matched littermate WT liver. FIG. 4C shows that HepKO mitochondria have altered cristae. The ultrastructure of HepKO liver mitochondria was investigated by transmission electron microscopy (TEM). Rather than displaying ordered, linear cristae with convolutions as in WT mitochondria, the HepKO mitochondria showed disordered circular and smooth IM cristae, similar to mitochondria that are impaired for OXPHOS (Mandel et al. (2001) Hepatology 34:776-784) and to Pnpt1 RNAi mammalian cell lines (Chen et al. (2006) Mol Cell Biol 26:8475-8487). Thus, reduced PNPASE may cause a decrease in ATP production prompted the evaluation of O 2 consumption from HepKO liver mitochondria. FIG. 4D shows decreased respiration in isolated HepKO mitochondria. Specifically, oxygen consumption (nmol/min/mg protein) for ETC complexes IV and II+III+IV was measured using an O 2 electrode, mitochondrial mass was determined by citrate synthase (CS) activity using a spectrophotometer, and respiratory activities were normalized to CS activity. These oxygen electrode studies showed about a 1.5-2 fold decrease in the activity of Complex IV and Complexes II+III+IV when normalized to citrate synthase activity in HepKO compared to WT mitochondria.

Combined, these data establish an in vivo role for PNPASE in mitochondrial morphogenesis and respiration.

PNPASE is Required for the Processing of Mitochondrial RNA Transcripts

The data showing decreased respiration in HepKO mitochondria indicates a reduction in functional ETC complexes. Therefore, RNA processing and translation were examined in cells with decreased PNPASE. HEK293 cells with >75% reduced PNPASE expression were generated by RNAi, followed by mitochondrial RNA (mtRNA) transcript quantification using QPCR normalized to cytosolic GAPDH RNA. FIG. 4E shows decreased mature mtRNAs in HEK293 cells with RNAi to PNPT1. All mtRNAs tested were reduced in Pnpt1 RNAi cells compared to WT cells. Transcripts were quantified relative to cytosolic GAPDH expression by QPCR from HEK293 cells 7d post-infection (nadir) with scramble (Scr) or PNPT1 RNAi retroviral constructs. Proteins translated from mtRNAs were decreased in HEK293 Pnpt1 RNAi cells (data not shown) and HepKO liver cells ( FIG. 5A ). Thus, a decrease in functional ETC complexes is likely responsible for the decreased respiration.

The processing of polycistronic mtRNAs was investigated because reduced PNPASE could cause an accumulation of large precursor transcripts, resulting in reduced ETC proteins. Transcript processing requires RNase P excision of the tRNAs between ETC gene coding regions. RNA was isolated from WT and HepKO liver mitochondria followed by DNase I treatment to remove contaminating DNA. RT-PCR was performed using primers designed to test processing between adjacent Cox1 and Cox2 transcripts that are separated by tRNA ser and tRNA asp . As schematically shown in FIG. 5B , the primer set Cox1f and Cox1r generates a 450-bp fragment, whereas the primer pair Cox1f and Cox2r generates a 900-bp fragment when tRNA ser and tRNA asp are not excised from large precursor transcripts. The sequences were separated on a 1.5% agarose gel. A 900-bp fragment was detected from HepKO but not from WT liver mitochondria. Similar results were obtained using the same primers in PNPASE KO mouse embryonic fibroblasts (MEFs) ( FIGS. 3A-3E , 6 A). To query RNA processing at a second site, primers were generated for adjacent Cox2 and Atp8/6 loci, separated by tRNA lys . Again, polycistronic transcripts accumulated in the PNPASE KO MEFs ( FIG. 6B ). The sizes of Cox1 and Cox3 transcripts were investigated using specific probes and Northern blot. As shown in FIG. 5C , in addition to the mature Cox1 and Cox3 transcripts, a range of larger precursor transcripts was seen in HepKO liver cells. Also, the mature 0.9-kb Cox3 transcript was more abundant in WT than HepKO liver. FIG. 5D is a blot showing the steady-state expression of nuclear (TOM40, MORTALIN, TIM23, and BAP37) and mitochondrial (COX3, and DN6) encoded proteins in WT and HepKO liver mitochondria. In HepKO liver mitochondria, the steady-state abundance of PNPASE was decreased by about 2-fold compared to the WT, similar to about a 2-fold decrease for COX3 and ND6 proteins. Equivalent nuclear-encoded protein expression shows that HepKO reduced mitochondria-encoded protein expression was not due to differing mitochondrial content between WT and HepKO liver cells. Controls TOM40, MORTALIN, TIM23, and BAP37 showed that the amount of nuclear-encoded mitochondrial proteins, and therefore the mitochondrial mass, was similar between HepKO and sex-matched WT littermate liver cells. Thus, the processing of polycistronic mtRNAs was impaired in mitochondria with reduced PNPASE, resulting in fewer mature mtRNAs and reduced ETC complexes.

›A. PNPASE · 3 of 6

RNase P RNA Binds to Pnpase and May Function in PNPASE-Dependent mtRNA Processing

The abundance of RNase P RNA in HepKO liver mitochondria was determined by RT-PCR and QPCR. FIG. 7A (left) is a gel showing RNase P RNA isolated from WT and HepKO liver mitochondria following nuclease treatment. RT-PCR was performed with primers that amplify nuclear-encoded RNase P RNA (212-bp). FIG. 7A (right) is a gel showing the QPCR analysis of RNase P RNA expression relative to TOM40 protein in isolated mitochondria. Reproducibly, RNase P RNA was decreased by about 75% in HepKO versus WT liver mitochondria. Thus, PNPASE may help import and/or stabilize RNase P RNA.

Therefore, whether RNase P RNA directly binds PNPASE in HEK293 cells stably expressing dual-tagged PNPASE-HisPC was determined. Isolated mitochondria were treated with nuclease and tagged PNPASE was purified. RNase P RNA was amplified by RT-PCR and co-purified with PNPASE ( FIG. 7B , lane 4). Importantly, control IM-localized TIM23-HisPC in stably-expressing HEK293 cells did not bind RNase P RNA ( FIG. 7B , lane 2). PNPASE also did not adventitiously bind RNA because the RNA transcripts for Cox1, GAPDH, mitochondrial 12S rRNA and mitochondrial tRNA trp were not bound to PNPASE ( FIG. 7B ). Thus, RNase P RNA bound specifically to PNPASE.

Whether protein-only RNase P can efficiently process paired mitochondrial tRNAs, as must occur in vivo, was examined using methods known in the art. See e.g. Holzmann et al. (2008) Cell 135:462-474. FIG. 7C shows the processing of single tRNA or paired tRNA precursors by mitoplast extract pre-treated with nuclease or without the treatment. A MORTALIN immunoblot shows equivalent mitoplast extract in each assay. Specifically, the mitoplast extract (10 μg) was treated with nuclease (+), as indicated, and then inactivated with EDTA and EGTA. The nuclease-treated or untreated extract was incubated with abutted tRNAs (tRNA His tRNA Ser ) or a single tRNA (tRNA Lys ) at 25° C. for 10 or 30 min. RNA was separated on an urea-acrylamide gel and detected by autoradiography. By contrast, nuclease-treated lysates were impaired in cleaving the two abutting tRNAs into individual tRNAs, thereby indicating that an additional nucleic acid component is required for efficient processing. Interestingly, mitoplast lysates from HepKO liver showed the same defect on abutting tRNA maturation as the nuclease-treated WT mitoplast lysates ( FIG. 7D ).

FIG. 8A are gels showing that PNPASE-HisPC, but not TIM23-HisPC, bound in vitro transcribed RNase P and MRP RNAs during import, but not control mitochondrial RNA, in cross-linking IP assays. Isolated mitochondria from HEK293 cells stably expressing IMS-localized PNPASE-HisPC or TIM23-HisPC (control) dual-tagged proteins were incubated with [ 32 P]-CTP labeled RNase P, MRP, or a control mitochondrial RNA transcript (MitoRNA, 340 nucleotides that includes tRNA trp ), followed by UV cross linking, tag-immunoprecipitation, separation by SDS-PAGE, and autoradiography. FIG. 8B are gels showing that the in vivo processing and separation of an endogenous paired tRNA his tRNA ser substrate was inhibited in HepKO compared to WT liver mitochondria, whereas a linked 12s rRNA-tRNA val substrate was processed equivalently. Contaminating DNA was removed by DNase I treatment. RT-PCR was performed using primer pairs as shown in the schematic diagrams to detect either the pre-processed linked or processed separated transcripts. Quantification of the RT-PCR results (precursor over single tRNA ratios are plotted as relative RNA abundances) is shown in lower left of the figure.

These results indicate that protein-only and RNase P RNA-containing RNase P complexes coexist in mitochondria and that PNPASE-dependent RNase P RNA provides efficient tRNA processing.

PNPASE Augments the Import of RNase P, 5S rRNA, and MRP RNAs into Yeast Mitochondria

As human PNPASE is assembled into similar complexs when expressed in yeast and as in mammalian mitochondria ( FIGS. 1A-1D ), yeast may be used as a model for studying the import of nuclear-encoded RNAs (Chen et al. (2006) Mol Cell Biol 26:8475-8487). FIGS. 9A-9D show that added human PNPASE did not alter yeast mitochondrial morphology, rate of proliferation, or extent of cell death. Mitochondria isolated from WT yeast or yeast expressing human PNPASE were incubated with in vitro transcribed human RNase P RNA in import buffer (see RNA Import Assay above). The reaction was treated with nuclease to remove non-imported RNA followed by RNA isolation and RT-PCR. FIG. 10A shows that RNase P RNA abundance was increased in mitochondria containing PNPASE compared to WT mitochondria. This RNA increase was specific for certain RNAs because, as shown in FIG. 10B , cytosolic GAPDH RNA was not increased in the same mitochondria. Osmotic shock was used to identify the location of the imported RNase P RNA (Koehler et al. (1998) Science 279:369-373). Mitochondria were incubated in hypotonic buffer to rupture the outer membrane and the mitoplasts (P, pellet fraction that contains the matrix and IM) and the supernatant (S, contains the soluble IMS contents) were separated by centrifugation ( FIG. 10C ). RNase P RNA was detected by RT-PCR and was localized in the mitochondrial matrix. Detergent exposed the matrix to verify that the nuclease degraded the RNase P RNA. To confirm that osmotic shock did not disrupt the IM, antibodies against cytochrome b 2 (cyt b 2 ; IMS) and α-ketoglutarate dehydrogenase (KDH; matrix) showed that cyt b 2 was sensitive to protease in the IMS, but KDH was resistant to protease until the IM was lysed with Triton X-100. Thus, RNase P RNA import was augmented, RNase P RNA was stabilized, or both, in the yeast mitochondrial matrix when exogenous PNPASE was present in the IMS.

To confirm the RT-PCR results and assay other imported RNAs, in vitro RNA import assays with yeast mitochondria and radiolabeled human RNAs were performed ( FIG. 10D ). Two different RNA volumes were used and the imported RNA was isolated and separated on a urea-acrylamide gel followed by autoradiography. FIG. 10D shows that RNase P, 5S rRNA, and MRP RNAs augmented import or stability in mitochondria expressing PNPASE relative to control mitochondria. Again, this increase was RNA-type specific as PNPASE did not augment GAPDH RNA levels. FIG. 10E shows that when the mitochondrial membrane potential was dissipated, the RNase P RNA level was not increased in this assay system.

