Cited by 605Parkinson's Disease Mechanisms and TreatmentsMitochondrial Function and PathologyNuclear Receptors and Signaling

Progressive parkinsonism in mice with respiratory-chain-deficient dopamine neurons

Open access
Ekstrand, Mats I., Terzioglu, Mügen, Galter, Dagmar, Zhu, Shunwei, Hofstetter, Christoph, Lindqvist, Eva, Thams, Sebastian, Bergstrand, Anita +7 more·2007·Proceedings of the National Academy of Sciences

Abstract

Mitochondrial dysfunction is implicated in the pathophysiology of Parkinson′s disease (PD), a common age-associated neurodegenerative disease characterized by intraneuronal inclusions (Lewy bodies) and progressive degeneration of the nigrostriatal dopamine (DA) system. It has recently been demonstrated that midbrain DA neurons of PD patients and elderly humans contain high levels of somatic mtDNA mutations, which may impair respiratory chain function. However, clinical studies have not established whether the respiratory chain deficiency is a primary abnormality leading to inclusion formation and DA neuron death, or whether generalized metabolic abnormalities within the degenerating DA neurons cause secondary damage to mitochondria. We have used a reverse genetic approach to investigate this question and created conditional knockout mice (termed MitoPark mice), with disruption of the gene for mitochondrial transcription factor A ( Tfam ) in DA neurons. The knockout mice have reduced mtDNA expression and respiratory chain deficiency in midbrain DA neurons, which, in turn, leads to a parkinsonism phenotype with adult onset of slowly progressive impairment of motor function accompanied by formation of intraneuronal inclusions and dopamine nerve cell death. Confocal and electron microscopy show that the inclusions contain both mitochondrial protein and membrane components. These experiments demonstrate that respiratory chain dysfunction in DA neurons may be of pathophysiological importance in PD.

AI snapshot

Written from the paper’s full text.

TL;DR

MitoPark mice with conditional Tfam disruption in midbrain dopamine neurons develop respiratory chain deficiency, adult-onset progressive parkinsonism, intraneuronal inclusions, and dopamine neuron death. The findings provide genetic evidence that respiratory chain dysfunction in dopamine neurons may be pathophysiologically important in Parkinson’s disease.

Key findings

  • MitoPark mice had reduced mtDNA expression in midbrain DA neurons at 6 weeks and marked reduction of COX enzyme activity at 20 weeks.
  • Motor impairment began at ≈14–15 weeks, progressed to tremor, twitching, and apparent limb rigidity at ≈20 weeks, and mice were killed at ≈45 weeks; L-DOPA improved motor performance, with older mice showing abrupt termination resembling “wearing off.”
  • DA innervation loss first appeared in dorsolateral striatum at 12 weeks; TH+ midbrain neuron loss was earlier and more marked in SN than VTA, and 20-week-old MitoPark mice had DA loss plus increased HVA/DA and DOPAC/DA ratios.
  • Most midbrain DA neurons contained small cytoplasmic inclusions at 6 weeks before DA cell loss; inclusions contained mitochondrial protein and membrane components by confocal and electron microscopy, but did not contain α-synuclein and persisted in α-synuclein knockout MitoPark mice.

Methods

  • Reverse genetic conditional knockout: DAT-cre mice were crossed with TfamloxP/TfamloxP mice to disrupt Tfam in midbrain DA neurons; cre expression was validated by in situ hybridization and reporter mice.
  • Behavioral testing used automated activity cages for locomotion and rearing, with L-DOPA plus benserazide or PBS injections; histology, immunohistochemistry, in situ hybridization, electron microscopy, confocal microscopy, and HPLC catecholamine measurements were used.
  • Sample sizes included 7 MitoPark/control pairs for in situ hybridization and enzyme histochemistry, 20 pairs for immunohistochemistry, 18 mice (9 littermate pairs) for TH cell counts, and 9 animals for aggregate counts and size measurements.

Limitations

  • The paper states that the mechanism whereby respiratory chain deficiency leads to inclusion formation needs to be elucidated, that there was no evidence of α-synuclein in the inclusions, and that there is no absolute link between respiratory chain dysfunction and oxidative stress.
  • The text makes evident that this is a mouse model rather than human PD, that the inclusions differ from human Lewy bodies in α-synuclein content, and that the h116–131 antibody reacted with an unknown inclusion component.
  • The paper does not include a formal limitations section; additional limitations evident from the text include reliance on a single conditional knockout model and unresolved specificity of one α-synuclein antibody.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1073/pnas.0605208103

Cites

33 of 33 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 19 cited sources checked · 0 supported · 0 flagged

  • Findingown data
    § Results

    MitoPark mice have reduced mtDNA expression in midbrain DA neurons.

