Apart from the promotion of the fusion process, OPA1 also works as a master regulator of cristae structure and remodeling, independently of its role in fusion.
25,26 Since cristae are critical to the machinery of mitochondrial oxidative phosphorylation as the complexes of electron transport chain are located within the large surface area of the cristae, OPA1 therefore plays an essential role in regulating mitochondrial respiratory efficiency by directly changing the control of cristae widening or constriction.
27–29 Additionally, elongated mitochondria also presented higher activity of energy production because of the larger area of cristae, higher levels of dimers of the ATPase as well as the escape from autophagic degradation,
30 emphasizing the vital character of OPA1 in modulating mitochondrial bioenergetics and cell metabolism. However, the indicators of mitochondrial bioenergetics in samples from patients with ADOA mutations has revealed some controversial and sometimes conflicting results. Defective oxidative phosphorylation with remarkably reduced mitochondrial adenosine triphosphate production rate was observed in calf muscle in vivo from six patients,
31 consistent with the impaired ATP synthesis driven by complex I substrates in skin fibroblasts derived from ADOA patients,
32 and the reduced oxygen consumption as well as dysfunctional bioenergetics in lymphoblastoid cells obtained from four ADOA families.
19 In contrast, no alterations in mitochondrial oxidative phosphorylation were observed in lymphoblastoid cells lines and fibroblasts derived from patients,
33 which were not associated with the fragmented morphology.
34 These conflicting results may be due to the distinct effects of
OPA1 mutations in different cell types and might be associated with different bioenergetic profiles seen with different
OPA1 mutations. Because the RGC is a cell type highly vulnerable to metabolic disturbances and is exquisitely affected in patients with ADOA, it is conceivable that the results of our mitochondrial measurements might be different in RGCs from other cell types. According to our study, mitochondrial bioenergetics in panned RGCs from the B6; C3-
Opa1Q285STOP mouse model revealed an impaired mitochondrial respiratory function with diminished reserve capacity in RGCs with Opa1 deficiency. Therefore, we propose, evidence that mitochondrial bioenergetics and energy production can be disrupted in RGCs as a result of OPA1 deficiency.