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Mitochonic Acid 5 (MA-5) Facilitates ATP Synthase Oligomerization and Cell Survival in Various Mitochondrial Diseases.


ABSTRACT: Mitochondrial dysfunction increases oxidative stress and depletes ATP in a variety of disorders. Several antioxidant therapies and drugs affecting mitochondrial biogenesis are undergoing investigation, although not all of them have demonstrated favorable effects in the clinic. We recently reported a therapeutic mitochondrial drug mitochonic acid MA-5 (Tohoku J. Exp. Med., 2015). MA-5 increased ATP, rescued mitochondrial disease fibroblasts and prolonged the life span of the disease model "Mitomouse" (JASN, 2016). To investigate the potential of MA-5 on various mitochondrial diseases, we collected 25 cases of fibroblasts from various genetic mutations and cell protective effect of MA-5 and the ATP producing mechanism was examined. 24 out of the 25 patient fibroblasts (96%) were responded to MA-5. Under oxidative stress condition, the GDF-15 was increased and this increase was significantly abrogated by MA-5. The serum GDF-15 elevated in Mitomouse was likewise reduced by MA-5. MA-5 facilitates mitochondrial ATP production and reduces ROS independent of ETC by facilitating ATP synthase oligomerization and supercomplex formation with mitofilin/Mic60. MA-5 reduced mitochondria fragmentation, restores crista shape and dynamics. MA-5 has potential as a drug for the treatment of various mitochondrial diseases. The diagnostic use of GDF-15 will be also useful in a forthcoming MA-5 clinical trial.

SUBMITTER: Matsuhashi T 

PROVIDER: S-EPMC5478234 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Mitochonic Acid 5 (MA-5) Facilitates ATP Synthase Oligomerization and Cell Survival in Various Mitochondrial Diseases.

Matsuhashi Tetsuro T   Sato Takeya T   Kanno Shin-Ichiro SI   Suzuki Takehiro T   Matsuo Akihiro A   Oba Yuki Y   Kikusato Motoi M   Ogasawara Emi E   Kudo Tai T   Suzuki Kosuke K   Ohara Osamu O   Shimbo Hiroko H   Nanto Fumika F   Yamaguchi Hiroaki H   Saigusa Daisuke D   Mukaiyama Yasuno Y   Watabe Akiko A   Kikuchi Koichi K   Shima Hisato H   Mishima Eikan E   Akiyama Yasutoshi Y   Oikawa Yoshitsugu Y   Hsin-Jung H O HO   Akiyama Yukako Y   Suzuki Chitose C   Uematsu Mitsugu M   Ogata Masaki M   Kumagai Naonori N   Toyomizu Masaaki M   Hozawa Atsushi A   Mano Nariyasu N   Owada Yuji Y   Aiba Setsuya S   Yanagisawa Teruyuki T   Tomioka Yoshihisa Y   Kure Shigeo S   Ito Sadayoshi S   Nakada Kazuto K   Hayashi Ken-Ichiro KI   Osaka Hitoshi H   Abe Takaaki T  

EBioMedicine 20170513


Mitochondrial dysfunction increases oxidative stress and depletes ATP in a variety of disorders. Several antioxidant therapies and drugs affecting mitochondrial biogenesis are undergoing investigation, although not all of them have demonstrated favorable effects in the clinic. We recently reported a therapeutic mitochondrial drug mitochonic acid MA-5 (Tohoku J. Exp. Med., 2015). MA-5 increased ATP, rescued mitochondrial disease fibroblasts and prolonged the life span of the disease model "Mitomo  ...[more]

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