    “In situ hybridizations detected much reduced expression of the mtDNA-encoded COX subunit I mRNA in DA neurons of substantia nigra (SN) and the ventral tegmental area (VTA) in MitoPark mice at the age of 6 weeks (Fig. 1E).”
    Quote in the paperSubstantial claim
  • Findingown data
    § Abstract

    MitoPark mice show dopamine nerve cell death.

    “accompanied by formation of intraneuronal inclusions and dopamine nerve cell death.”
    Quote in the paperSubstantial claim
  • Findingown data
    § Results

    MitoPark mice have respiratory chain deficiency in midbrain DA neurons.

    “We also found a marked reduction of COX enzyme activity by histochemical analyses of midbrain DA neurons of 20-week-old MitoPark mice (Fig. 1D).”
    Quote in the paperSubstantial claim
  • Findingown data
    § Results

    MitoPark mice show no increased embryonic or neonatal lethality.

    “There was no increased embryonic or neonatal lethality in MitoPark mice.”
    Quote in the paperNot a substantial claim
  • Findingown data
    § Results

    Five additional α-synuclein antibodies were not immunoreactive with the inclusions in MitoPark mice.

    “However, five additional antibodies (see Methods) directed against α-synuclein were not immunoreactive with the inclusions although they gave rise to expected α-synuclein-like immunoreactivity in nonaffected neurons.”
    Quote in the paperSubstantial claim
  • May combine two claims. 13
  • Classified as probably not a substantial claim. 6
  • May combine two claims.

    Findingown data
    § Results

    In MitoPark mice lacking a functional α-synuclein gene, inclusions remain and are immunoreactive with the h116-131 antibody.

    “Unexpectedly, the inclusions also remained, and were immunoreactive with the h116–131 antibody in the MitoPark mice lacking a functional α-synuclein gene (data not shown).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data
    § Results

    MitoPark mice show slow progressive loss of TH-expressing midbrain neurons, with more marked and earlier onset in SN than VTA.

    “Quantification of numbers of tyrosine hydroxylase (TH)-expressing midbrain neurons revealed a slow progressive cell loss, which was more marked and had an earlier onset in SN, which predominantly innervates dorsal striatum, in comparison with VTA, which predominantly innervates ventral striatum and cortical areas (Fig. 3 E–I).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data
    § Results

    Loss of DA innervation in MitoPark mice first appears in dorsolateral striatum at age 12 weeks and progresses to involve most of the dorsal and ventral striatum with age.

    “Loss of DA innervation was first observed in dorsolateral striatum at age 12 weeks and this loss progressed to involve most of the dorsal and ventral striatum as the MitoPark mice became older (Fig. 3A–D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data
    § Results

    Inclusions are present in most midbrain DA neurons of MitoPark mice and their mean size increases as neurodegeneration progresses.

    “The inclusions were present in most midbrain DA neurons (Fig. 4C) and their mean size increased as neurodegeneration progressed (Fig. 4D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data
    § Results

    Some inclusion bodies in MitoPark mice have amorphous content and a diffuse lining, whereas others display tubular formations and are surrounded by distinct double layer membranes.

    “Some of these bodies had an amorphous content and a diffuse lining, whereas others displayed tubular formations and were surrounded by distinct double layer membranes (Fig. 5 B and C).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data
    § Results

    At 6 weeks, MitoPark mice show no observable DA cell loss despite severely reduced mtDNA expression in midbrain DA neurons.

    “In 6-week-old MitoPark mice, there was no observable DA cell loss (Fig. 3F) despite the presence of severely reduced mtDNA expression (Fig. 1E) in midbrain DA neurons.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data
    § Results

    α-synuclein is not needed for the PD phenotype or for development of DA neuron inclusions in MitoPark mice.

    “Thus α-synuclein was neither needed for the PD phenotype nor the development of DA neuron inclusions in our mice.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: α-synuclein is commonly found in Lewy bodies in human PD.
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Discussion

    Lewy bodies can have a variety of morphological shapes and their morphology may evolve with time.

