PMID- 36635485 OWN - NLM STAT- MEDLINE DCOM- 20230116 LR - 20240404 IS - 2399-3642 (Electronic) IS - 2399-3642 (Linking) VI - 6 IP - 1 DP - 2023 Jan 12 TI - OxPhos defects cause hypermetabolism and reduce lifespan in cells and in patients with mitochondrial diseases. PG - 22 LID - 10.1038/s42003-022-04303-x [doi] LID - 22 AB - Patients with primary mitochondrial oxidative phosphorylation (OxPhos) defects present with fatigue and multi-system disorders, are often lean, and die prematurely, but the mechanistic basis for this clinical picture remains unclear. By integrating data from 17 cohorts of patients with mitochondrial diseases (n = 690) we find evidence that these disorders increase resting energy expenditure, a state termed hypermetabolism. We examine this phenomenon longitudinally in patient-derived fibroblasts from multiple donors. Genetically or pharmacologically disrupting OxPhos approximately doubles cellular energy expenditure. This cell-autonomous state of hypermetabolism occurs despite near-normal OxPhos coupling efficiency, excluding uncoupling as a general mechanism. Instead, hypermetabolism is associated with mitochondrial DNA instability, activation of the integrated stress response (ISR), and increased extracellular secretion of age-related cytokines and metabokines including GDF15. In parallel, OxPhos defects accelerate telomere erosion and epigenetic aging per cell division, consistent with evidence that excess energy expenditure accelerates biological aging. To explore potential mechanisms for these effects, we generate a longitudinal RNASeq and DNA methylation resource dataset, which reveals conserved, energetically demanding, genome-wide recalibrations. Taken together, these findings highlight the need to understand how OxPhos defects influence the energetic cost of living, and the link between hypermetabolism and aging in cells and patients with mitochondrial diseases. CI - (c) 2023. The Author(s). FAU - Sturm, Gabriel AU - Sturm G AUID- ORCID: 0000-0002-7280-4310 AD - Department of Psychiatry, Division of Behavioral Medicine, Columbia University Irving Medical Center, New York, NY, USA. AD - Department of Biochemistry and Biophysics, University of California, San Francisco, CA, USA. FAU - Karan, Kalpita R AU - Karan KR AD - Department of Psychiatry, Division of Behavioral Medicine, Columbia University Irving Medical Center, New York, NY, USA. FAU - Monzel, Anna S AU - Monzel AS AD - Department of Psychiatry, Division of Behavioral Medicine, Columbia University Irving Medical Center, New York, NY, USA. FAU - Santhanam, Balaji AU - Santhanam B AD - Departments of Biological Sciences, Systems Biology, and Biochemistry and Molecular Biophysics, Institute for Cancer Dynamics, Columbia University, New York, NY, USA. FAU - Taivassalo, Tanja AU - Taivassalo T AD - Department of Physiology and Functional Genomics, Clinical and Translational Research Building, University of Florida, Gainesville, FL, USA. FAU - Bris, Celine AU - Bris C AD - Department of Genetics and Neurology, Angers Hospital, Angers, France. AD - UMR CNRS 6015, INSERM U1083, MITOVASC, SFR ICAT, Universite d'Angers, Angers, France. FAU - Ware, Sarah A AU - Ware SA AD - Department of Medicine, Vascular Medicine Institute and Center for Metabolic and Mitochondrial Medicine, University of Pittsburgh, Pittsburgh, PA, USA. FAU - Cross, Marissa AU - Cross M AD - Department of Psychiatry, Division of Behavioral Medicine, Columbia University Irving Medical Center, New York, NY, USA. FAU - Towheed, Atif AU - Towheed A AD - Department of Psychiatry, Division of Behavioral Medicine, Columbia University Irving Medical Center, New York, NY, USA. AD - Internal Medicine-Pediatrics Residency Program, University of Pittsburgh Medical Centre, Pittsburgh, PA, USA. FAU - Higgins-Chen, Albert AU - Higgins-Chen A AUID- ORCID: 0000-0003-2904-2741 AD - Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. FAU - McManus, Meagan J AU - McManus MJ AD - Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Center for Mitochondrial and Epigenomic Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Cardenas, Andres AU - Cardenas A AUID- ORCID: 0000-0003-2284-3298 AD - Department of Epidemiology and Population Health, Stanford