›A. PNPASE · 4 of 6

PNPASE Mutations that Inactivate RNA Processing Do Not Affect RNA Import or Stability

To determine whether the RNA import or stabilization activity of PNPASE was separable from its RNA processing activities, RNase P RNA import was studied when different PNPASE mutants were expressed in yeast mitochondria ( FIG. 11A ). The point mutants generated and tested were based on prior studies (Portnoy et al. (2008) RNA 14: 297-309). Mutants D135G and S484A lacked poly-A polymerase and RNA degradation activities in vitro. Mutant D544G and double mutant R445E/R446E showed enhanced in vitro poly-A polymerase activity but compromised degradation activity. Of the four mutants, PNPASE S484A and R445E/R446E supported the import or stabilization of RNase P RNA, whereas mutants D135G and D544G were defective in this function ( FIG. 11A ). Based on the prior studies of others, it was expected that mutant D135G would fail to form a trimeric complex from prior studies (Portnoy et al. (2008) RNA 14: 297-309). Surprisingly, however, the abundance of WT and the four mutant PNPASE proteins were similar between yeast strains and all of the PNPASE proteins assembled into about 240 kDa complexes without impairment ( FIG. 11A , lower panel). These results evidence that the mitochondrial RNA import or stabilization function of PNPASE is separable from its poly-A polymerase or exoribonuclease activities.

To determine whether PNPASE augmented either RNA import or stabilization in mitochondria, the enzymatic properties of the WT and S484A mutant protein were examined with respect to RNA turnover in vitro and in isolated yeast mitochondria. For in vitro studies, WT and S484A PNPASE were immunoprecipitated from yeast mitochondria and tested in an in vitro degradation assay with radiolabeled RNase P RNA ( FIG. 11B ). Consistent with prior results, WT PNPASE degraded the RNase P RNA, but the S484A mutant was impaired. As shown in FIG. 11C , radiolabeled RNase P RNA was imported into mitochondria. Following in vitro import of radiolabeled RNase P RNA and nuclease treatment to remove non-imported RNA, mitochondria were incubated for up to 90 min at 25° C. and aliquots removed at the indicated time points. The RNA was then resolved by urea-acrylamide gel electrophoresis. The internalized RNase P RNA was separated on a urea-acyrlamide gel and quantified during this time course using a phosphorimager. The rate of degradation of RNase P RNA was similar for degradation competent WT and incompetent mutant PNPASE proteins, supporting a role for PNPASE in augmenting the import of specific RNAs into the mitochondrial matrix. This result further supports PNPASE localizing to the IMS because a greater amount of WT PNPASE imported into the matrix could cause a relative increase in the rate of turnover of matrix localized RNAse P RNA.

A Predicted Stem-Loop RNA Structure Mediates PNPASE-Dependent RNA Import

To determine whether PNPASE plays a direct role in RNA import, a systematic search was used to identify PNPASE-dependent RNA import sequences. Primers were designed to generate distinct segments of the 340 nucleotide (nt) RNase P RNA full length sequence. RPf1 lacked the 5′ 70 nt, RPf2 lacked the 5′ 140 nt, and RPr1 lacked the 3′ 148 nt of WT PNPT1 ( FIG. 12A ). Import assays were performed using full length or truncated in vitro transcribed RNase P RNAs ( FIGS. 12B , 12 C). Augmented RPf1 and RPr1 import into yeast mitochondria depended upon PNPASE, as did the full length RNase P RNA. In striking contrast, RPf2 was not efficiently imported into yeast mitochondria, implicating the sequence between nt 71 and 140 in PNPASE-augmented RNA import. To further refine this import signal, RNA sequences lacking the 5′ 86 (RPf3) or 102 (RPf4) nts were generated ( FIG. 12A ). Augmented RPf3 and RPf4 import into yeast mitochondria was PNPASE-dependent ( FIG. 12D ), further implicating an import signal between nt 103 and 140. The most likely, predicted secondary structure of RNase P RNA in this region was a 20 nt stem-loop ( FIG. 12F ). Interestingly, a similarly-predicted stem-loop structure was also identified in MRP RNA.

To determine whether one or both stem-loop structures could mediate mitochondrial targeting of non-imported GAPDH RNA, each 20 nt stem-loop sequence was fused to the 5′-terminus of the GAPDH RNA, which is not imported ( FIGS. 10D and 13D ). Strikingly, the RNase P and MRP stem-loop structures enabled the PNPASE-dependent import of GAPDH RNA into yeast mitochondria ( FIG. 12E ). By contrast, a control random 20 nt sequence could not mediate this import. Human mitochondrial tRNA trp with the RNase P RNA step-loop structure, but not tRNA trp itself, was imported into isolated mouse liver mitochondria, with the tRNA trp -PNPASE interaction captured using UV-cross linking ( FIG. 12G ). These results strongly implicate the structural specificity of mitochondrial RNA import ( FIG. 12F ) and the direct involvement of PNPASE in this process.

PNPASE Augments RNA Import into Yeast Mitochondria In Vivo

To explore in vivo RNA import into mitochondria, a construct was generated in which the human RNase P RNA was expressed from the yeast NME1 promoter. See FIG. 13A (upper). When expressed in control yeast, RNase P RNA localized to mitochondria. This is consistent with nuclear-encoded RNA import by a PNPASE-independent mechanism since yeast normally lack PNPASE. By contrast, as shown in FIGS. 13A (lower) and FIG. 13B , RNase P RNA import increased by about 2-fold in mitochondria from yeast expressing PNPASE compared with control cells. Importantly, a RNA similar in size to RNase P RNA (340 nt), HOT13, that is translated in the cytosol and imported as a protein into mitochondria, was not localized to mitochondria. Also, mitochondrial-encoded RPM1, which codes for the yeast homologue of RNase P RNA, was sequestered in the mitochondrion at a level equivalent to control yeast mitochondria, as expected. These data indicate that PNPASE augments the import of RNase P RNA into yeast mitochondria in vivo.

›A. PNPASE · 5 of 6

Finally, as shown in FIGS. 14A-14E , replacement of the human RNase P RNA stem-loop sequence with the 20 nt random sequence blocked augmented RNase P RNA import into yeast mitochondria in vivo, thereby confirming the role of the stem-loop in PNPASE-regulated import.

PNPASE Augmented Import of RNase P RNA into Mammalian Mitochondria

To examine PNPASE dependent mitochondrial RNA import in a more physiologically relevant system, WT, PNPASE KO, WT expressing human PNPASE, and PNPASE KO expressing human PNPASE MEFs were developed for import assays. SV40 large T-antigen immortalized MEFs were generated from day 14 Pnpt1 neo-flox/neo-flox C57BL/6 embryos by standard methods. MEFs and HEK293 fibroblasts were maintained in growth medium supplemented with 10% fetal bovine serum, 2% L-glutamine, and antibiotics. A retroviral expression construct containing a 3′-flag tagged human PNPT1 cDNA, MSCV-PNPT1-IRES-PURO (Chen et al. (2006) Mol Cell Biol 26: 8475-8487), was generated by standard methods. Retroviral supernatants were produced by transient transfection of the 293T Phoenix packaging cell line, after which MEFs were bulk infected and selected in puromycin. PNPASE abundance in each MEF line was confirmed by immunoblot ( FIG. 13C ). Radiolabeled RNase P RNA was not imported into mitochondria from the PNPASE KO MEFs, but was imported into mitochondria that contained mouse and/or human PNPASE. The in vitro import of RNase P, MRP, 5S rRNA, and GAPDH RNAs was also tested in liver mitochondria isolated from the HepKO mouse and WT littermates. Again, as shown in FIG. 13D , RNase P, 5S rRNA, and MRP RNAs were imported into mitochondria expressing PNPASE, whereas cytosolic GAPDH RNA was not imported. More than half of the imported MRP RNA was processed into the mature ˜130 nt form (FIGS. 13 D and 14 A- 14 E). By contrast, however, mitochondrial RNA import was severely compromised in HepKO liver mitochondria.

B. RNA Import Sequence, Mitochondria Localization Sequence, and mtRNA Stem-Loop Modification/Extension

The experiments below show that an RNA import sequence (RP import sequence, a 20-ribonucleotide stem-loop sequence from the H1 RNA, the RNA component of the human RNase P enzyme) appended to a non-imported RNA directs the import of the resultant RNA fusion transcript into human mitochondria. The RNA import sequence effectively transports both non-coding RNAs, such as tRNAs, and mRNAs into mitochondria in vitro. In vivo, additional targeting sequence and modification may be required for import of nucleus-encoded RNAs into mitochondria. For mRNAs such as COX2, RP import sequence is sufficicent for mitochondrial import in vivo when encoded in the nucleus. For nucleus-encoded tRNAs, in vivo mitochondrial import requires an extended tRNA stem which enables the precursor's escape from the nucleus and 3′-UTR mitochondrial targeting sequence from mRNA of human mitochondrial ribosomal protein S12 (MRPS12) which targets the precursor to the vicinity of mitochondria where the RP stem-loop can function to have the precursor imported into mitochondrial matrix and processed into mature and functional tRNA.

Materials and Methods

Cell Culture, Transfection, and Transduction

Mammalian cell lines were maintained in DMEM growth medium supplemented with 10% fetal bovine serum and 2% L-glutamine. MERRF and MELAS cybrid lines (kindly provided by Dr. Carlos Moraes, University of Miami Miller School of Medicine) were maintained in DMEM growth medium supplemented with 10% fetal bovine serum, 2% L-glutamine, and 0.5 mg/ml uridine. Transient transfections were performed using the Bio-T reagent (Bioland Scientific LLC, Paramount, Calif.). In transfections with COX2 constructs, the calcium phosphate uptake method was used. Retroviral supernatants were produced by transient transfection of the 293T Phoenix packaging cell line (GenHunter Corp., Nashville, Tenn.), after which the cells were bulk infected and selected in puromycin.

Plasmid Construction

To generate mCOX2 and RP-mCOX2 constructs, the mCOX2 cDNA was PCR amplified from mouse mtDNA using the forward primers:

(SEQ ID NO: 16) 5′GAGAAGATCTATGGCCTAACCCATTCCAAC 3′ or (SEQ ID NO: 17) 5′GAGAAGATCTATGTCTCCCTGAGCTTCAGGGAGGATGGCCTAACCCATTCCAAC 3′, respectively,

and the reverse primer:

(SEQ ID NO: 18) 5′CCGCCGCTCGAGTTAAATTATTGAAGCAGATCAGTTTTCGA 3′,

and then inserted into the PQsuper expression vector.

To generate hCOX2 and RP-hCOX2 constructs, hCOX2 cDNA was PCR amplified from human mtDNA using the forward primers:

(SEQ ID NO: 19) 5′CGGCCGCACCGGTATGGCACATGCAGCGC 3′ or (SEQ ID NO: 20) 5′CGGCCGCACCGGTATGTCTCCCTGAGCTTCAGGGAGGATGGCACATGCAGCGC 3′, respectively,

and the reverse primer:

(SEQ ID NO: 21) 5′CGCGGATCCCTATAGGGTAAATACGGGC 3′,

and then inserted into the PQCXIP expression vector.

To generate Leu and RPLeu constructs, tRNAUURLeu with 5′ and 3′ presequences was PCR amplified from human mtDNA using the forward primers:

(SEQ ID NO: 22) 5′CGGCCGCACCGGTATGGAGAAATAAGGCCTACTTCAC 3′ or (SEQ ID NO: 23) 5′CGGCCGCACCGGTATGTCTCCCTGAGCTTCAGGGAGGGAGAAATAAGGCCTACTTCAC 3′, respectively,

and the reverse primer:

(SEQ ID NO: 24) 5′CGCGGATCCCGTTCGGTAAGCATTAGG 3′,

and then inserted into the PQCXIP expression vector.