    “Available data show that Lewy bodies can have a variety of morphological shapes (25), and it has been suggested that their morphology evolves with time (25).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [25] Shults CW. Proc Natl Acad Sci USA. 2006;103:1661–1668. doi: 10.1073/pnas.0509567103. [DOI] [PMC free article] [PubMed] [Google Scholar]

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Discussion

    The morphology of Lewy bodies has mainly been studied in brain tissue from end-stage PD patients, and it is not well established how these aggregates appear at early disease stages.

    “The morphology of Lewy bodies has mainly been studied in brain tissue obtained from end-stage PD patients, and it is therefore not well established how these aggregates appear at early disease stages.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data
    § Results

    DAT-cre mice express cre mRNA and enzymatically active cre-recombinase protein in DA neurons of the midbrain.

    “We used in situ hybridizations (Fig. 1B) and mating to reporter mice (23), which activate the expression of β-galactosidase in cre-expressing cells (Fig. 1C), to establish that DAT-cre mice express cre mRNA and enzymatically active cre-recombinase protein in DA neurons of the midbrain.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [23] Soriano P. Nat Genet. 1999;21:70–71. doi: 10.1038/5007. [DOI] [PubMed] [Google Scholar]

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given
    § Results

    The differential degeneration (earlier and more marked in SN than VTA) is also characteristic of PD in man.

    “This differential degeneration is also characteristic of PD in man.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Abstract

    Midbrain DA neurons of PD patients and elderly humans contain high levels of somatic mtDNA mutations, which may impair respiratory chain function.

    “It has recently been demonstrated that midbrain DA neurons of PD patients and elderly humans contain high levels of somatic mtDNA mutations, which may impair respiratory chain function.”
    • Also stated in: § Abstract · boosted
      “Analysis of mtDNA mutation levels in DA neurons with normal COX activity has demonstrated very high levels of mtDNA with deletions in both PD patients and aged controls and there was a linear increase of the mutation load with increasing age (7).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [7] Bender A, Krishnan KJ, Morris CM, Taylor GA, Reeve AK, Perry RH, Jaros E, Hersheson JS, Betts J, Klopstock T, et al. Nat Genet. 2006;38:515–517. doi: 10.1038/ng1769. [DOI] [PubMed] [Google Scholar] source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data
    § Discussion

    Respiratory chain deficiency in DA neurons in mice leads to slowly progressive neuronal degeneration, behavioral disturbances, and intraneuronal inclusions characteristic of parkinsonism.

    “We demonstrate that respiratory chain deficiency in DA neurons in mice leads to characteristic manifestations of parkinsonism, including slowly progressive neuronal degeneration, typical behavioral disturbances, and the formation of intraneuronal inclusions.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Discussion

    In vitro studies have shown that α-synuclein can interact directly with lipids in membranes and with proteins of the mitochondrial respiratory chain.

    “In vitro studies have shown that α-synuclein can interact directly with lipids found in membranes (26, 27) and with proteins of the mitochondrial respiratory chain (28, 29).”
    Quote in the paperNot a substantial claim0 of 4 sources checked
    • cites [26] Cole NB, Murphy DD, Grider T, Rueter S, Brasaemle D, Nussbaum RL. J Biol Chem. 2002;277:6344–6352. doi: 10.1074/jbc.M108414200. [DOI] [PubMed] [Google Scholar]

      Not checked in the free run.

    • cites [27] Ellis CE, Murphy EJ, Mitchell DC, Golovko MY, Scaglia F, Barcelo-Coblijn GC, Nussbaum RL. Mol Cell Biol. 2005;25:10190–10201. doi: 10.1128/MCB.25.22.10190-10201.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]

      Not checked in the free run.

    • cites [28] Hashimoto M, Takeda A, Hsu LJ, Takenouchi T, Masliah E. J Biol Chem. 1999;274:28849–28852. doi: 10.1074/jbc.274.41.28849. [DOI] [PubMed] [Google Scholar]

      Not checked in the free run.

    • cites [29] Elkon H, Don J, Melamed E, Ziv I, Shirvan A, Offen D. J Mol Neurosci. 2002;18:229–238. doi: 10.1385/JMN:18:3:229. [DOI] [PubMed] [Google Scholar]

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductown data
    § Materials and Methods

    DA neuron counts were performed on coded slides.

    “TH-immunoreactive DA nerve cell body profiles were counted on coded slides at representative levels of SN and VTA, respectively, using two to five sections per animal and a total of 18 mice (nine littermate pairs, each consisting of one MitoPark and one control).”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation
    § Discussion

    The mitochondrial network has an elaborate system for protein degradation involving membrane-bound AAA-proteases and LON protease in the matrix.

