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Oxidative Stress Induces Mitochondrial Dysfunction in a Subset of Autism Lymphoblastoid Cell Lines in a Well-Matched Case Control Cohort
Open accessAbstract
There is increasing recognition that mitochondrial dysfunction is associated with the autism spectrum disorders. However, little attention has been given to the etiology of mitochondrial dysfunction or how mitochondrial abnormalities might interact with other physiological disturbances associated with autism, such as oxidative stress. In the current study we used respirometry to examine reserve capacity, a measure of the mitochondrial ability to respond to physiological stress, in lymphoblastoid cell lines (LCLs) derived from children with autistic disorder (AD) as well as age and gender-matched control LCLs. We demonstrate, for the first time, that LCLs derived from children with AD have an abnormal mitochondrial reserve capacity before and after exposure to increasingly higher concentrations of 2,3-dimethoxy-1,4-napthoquinone (DMNQ), an agent that increases intracellular reactive oxygen species (ROS). Specifically, the AD LCLs exhibit a higher reserve capacity at baseline and a sharper depletion of reserve capacity when ROS exposure is increased, as compared to control LCLs. Detailed investigation indicated that reserve capacity abnormalities seen in AD LCLs were the result of higher ATP-linked respiration and maximal respiratory capacity at baseline combined with a marked increase in proton leak respiration as ROS was increased. We further demonstrate that these reserve capacity abnormalities are driven by a subgroup of eight (32%) of 25 AD LCLs. Additional investigation of this subgroup of AD LCLs with reserve capacity abnormalities revealed that it demonstrated a greater reliance on glycolysis and on uncoupling protein 2 to regulate oxidative stress at the inner mitochondria membrane. This study suggests that a significant subgroup of AD children may have alterations in mitochondrial function which could render them more vulnerable to a pro-oxidant microenvironment derived from intrinsic and extrinsic sources of ROS such as immune activation and pro-oxidant environmental toxicants. These findings are consistent with the notion that AD is caused by a combination of genetic and environmental factors.
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“There are presently several lines of evidence indicating oxidative stress and mitochondrial dysfunction are prevalent in individuals with ASD [3,10,11,12,13,14,15,16].”
From Vitamin D and Autism Spectrum Disorder: A Literature Review (2016) · cites this paper as [13]
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Self-citationMitochondrial function and abnormalities implicated in the pathogenesis of ASD
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Self-citationNeuropathological Mechanisms of Seizures in Autism Spectrum Disorder
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“Rose et al.16 hypothesized that higher than normal Reserve Capacity may be a protective adaptation in response to environmental stressors while Bennuri et al47 showed that prolonged exposure to low-levels of oxidative stress could induce this increase in baseline Reserve Capacity.”
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Self-citationMitochondrial Dysfunction may explain symptom variation in Phelan-McDermid Syndrome
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Self-citationDelhey, L. M., Kilinc, E. N., Yin, L., Slattery, J. M., Tippett, M., Rose, S., Bennuri, S. C., Kahler, S. G., Damle, S., Legido, A., et al. (2017) · Journal of Clinical Medicine · doi:10.3390/jcm6020018 · Cited by 47
“Perhaps more unique is the fact that ETC activity in muscle [21,22], skin [23], buccal cells [11–13] and the brain [20] has been documented to be significantly increased, rather than decreased, in individuals with ASD, consistent with in vitro data showing elevated mitochondrial respiration in cell lines derived from…”
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Self-citationMitochondrial morphology is associated with respiratory chain uncoupling in autism spectrum disorder
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“LCLs derived from children with ASD show decreased glutathione concentrations relative to oxidized disulfide glutathione as well as a decreased ratio of reduced nicotinamide adenine dinucleotide (NADH) to oxidized NAD and higher levels of 3-nitrotyrosine, a marker of protein oxidation that is indicative of chronic oxi…”
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Self-citationMitochondria May Mediate Prenatal Environmental Influences in Autism Spectrum Disorder
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“To determine if these bioenergetics changes were specific to a subset of ASD LCLs, a cluster analysis was used to separated ASD LCLs into those with normal bioenergetics (AD-N) and those with atypical bioenergetics (AD-A) [109].”
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“To clarify the mechanism of mitochondrial dysfunction in sIBM, we next examined the mitochondrial bioenergetic function governing the oxygen consumption rate (OCR) and extracellular acidification rate (ECAR) using isolated myoblasts [11, 24, 25].”
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“Since many environmental stressors may have their biological effect through increases in ROS (21, 44–46) and since ROS is elevated in many ASDderived tissues (45), including LCLs (37) and brain (47, 48), we hypothesized that prolonged environmental exposures, potentially through prolonged exposure to ROS, would alter…”
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“Recently published studies have reported that oxidative stress induces more prominent mitochondrial dysfunction in lymphoblastoid cells derived from subsets of ASD patients [47,48].”