To generate Lys and RPLys constructs, tRNA AAA Lys with 5′ and 3′ presequences was PCR amplified from human mtDNA using the forward primers:

(SEQ ID NO: 25) 5′CGGCCGCACCGGTATGCATGCATGCCCATCGTCCTAG 3′ or (SEQ ID NO: 26) 5′CGGCCGCACCGGTATGTCTCCCTGAGCTTCAGGGAGGCATGCCCATCGTCCTAG 3′, respectively,

and the reverse primer:

(SEQ ID NO: 27) 5′CGCGGATCCGGGTGATGAGGAATAGTG 3′,

and then inserted into the PQCXIP expression vector.

To make LeuA and RPLeuA constructs, the reverse primer for Leu and RPLeu was replaced with:

To make LysA and RPLysA constructs, the reverse primer for Lys and RPLys was replaced with:

To make LeuM, RPLeuM, LeuAM, RPLeuAM, LysM, RPLysM, LysAM, and RPLysAM constructs the 3′-UTR of MRPS12 was PCR amplified from human gDNA with primers:

(SEQ ID NO: 30) Forward: 5′CGCGGATCCCATCAGAAGAAGTGACGGCTG 3′ and (SEQ ID NO: 31) Reverse: 5′CCGGAATTCTAGTGGTCCTGATGGAA 3′,

›A. PNPASE · 6 of 6

and then inserted into Leu, RPLeu, LeuA, RPLeuA, Lys, RPLys, LysA, RPLysA constructs, respectively.

The relevant sequences are as follows (Underline: Mitochondria importing stem-loop; Bold: elongated tRNA stem; Italics: mitochondrial targeting UTR):

DNA sequence for H1 RNA stem-loop:

(SEQ ID NO: 32)

›TCTCCCTGAGCTTCAGGGAG

DNA sequence for MRP RNA stem-loop:

(SEQ ID NO: 33)

›AGAAGCGTATCCCGCTGAGC

DNA sequence for Mitochondrial ribosomal protein

S12 (MRPS12) 3′-UTR:

(SEQ ID NO: 34)

CAGAAGAAGTGACGGCTGGGGGCACAGTGGGCTGGGCGCCCCTGCAGAAC
ATGAACCTTCCGCTCCTGGCTGCCACAGGGTCCTCCGATGCTGGCCTTTG
CGCCTCTAGAGGCAGCCACTCATGGATTCAAGTCCTGGCTCCGCCTCTTC
›CATCAGGACCACT

DNA sequence for RPLeuAM:

(SEQ ID NO: 35)

›ATG TCTCCCTGAGCTTCAGGGAG GGAGAAATAAGGCCTACTTCACaaagc

gccttcccccgtaaatgatatcatctcaacttagtattatacccacaccc

acccaagaaca gggtttgttaaga tggcagagcccggtaatcgcataaaa

cttaaaactttacagtcagaggttcaattcctcttc ttaacaaaccc ctc

GGATCC CAGAAGAAGTGACGGCTGGGGGCACAGTGGGCTGGGCGCCCCTG
CAGAACATGAACCTTCCGCTCCTGGCTGCCACAGGGTCCTCCGATGCTGG
CCTTTGCGCCTCTAGAGGCAGCCACTCATGGATTCAAGTCCTGGCTCCGC
›CTCTTCCATCAGGACCACT

DNA sequence for RPLysAM:

(SEQ ID NO: 36)

ATG TCTCCCTGAGCTTCAGGGAG GGCATGCCCATCGTCCTAGaattaatt

cccctaaaaatctttgaaatagggcccgtatttaccctatagcaccccct

ctaccccctct agagcccactgt aaagctaacttagcattaaccttttaa

gttaaagattaagagaaccaacacctcttt acagtggg ctctGGATCC CA

GAAGAAGTGACGGCTGGGGGCACAGTGGGCTGGGCGCCCCTGCAGAACAT
GAACCTTCCGCTCCTGGCTGCCACAGGGTCCTCCGATGCTGGCCTTTGCG
CCTCTAGAGGCAGGCACTCATGGATTCAAGTCCTGGCTCCGCCTCTTCCA
›TCAGGACCACT

DNA sequence for RP-hCOX2:

(SEQ ID NO: 37)

ATG TCTCCCTGAGCTTCAGGGAG GATGGCACATGCAGCGCAAGTAGGTCT
ACAAGACGCTACTTCCCCTATCATAGAAGAGCTTATCACCTTTCATGATC
ACGCCCTCATAATCATTTTCCTTATCTGCTTCCTAGTCCTGTATGCCCTT
TTCCTAACACTCACAACAAAACTAACTAATACTAACATCTCAGACGCTCA
GGAAATAGAAACCGTCTGAACTATCCTGCCCGCCATCATCCTAGTCCTCA
TCGCCCTCCCATCCCTACGCATCCTTTACATAACAGACGAGGTCAACGAT
CCCTCCCTTACCATCAAATCAATTGGCCACCAATGGTACTGAACCTACGA
GTACACCGACTACGGCGGACTAATCTTCAACTCCTACATACTTCCCCCAT
TATTCCTAGAACCAGGCGACCTGCGACTCCTTGACGTTGACAATCGAGTA
GTACTCCCGATTGAAGCCCCCATTCGTATAATAATTACATCACAAGACGT
CTTGCACTCATGAGCTGTCCCCACATTAGGCTTAAAAACAGATGCAATTC
CCGGACGTCTAAACCAAACCACTTTCACCGCTACACGACCGGGGGTATAC
TACGGTCAATGCTCTGAAATCTGTGGAGCAAACCACAGTTTCATGCCCAT
CGTCCTAGAATTAATTCCCCTAAAAATCTTTGAAATAGGGCCCGTATTTA
›CCCTATAG

Isolation of mtRNA and mtDNA

Mitochondria (1 mg/ml) were isolated using mannitol-sucrose buffer (0.225 M mannitol, 75 mM sucrose, 5 mM HEPES pH 7.4). Mitochondria were treated with 25 μg/ml of micrococcal nuclease S7 in nuclease buffer (0.6 M sorbitol, 20 mM MgCl 2 , 5 mM CaCl 2 , 20 mM Tris pH 8.0) supplemented with digitonin (0.1 mg/mg protein) for 30 min at 27° C. The reaction was stopped by addition of 20 mM EGTA. Mitochondria were collected and solubilized in SDS buffer (100 mM NaCl, 1% SDS, 20 mM Tris pH 7.4) at 65° C. for 5 min. RNA was purified using TRIzol reagent, and treated with RNase-free DNase I (Roche) for 1 h at 37° C. DNase I was inactivated by heating at 65° C. for 10 min. Phenol-chloroform extractions were used for DNA purification from the mitochondrial lysates.

›RT-PCR · 1 of 4

RNA was extracted using TRIzol and first strand cDNA synthesized using the AccessQuick™ RT-PCR kit (Promega Corporation, Madison, Wis.) and a specific reverse primer. AMV reverse transcriptase was denatured at 95° C. for 5 min. Specific forward primers were added and PCR amplifications were carried out in the same tubes.

Western Blot

Mitochondrial lysates (50 μg) were resolved by SDS-PAGE, transferred to nitrocellulose membranes, and incubated for 1 h with 5% milk TBST and 1 h with primary antibodies in 5% milk TBS-T. Antibodies included α-PNPASE (1:5000) (Rainey et al. (2006) Mol Cell Biol 26: 8488-8497; and Chen et al. (2006) Mol Cell Biol 26: 8475-8487), α-COX2 (1:1000) (Santa Cruz Biotechnology, Inc., Santa Cruz, Calif.), α-ND6 (1:1000) (Santa Cruz Biotechnology), and α-TOMM40 (1:1000). Amersham ECL™ Western Blotting Detection Reagent (G.E. Healthcare Biosciences, Pittsburg, Pa.) was used for chemiluminescent detection.

In Vitro Transcription

RNAs were synthesized using the Megascript® SP6 kit (Ambion brand by Life Technologies). For radiolabeled RNA synthesis, [ 32 P]-CTP (MP Biomedical) was incorporated. The RNAs were purified using TRIzol reagent.

RNA Import Assay

In vitro RNA import assays were performed as previously described (Wang et al. (2010) Cell 142: 456-467) in a 200-μl volume containing 0.5 μg RNA, 100 μg mitochondria, 0.225 M mannitol, 0.075 M sucrose, 2 mM KH 2 PO 4 , 50 mM KCl, 10 mM MgCl 2 , 2.5 mM EDTA, 5 mM L-methionine, 1 mg/ml BSA, 5 mM ATP, 2 mM DTT, 20 mM succinate, 50 mM HEPES, pH 7.1, at RT for 10 min. Mitochondria were pelleted at 11,000×g for 5 min and washed once with wash buffer (0.225 M mannitol, 0.075 M sucrose, 20 mM Tris, pH 8.0). Mitochondria were spun again and resuspended in 200 μl nuclease buffer containing 25 μg/ml of micrococcal nuclease S7 and incubated for 30 min at 27° C. Mitochondria were collected and solubilized in SDS buffer at 65° C. for 5 min. RNA was purified using TRIzol reagent, and analyzed by SDS-PAGE and autoradiography.

In Organello Translation

Following a 2 min incubation at RT with the in vitro synthesized tRNAs in the in vitro RNA import buffer, 250 μg/ml of rNTP was added and the samples were incubated at RT for an extra 5 min. RNase A was added to digest the non-imported RNA at 27° C. for 20 min. The mitochondria were then pelleted at 11,000×g for 5 min and resuspended in translation buffer containing 0.225 M mannitol, 0.075 M sucrose, 100 mM KCl, 1 mM MgCl 2 , 0.05 mM EDTA, 10 mM Tris, 10 mM K 2 HPO 4 pH 7.4, 10 mM glutamate, 2.5 mM malate, 1 mM ADP, 1 mg/ml fatty acid free BSA, 100 μg/memetine, 10 μM of each amino acid and 100 μCi of PRO-MIX™ L-[ 35 S] methionine and cysteine (MP Biomedical), and incubated at 37° C. for 30 min. Translation products were analyzed by 14% SDS-PAGE and autoradiography.

In Vivo Mitochondrial Translation

In vivo mitochondrial translation assays were performed as previously described (Hao & Moraes (1996) J Biol Chem 271: 2347-2352). Semi-confluent cells (0.5×10 6 ) were incubated in DMEM with 10% dialyzed FCS lacking methionine and cysteine and supplemented with 0.2 mg/ml emetine for 5 min at 37° C. 200 μCi/ml of PRO-MIX™ L-[ 35 S] methionine and cysteine (MP Biomedical) was added followed by a 30 min incubation at 37° C. Cells were PBS-washed, lysed, and analyzed by 14% SDS-PAGE and autoradiography.

Oxygen Consumption

Cells were seeded at 50,000 cells/well in a XF24 Extracellular Flux Analyzer cell culture plate (Seahorse Bioscience, North Billerica, Mass.) and incubated in the 37° C. incubator with 5% CO 2 for 24 h. The oxygen consumption rate was measured using the XF24 Extracellular Flux Analyzer using protocols supplied by the manufacturer.