    “The mitochondrial network has an elaborate system for protein degradation involving membrane bound AAA-proteases and LON protease in the matrix (31).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [31] Rugarli EI, Langer T. Trends Mol Med. 2006;12:262–269. doi: 10.1016/j.molmed.2006.04.002. [DOI] [PubMed] [Google Scholar]

      Not checked in the free run.

16 of 16
  • The paper relies on this without support.

    Clinical studies have not established whether respiratory chain deficiency is a primary abnormality leading to inclusion formation and DA neuron death, or whether generalized metabolic abnormalities within degenerating DA neurons cause secondary damage to mitochondria.

    “However, clinical studies have not established whether the respiratory chain deficiency is a primary abnormality leading to inclusion formation and DA neuron death, or whether generalized metabolic abnormalities within the degenerating DA neurons cause secondary damage to mitochondria.”
  • The paper relies on this without support.

    α-synuclein is commonly found in Lewy bodies in human PD.

    “However, we did not find evidence of α-synuclein in these inclusions, although α-synuclein is commonly found in Lewy bodies in human PD.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • For all targeted cell types, TFAM depletion leads to mtDNA depletion, mitochondrial transcript depletion and respiratory chain deficiency, except not reported for midbrain DA neurons.

    “For all the targeted cell types, TFAM depletion leads to mtDNA depletion (not reported for midbrain DA neurons), mitochondrial transcript depletion (not reported for midbrain DA neurons) and respiratory chain deficiency, suggesting that TFAM is essential for mtDNA maintenance in vivo”
  • TFAM deletion in mouse pyramidal neurons causes mitochondrial late-onset neurodegeneration (MILON), whereas deletion in mouse midbrain DA neurons leads to PD.

    “TFAM deletion in mouse pyramidal neurons causes mitochondrial late-onset neurodegeneration (MILON) (Sorensen et al., 2001) whereas deletion in mouse midbrain DA neurons leads to PD (Ekstrand et al., 2007).”
  • Manipulating nuclear genes regulating mtDNA maintenance and replication (TFAM, POLG, PEO1) is a more successful approach to developing mouse models of mitochondrial disease.

    “Alternative and more successful approaches to developing mouse models of mitochondrial disease involve manipulating the nuclear genes that regulate mtDNA maintenance and replication, such as TFAM [176][177][178][179][180][181][182], POLG ('Mutator' model) [183], and PEO1 (Twinkle; 'Deletor' model) [184].”

    From Mitochondrial DNA mutations and human disease (2010) · cites this paper as [177]

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. H Andersson, J Luthman, E Lindqvist, L Olson Neurotoxicology 16, 201–210 (1995).

Cited by

Sorted by citations

Authors
Ekstrand, M. I., Terzioglu, M., Galter, D., Zhu, S., Hofstetter, C., Lindqvist, E., Thams, S., Bergstrand, A., Hansson, F. S., Trifunovic, A., Hoffer, B., Cullheim, S., Mohammed, A. H., Olson, L., & Larsson, N.-G.
Affiliations
  • Karolinska University Hospital (SE)
  • Department of Laboratory Medicine and
  • Karolinska Institutet (SE)
  • National Institutes of Health (US)
Corresponding author
Larsson, Nils-Göran
Venue
Proceedings of the National Academy of Sciences
Published
2007-01-23
Volume
104
Issue
4
Pages
1325-1330
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2055557007
Cited by
605
References
33
Citations by year
2026: 20 · 2025: 25 · 2024: 35 · 2023: 32 · 2022: 25 · 2021: 33 · 2020: 40 · 2019: 34 · 2018: 38 · 2017: 28 · 2016: 19 · 2015: 32 · 2014: 31 · 2013: 32 · 2012: 29
FWCI
23.38
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Michael J. Fox Foundation for Parkinson's Research
  • Karolinska Institutet
  • Vetenskapsrådet
  • Swedish Brain Power
  • National Institutes of Health
  • U.S. Public Health Service
  • Parkinsonfonden
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nuclear Receptors and Signaling
Keywords
Parkinson's disease, mitochondrial dysfunction, respiratory chain deficiency, dopaminergic neurons, midbrain, Lewy bodies, TFAM, mitochondrial DNA mutations, conditional knockout mice, parkinsonism, motor impairment, intraneuronal inclusions
MeSH terms
Animals, Base Sequence, Dopamine, Electron Transport, Immunohistochemistry, Microscopy, Electron, Neurons, DNA Probes, In Situ Hybridization, Parkinsonian Disorders, Mice

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