Selective inhibition of mutant human mitochondrial DNA replication in vitro by peptide nucleic acids
Abstract
Mitochondrila DNA (mtDNA) is the only extrachromosomal DNA in humans. It is a small (16.5 kb) genome which encodes 13 essential peptides of the respiratory chain, two rRNAs and 22 tRNAs. Defects of this genome are now recognized as important causes of disease and may take the form of point mutations or rearrangements. There is no effective treatment for patients with mtDNA mutations. In the majority of patients with mtDNA defects, both mutant and wild-type molecules are present in the same cell-a phenomenon known as intracellular heteroplasmy. In addition, in the presence of heteroplasmy there is a threshold whereby a certain level of mutant mtDNA is necessary before the disease becomes biochemically and clinically apparent. Based on the presence of heteroplasmy and the recessive nature of these mutations, we believe it will be possible to treat patients by selectively inhibiting the replication of the mutant mtDNA, thereby allowing propagation of only the wild-type molecule. To confirm the validity of such an approach we synthesised peptide nucleic acids (PNAs) complementary to human mtDNA templates containing a deletion breakpoint or single base mutation, both mutations well documented to cause disease. Using an in vitro replication run-off assay under physiological conditions, the antigenomic PNAs specifically inhibited replication of mutant but not wild-type mtDNA templates. Furthermore, we have shown uptake of these PNAs into cultured human myoblasts. We believe that we have therefore established the potential value of antigenomic PNA therapy for patients with heteroplasmic mtDNA disorders.
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Antigenomic therapy with PNAs showed promising initial results in vitro.
“Antigenomic therapy, which involves using sequence-specific nucleic acid derivatives that selectively target and inhibit the replication of mutated mtDNA thus allowing the wild-type genome to propagate, showed promising initial results in vitro with peptide nucleic acids (PNAs) [234].”
From Mitochondrial DNA mutations and human disease (2010) · cites this paper as [234]
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Mitochondrial medicine: entering the era of treatment
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Comte, C., Tonin, Y., Heckel-Mager, A.-M., Boucheham, A., Smirnov, A., Auré, K., Lombès, A., Martin, R., Entelis, N., & Tarassov, I. (2012) · Nucleic Acids Research · doi:10.1093/nar/gks965 · Cited by 71 · see citing works
“To obtain single-stranded templates, we used the method described in (11).”
BackgroundMethodInfluentialMitochondrial medicine – recent advances
Graff, C., Clayton, D. A., & Larsson, N. (1999) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.1999.00514.x · Cited by 79 · see citing works
Mitochondrial DNA disease: new options for prevention
Craven, L., Elson, J. L., Irving, L., Tuppen, H. A. L., Lister, L., Greggains, G. D., Byerley, S., Murdoch, A. P., Herbert, M., & Turnbull, D. M. (2011) · Human Molecular Genetics · doi:10.1093/hmg/ddr373 · Cited by 78 · see citing works
Mitochondrial DNA m.3243A > G heteroplasmy affects multiple aging phenotypes and risk of mortality
Tranah, G. J., Katzman, S. M., Lauterjung, K., Yaffe, K. S., Manini, T. M., Kritchevsky, S. B., Newman, A. B., Harris, T. B., & Cummings, S. R. (2018) · Scientific Reports · doi:10.1038/s41598-018-30255-6 · Cited by 78 · see citing works
Therapeutic Manipulation of mtDNA Heteroplasmy: A Shifting Perspective
Jackson, C. B., Turnbull, D. M., Minczuk, M. A., & Gammage, P. A. (2020) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2020.02.006 · Cited by 77 · see citing works
“Experimental Origins of Direct Heteroplasmy Manipulation The first reported heteroplasmy shifting approaches made use of peptide nucleic acid (PNA) oligomers [16,23].”
BackgroundResultDevelopment of lipophilic cations as therapies for disorders due to mitochondrial dysfunction
Murphy, M. P. (2001) · Expert Opinion on Biological Therapy · doi:10.1517/14712598.1.5.753 · Cited by 76 · see citing works
“For diseases due to nuclear mutations, replacement or complementation of the mutated gene is being investigated [132,133] but faces the same challenges of delivery, expression and safety as other gene therapies [29].”
