Metabolic switch from fatty acid oxidation to glycolysis in knock-in mouse model of Barth syndrome

EMBO Mol Med. 2023 Sep 11;15(9):e17399. doi: 10.15252/emmm.202317399. Epub 2023 Aug 3.

Abstract

Mitochondria are central for cellular metabolism and energy supply. Barth syndrome (BTHS) is a severe disorder, due to dysfunction of the mitochondrial cardiolipin acyl transferase tafazzin. Altered cardiolipin remodeling affects mitochondrial inner membrane organization and function of membrane proteins such as transporters and the oxidative phosphorylation (OXPHOS) system. Here, we describe a mouse model that carries a G197V exchange in tafazzin, corresponding to BTHS patients. TAZG197V mice recapitulate disease-specific pathology including cardiac dysfunction and reduced oxidative phosphorylation. We show that mutant mitochondria display defective fatty acid-driven oxidative phosphorylation due to reduced levels of carnitine palmitoyl transferases. A metabolic switch in ATP production from OXPHOS to glycolysis is apparent in mouse heart and patient iPSC cell-derived cardiomyocytes. An increase in glycolytic ATP production inactivates AMPK causing altered metabolic signaling in TAZG197V . Treatment of mutant cells with AMPK activator reestablishes fatty acid-driven OXPHOS and protects mice against cardiac dysfunction.

Keywords: Barth syndrome; cardiolipin; cardiomyopathy; mitochondria; tafazzin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AMP-Activated Protein Kinases / metabolism
  • Adenosine Triphosphate
  • Animals
  • Barth Syndrome* / metabolism
  • Barth Syndrome* / pathology
  • Cardiolipins / metabolism
  • Fatty Acids / metabolism
  • Glycolysis
  • Mice

Substances

  • Cardiolipins
  • AMP-Activated Protein Kinases
  • Fatty Acids
  • Adenosine Triphosphate