Investigative Ophthalmology & Visual Science Cover Image for Volume 65, Issue 7
June 2024
Volume 65, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2024
ATP synthase c-subunit leak is associated with aberrant cellular metabolism in glaucoma patients with the E50K Optineurin mutation
Author Affiliations & Notes
  • Bledi Petriti
    Institute of Ophthalmology, University College London, London, United Kingdom
    Yale University Department of Internal Medicine, New Haven, Connecticut, United States
  • Shobana Subramanian
    Yale University Department of Internal Medicine, New Haven, Connecticut, United States
  • Pawel Licznerski
    Yale University Department of Internal Medicine, New Haven, Connecticut, United States
  • Pete Williams
    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Stockholm, Sweden
  • Kau Chau
    Clinical Neuroscience, University College London, London, United Kingdom
    UK and Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom
  • Gerassimos Lascaratos
    UK and Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom
  • David F Garway-Heath
    Institute of Ophthalmology, University College London, London, United Kingdom
  • Elizabeth Jonas
    Yale University Department of Internal Medicine, New Haven, Connecticut, United States
  • Footnotes
    Commercial Relationships   Bledi Petriti None; Shobana Subramanian None; Pawel Licznerski None; Pete Williams The Jackson Laboratory, Code P (Patent); Kau Chau None; Gerassimos Lascaratos Glaukos and Rayner, Code R (Recipient); David Garway-Heath Allergan, Genentech, Janssen, Novartis, Omikron, Roche, Santen, Code C (Consultant/Contractor), Alcon Research Institute , Jenssen, Santen, Code F (Financial Support); Elizabeth Jonas None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2024, Vol.65, 4061. doi:
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      Bledi Petriti, Shobana Subramanian, Pawel Licznerski, Pete Williams, Kau Chau, Gerassimos Lascaratos, David F Garway-Heath, Elizabeth Jonas; ATP synthase c-subunit leak is associated with aberrant cellular metabolism in glaucoma patients with the E50K Optineurin mutation. Invest. Ophthalmol. Vis. Sci. 2024;65(7):4061.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The E50K Optineurin (OPTN) mutation is associated with normal tension glaucoma (NTG). Preliminary electron microscopy done by our group showed E50K mitochondria (Mt) to be fragmented, round, dilated and darker than controls. Such features are reported to be related to an immature type of metabolism, characterised by inner membrane proton leak, uncoupled phosphorylation, and increased glycolysis. The leak pore is believed to be composed of the c-subunit of ATP synthase. We hypothesised E50K Mt have a leak metabolism, in which ATP synthase operates in reverse, with the c-subunit acting as the pore, consuming ATP to restore the inner membrane potential

Methods : We studied fibroblasts from 6 members of one family with NTG and the E50K-OPTN mutation and 6 age-matched healthy controls. To investigate ATP synthase reversal, we applied oligomycin 5µM (inhibitor of ATP synthase) in cells stained with TetraMethylRhodamine Methyl ester (TMRM) (Figure). Oxygen consumption rate (OCR) and glycolytic rate: measured using the XFe24 Analyzer. NADH/NAD+ and lactate levels: measured in fresh cells and media respectively. ATP levels: measured in the absence or presence of inhibitors of ATP synthase (Oligomycin) or glycolysis (2-deoxyglucose). Protein synthesis assessed by Western blot analysis of puromycin-labelled cells. ATP synthase beta and c-subunits quantified in mitochondrial lysates via western blotting

Results : E50K cells have an accelerated cell growth rate and overall increased protein synthesis (P<0.05). Upon addition of Oligomycin, E50K Mt depolarised whereas controls hyperpolarised. E50K cells have increased OCR, glycolytic rate, NADH/NAD+ ratio, lactate levels and glycolytic ATP production (all P<0.05). E50K Mt exhibit an increase in ATP synthase c-subunit (P<0.05), while the beta subunit is relatively constant across cell lines

Conclusions : E50K mutant Mt depolarise upon Oligomycin treatment suggesting the presence of a proton leak and ATP synthase reversal consuming rather, than producing, ATP (Figure). To sustain the ATP demand, glycolysis is upregulated. The data support that the leak channel is via the c-subunit of ATP synthase. Presence of a leak leads to uncoupled phosphorylation and consequently to an immature phenotype, as shown by increased cell growth rate and protein synthesis

This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.

 

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