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Pathophysiological insights into ACO2-related inherited disorders through combined functional and multi-omic analyses of ACO2 patient-derived fibroblasts

ABSTRACT: ACO2 encodes the mitochondrial aconitase, involved in the second step of the tricarboxylic acid cycle. ACO2 variants cause isolated dominant or recessive optic atrophy, characterized by the degeneration of the optic nerves and leading to vision loss with high clinical heterogeneity, which ranges from pauci-symptomatic to legally blind patients. ACO2 variants also cause rare severe syndromic presentations, like infantile cerebellar-retinal degeneration, characterized by developmental delay, truncal hypotonia, ataxia, seizures, optic atrophy and retinal degeneration. As ACO2 pathophysiology still lacks proper characterization and no treatment is available for ACO2-related disorders, we combined a functional study with a multi-omic analysis of patient-derived fibroblasts carrying ACO2 variants. Here, we show that ACO2 variants decrease ACO2 protein levels, ACO2 and cytoplasmic ACO1 mRNA expression and mtDNA levels. Metabolomic analyses identified 14 discriminating metabolites involved in amino acid metabolism, TCA cycle, nucleotide and lipid metabolism. Transcriptomic analyses disclosed a down-regulation of immunity-related pathways and an up-regulation of cell cycle-related pathways. These results provide new insights into the cellular impact of ACO2 deficiency beyond its primary role in the TCA cycle, and identify citrate accumulation as a crucial determinant in ACO2 physiopathology.

ORGANISM(S): Homo sapiens

PROVIDER: GSE332997 | GEO | 2026/07/29

REPOSITORIES: GEO

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Project description:To investigate the retinal proteins associated with primary and secondary retinal ganglion cell (RGC) degeneration and explore their molecular pathways, SWATH label-free and target-based mass spectrometry was employed to identify the proteomes in various retinal locations in response to localized optic nerve injury. Unilateral partial optic nerve transection (pONT) was performed on adult Wistar rats and their retinas were harvested at 2 weeks later. To confirm the separation of primary and secondary RGC degeneration, immunohistochemistry of RNA binding protein with multiple splicing (RBPMS) and glial fibrillary acidic protein (GFAP) was performed on retinal whole-mounts. Retinal proteomes in the temporal and nasal quadrants were evaluated with high resolution hybrid quadrupole time-of-flight mass spectrometry (QTOF-MS), and SWATH-based acquisition, and their expression was compared to the corresponding retinal quadrant in contralateral control eyes and further validated by multiple reaction monitoring mass spectrometry (MRM-MS). A total of 3641 proteins (p<0.05, FDR<1%) were quantified by SWATH-MS. Bioinformatics data analysis showed that there were 35 up-regulated and 24 down-regulated proteins in the temporal quadrant while 19 and 5 proteins were up-regulated and down-regulated, respectively, in the nasal quadrant respectively (n=4, p<0.05; fold change ≥1.4 fold or ≤0.7). Six proteins were regulated in both the temporal and the nasal quadrants including CLU, GFAP, GNG5, IRF2BPL, L1CAM and CPLX1. Linear regression analysis indicated a strong association between the data obtained by SWATH-MS and MRM-MS (temporal, R2=0.97; nasal, R2=0.96). Gene ontology analysis reveals statistically significant changes in the biological processes and cellular components of primary RGC degeneration. The majority of the significant changes in structural, signaling, and cell death proteins were associated with loss of RGCs in the area of primary RGC degeneration. The combined use of SWATH-MS and MRM-MS methods detects and quantifies regional changes of retinal protein expressions after localized injury. Future investigation with this integrated approach will significantly increase understanding of diverse processes of progressive RGC degeneration from a proteomic prospective.

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Pathophysiological insights into ACO2-related inherited disorders through combined functional and multi-omic analyses of ACO2 patient-derived fibroblasts

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