PMID- 27141409 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160504 LR - 20201001 IS - 2167-5511 (Print) IS - 2167-5511 (Electronic) IS - 2167-5511 (Linking) VI - 4 IP - 1 DP - 2016 TI - Mitochondrial dysfunction and defects in lipid homeostasis as therapeutic targets in neurodegeneration with brain iron accumulation. PG - e1128616 LID - 10.1080/21675511.2015.1128616 [doi] LID - e1128616 AB - The PLA2G6 gene encodes a group VIA calcium independent phospholipase A2 (iPLA2beta), which hydrolyses glycerophospholipids to release fatty acids and lysophospholipids. Mutations in PLA2G6 are associated with a number of neurodegenerative disorders including neurodegeneration with brain iron accumulation (NBIA), infantile neuroaxonal dystrophy (INAD), and dystonia parkinsonism, collectively known as PLA2G6-associated neurodegeneration (PLAN). Recently Kinghorn et al. demonstrated in Drosophila and PLA2G6 mutant fibroblasts that loss of normal PLA2G6 activity is associated with mitochondrial dysfunction and mitochondrial lipid peroxidation. Furthermore, they were able to show the beneficial effects of deuterated polyunsaturated fatty acids (D-PUFAs), which reduce lipid peroxidation. D-PUFAs were able to rescue the locomotor deficits of flies lacking the fly ortholog of PLA2G6 (iPLA2-VIA), as well as the mitochondrial abnormalities in PLA2G6 mutant fibroblasts. This work demonstrated that the iPLA2-VIA knockout fly is a useful organism to dissect the mechanisms of pathogenesis of PLAN, and that further investigation is required to determine the therapeutic potential of D-PUFAs in patients with PLA2G6 mutations. The fruit fly has also been used to study some of the other genetic causes of NBIA, and here we also describe what is known about the mechanisms of pathogenesis of these NBIA variants. Mitochondrial dysfunction, defects in lipid metabolism, as well as defective Coenzyme A (CoA) biosynthesis, have all been implicated in some genetic forms of NBIA, including PANK2, CoASY, C12orf19 and FA2H. FAU - Kinghorn, Kerri J AU - Kinghorn KJ AD - Institute of Healthy Ageing and Department of Genetics, Environment and Evolution, University College London, London, UK; Institute of Neurology, University College London, Queen Square, London, UK. FAU - Castillo-Quan, Jorge Ivan AU - Castillo-Quan JI AD - Institute of Healthy Ageing and Department of Genetics, Environment and Evolution, University College London, London, UK; Institute of Neurology, University College London, Queen Square, London, UK. LA - eng PT - Journal Article DEP - 20160125 PL - United States TA - Rare Dis JT - Rare diseases (Austin, Tex.) JID - 101603407 EIN - doi: 10.1093/brain/awv132 PMC - PMC4838319 OTO - NOTNLM OT - PLA2G6 OT - deuterated polyunsaturated fatty acids OT - drosophila OT - lipid peroxidation OT - neurodegeneration with brain iron accumulation EDAT- 2016/05/04 06:00 MHDA- 2016/05/04 06:01 PMCR- 2016/01/25 CRDT- 2016/05/04 06:00 PHST- 2015/07/13 00:00 [received] PHST- 2015/11/11 00:00 [revised] PHST- 2015/12/01 00:00 [accepted] PHST- 2016/05/04 06:00 [entrez] PHST- 2016/05/04 06:00 [pubmed] PHST- 2016/05/04 06:01 [medline] PHST- 2016/01/25 00:00 [pmc-release] AID - 1128616 [pii] AID - 10.1080/21675511.2015.1128616 [doi] PST - epublish SO - Rare Dis. 2016 Jan 25;4(1):e1128616. doi: 10.1080/21675511.2015.1128616. eCollection 2016.