Results

H1 RNA Import Sequence Regulates Mitochondrial Import of mt-tRNA Precursors

Initially, it was determined whether corrective, in vitro synthesized mitochondrial tRNA (mt-tRNA) precursors could be imported into isolated mitochondria and, if so, whether they were processed into mature mt-tRNAs. The mt-tRNA AAA Lys precursor contains 67 and 74 ribonucleotides, and the mt-tRNA UUU Leu precursor contains 93 and 76 ribonucleotides that are cleaved from the 5′ and 3′ transcript ends, respectively, during mt-tRNA maturation (Anderson et al. (1981) Nature 290: 457-465). In engineering the imported mt-tRNAs, the 5′ end of each mt-tRNA precursor contained or lacked the 20-nucleotide stem loop sequence of H1 RNA that directs the import of this RNA component of the RNase P enzyme; this sequence is designated the RP import sequence (Wang et al. (2010) Cell 142: 456-467). Engineered tRNAs were then added to import assays that utilized mouse liver mitochondria isolated from wild-type or a liver-specific “knockout” (designated HepKO) of Pnpt1, the gene encoding for PNPASE (Wang et al. (2010) Cell 142: 456-467) ( FIG. 15A ). Only mt-tRNA precursors with the appended RP import sequence were efficiently imported into isolated mitochondria, and import was markedly impaired in mitochondria with reduced PNPASE expression ( FIGS. 15A-15B ). Importantly, the 5′ and 3′ mt-tRNA precursor sequences were removed inside the mitochondria to yield mature 60-80 ribonucleotide mt-tRNAs ( FIG. 15B ).

To examine whether the imported mt-tRNAs could rescue defective mtRNA translation, in vitro import was combined with mitochondrial in organello protein synthesis studies. The A8344G mutation (mt-tRNA AAA Lys ) in MERRF and the A3243G mutation (mt-tRNA UUR Leu ) in MELAS cause a substantial reduction in mtRNA translation (Masucci et al. (1995) Mol Cell Biol 15: 2872-2881; and Schon et al. (1992) Biochim Biophys Acta 1101: 206-209). As shown in FIGS. 16A and 16B , a statistically significant increase in the steady-state abundance of total translated mitochondrial polypeptides was observed in both MERRF and MELAS cells following incubation with the mt-tRNA precursors containing the RP import sequence, but not with mt-tRNA precursors lacking RP. These data indicate that the RP import sequence enabled PNPASE-dependent mt-tRNA precursor import into isolated mitochondria and that the imported mt-tRNA precursors were processed and functioned in at least partially correcting defective mtRNA translation.

›RT-PCR · 2 of 4

The RP Import Sequence Directs Import of mt-tRNAS into Mitochondria In Vivo

To determine whether the RP import sequence functions in vivo, a mouse cytochrome oxidase 2 (mCOX2) mtRNA was used for import into human cells, since the sequence of mCOX2 differs significantly from human COX2 (hCOX2) (Bibb et al. (1981) Cell 26: 167-180; and Anderson et al. (1981) Nature 290: 457-465). The mCOX2 gene, with or without the added 5′ RP import sequence, was placed under the control of the H1 promoter ( FIG. 17A ) and constructs were introduced into HeLa cells via transient transfection. Two days after transfection, mitochondria were isolated and subjected to digitonin treatment (100 μg/1 mg of mitochondrial protein) in the presence of nuclease to generate mitoplasts as a means to determine whether the mCOX2 RNA was indeed imported into the mitochondrial matrix. The presence of the mCOX2 RNA in the mitochondrial matrix was examined by RT-PCR. As shown in FIG. 17B , only the mtRNA fusion transcript containing the RP import sequence directed the mCOX2 transcript into the mitochondrial matrix, indicating that the RP import sequence is required and functions in vivo.

To examine whether the imported mtRNA is translated, hCOX2 expression constructs, with or without the RP import sequence, were generated and stably introduced into mouse embryonic fibroblasts, because the monoclonal COX2 antibody is specific for human COX2 protein. Cells expressing RP-hCOX2, but not hCOX2, nucleus-encoded mtRNA showed mitochondrial transcript import ( FIG. 18 ) and hCOX2 protein translation within mitochondria ( FIG. 17C ), indicating that the RP import sequence also is required and functions with coding mtRNAs in vivo. The data also show that the RP import sequence enables mitochondrial import and processing of RNAs much larger (683 ribonucleotides) than tRNAs (60-80 ribonucleotides), providing a broader therapeutic potential. Thus, the RP import sequence can potentially be utilized in general strategies to target large RNAs for import into mitochondria.

Functional Rescue of Mitochondrial tRNA Mutants

The usual processing of nucleus-encoded tRNA precursors occurs inside the nucleus (Ceballos & Vioque (2007) Prot Peptide Lett 14: 137-145; and Frank & Pace (1998) Ann Rev Biochem 67: 153-180). However, when stably expressed from inside the nucleus, mt-tRNA precursors fused to the RP import sequence did not rescue the respiratory defect of MERRF or MELAS cells ( FIGS. 19A-19B ). Instead, the RP 5′ mt-tRNA pre-sequences (RP 5′ pre-sequences, RNA sequences having the RP import sequence fused to their 5′ ends) were cleaved inside the nucleus ( FIG. 20A ). Moving the RP import signal to the 3′ end of the mt-tRNA pre-sequence (RP 3′ pre-sequences, RNA sequences having the RP import sequence fused to their 3′ ends) was also ineffective as RP pre-sequences (RP 5′ pre-sequences and RP 3′ pre-sequences) were cleaved in the nucleus ( FIG. 20B ). To stop the cleavage of mt-tRNA sequences fused to the RP import sequence inside the nucleus, several ribonucleotides adjacent to the aminoacyl stem of the mt-tRNA were replaced, thereby creating mt-tRNA precursors: LysA, RPLysA, LeuA and RPLeuA ( FIG. 19A ). When LysA, RPLysA, LeuA and RPLeuA were expressed in mammalian cells, an increase in unprocessed mt-tRNA precursors was detected ( FIG. 20C ). However, these nucleus-encoded mt-tRNA precursors still failed to effectively rescue the MERRF or MELAS respiration defect ( FIG. 19B ).

Thus, it was hypothesized that the mt-tRNA precursors might not localize near the mitochondria and, therefore, the RP import sequence could not function as an import signal, as it does with isolated mitochondria in vitro. To determine whether localizing the mt-tRNA precursors to mitochondrion will assist in their import in vivo, the 3′-UTR of the mRNA of human mitochondrial ribosomal protein S12 (MRPS12) (Russo et al. (2008) Biochim Biophys Acta 1779: 820-829) was fused to the to the 3′ end of the tRNA precursors to give the following 8 expression constructs: LysM (mt-tRNA AAA Lys precursor with MRPS12 3′-UTR), RPLysM (mt-tRNA AAA Lys precursor with RP and MRPS12 3′-UTR), LysAM (mt-tRNA AAA Lys precursor with the extended stem and MRPS12 3′-UTR), RPLysAM (mt-tRNA AAA Lys precursor with RP, the extended stem, and MRPS12 3′-UTR), LeuM (mt-tRNA UUR Leu precursor with MRPS12 3′-UTR), RPLeuM (mt-tRNA UUR Leu precursor with RP and MRPS12 3′-UTR), LeuAM (mt-tRNA UUR Leu precursor with the extended stem and MRPS12 3′-UTR), and RPLeuAM (mt-tRNA UUR Leu precursor with RP, the extended stem, and MRPS12 3′-UTR) ( FIG. 19A ).

Stable polyclonal transfectants with above mentioned tRNA chimeras in MERRF and MELAS cells were made and cell respiration was measured with a XF24 Extracellular Flux Analyzer (Seahorse Biosciences, North Billerica, Mass.). As shown in FIG. 19C , when all three elements, i.e. the extended stem, the RP import sequence, and the MRPS12 3′-UTR, were present, the mt-tRNA precursors rescued MELAS and MERFF respiration defects (about a 2.5-fold increase); otherwise, no rescue was detected. FIG. 19C also shows that expression of mt-tRNA precursors in vivo did not have any significant effect on the respiration of wild-type cybrid cells (i.e. the mitochondrial genome is wild-type (as compared to the mutants)), suggesting little perturbation of other cellular functions.

To evaluate whether the rescue of respiration is from a correction in mtRNA translation by imported wild-type mt-tRNAs, an in vivo mitochondrial translation assay was performed with MERRF and MELAS cells expressing different versions of the mt-tRNA precursors. Consistent with the respiration results, MERRF and MELAS cells showed a substantial reduction in the synthesis of mitochondrion-encoded proteins compared to the wild-type cybrid cells. Only when the mt-tRNA precursors with all three elements were expressed, did mitochondrial protein synthesis recover (about 3 to about 6 times increase) as shown in FIGS. 21A and 21B . A complete recovery was not expected, as the mutant mt-tRNAs were still present in the mitochondria and likely compete with the imported wild-type mt-tRNAs during mtRNA translation. Stable mitochondrial protein levels in MERRF and MELAS cells were also examined. Consistent with the increase in respiration and in vivo translation results in the mutant cells expressing the mt-tRNA precursors containing all three elements, as shown in FIG. 21C , the levels of mitochondrial-encoded COX2 and ND6 proteins were markedly increased.

›RT-PCR · 3 of 4

These results show that (1) an extended stem allows some nucleus-encoded mt-tRNA precursors to escape the nucleus, (2) a mitochondria localization sequence (such as MRPS12 3′-UTR) may be used to localize RNA sequences (such as nucleus-encoded mt-tRNA precursors that have escaped the nucleus) to be in the proximity of a mitochondrion, and (3) an RNA import sequence (such as RP import sequence) may fused to an RNA sequence to cause it to be internalized by mitochondria. Thus, where a nucleus-encoded mt-tRNA precursor fails to escape the nucleus, its aminoacyl stem may be modified and/or extended to enable its escape from the nucleus. In cases where a nucleus-encoded mt-tRNA precursor escapes the nucleus but is not further processed, a mitochondria localization sequence may be used to localize the nucleus-encoded mt-tRNA precursor to be in the proximity of mitochondria. And finally, in cases where an RNA sequence is in the proximity of mitochondria but is not internalized by the mitochondria, an RNA import sequence may be used to enable its internalization by mitochondria. In some embodiments, one or more of these inventive targeting methods, i.e. use of a modified and/or extended stem, use of a mitochondria localization sequence, and use of an RNA import sequence, may be used.

RNA import sequences according to the present invention include: RP import sequence (SEQ ID NO:7) and MRP import sequence (SEQ ID NO:6) and sequences having about 15-30 nucleotides and about 80-99%, preferably about 85-99%, more preferably about 90-99%, most preferably about 95-99% sequence identity to RP import sequence (SEQ ID NO:7) or MRP import sequence (SEQ ID NO:6) yet are still capable of forming a single stem-loop such as: GUCCCUGAGCUUCAGGGAC (SEQ ID NO:38). In some embodiments, RNA import sequences according to the present invention are about 15-30, preferably about 20-25, nucleotides long and comprise the following sequence CCCUGAGCUUCAGGG (SEQ ID NO:39). In these embodiments, one or more nucleotides may flank one or both ends of SEQ ID NO:39.

According to the present invention, a variety of modifications in the stem of a tRNA may be made in order to prevent cleavage and enable export out of the nucleus. Normally, in nuclear tRNA precursors, the first or more nucleotides preceding the mature 5′ end are unpaired, which creates a bubble and facilitates processing of the 5′ presequence by nuclear RNase P RNase. Extending and/or modifying the tRNA aminoacyl stem by turning the mismatched nucleotides into pairs significantly reduces the efficiency of tRNA processing. See e.g. FIG. 19A .