BackgroundSomatic Mitochondrial DNA Mutations in Human Cancers
Yu, M. (2012) · Advances in clinical chemistry · doi:10.1016/b978-0-12-394384-2.00004-8 · Cited by 73 · see citing works
Peptide nucleic acids: versatile tools for gene therapy strategies
Dean, D. A. (2000) · Advanced Drug Delivery Reviews · doi:10.1016/s0169-409x(00)00087-9 · Cited by 73 · see citing works
“By contrast, several groups have found that certain cells are amenable to PNA entry, suggesting specific transport mechanisms for the molecules [19,20,24,27,31,38,40].”
BackgroundMethodPNA oligomers as tools for specific modulation of gene expression
Pooga, M., Land, T., Bartfai, T., & Langel, Ü. (2001) · Biomolecular Engineering · doi:10.1016/s1389-0344(01)00075-2 · Cited by 72 · see citing works
Mitochondrial Abnormalities in Alzheimer’s Disease
Silva, D. F., Selfridge, J. E., Lu, J., E, L., Cardoso, S. M., & Swerdlow, R. H. (2012) · Advances in Pharmacology · doi:10.1016/b978-0-12-394816-8.00003-9 · Cited by 86 · see citing works
“Although protein nucleic acids (PNAs) were reported years ago to have the ability to strategically influence mtDNA replication under in vitro conditions (Taylor et al., 1997), this approach has had problems under more physiologic conditions.”
BackgroundSelection of RNA aptamers imported into yeast and human mitochondria
Kolesnikova, O., Kazakova, H., Comte, C., Steinberg, S. V., Kamenski, P. A., Martin, R. P., Tarassov, I., & Entelis, N. (2010) · RNA · doi:10.1261/rna.1914110 · Cited by 67 · see citing works
“’’ Antigenomic rescue of deleterious mtDNA mutations was proposed (but not yet realized), consisting in selective inhibition of the mutant mtDNA replication, thereby allowing propagation of only wild-type molecules (Taylor et al. 1997).”
BackgroundTreatment of Mitochondrial Disease
Taylor, R. W., Chinnery, P. F., Clark, K. M., Lightowlers, R. N., & Turnbull, D. M. (1997) · Journal of Bioenergetics and Biomembranes · doi:10.1023/a:1022646215643 · Cited by 64 · see citing works
Towards Mitochondrial Gene Therapy: DQAsomes as a Strategy
Weissig, V., & Torchilin, V. P. (2001) · Journal of drug targeting · doi:10.3109/10611860108995628 · Cited by 65 · see citing works
Larsson, N. ‐., & Oldfors, A. (2001) · Acta Physiologica Scandinavica · doi:10.1046/j.1365-201x.2001.00842.x · Cited by 65 · see citing works
Two distinct structural elements of 5S rRNA are needed for its import into human mitochondria.
Smirnov, A., Tarassov, I., Mager-Heckel, A., Letzelter, M., Martin, R., Krasheninnikov, I., & Entelis, N. (2008) · RNA: A publication of the RNA Society · doi:10.1261/rna.952208 · Cited by 67 · see citing works
“Such an approach was previously assayed with artificial PNA (peptide nucleic acids) oligonucleotides and proved to be efficient in vitro, but not in vivo (Taylor et al. 1997; Muratovska et al. 2001).”
MethodTargeting large molecules to mitochondria
Muratovska, A., Lightowlers, R. N., Taylor, R. W., Wilce, M. C. J., & Murphy, M. P. (2001) · Advanced Drug Delivery Reviews · doi:10.1016/s0169-409x(01)00134-x · Cited by 62 · see citing works
Naviaux, R. K. (2000) · European Journal of Pediatrics · doi:10.1007/pl00014407 · Cited by 62 · see citing works
Engineered mitochondria in diseases: mechanisms, strategies, and applications
Li, M., Wu, L., Si, H., Wu, Y., Liu, Y., Zeng, Y., & Shen, B. (2025) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-024-02081-y · Cited by 64 · see citing works
“106 These small molecules with nucleobases linked to an achiral peptide backbone exhibit higher af fi nity than equivalent oligodeoxynucleotides when binding to single-stranded complementary DNA.”
