[PDF][PDF] Hypoxia rescues frataxin loss by restoring iron sulfur cluster biogenesis

T Ast, JD Meisel, S Patra, H Wang, RMH Grange… - Cell, 2019 - cell.com
T Ast, JD Meisel, S Patra, H Wang, RMH Grange, SH Kim, SE Calvo, LL Orefice
Cell, 2019cell.com
Friedreich's ataxia (FRDA) is a devastating, multisystemic disorder caused by recessive
mutations in the mitochondrial protein frataxin (FXN). FXN participates in the biosynthesis of
Fe-S clusters and is considered to be essential for viability. Here we report that when grown
in 1% ambient O 2, FXN null yeast, human cells, and nematodes are fully viable. In human
cells, hypoxia restores steady-state levels of Fe-S clusters and normalizes ATF4, NRF2, and
IRP2 signaling events associated with FRDA. Cellular studies and in vitro reconstitution …
Summary
Friedreich's ataxia (FRDA) is a devastating, multisystemic disorder caused by recessive mutations in the mitochondrial protein frataxin (FXN). FXN participates in the biosynthesis of Fe-S clusters and is considered to be essential for viability. Here we report that when grown in 1% ambient O2, FXN null yeast, human cells, and nematodes are fully viable. In human cells, hypoxia restores steady-state levels of Fe-S clusters and normalizes ATF4, NRF2, and IRP2 signaling events associated with FRDA. Cellular studies and in vitro reconstitution indicate that hypoxia acts through HIF-independent mechanisms that increase bioavailable iron as well as directly activate Fe-S synthesis. In a mouse model of FRDA, breathing 11% O2 attenuates the progression of ataxia, whereas breathing 55% O2 hastens it. Our work identifies oxygen as a key environmental variable in the pathogenesis associated with FXN depletion, with important mechanistic and therapeutic implications.
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