Oxidative stress-induced apoptosis in peripheral blood lymphocytes from patients with POLG-related disorders

J Neurol Sci. 2016 Sep 15:368:359-68. doi: 10.1016/j.jns.2016.07.047. Epub 2016 Jul 25.

Abstract

Background: POLG-related disorders are a group of heterogeneous diseases characterized by an overlapping clinical presentations and associated with mutations in the POLG gene. POLG codes for the catalytic subunit of mitochondrial polymerase gamma (POLG), essential for mitochondrial DNA (mtDNA) replication and repair. Studies on mutator POLG mice showed an increase in oxidative stress and apoptosis. In this regard we analysed the involvement of POLG mutations in the apoptotic regulation, evaluating apoptosis in peripheral blood lymphocytes (PBLs) from patients with POLG-related diseases.

Methods: Cells were cultured under basal conditions and with 2-deoxy-d-ribose (dRib), a reducing sugar that induces apoptosis by oxidative stress. Apoptosis rate was assessed by flow cytometry. Phosphatidylserine translocation, mitochondrial membrane depolarization and caspase 3 activation were also analysed.

Results: Our data showed higher percentages of apoptosis after dRib treatment in patients with POLG mutations than in controls, while under basal culture conditions, apoptosis levels were similar in the two groups.

Conclusions: Cells with POLG mutations are more sensitive than control cells to oxidative stress-induced apoptosis, confirming that mtDNA mutations may have a role in mitochondrial apoptosis pathway. We also suggest that redox state homeostasis may play a crucial role in phenotypic expression of POLG-related diseases.

Keywords: Apoptosis; Mitochondrial polymerase gamma (POLG); Oxidative stress; POLG mutations; POLG-related diseases.

MeSH terms

  • Adult
  • Aged
  • Apoptosis / genetics*
  • Case-Control Studies
  • Caspase 3
  • Cells, Cultured
  • DNA Polymerase gamma
  • DNA-Directed DNA Polymerase / genetics*
  • Deoxyribose / pharmacology
  • Female
  • Flow Cytometry
  • Genetic Diseases, Inborn / genetics*
  • Genetic Diseases, Inborn / pathology*
  • Humans
  • Lymphocytes / metabolism
  • Lymphocytes / pathology*
  • Male
  • Membrane Potential, Mitochondrial / genetics
  • Middle Aged
  • Mutation / genetics*
  • Oxidative Stress / physiology*
  • Time Factors

Substances

  • Deoxyribose
  • DNA Polymerase gamma
  • DNA-Directed DNA Polymerase
  • POLG protein, human
  • Caspase 3