Mitochondrial Encephalomyopathies: Therapeutic Approach
DiMauro, S., Mancuso, M., & Naini, A. (2004) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1293.023 · Cited by 61 · see citing works
Peptide nucleic acid (PNA) binding-mediated gene regulation
Wang, G., & Xu, X. (2004) · Cell Research · doi:10.1038/sj.cr.7290209 · Cited by 59 · see citing works
Antisense Inhibition of δ-Opioid Receptor Gene Function In Vivo by Peptide Nucleic Acids
Fraser, G. L., Holmgren, J., Clarke, P. B. S., & Wahlestedt, C. (2000) · Molecular Pharmacology · doi:10.1016/s0026-895x(24)26472-5 · Cited by 58 · see citing works
Site‐directed inhibition of DNA replication by triple helix formation
Diviacco, S., Rapozzi, V., Xodo, L. E., Hélène, C., Quadrifoglio, F., & Giovannangeli, C. (2001) · The FASEB Journal · doi:10.1096/fj.01-0440com · Cited by 57 · see citing works
“However, duplex-forming PNAs (DNA:PNA complex) have been described to arrest in vitro single-stranded DNA replication ( 26 ).”
BackgroundSieber, F., Duchêne, A., & Maréchal‐Drouard, L. (2011) · International review of cytology · doi:10.1016/b978-0-12-386043-9.00004-9 · Cited by 54 · see citing works
Tonin, Y., Heckel, A., Vysokikh, M. Y., Dovydenko, I. S., Meschaninova, M. I., Rötig, A., Münnich, A., Venyaminova, A. G., Tarassov, I., & Entelis, N. (2014) · Journal of Biological Chemistry · doi:10.1074/jbc.m113.528968 · Cited by 52 · see citing works
“This strategy has first been tested in vitro using peptide nucleic acids with high affinity to mutant mtDNA (12).”
BackgroundDiagnosis and management of MELAS
Thambisetty, M., & Newman, N. J. (2004) · Expert Review of Molecular Diagnostics · doi:10.1586/14737159.4.5.631 · Cited by 51 · see citing works
Tripathi, S. (2005) · Nucleic Acids Research · doi:10.1093/nar/gki743 · Cited by 51 · see citing works
“A number of methods for their intracellular delivery have been developed which include microinjection (43), electroporation (44), co-transfection with DNA (45,46) and conjugation with transporter peptides (23,24).”
Mitochondrial DNA nucleoids determine mitochondrial genetics and dysfunction
Gilkerson, R. (2009) · The International Journal of Biochemistry & Cell Biology · doi:10.1016/j.biocel.2009.03.016 · Cited by 49 · see citing works
“…which preferntially recognize mutant mtDNAs, have been developed which an inhibit replication of the A8344G pathogenic mtDNA mutaion in vitro (Taylor et al., 1997), as well as bind preferentially o the sequence-repeat breakpoint of the “common deletion” of tDNA (McGregor et al., 2003);…”
BackgroundMinczuk, M. A., Kolasinska-Zwierz, P., Murphy, M. P., & Papworth, M. A. (2010) · Nature Protocols · doi:10.1038/nprot.2009.245 · Cited by 49 · see citing works
“The selective elimination of mutated mtDNA from this population results in repopulation of a cell with wild-type mtDNA molecules and alleviation of the defective mitochondrial function that underlies mtDNA disease”
BackgroundAntisense properties of peptide nucleic acids
Soomets, U. (1999) · Frontiers in bioscience · doi:10.2741/soomets · Cited by 48 · see citing works
“In addition, the selective inhibition of mitochondrial DNA replication (18) and reverse transcription of the HIV-1 gag gene (17) by PNAs have been demonstrated.”
BackgroundRai, P. K., Craven, L., Hoogewijs, K., Russell, O. M., & Lightowlers, R. N. (2018) · Essays in Biochemistry · doi:10.1042/ebc20170113 · Cited by 47 · see citing works
Géromel, V., Cao, A., Briane, D., Vassy, J., Rötig, A., Rustin, P., Coudert, R., Rigaut, J. P., Münnich, A., & Taillandier, E. (2001) · Antisense and Nucleic Acid Drug Development · doi:10.1089/108729001300338708 · Cited by 47 · see citing works
“The use of peptide nucleic acid (PNA) has been reported to selectively inhibit mtDNA replication both in vitro and in cultured myoblasts (Seibel et al., 1999; Taylor et al., 1997).”