University, Stanford, CA, USA. FAU - Lin, Jue AU - Lin J AD - Department of Biochemistry and Biophysics, University of California, San Francisco, CA, USA. FAU - Epel, Elissa S AU - Epel ES AD - Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA. FAU - Rahman, Shamima AU - Rahman S AUID- ORCID: 0000-0003-2088-730X AD - Mitochondrial Research Group, UCL Great Ormond Street Institute of Child Health, and Metabolic Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK. FAU - Vissing, John AU - Vissing J AD - Copenhagen Neuromuscular Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. FAU - Grassi, Bruno AU - Grassi B AD - Department of Medicine, University of Udine, Udine, Italy. FAU - Levine, Morgan AU - Levine M AUID- ORCID: 0000-0001-9890-9324 AD - Altos Labs, San Diego, CA, USA. FAU - Horvath, Steve AU - Horvath S AUID- ORCID: 0000-0002-4110-3589 AD - Altos Labs, San Diego, CA, USA. FAU - Haller, Ronald G AU - Haller RG AD - Neuromuscular Center, Institute for Exercise and Environmental Medicine of Texas Health Resources and Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA. FAU - Lenaers, Guy AU - Lenaers G AD - Department of Genetics and Neurology, Angers Hospital, Angers, France. AD - UMR CNRS 6015, INSERM U1083, MITOVASC, SFR ICAT, Universite d'Angers, Angers, France. FAU - Wallace, Douglas C AU - Wallace DC AUID- ORCID: 0000-0002-7480-8278 AD - Center for Mitochondrial and Epigenomic Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - St-Onge, Marie-Pierre AU - St-Onge MP AD - Center of Excellence for Sleep & Circadian Research and Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA. FAU - Tavazoie, Saeed AU - Tavazoie S AD - Departments of Biological Sciences, Systems Biology, and Biochemistry and Molecular Biophysics, Institute for Cancer Dynamics, Columbia University, New York, NY, USA. FAU - Procaccio, Vincent AU - Procaccio V AD - Department of Genetics and Neurology, Angers Hospital, Angers, France. AD - UMR CNRS 6015, INSERM U1083, MITOVASC, SFR ICAT, Universite d'Angers, Angers, France. FAU - Kaufman, Brett A AU - Kaufman BA AD - Department of Medicine, Vascular Medicine Institute and Center for Metabolic and Mitochondrial Medicine, University of Pittsburgh, Pittsburgh, PA, USA. FAU - Seifert, Erin L AU - Seifert EL AD - Department of Pathology and Genomic Medicine, and MitoCare Center, Thomas Jefferson University, Philadelphia, PA, USA. FAU - Hirano, Michio AU - Hirano M AD - Department of Neurology, H. Houston Merritt Center, Columbia Translational Neuroscience Initiative, Columbia University Irving Medical Center, New York, NY, USA. FAU - Picard, Martin AU - Picard M AUID- ORCID: 0000-0003-2835-0478 AD - Department of Psychiatry, Division of Behavioral Medicine, Columbia University Irving Medical Center, New York, NY, USA. martin.picard@columbia.edu. AD - Department of Neurology, H. Houston Merritt Center, Columbia Translational Neuroscience Initiative, Columbia University Irving Medical Center, New York, NY, USA. martin.picard@columbia.edu. AD - New York State Psychiatric Institute, New York, NY, USA. martin.picard@columbia.edu. LA - eng GR - R35 HL155670/HL/NHLBI NIH HHS/United States GR - R01 AG066828/AG/NIA NIH HHS/United States GR - R01 AG065403/AG/NIA NIH HHS/United States GR - P50 HD105354/HD/NICHD NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom GR - R01 GM123771/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20230112 PL - England TA - Commun Biol JT - Communications biology JID - 101719179 RN - 0 (DNA, Mitochondrial) SB - IM MH - Humans MH - *Oxidative Phosphorylation MH - Longevity MH - *Mitochondrial Diseases/genetics/metabolism MH - Mitochondria/genetics/metabolism MH - DNA, Mitochondrial/genetics/metabolism PMC - PMC9837150 COIS- The authors declare no competing interests. EDAT- 2023/01/13 06:00 MHDA- 2023/01/17 06:00 PMCR- 2023/01/12 CRDT- 2023/01/12 23:25 PHST- 2022/09/08 00:00 [received] PHST- 2022/11/26 00:00 [accepted] PHST- 2023/01/12 23:25 [entrez] PHST- 2023/01/13 06:00 [pubmed] PHST- 2023/01/17 06:00 [medline] PHST- 2023/01/12 00:00 [pmc-release] AID - 10.1038/s42003-022-04303-x [pii] AID - 4303 [pii] AID - 10.1038/s42003-022-04303-x [doi] PST - epublish SO - Commun Biol. 2023 Jan 12;6(1):22. doi: 10.1038/s42003-022-04303-x.