C. Therapeutic Embodiments

As provided above, the experiments with cytoplasmic hybrids (cybrids) evidence that the methods and sequences of the present invention may be used to treat mitochondrial genetic disorders in subjects. Cybrid lines derived from MERRF (myoclonic epilepsy with ragged red fibers) and MELAS (mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes) patient samples (Masucci et al. (1995) Mol Cell Biol 15: 2872-2881; Schon et al. (1992) Biochim Biophys Acta 1101: 206-209; Kishnani et al. (1996) Eur Journal Pediat 155: 898-903; and Shoffner et al. (1990) Cell 61: 931-937) are longstanding models of human mtDNA disease. Mutant cybrid lines harboring an A8344G (mt-tRNA AAA Lys ) mutation for MERRF and an A3243G (mt-tRNA UUR Leu ) mutation for MELAS exhibit defective cell respiration resulting from inefficient mtRNA translation. The experiments herein demonstrate that mitochondrial defects in these mutant cybrid cells can be partially rescued by targeted import of allotopically-encoded wild-type tRNAs using an RNA import signal according to the present invention and, for corrective tRNAs, a mitochondrial localization signal according to the present invention, such as that derived from the 3′ untranslated region (UTR) of human mitochondrial ribosomal protein S12 (MRPS12), which targets the mRNA to the mitochondrial outer membrane (Russo et al. (2008) Biochim Biophys Acta 1779: 820-829). The experiments herein also show that the RP import sequences according to the present invention are capable of importing much larger, mitochondrial protein-encoding mRNAs in vivo. Consequently, the methods and compositions of the present invention may be used to treat a variety of mitochondrial genetic disorders which are not limited by the size of the relevant mtDNA gene.

In some embodiments, the RNA import sequences of the present invention are used to rationally engineer tRNAs and mRNAs that are internalized by mitochondria such as human mitochondria. In some embodiments, the stems of nucleus-encoded tRNAs are modified and/or extended in order to prevent their cleavage inside of the nucleus and enable their transport out of the nucleus. In some embodiments, a mitochondria localization sequence of the present invention may be fused to a given nucleic acid molecule, e.g. an RNA sequence, in order to localize the nucleic acid molecule to be in proximity to mitochondria.

Thus, the present invention also provides wild-type or altered nucleic acid molecules, which may be RNA or ssDNA, that are recombinantly modified to have fused thereto an RNA import sequence, a mitochondria localization sequence, or a combination thereof. In addition, the present invention may be used treat mtDNA mutations in mt-tRNAs, mt-rRNAs, and protein-encoding mtRNAs by importing wild type tRNAs, rRNAs and mRNAs into mitochondria to thereby complement the mutations in the genes. The present invention may also be used to treat heteroplasmic mtDNA populations, in which ribozymes are targeted by importing enzymatic RNAs or other noncoding RNAs that can be used to manipulate the levels of mitochondrial encoded RNAs.

As provided herein, rationally designed RNAs of the present invention do not appear to have any negative effect on other cellular processes, as wild-type cell metabolism is not affected. Therefore, the methods and compositions of the present invention may be used to treat a wide range of diseases and disorders caused by mutations in the mitochondrial genome. Examples of diseases and disorders resulting from mitochondrial dysfunction include Diabetes mellitus and deafness (DAD), Leber's hereditary optic neuropathy (LHON), Leigh syndrome, Neuropathy, ataxia, retinitis pigmentosa and ptosis (NARP), Myoneurogenic gastrointestinal encephalopathy (MNGIE), Myoclonic epilepsy with ragged red fibers (MERRF), Mitochondrial myopathy, encephalomyopathy, lactic acidosis, stroke-like symptoms (MELAS), mitochondrial myopathy, cardiomyopathy, Type II diabetes, Alzheimer's disease, Parkinson's disease, and the like.

›RT-PCR · 4 of 4

For example, once the disease causing mutation in the mtDNA is determined, a nucleic acid molecule having a sequence that corresponds to the correct mtDNA sequence is fused to an RNA import sequence of the present invention and administered to the mitochondria having the mtDNA mutation. Tables 1 and 2 set forth various mutations (nucleotide changes) in the mitochondrial genome and the mitochondrial diseases caused thereby. Thus, in some embodiments, after a subject is diagnosed as having one of these mitochondrial diseases, the subject may be administered a recombinant nucleic acid molecule which comprises a first nucleic acid molecule which is a wild-type sequence or an altered sequence of a gene or fragment thereof or its complement, fused directly or indirectly to another nucleic acid molecule(s) which is an RNA import sequence, a mitochondria localization sequence, or a combination thereof. The first nucleic acid molecule may be RNA or ssDNA. Thus, in some embodiments, the recombinant nucleic acid molecule is a entirely composed of ribonucleotides and in other embodiments, the recombinant nucleic acid molecule is a DNA:RNA hybrid, i.e. composed of both ribonucleotides and deoxyribonucleotides.

The following examples are intended to illustrate but not to limit the invention.

To the extent necessary to understand or complete the disclosure of the present invention, all publications, patents, and patent applications mentioned herein are expressly incorporated by reference therein to the same extent as though each were individually so incorporated.

Having thus described exemplary embodiments of the present invention, it should be noted by those skilled in the art that the within disclosures are exemplary only and that various other alternatives, adaptations, and modifications may be made within the scope of the present invention. Accordingly, the present invention is not limited to the specific embodiments as illustrated herein, but is only limited by the following claims.