Effiziente Sialyltransferase-Inhibitoren auf der Basis von Übergangszustandsanaloga des Sialyldonors
Müller, B. H., Schaub, C., & Schmidt, R. R. (1998) · Angewandte Chemie · doi:10.1002/(sici)1521-3757(19981016)110:20 · Cited by 25 · see citing works
Current advances in gene therapy of mitochondrial diseases
Soldatov, V. O., Kubekina, M. V., Skorkina, M. Y., Белых, А. Е., Egorova, T. V., Корокин, М. В., Pokrovskiy, M. V., Deykin, A. V., & Angelova, P. R. (2022) · Journal of Translational Medicine · doi:10.1186/s12967-022-03685-0 · Cited by 41 · see citing works
“Antireplicative machines The first approach to shift heteroplasmy was the application of peptide nucleic acid (PNA) oligomers interrupting replication of mutant mtDNA [160].”
BackgroundEmerging therapeutic approaches to mitochondrial diseases
Wenz, T., Williams, S. L., Bacman, S. R., & Moraes, C. T. (2010) · Developmental Disabilities Research Reviews · doi:10.1002/ddrr.109 · Cited by 40 · see citing works
Pathogenesis and Treatment of Mitochondrial Disorders
DiMauro, S., & Hirano, M. (2009) · Advances in experimental medicine and biology · doi:10.1007/978-90-481-2813-6_10 · Cited by 39 · see citing works
Gene therapy by mitochondrial transfer
Kagawa, Y., Inoki, Y., & Endo, H. (2001) · Advanced Drug Delivery Reviews · doi:10.1016/s0169-409x(01)00129-6 · Cited by 39 · see citing works
Mitochondrial medicine: to a new era of gene therapy for mitochondrial DNA mutations
Cwerman‐Thibault, H., Sahel, J., & Corral‐Debrinski, M. (2010) · Journal of Inherited Metabolic Disease · doi:10.1007/s10545-010-9131-5 · Cited by 36 · see citing works
“…sections of DNA or RNA into mitochondria either to replace mutant tRNA (Kolesnikova et al. 2004) or to selectively inhibit mutant mtDNA replication (Taylor et al. 1997) (Taylor et al. , 2000); (2) manipulation of the mitochondrial genetic content by importing specific restriction endonucleases…”
BackgroundHow Can We Treat Mitochondrial Encephalomyopathies? Approaches to Therapy
Horváth, R., Gorman, G. S., & Chinnery, P. F. (2008) · Neurotherapeutics · doi:10.1016/j.nurt.2008.07.002 · Cited by 36 · see citing works
Respiratory chain defects: what do we know for sure about their consequences in vivo?
Brière, J.-J., Chrétien, D., Bénit, P., & Rustin, P. (2004) · Biochimica et Biophysica Acta (BBA) - Bioenergetics · doi:10.1016/j.bbabio.2004.07.002 · Cited by 36 · see citing works
“After a burst of hope triggered by reports on the successful use of peptide nucleic acids to change mitochondrial heteroplasmy in cell models [4], further attempts have shown the major limitation of such an approach [5].”
Background
- Authors
- Taylor, R. W., Chinnery, P. F., Turnbull, D. M., & Lightowlers, R. N.
- Affiliations
- Newcastle University (GB)
- Corresponding author
- Turnbull, Douglass M.
- Venue
- Nature Genetics
- Published
- 1997-02
- Volume
- 15
- Issue
- 2
- Pages
- 212-215
- ISSN
- 1061-4036 (ISSN-L)
- 1546-1718
- OpenAlex
- W1964789697
- Cited by
- 249
- References
- 31
- Citations by year
- 2025: 5 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 9 · 2017: 2 · 2016: 6 · 2015: 8 · 2014: 6 · 2013: 2 · 2012: 10
- FWCI
- 5.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Genetics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA and Nucleic Acid Chemistry
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- mitochondrial DNA, mitochondrial DNA replication, peptide nucleic acid, heteroplasmy, myoblasts, mitochondrial disease, deletion breakpoints, single-base mutations
- MeSH terms
- Cell Line, Depression, Chemical, DNA Replication, DNA, Mitochondrial, DNA, Single-Stranded, Humans, Mitochondria, Muscle, Oligodeoxyribonucleotides, Peptides, Templates, Genetic, Drug Design, MERRF Syndrome
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