MIC13-linked cristae disruption causes metabolic failure and early fibrotic remodelling in mitochondrial liver disease
Ontology highlight
ABSTRACT: Mitochondrial diseases are highly complex and heterogeneous, and nearly 20% of cases involve severe liver pathology. MIC13-mediated hepato-encephalopathy is a rare mitochondrial hepatopathy with profound liver involvement, yet the mechanism by which MIC13 deficiency leads to severe hepatic dysfunction remain poorly understood. Here, we report an additional individual carrying a pathogenic MIC13 variant (c.260-2A > G) that results in severe multisystem disease involving the liver, brain, and kidney. To investigate the pathological consequences of MIC13 variant specifically in the hepatocytes, we generated an iPSC-based model by introducing this disease-causing variant and differentiated them into induced hepatocytes (iHeps). MIC13, a non-ETC protein and a key component of MICOS complex essential for cristae formation, was disrupted in these cells, and MIC13-mutant iHeps exhibited the same cristae defects observed in patient samples. Comprehensive multiomics datasets revealed extensive metabolic rewiring, including disrupted amino acid turnover, accumulation of TCA and urea-cycle intermediates, and profound alterations in one-carbon metabolism affecting methylation potential, redox homeostasis, and detoxification capacity. Lipid metabolism was also impaired, with incomplete beta-oxidation, increased ketogenesis, and diminished lipid storage. At the cellular level, extensive extracellular matrix (ECM) remodelling and enhanced cell migration indicated early fibrotic phenotype. Overall, this clinically relevant model uncovers how cristae defects drive metabolic imbalance and liver dysfunction, leading to early fibrotic changes in mitochondrial liver disease. These findings provide the first mechanistic link between MIC13-dependent cristae disruption and hepatic metabolic failure and offer a foundation for identifying therapeutic strategies for mitochondrial hepatopathies.
ORGANISM(S): Homo sapiens
PROVIDER: GSE313628 | GEO | 2026/09/14
REPOSITORIES: GEO
ACCESS DATA