›Tables in the description — 2
TABLE 1 — Known Mitochondrial DNA Base Substitutions Causing Diseases: Coding and Control Region Point Mutations Homoplasmy = pure mutant mtDNAs. Heteroplasmy = mixture of mutant and normal mtDNAs. nd = not determined. “Reported” status indicates that one or more publications have considered the mutation as possibly pathologic. This is not an assignment of pathogenicity by MITOMAP but is a report of literature. Previously, mutations with this status were termed “Prov” (provisional). “Cfrm”(confirmed) status indicates that at least two or more independent laboratories have published reports on the pathogenicity of a specific mutation. These mutations are generally accepted by the mitochondrial research community as being pathogenic. A status of “Cfrm” is not an assignment of pathogenicity by MITOMAP but is a report of published literature. Researchers and clinicians are cautioned that additional data and/or analysis may still be necessary to confirm the pathological significance of some of these mutations. “P.M.” (point mutation/polymorphism) status indicates that some published reports have determined the mutation to be a non-pathogenic polymorphism.
NucleotideNucleotideAmino AcidHomo-Hetero-
LocusDiseaseAllelePositionChangeChangeplasmyplasmyStatus
MT-DLOOPBD-associatedC114T114C-Tnoncoding+−Reported
MT-DLOOPLongevity/Cervical CarcinomaC150T150C-Tnoncoding++Conflicting reports
risk
MT-DLOOPBD-associatedT195C195T-Cnoncoding+−Reported
MT-DLOOPAD-weakly associatedC309CC309C-CCins(n)noncoding..Reported
MT-ND1MELAS/DEAFT3308C3308T-CM-T−+P.M.-possibly
enhancer/hypertensionsynergistic
MT-ND1Sudden Infant DeathT3308G3308T-GM1X++Reported
MT-ND1NIDDM/HCMC3310T3310C-TP-S++Reported
MT-ND1NIDDM/LHON/PEOG3316A3316G-AA-T+−Unclear
MT-ND1CardiomyopathyG3337A3337G-AV-M+−Possibly synergistic
MT-ND1EncephaloneuromyopathyC3340T3340C-TP-S+−Reported
MT-ND1LHON MELAS overlapG3376A3376G-AE-K++Reported
MT-ND1MELASG3380A3380G-AR-Q−+Reported
MT-ND1LHON/NIDDM/CPTdeficiencyT3394C3394T-CY-H+−Reported/Unclear
MT-ND1HCM with hearing lossA3395G3395A-GY-C−+Reported
MT-ND1NSHL/MIDDT3396C3396T-Csyn+−Warrants further
study
MT-ND1ADPD/Possibly LVNC-A3397G3397A-GM-V+−Reported
cardiomyopathy associated
MT-ND1DMDF + HCM/GDM/possiblyT3398C3398T-CM-T+−Reported
LVNC cardiomyopathy-
associated
MT-ND1Gestational Diabetes (GDM)A3399T3399A-TM-I+−Warrants further
study
MT-ND1found in 1 HCM patientG3407A3407G-AR-H+−Reported
MT-ND1AMegLA3418G3418A-GN-D+−Reported
MT-ND1MIDDG3421A3421G-AV-I+−Reported
MT-ND1LHONG3460A3460G-AA-T++Cfrm
MT-ND1MELASG3481A3481G-AE-K−+Reported
MT-ND1ProgressiveG3481A3481G-AE-K−+Reported
Encephalomyopathy
MT-ND1LHONG3496T3496G-TA-S+−Reported/Secondary
MT-ND1LHONC3497T3497C-TA-V+−Reported/Secondary
MT-ND1LHONG3635A3635G-AS-N+−Cfrm
MT-ND1BD-associatedT3644C3644T-CV-A..Reported
MT-ND1Leigh SyndromeG3688A3688G-AA-T+−Reported
MT-ND1MELAS/LS/LDYTG3697A3697G-AG-S−+Cfrm
MT-ND1LHONG3700A3700G-AA-T+−Reported
MT-ND1LHONG3733A3733G-AE-K++Reported
MT-ND1LHONG3736A3736G-AV-I..Reported
MT-ND1Adult-Onset DystoniaA3796G3796A-GT-A−+Reported
MT-ND1PEGT3833A3833T-AL-Q+−Reported
MT-ND1LHON + limb claudicationT3866C3866T-CI-T..Reported
MT-ND1ProgressiveG3890A3890G-AR-Q−+Reported
Encephalomyopathy/LS
MT-ND1MELASG3946A3946G-AE-K++Reported
MT-ND1MELAST3949C3949T-CY-H−+Reported
MT-ND1NAION-assoicatedG4132A4132G-AA-T+−Warrants further
study
MT-ND1LHONA4136G4136A-GY-C+−Possibly synergistic
MT-ND1LHONT4160C4160T-CL-P+−Reported
MT-ND1LHONC4171A4171C-AL-M++Cfrm
MT-ND1LHON/Insulin ResistanceT4216C4216T-CY-H+−P.M.-haplogroup
J/T marker
MT-ND1LHON candidateC4633G4633C-GA-G+−Reported
MT-ND2LHONC4640A4640C-AI-M+−Reported
MT-ND2PEGT4648C4648T-CF-S+−Reported
MT-ND2possible PD risk factorG4659A4659G-AA-T+−Reported
MT-ND2Leigh SyndromeT4681C4681T-CL-P−+Reported
MT-ND2SZ-associatedA4769A4769A-Asyn+−Reported
MT-ND2NIDDM helper mutation; AD, PDA4833G4833A-GT-A+−Reported;
haplogroup G
marker
MT-ND2LHONT4852A4852T-AL-Q+−Reported
MT-ND2LHON/InsulinA4917G4917A-GN-D+−Reported;
Resistance/AMD/NRTI-PNhaplogroup T
marker
MT-ND2Longevity; Extraversion MI/AMSC5178A5178C-AL-M+−Reported;
protection; blood ironhaplogroup D
metabolismmarker
MT-ND2LHONG5244A5244G-AG-S−+Reported
MT-ND2ProgressiveC5452T5452C-TT-M+−Reported
Encephalomyopathy
MT-ND2AD/PDG5460A5460G-AA-T++P.M.
MT-ND2ADG5460T5460G-TA-S++Reported
MT-CO1Prostate CancerC5911T5911C-TA-V+−Reported
MT-CO1Prostate CancerG5913A5913G-AD-N+−Reported
MT-CO1Myoglobinuria/EXITG5920A5920G-AW-Ter−+Reported
MT-CO1Prostate CancerA5935G5935A-GN-S+−Reported
MT-CO1Prostate CancerG5973A5973G-AA-T+−Reported
MT-CO1Motor Neuron Disease6020del56020CGAGC-delAELGQ-−+Reported
AGPATer
MT-CO1Prostate CancerG6081A6081G-AA-T+−Reported
MT-CO1Prostate CancerG6150A6150G-AV-I+−Reported
MT-CO1Prostate CancerT6253C6253T-CM-T+−Reported
MT-CO1Prostate Cancer/LHONG6261A6261G-AA-T+−Reported
MT-CO1Prostate CancerG6267A6267G-AA-T+−Reported
MT-CO1Prostate CancerG6285A6285G-AV-I+−Reported
MT-CO1EXIT (Exercise Intolerance)C6328T6328C-TS-F+−Reported
MT-CO1Prostate CancerC6340T6340C-TT-I+−Reported
MT-CO1Prostate CancerG6480A6480G-AV-I+−Reported
MT-CO1Therapy-Resistant EpilepsyC6489A6489C-AL-I−+Reported
MT-CO1Prostate CancerA6663G6663A-GI-V+−Reported
MT-CO1MyopathyA6698del6698A-delK-fs-Ter−+Reported
MT-CO1MM & RhabdomyolysisG6708A6708G-AG-Ter−+Reported
MT-CO1Acquired IdiopathicT6721C6721T-CM-T−+Reported
Sideroblastic Anemia
MT-CO1Acquired IdiopathicT6742C6742T-CI-T−+Reported
Sideroblastic Anemia
MT-CO1Multisystem DisorderG6930A6930G-AG-Ter−+Reported
MT-CO1Mild EXIT and MRG6955A6955G-AG-D++Reported
MT-CO1MELAS-like syndromeG7023A7023G-AV-M−+Reported
MT-CO1Prostate CancerG7041A7041G-AV-I+−Reported
MT-CO1Prostate CancerT7080C7080T-CF-L+−Reported
MT-CO1Prostate CancerA7083G7083A-GI-V+−Reported
MT-CO1Prostate CancerA7158G7158A-GI-V+−Reported
MT-CO1Prostate CancerA7305C7305A-CM-L+−Reported
MT-CO1DEAFA7443G7443A-GTer-G+−Reported
MT-CO1LHON/SNHL/DEAFG7444A7444G-ATer-K+−Reported
MT-CO1DEAFA7445C7445A-CTer-S+−Reported
MT-CO1SNHLA7445G7445A-GTer-Ter++Cfrm
MT-CO2MitochondrialT7587C7587T-CM-T−+Reported
Encephalomyopathy
MT-CO2LHONC7623T7623C-TT-I+−Reported
MT-CO2PD risk factorG7637A7637G-AE-K−+Reported
MT-CO2MMT7671A7671T-AM-K−+Reported
MT-CO2possible HCM susceptibilityG7697A7697G-AV-I+−Reported
MT-CO2Alpers-Huttennlocher-likeG7706A7706G-AA41T+Reported
MT-CO2ProgressiveG7859A7859G-AD-N+−Reported
Encephalomyopathy
MT-CO2LHONC7868T7868C-TL-F+−Possibly synergistic
MT-CO2PEG glaucomaA7877C7877A-CK-Q+−Reported
MT-CO2Multisystem DisorderG7896A7896G-AW-Ter−+Reported
MT-CO2EncephalopathyG7970T7970G-TE-Ter−+Reported
MT-CO2RhabdomyolysisT7989C7989T-CL-P−+Reported
MT-CO2Lactic Acidosis8042del28042AT-delM-Ter−+Reported
MT-CO2DEAFG8078A8078G-AV-I+−Reported
MT-CO2SNHLA8108G8108A-GI-V+−Reported
MT-ATP8MIDD/LVNC cardiomyopathy-A8381G8381A-GT-A+−Reported
assoc.
MT-ATP8Reversible Brain PseudoatrophyC8393T8393C-TP-S−+Reported
MT-ATP8Severe mitochondrial disorderA8411G8411A-GM-V+−Reported
MT-ATP8LongevityC8414T8414C-TL-F+−Reported
MT-Infantile cardiomyopathyT8528C8528T-CW-R (ATP8);++Reported
ATP8/6?M(start)-T
(ATP6)
MT-Apical HCMG8529A8529G-AW-X (ATP8); M-+−Reported
ATP8/6?M (ATP6)
MT-Possibly LVNC cardiomyopathy-C8558T8558C-TP-S (ATP8); A-+−Reported
ATP8/6?associatedV (ATP6)
MT-ATP6LHONT8668C8668T-CW-R+−Reported
MT-ATP6MILS protective factorT8741G8741T-GL-R−+Reported
MT-ATP6Exercise Endurance/CoronaryC8794T8794C-TH-Y+−Reported
Atherosclerosis risk
MT-ATP6MILS protective factorA8795G8795A-GH-R−+Reported
MT-ATP6LHONA8836G8836A-GM-V+−Reported
MT-ATP6BSNT8851C8851T-CW-R++Reported
MT-ATP6Prostate CancerC8932T8932C-TP-S+−Reported
MT-ATP6LDYTG8950A8950G-AV-I+−Reported
MT-ATP6NARP/LeighT8993C8993T-CL-P−+Cfrm
Disease/MILS/other
MT-ATP6NARP/LeighT8993G8993T-GL-R−+Cfrm
Disease/MILS/other
MT-ATP6LHONA9016G9016A-GI-V−+Reported
MT-ATP6Progressive ataxiaT9035C9035T-CL-P+−Reported
MT-ATP6PD protective factorG9055A9055G-AA-T+−Reported
MT-ATP6Possibly LVNC cardiomyopathy-A9058G9058A-GT-A+−Reported
associated
MT-ATP6Predisposition to anti-retroviralT9098C9098T-CI-T+−Reported
mito disease
MT-ATP6LHONT9101C9101T-CI-T+−Reported
MT-ATP6LHONG9139A9139G-AA-T+−Reported-possibly
synergistic
MT-ATP6FBSN/Leigh DiseaseT9176C9176T-CL-P++Cfrm
MT-ATP6Leigh Disease/SpasticT9176G9176T-GL-R−+Cfrm
Paraplegia
MT-ATP6Leigh Disease/Ataxia/NARP-likeT9185C9185T-CL-P++Cfrm
disease
MT-ATP6Leigh DiseaseT9191C9191T-CL-P−+Reported
MT-ATP6Seizures/Lacticacidemia9205de129205TA-delTer-M+−Reported
MT-CO3MM w lactic acidosisG9379A9379G-AW-Ter−+Reported
MT-CO3LHONG9438A9438G-AG-S+−Conflicting reports
MT-CO3Leigh DiseaseT9478C9478T-CV-A−+Reported
MT-CO3Myoglobinuria9480del159479TTTTTCTT-FFFAG-del−+Reported
CGCAGGA-
del
MT-CO3Leigh DiseaseC9537insC9537C-CCQ-frameshift+−Reported
MT-CO3Sporadic bilateral opticG9544A9544G-AG-E..Reported
neuropathy
MT-CO3LHONA9660C9660A-CM-L+−Reported
MT-CO3LHONG9738T9738G-TA-S+−Reported
MT-CO3MyopathyT9789C9789T-CS-P−+Reported
MT-CO3LHONG9804A9804G-AA-T+−Reported
MT-CO3ADT9861C9861T-CF-L+−Reported
MT-CO3Mitochondrial EncephalopathyG9952A9952G-AW-Ter−+Reported
MT-CO3PEM/MELAS/NAIONT9957C9957T-CF-L−+Reported
MT-CO3EXIT & APS2-possible linkA9972C9972A-CI-L−+Warrants further
