The Role of the Disruption of Mitochondrial Function
in Neurodegenerative Diseases


Nakamura Lab 2018


Areas of Investigation
In our laboratory, we have two broad, intertwined objectives. The first is to gain insight into the normal physiology of mitochondria in the brain, particularly the functions of mitochondrial bioenergetics and dynamics at the nerve terminal and the mechanisms by which they support synaptic transmission. The second is to understand how disrupting these mitochondrial functions contributes to neurodegenerative diseases, especially Parkinson’s disease (PD) and Alzheimer’s disease (AD) and to use these insights to develop new approaches to target mitochondria therapeutically.

Mitochondria are dynamic organelles that frequently undergo fusion and fission. They are important in multiple cellular functions—including energy production—and are ultimately degraded. However, many aspects of mitochondrial behavior and function are not understood, especially in the brain and at nerve terminals. In addition, changes in mitochondria contribute to, and sometimes even initiate, neurodegeneration, but the underlying mechanisms—and the mitochondrial changes themselves—are poorly characterized. What is clear is that different types of neurons require distinct mitochondrial functions and proteins and that loss of these functions causes selective neuronal loss in a range of neurological disorders, including Charcot-Marie-Tooth disease, optic atrophy, mitochondrial diseases, and PD. Therefore, to understand how mitochondria contribute to neurodegeneration, we must study them in the neurons that are affected. Moreover, it is critical to understand mitochondrial biology in axons. Most mitochondria in neurons are believed to be in axons, and these mitochondria have different intrinsic properties and bioenergetic environments than those in other subcellular compartments. Axons are also lost early in many diseases that involve energy failure, and key pathogenic proteins such as α-synuclein and tau concentrate in axons. Thus, by understanding the normal behaviors and functions of axonal mitochondria in susceptible neuron types, we can begin to unravel how mitochondrial biology is disrupted in disease and, ultimately design new mitochondria-based therapies.

To study mitochondrial biology in the brain, we use an array of microscopy approaches. We visualize mitochondria in real time with targeted fluorescent probes, and we image mitochondrial bioenergetics, movement, and turnover in mammalian cells, including primary neurons and their synapses. To study mitochondria in vivo, we use transgenic mouse models and genetically modified viral vectors. With these tools, we can investigate how human mutations that cause PD and AD disrupt mitochondrial function and produce degeneration. To establish mechanisms, we also use in vitro model systems with recombinant proteins and purified mitochondria or artificial membranes.

Mitochondria-derived ATP at the synapse and in models of neurodegeneration. We developed new live-imaging assays to measure mitochondria-derived ATP in individual synaptic boutons, and used these assays to begin to define how much ATP is needed in different phases of the synaptic vesicle cycle. We found that endocytosis has particularly high ATP requirements (Pathak et al., JBC, 2015, paper of the week). We also found that ATP is rapidly dispersed in axons, thereby maintaining nearly normal levels of ATP even in boutons lacking mitochondria. As a result, boutons without mitochondria have the same capacity for synaptic vesicle cycling as those with mitochondria. Last, we found that loss of a key respiratory subunit implicated in Leigh’s disease markedly decreases mitochondria-derived ATP in axons, resulting in a failure of synaptic vesicle cycling. Thus, mitochondria-based energy failure can occur and be detected in individual neurons in a model of neurodegeneration. However, we also found that ATP depletion does not occur under the high-glucose conditions typically used to study neurodegeneration, because neurons compensate by producing energy through glycolysis. Our findings thus highlight a key flaw in the approach currently used to study mitochondrial defects in culture; we instead offer a new and more sensitive approach to study mitochondria-based energy failure in neurodegeneration.

Mitochondrial fission at the synapse in susceptible neuronal populations. In separate work, we studied the normal functions of mitochondrial fission, a process whose disruption may contribute to both PD and AD. We established new animal models in which the central mitochondrial fission protein—dynamin-related protein 1 (Drp1)—was deleted in dopamine (DA) neurons, which are susceptible in PD (Berthet et al., J Neurosci, 2014) and in CA1 and other hippocampal neurons, which are suspectiple in AD (Shields et al., Cell Death Dis, 2015). We found that Drp1 is critical for targeting mitochondria to the nerve terminal in DA neurons. We also discovered that disrupting mitochondrial fission causes the preferential death of nigrostriatal DA neurons but does not affect a subset of DA neurons with characteristic electophysiologic properties in the adjacent ventral tegmental area. Interestingly, in contrast to nigrostriatal DA neurons, most CA1 neurons can survive without Drp1. Nonetheless, CA1 hippocampal neurons require mitochondrial fission for normal function, since loss of Drp1 compromises both pre- and postsynaptic functions, at least in part because the intrinsic respiratory function of axonal mitochondria lacking Drp1 is compromised. Mitochondrial fission is thus required to maintain energy levels needed to support synaptic transmission, and disrupting mitochondrial fission in CA1 hippocampal neurons compromises synaptic function and may predispose to neurodegeneration.

α-Synuclein and mitochondria. Using optical FRET reporters for synuclein conformation, we found that the central PD protein α-synuclein preferentially binds to mitochondria versus other organelles due its high affinity for the acidic phospholipid cardiolipin, which is enriched in mitochondria (Nakamura et al., J Neurosci, 2008). We also discovered that increasing synuclein produces a dramatic and specific increase in mitochondrial fragmentation in a range of cell types, including DA neurons in transgenic models of PD. The mechanism involves a direct interaction of synuclein with mitochondrial membranes and is mediated by a small oligomeric form of synuclein (Nakamura et al, JBC, 2011, selected by JBC editors as the top paper in neurobiology in 2011). These findings reveal a new function for synuclein in regulating mitochondrial morphology and establish a potential mechanism by which synuclein may produce degeneration in PD.

Questions Addressed in Ongoing Studies
•    Why are substantia nigra DA neurons intrinsically vulnerable to mitochondrial stressors?
•    How do PD proteins disrupt mitochondrial function and produce neurodegeneration?
•    How do changes in energy metabolism contribute to the pathogenesis of AD?
•    What are the mechanisms by which mitochondrial dynamics influence neurodegeneration?
•    How and why are mitochondria turned over?
•    How can we restore or even boost energy levels in cells and will this protect against neurodegeneration?