study
MT-ND3Leigh DiseaseT10158C10158T-CS-P++Cfrm
MT-ND3Leigh Disease/Leigh-likeT10191C10191T-CS-P−+Cfrm
Disease/ESOC
MT-ND3LeighG10197A10197G-AA-T++Cfrm
Disease/Dystonia/Stroke/LDYT
MT-ND3LHONT10237C10237T-CI-T+−Reported
MT-ND3Invasive Breast Cancer riskA10398A10398A-AT-T+−Reported;
factor; AD; PD; BD lithiumhaplogroup
response; Type 2 DMHNTUVWXK2
marker
MT-CYBDEAFG15077A15077G-AE-K+−Reported
MT-ND3PD protectiveA10398G10398A-GT-A+−Reported;
factor/longevity/altered cellhaplogroup IJK
pH/metabolic syndrome/breastmarker
cancer risk
MT-ND4LLHONA10543G10543A-GH-R−+Reported
MT-ND4LLHONT10591G10591T-GF-C−+Reported
MT-ND4LBD/MDD-associatedT10652C10652T-Csyn−+Reported
MT-ND4LLHONT10663C10663T-CV-A+−Cfrm
MT-ND4LLHONG10680A10680G-AA-T+−Reported-possibly
synergistic
MT-ND4AD, PD; MELASA11084G11084A-GT-A++Reported; P.M.
MT-ND4CPEOT11232C11232T-CL-P−+Reported
MT-ND4LHON; PDT11253C11253T-CI-T+−Reported
MT-ND4found in 1 HCM patientT11365C11365T-Csyn+−Reported
MT-ND4Altered brain pHA11467G11467A-Gsyn+−Reported
MT-ND4LHON/LDYT/DEAF/G11696A11696G-AV-I
hypertension helper mut.
Notes:
LHON Leber Hereditary Optic Neuropathy
AD Alzeimer's Disease
ADPD Alzeimer's Disease and Parkinsons's Disease
NARP Neurogenic muscle weakness, Ataxia, and Retinitis Pigmentosa; alternate phenotype at this locus is reported as Leigh Disease
MELAS Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like episodes
MERRF Myoclonic Epilepsy and Ragged Red Muscle Fibers
CPEO Chronic Progressive External Ophthalmoplegia
DM Diabetes Mellitus
CIPO Chronic Intestinal Pseudoobstruction with myopathy and Ophthalmoplegia
PEM Progressive encephalopathy
MM Mitochondrial Myopathy
LIMM Lethal Infantile Mitochondrial Myopathy
MMC Maternal Myopathy and Cardiomyopathy
FICP Fatal Infantile Cardiomyopathy Plus, a MELAS-associated cardiomyopathy
LDYT Leber's hereditary optic neuropathy and DYsTonia
MHCM Maternally inherited Hypertrophic CardioMyopathy
KSS Kearns Sayre Syndrome
DMDF Diabetes Mellitus + DeaFness
DEAF Maternally inherited DEAFness or aminoglycoside-induced DEAFness
SNHL SensoriNeural Hearing Loss
TABLE 2 — Known Mitochondrial DNA Base Substitution Causing Diseases: rNA/tRNA mutations Homoplasmy = pure mutant mtDNAs. Heteroplasmy = mixture of mutant and normal mtDNAs. nd = not determined. “Reported” status indicates that one or more publications have considered the mutation as possibly pathologic. This is not an assignment of pathogenicity by MITOMAP but is a report of literature. Previously, mutations with this status were termed “Prov” (provisional). “Cfrm”(confirmed) status indicates that at least two or more independent laboratories have published reports on the pathogenicity of a specific mutation. These mutations are generally accepted by the mitochondrial research community as being pathogenic. A status of “Cfrm” is not an assignment of pathogenicity by MITOMAP but is a report of published literature. Researchers and clinicians are cautioned that additional data and/or analysis may still be necessary to confirm the pathological significance of some of these mutations. “P.M.” (point mutation/polymorphism) status indicates that some published reports have determined the mutation to be a non-pathogenic polymorphism.
Homo-Hetero-
LocusDiseaseAlleleRNAplasmyPlasmyStatus
MT-TFMitochondrial myopathyT582CtRNA Phe−+Reported
MT-TFMELAS/MM & EXITG583AtRNA Phe−+Cfrm
MT-TFExtrapyramidal disorder with akinesia-rigidity,G586AtRNA Phe−+Reported
psychosis and SNHL
MT-TFAxial myopathy with encephalopathyC602TtRNA Phe−+Reported
MT-TFMyoglobinuriaA606GtRNA Phe++Unclear
MT-TFTubulointerstitial nephritisA608GtRNA Phe+−Reported
MT-TFMERRFG611AtRNA Phe−+Reported
MT-TFMaternally inherited epilepsyT616C/GtRNA Phe++Reported
MT-TFMMT618CtRNA Phe−+Reported
MT-TFEXIT & DeafnessG622AtRNA Phe−+Reported
MT-TFDEAFA636GtRNA Phe+−Reported
MT-TFAtaxia, PEO, deafnessT642CtRNA Phe−+Reported
MT-RNR1Coronary Atherosclerosis riskA663G12S rRNA+−Reported
MT-RNR1DEAFT669C12S rRNA+−Reported
MT-RNR1Possibly LVNC-associatedT721C12S rRNA+−Reported
MT-RNR1DEAFA735G12S rRNA..Reported
MT-RNR1DEAF-associatedA745G12S rRNA+−Reported
MT-RNR1SZ-associatedA750A12S rRNA+−Reported
MT-RNR1Increased risk of nonsyndromic deafnessC792T12S rRNA+−Reported
MT-RNR1DEAF-associatedA801G12S rRNA+−Reported
MT-RNR1DEAFA827G12S rRNA+−Conflicting reports-
B4b'd marker
MT-RNR1DEAF-associatedA839G12S rRNA+−Reported
MT-RNR1Possibly LVNC-associatedT850C12S rRNA+−Reported
MT-RNR1LHON helper/AD/DEAF-associatedA856G12S rRNA+−Reported
MT-RNR1found in 1 HCM patientC869T12S rRNA+−Reported
MT-RNR1Possibly LVNC-associatedT921C12S rRNA+−Reported
MT-RNR1Possibly DEAF-associatedC960CC12S rRNA+−Reported
MT-RNR1Possibly DEAF-associatedC960del12S rRNA+−Reported
MT-RNR1DEAF, possibly LVNC-associatedT961C12S rRNA+−Unclear
MT-RNR1DEAF/AD-associatedT961delT +/−12S rRNA++Unclear
C(n)ins
MT-RNR1Possibly DEAF-associatedT961G12S rRNA+−Reported
MT-RNR1DEAFT961insC12S rRNA+−Unclear
MT-RNR1Possible DEAF risk factorG988A12S rRNA..Reported
MT-RNR1DEAFT990C12S rRNA+−Reported
MT-RNR1DEAFT1005C12S rRNA+−Unclear
MT-RNR1DEAF-associatedA1027G12S rRNA+−Reported
MT-RNR1SNHLT1095C12S rRNA++Unclear
MT-RNR1DEAFA1116G12S rRNA+−Reported
MT-RNR1Possibly DEAF-associatedC1226G12S rRNA+−Reported
MT-RNR1Possibly DEAF-associatedT1180G12S rRNA+−Reported
MT-RNR1DEAF-associatedC1192A12S rRNA+−Reported
MT-RNR1DEAF-associatedC1192T12S rRNA+−Reported
MT-RNR1DEAFT1291C12S rRNA+−Unclear
MT-RNR1DEAF-associatedC1310T12S rRNA+−Reported
MT-RNR1DEAF-associatedA1331G12S rRNA+−Reported
MT-RNR1DEAF-associatedA1374G12S rRNA+−Reported
MT-RNR1found in 1 HCM patientT1391C12S rRNA+−Reported
MT-RNR1SZ-associatedA1438A12S rRNA+−Reported
MT-RNR1DEAF-associatedT1452C12S rRNA+−Reported
MT-RNR1Possible DEAF risk factorA1453G12S rRNA..Reported
MT-RNR1DEAFA1491G =12S rRNA..See 1555G
A1555G
MT-RNR1DEAFC1494T12S rRNA+−Cfrm
MT-RNR1DEAFA1517C12S rRNA−+Reported
MT-RNR1DEAFC1537T12S rRNA+−Reported
MT-RNR1DEAFA1555G12S rRNA+−Cfrm
MT-RNR1found in 1 HCM patientC1556T12S rRNA+−Reported
MT-TVAMDFG1606AtRNA Val−+Cfrm
MT-TVLeigh SyndromeC1624TtRNA Val+−Reported
MT-TVMNGIE-like disease/MELASA1630GtRNA Val−+Reported
MT-TVMELASG1642AtRNA Val−+Reported
MT-TVAdult Leigh SyndromeG1644TtRNA Val−+Reported
MT-TVHCM + MELASG1644AtRNA Val−+Reported
MT-TVMovement DisorderT1659CtRNA Val−+Reported
MT-RNR2Possibly LVNC-associatedT2352C16S rRNA+−Reported
MT-RNR2Possibly LVNC-associatedG2361A16S rRNA+−Reported
MT-RNR2Possibly LVNC-associatedA2755G16S rRNA+−Reported
MT-RNR2Rett SyndromeC2835T16S rRNA−+Reported
MT-RNR2Cyclic Vomiting Syndrome with MigraineG3010A16S rRNA+−Reported
MT-RNR2MyopathyG3090A16S rRNA−+Reported
MT-RNR2MELASC3093G16S rRNA−+Reported
MT-RNR2ADPDG3196A16S rRNA++Reported
MT-TL1Sporadic bilateral optic neuropathyA3236GtRNA Leu..Reported
(UUR)
MT-TL1MMG3242AtRNA Leu+−Reported
(UUR)
MT-TL1MELAS/LSA3243GtRNA Leu−+Cfrm
(UUR)
MT-TL1DMDF/MIDD/SNHL/FSGS/Cardiac + multi-A3243GtRNA Leu−+Cfrm
organ dysfunction(UUR)
MT-TL1CPEO/MMA3243GtRNA Leu−+Cfrm
(UUR)
MT-TL1MM/MELAS/SNHL/CPEOA3243TtRNA Leu−+Reported
(UUR)
MT-TL1MELASG3244AtRNA Leu−+Reported
(UUR)
MT-TL1KSSG3249AtRNA−+Reported
Leu(UUR)
MT-TL1MM/CPEOT3250CtRNA Leu−+Reported
(UUR)
MT-TL1MMA3251GtRNA Leu−+Reported
(UUR)
MT-TL1MELASA3252GtRNA Leu−+Reported
(UUR)
MT-TL1Gestational Diabetes (GDM)C3254AtRNA Leu−+Warrants further
(UUR)study
MT-TL1MMC3254GtRNA Leu−+Reported
(UUR)
MT-TL1CPEO/poss. hypertension factorC3254TtRNA Leu+−Reported
(UUR)
MT-TL1MERRF/KSS overlapG3255AtRNA Leu−+Reported
(UUR)
MT-TL1MELASC3256TtRNA Leu−+Cfrm
(UUR)
MT-TL1MELAS/MyopathyT3258CtRNA Leu−+Reported
(UUR)
MT-TL1MMCA3260GtRNA Leu−+Cfrm
(UUR)
MT-TL1DMT3264CtRNA Leu−+Reported
(UUR)
MT-TL1MELAST3271CtRNA Leu−+Cfrm
(UUR)
MT-TL1DMT3271CtRNA Leu−+Reported
(UUR)
MT-TL1PEMT3271delTtRNA Leu−+Reported
(UUR)
MT-TL1Ocular myopathyT3273CtRNA Leu−+Reported
(UUR)
MT-TL1Neuropsychiatric syndrome + cataractA3274GtRNA Leu−+Reported
(UUR)
MT-TL1LHONC3275AtRNA Leu+−Reported
(UUR)
MT-TL1Poss. hypertension factorG3277AtRNA Leu+−Reported
(UUR)
MT-TL1Poss. hypertension factorT3278CtRNA Leu+−Reported
(UUR)
MT-TL1MyopathyA3280GtRNA Leu−+Reported
(UUR)
MT-TL1EncephalomyopathyC3287AtRNA Leu−+Reported
(UUR)
MT-TL1MyopathyA3288GtRNA Leu−+Reported
(UUR)
MT-TL1Poss. hypertension factorT3290CtRNA Leu+−Reported
(UUR)
MT-TL1MELAS/Myopathy/Deafness + CognitiveT3291CtRNA Leu−+Cfrm
Impairment(UUR)
MT-TL1MMA3302GtRNA Leu−+Cfrm
(UUR)
MT-TL1MMCC3303TtRNA Leu++Cfrm
(UUR)
MT-TIMaternally inherited essential hypertensionA4263GtRNA Ile+−Reported
MT-TIMM/CPEOA4267GtRNA Ile−+Reported
MT-TIFICPA4269GtRNA Ile−+Reported
MT-TICPEO/Motor Neuron DiseaseT4274CtRNA Ile−+Reported
MT-TIPoss. hypertension factorT4277CtRNA Ile+−Reported
MT-TIRecurrent MyoglobinuriaA4281GtRNA Ile−+Reported
MT-TIVaried familial presentation/spastic paraparesisG4284AtRNA Ile−+Reported
MT-TICPEOT4285CtRNA Ile−+Reported
MT-TIProgressive Encephalopathy/PEO, myopathyT4290CtRNA Ile++Reported
MT-TIHypomagnesemic Metabolic SyndromeT4291CtRNA Ile+−Reported
MT-TIMHCM/Maternally inherited hypertensionA4295GtRNA Ile++Reported
MT-TICPEO/MSG4298AtRNA Ile−+Cfrm
MT-TIMICMA4300GtRNA Ile++Cfrm
MT-TICPEOA4302GtRNA Ile−+Reported
MT-TICPEOG4308AtRNA Ile−+Reported
MT-TICPEOG4309AtRNA Ile−+Reported
MT-TIPoss. hypertension factorT4314CtRNA Ile+−Reported
MT-TIHCM with hearing loss/poss. hypertension factorA4316GtRNA Ile++Reported
MT-TIFICP/poss. hypertension factorA4317GtRNA Ile+−Reported
MT-TIMitochondrial EncephalocardiomyopathyC4320TtRNA Ile−+Reported
MT-TQEncephalopathy/MELASG4332AtRNA Gln−+Cfrm
MT-TQADPD/Hearing Loss & MigraineT4336CtRNA Gln++Unclear
MT-TQPoss. hypertension factorA4343GtRNA Gln+−Reported
MT-TQPoss. hypertension factorC4345TtRNA Gln+−Reported
MT-TQPoss. hypertension factorT4353CtRNA Gln+−Reported
MT-TQPossibly associated w DEAF + RP + devT4363CtRNA Gln+−Reported
delay/hypertension
MT-TQMyopathyT4370ATtRNA Gln−+Reported
MT-TQPossibly LVNC-associatedT4373CtRNA Gln+−Reported
MT-TQLHONA4381GtRNA Gln+−Reported
MT-TQPoss. hypertension factorC4387AtRNA Gln+−Reported
MT-TQPoss. hypertension factorA4388GtRNA Gln+−Reported
MT-TQPoss. hypertension factorC4392TtRNA Gln+−Reported
MT-TQPoss. hypertension factorA4395GtRNA Gln+−Reported
MT-NC2HypertensionA4401GNC2 Gln-Met+−Reported
spacer
MT-TMMMT4409CtRNA Met−+Reported
MT-TMPoss. hypertension factorC4410AtRNA Met+−Reported
MT-TMEXIT & APS2A4415GtRNA Met−+Reported
MT-TMLHON modulator/poss. hypertension factorA4435GtRNA Met+−Reported
MT-TMMyopathyG4450AtRNA Met−+Reported
MT-TMPossible contributor to mitoT4454CtRNA Met+−Reported
dysfunction/hypertension
MT-TMPoss. hypertension factorC4456TtRNA Met−+Reported
MT-TWMMG5521AtRNA Trp−+Reported
MT-TWLeigh SyndromeT5523GtRNA Trp−+Reported
MT-TWGastrointestinal SyndromeG5532AtRNA Trp−+Reported
MT-TWLeigh SyndromeA5537insTtRNA Trp−+Cfrm
MT-TWEncephalomyopathy/DEAFG5540AtRNA Trp−+Reported
MT-TWMMT5543CtRNA Trp−+Reported
MT-TWHCM severe multisystem disorderC5545TtRNA Trp−+Reported
MT-TWDEMCHOG5549AtRNA Trp−+Reported
MT-TWLeigh SyndromeA5559GtRNA Trp−+Reported
MT-TWMyopathyT5567CtRNA Trp−+Reported
MT-TWDEAFA5568GtRNA Trp+−Reported
MT-TAPossible DEAF modifierT5587CtRNA Ala+−Reported
MT-TAMyopathyG5591AtRNA Ala−+Reported
MT-TACPEO/DEAF enhancerT5628CtRNA Ala−+Reported
MT-TAPEOT5636CtRNA Ala−+Reported
MT-TAMyopathyG5650AtRNA Ala−+Reported
MT-TADEAF enhancerT5655CtRNA Ala+−Reported
MT-TNCPEO/MMT5692CtRNA Asn−+Reported
MT-TNEncephalomyopathyT5693CtRNA Asn+−Reported
MT-TNCPEO/MMG5698AtRNA Asn−+Reported
MT-TNCPEO/MMG5703AtRNA Asn−+Cfrm
MT-TNMultiorgan failureT5728CtRNA Asn−+Reported
MT-TCSNHLG5780AtRNA Cys−+Reported
MT-TCMyopathy deafnessG5783AtRNA Cys−+Reported
MT-TCDEAF1555 increased penetranceT5802CtRNA Cys+−Reported
MT-TCMitochondrial EncephalopathyT5814CtRNA Cys−+L2b marker
MT-TCProgressive DystoniaA5816GtRNA Cys+−Reported
MT-TCDEAF helper mut.G5821AtRNA Cys+−Reported
MT-TYFSGS/Mitochondrial CytopathyA5843GtRNA Tyr+−Reported
MT-TYEXITT5874GtRNA Tyr−+Reported
MT-TS1DEAFA7445CtRNA Ser+−Reported
precursor?(UCN)
precursor
MT-TS1SNHLA7445GtRNA Ser++Cfrm
precursor?(UCN)
precursor
MT-TS1SNHLA7445TtRNA Ser+−Reported
precursor?(UCN)
precursor
MT-TS1DEAFA7456GtRNA Ser+−Unclear
(UCN)
MT-TS1PEOG7458AtRNA Ser−+Reported
(UCN)
MT-TS1DEAFC7462TtRNA Ser+−Reported
(UCN)
MT-TS1PEM/AMDF/Motor neuron disease-likeC7471CCtRNA Ser++Cfrm
(=‘7472insC’)(UCN)
MT-TS1MM/DMDF modulatorA7472CtRNA Ser+−Reported
(UCN)
MT-TS1MMT7480GtRNA Ser−+Reported
(UCN)
MT-TS1MM/EXITG7497AtRNA Ser++Cfrm
(UCN)
MT-TS1Maternally inherited hearing lossT7505CtRNA Ser+−Reported
(UCN)
MT-TS1PEO with hearing lossG7506AtRNA Ser−+Reported
(UCN)
MT-TS1SNHLT7510CtRNA Ser−+Reported
(UCN)
MT-TS1SNHLT7511CtRNA Ser++Cfrm
(UCN)
MT-TS1PEM/MERMET7512CtRNA Ser++Reported
(UCN)
MT-TDSporadic bilateral optic neuropathyG7520AtRNA Asp..Reported
MT-TDMitochondrial MyopathyA7526GtRNA Asp−+Reported
MT-TDMEPRA7543GtRNA Asp−+Reported
MT-TKDMDF/MERRF/HCM/epilepsyA8296GtRNA Lys++Reported
MT-TKEncephalopathyA8302TtRNA Lys+−Unclear
MT-TKPoss. hypertension factorT8311CtRNA Lys+−Reported
MT-TKMNGIE/Progressive mito cytopathyG8313AtRNA Lys−+Reported
MT-TKMELAST8316CtRNA Lys−+Reported
MT-TKMitochondrial CytopathyA8326GtRNA Lys−+Reported
MT-TKMito Encephalopathy/EXIT with myopathy andG8328AtRNA Lys−+Reported
ptosis
MT-TKDystonia and stroke-like episodesA8332GtRNA Lys+−Reported
MT-TKPoss. hypertension factorT8337CtRNA Lys+−Reported
MT-TKExercise IntoleranceG8340AtRNA Lys..Reported
MT-TKPEO and MyoclonusG8342AtRNA Lys−+Reported
MT-TKPossible PD risk factorA8343GtRNA Lys+−Reported
MT-TKMERRFA8344GtRNA Lys−+Cfrm
MT-TKOther-Depressive moodA8344GtRNA Lys−+Reported
disorder/leukoencephalopathy/HiCM/LD
MT-TKPoss. hypertension factorA8347GtRNA Lys+−Reported
MT-TKCardiomyopathy/SNHL/poss. hypertensionA8348GtRNA Lys++Reported
factor
MT-TKMyopathyT8355CtRNA Lys−+Reported
MT-TKMERRFT8356CtRNA Lys−+Cfrm
MT-TKMERRFG8361AtRNA Lys−+Reported
MT-TKMyopathyT8362GtRNA Lys−+Reported
MT-TKMICM + DEAF/MERRF/Autism/LS/G8363AtRNA Lys−+Cfrm
Ataxia + Lipomas
MT-TGMHCMT9997CtRNA Glynd+Reported
MT-TGCIPO/EncephalopathyA10006GtRNA Gly+−Unclear
MT-TGPEMT10010CtRNA Gly−+Cfrm
MT-TGMyopathyG10014AtRNA Gly+−Unclear
MT-TGSIDSA10044GtRNA Gly−+Unclear
MT-TRMitochondrial MyopathyG10406AtRNA Arg−+Reported
MT-TRProgressive EncephalopathyA10438GtRNA Arg−+Reported
MT-TRDEAF helper mut.T10454CtRNA Arg+−Reported
MT-THMERRF-MELAS/Cerebral edemaG12147AtRNA His−+Cfrm
MT-THRP + DEAFG12183AtRNA His−+Reported
MT-THMICMG12192AtRNA His+−Reported
MT-TS2Myopathy/EncephalopathyG12207AtRNA Ser−+Reported
(AGY)
MT-TS2DEAF helper mut.C12224TtRNA Ser+−Reported
(AGY)
MT-TS2DEAFG12236AtRNA Ser+−Reported
(AGY)
MT-TS2CIPOC12246AtRNA SerndndReported
(AGY)
MT-TS2DMDF/RP + SNHLC12258AtRNA Ser−+Reported
(AGY)
MT-TS2CPEOG12276AtRNA Ser−+Reported
(AGY)
MT-TS2CPEOG12283AtRNA Ser−+Reported
(AGY)
MT-TL2CPEOG12294AtRNA Leu−+Reported
(CUN)
MT-TL2Dilated Cardiomyopathy/LST12297CtRNA Leu++Reported
(CUN)
MT-TL2MELASA12299CtRNA Leu−+Reported
(CUN)
MT-TL23243 suppressor mutantG12300AtRNA Leu−+Reported
(CUN)
MT-TL2CPEO/Stroke/CM/Breast & Renal & ProstateA12308GtRNA Leu++Haplogroup U
Cancer Risk/Altered brain pH(CUN)marker
MT-TL2CPEOT12311CtRNA Leu++Reported
(CUN)
MT-TL2FSHDT12313CtRNA Leu−+Reported
(CUN)
MT-TL2CPEO/KSSG12315AtRNA Leu−+Cfrm
(CUN)
MT-TL2CPEOG12316AtRNA Leu−+Reported
(CUN)
MT-TL2MMA12320GtRNA Leu−+Reported
(CUN)
MT-TEReversible COX deficiency myopathyT14674CtRNA Glu+−Cfrm
MT-TEReversible COX deficiency myopathyT14674GtRNA Glu+−Reported
MT-TEMitochondrial encephalomyopathyC14680AtRNA Glu−+Reported
MT-TEMito myopathy w respiratory failureA14687GtRNA Glu+−Reported
MT-TELHON helper mut.A14692GtRNA Glu+−Reported
MT-TEMELAS/LHON/DEAF/hypertension helperA14693GtRNA Glu++Reported
MT-TEProgressive EncephalopathyA14696GtRNA Glu−+Reported
MT-TEMM + DMDF/EncephalomyopathyT14709CtRNA Glu++Cfrm
MT-TEEncephalomyopathy + RetinopathyG14740AtRNA Glu−+Reported
MT-TECPEO + MyopathyT14723CtRNA Glu−+Reported
MT-TEMito LeukoencephalopathyG14724AtRNA Glu−+Reported
MT-TEEXITG14739AtRNA Glu−+Reported
MT-TTDEAF helper mut.T15908CtRNA Thr+−Reported
MT-TTEncephalomyopathyG15915AtRNA Thr−+Reported
MT-TTLIMMA15923GtRNA Thrnd−Reported
MT-TTLIMMA15924GtRNA Thrnd−P.M.
MT-TTMultiple Sclerosis/DEAF1555 increasedG15927AtRNA Thr+−P.M./possible
penetrancehelper mutation
MT-TTMultiple SclerosisG15928AtRNA Thr+−P.M.
MT-TTMMT15940delTtRNA Thr+−P.M.
MT-TTPossibly LVNC-associatedT15942CtRNA Thr+−Reported
MT-TTDopaminergic nerve cell death (PD)G15950AtRNA Thr+−Reported
MT-TTLHON modulatorA15951GtRNA Thr+−Reported
MT-TPDopaminergic nerve cell death (PD)A15965GtRNA Pro+−Reported
MT-TPMERRF-like diseaseG15967AtRNA Pro−+Reported
MT-TPAtaxia + RP + deafnessC15975TtRNA Pro−+Reported
MT-TPMMC15990TtRNA Pro−+Reported
MT-TPMitochondrial cytopathyG15995AtRNA Pro−+Reported
MT-TPMitochondrial cytopathyT16002CtRNA Pro−+Reported
Notes:
LHON Leber Hereditary Optic Neuropathy
AD Alzeimer's Disease
ADPD Alzeimer's Disease and Parkinsons's Disease
NARP Neurogenic muscle weakness, Ataxia, and Retinitis Pigmentosa; alternate phenotype at this locus is reported as Leigh Disease
MELAS Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like episodes
MERRF Myoclonic Epilepsy and Ragged Red Muscle Fibers
CPEO Chronic Progressive External Ophthalmoplegia
DM Diabetes Mellitus
CIPO Chronic Intestinal Pseudoobstruction with myopathy and Ophthalmoplegia
PEM Progressive encephalopathy
MM Mitochondrial Myopathy
LIMM Lethal Infantile Mitochondrial Myopathy
MMC Maternal Myopathy and Cardiomyopathy
FICP Fatal Infantile Cardiomyopathy Plus, a MELAS-associated cardiomyopathy
LDYT Leber's hereditary optic neuropathy and DYsTonia
MHCM Maternally inherited Hypertrophic CardioMyopathy
KSS Kearns Sayre Syndrome
DMDF Diabetes Mellitus + DeaFness
DEAF Maternally inherited DEAFness or aminoglycoside-induced DEAFness
SNHL SensoriNeural Hearing Loss

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Classifications

4 codes
IPC · International Patent Classification
Section A — Human necessities
  • A61K31/7088
Section C — Chemistry; metallurgy
  • C12N15/87
  • C12N15/11
  • C12N15/113

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Michele K. Joike
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Citations: 12 back · 2 forward

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