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“Pronounced oxidative stress with change in membrane permeability and associated mitochondrial dysfunction are few of the players toward the pathogenesis of autism disorders [14, 44].”
BackgroundBioenergetic variation is related to autism symptomatology
Delhey, L. M., Kilinc, E. N., Yin, L., Slattery, J. M., Tippett, M., Wynne, R. A., Rose, S., Kahler, S. G., Damle, S., Legido, A., et al. (2017) · Metabolic Brain Disease · doi:10.1007/s11011-017-0087-0 · Cited by 32
“Indeed, we have repeatedly demonstrated in the laboratory that a subset of lymphoblastoid cell lines derived from children with ASD have respiratory rates approximately twice that of control cell lines (Rose et al. 2014a, b, 2015a, b; Frye et al. 2016c, 2017a; Rose et al. 2017).”
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“, North Billerica, MA, United States) was used for measurement of oxygen consumption ratio (OCR), which is an indicator of mitochondrial respiration, in real time in live PBMCs (14, 27).”
MethodSelf-citationCaveolin3 Stabilizes McT1-Mediated Lactate/Proton Transport in Cardiomyocytes
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“In addition to differing numbers of antral follicles, zebu and taurine cows diverge in several aspects, such as estrus manifestation [33], progesterone concentration, follicle size [34] and IGF-I and insulin concentrations [35].”
BackgroundNEK10 interactome and depletion reveal new roles in mitochondria
de Oliveira, A. P., Basei, F. L., Slepicka, P. F., Ferezin, C. D. C., Melo‐Hanchuk, T. D., de Souza, E. E., de Lima, T. I., dos Santos, V. T., Mendes, D., Silveira, L. R., et al. (2020) · Proteome Science · doi:10.1186/s12953-020-00160-w · Cited by 30
“of experimental oxygen consumption rate (OCR) data type nomenclature, adapted from Rose and coworkers [56].”
Induction of a Senescence-Like Phenotype in Cultured Human Fetal Microglia During HIV-1 Infection
Chen, N. C., Partridge, A. T., Tüzer, F., Cohen, J., Nacarelli, T., Navas, S., Sell, C., Torres, C. A., & Martín‐García, J. (2018) · The Journals of Gerontology Series A · doi:10.1093/gerona/gly022 · Cited by 32
Shaw, G. A., Hyer, M. M., Targett, I. L., Dyer, S. K., Turkson, S., Burns, C. M., & Neigh, G. N. (2020) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.05.021 · Cited by 28
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“A Seahorse Extracellular Flux (XF) 96 Analyzer (Seahorse Bioscience, Inc, North Billerica, MA, USA) using a specialized oxygen consumption rate (OCR) kit (Seahorse XFe96 FluxPaksTM, Agilent, Santa Clara, CA, USA) was employed in 96 well format according to the manufacturer’s specifications measuring OCR as a quantitat…”
MethodAschner, M., Martins, A. C., Oliveira‐Paula, G. H., Skalny, A. V., Zaitseva, I. P., Bowman, A. B., Kirichuk, A. A., Santamarı́a, A., Tizabi, Y., & Tinkov, A. A. (2024) · Current Research in Toxicology · doi:10.1016/j.crtox.2024.100170 · Cited by 26
“In this regard, lymphoblastoid cell lines derived from patients with ASD were more susceptible to oxidative stress and had significant physiological abnormalities in mitochondrial function (Rose et al., 2014).”
BackgroundFrye, R. E., Rose, S., Wynne, R. A., Bennuri, S. C., Blossom, S. J., Gilbert, K. M., Heilbrun, L. P., & Palmer, R. F. (2017) · Scientific Reports · doi:10.1038/s41598-017-04821-3 · Cited by 25
Self-citationThe Effect of Freeze-Thaw Cycles on Gene Expression Levels in Lymphoblastoid Cell Lines
Çalışkan, M., Pritchard, J. K., Ober, C., & Gilad, Y. (2014) · PLoS ONE · doi:10.1371/journal.pone.0107166 · Cited by 24
“Thousands of published studies have used LCLs to address a wide range of questions in human biology, including studies of gene regulatory mechanisms [3,4,6–14], drug toxicity [15,16], response to stress [17,18], and case control studies of human diseases [19,20].”
BackgroundSerum microRNAs in ASD: Association With Monocyte Cytokine Profiles and Mitochondrial Respiration
Jyonouchi, H., Geng, L., Törüner, G., Rose, S., Bennuri, S. C., & Frye, R. E. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00614 · Cited by 27
“Samples were sent to Dr. R. Frye’s laboratory on dry ice where the Seahorse Extracellular Flux (XF) 96 Analyzer (Seahorse Bioscience, Inc., North Billerica, MA, USA) was used to measure oxygen consumption ratio (OCR; pMol/min), which is an indicator of mitochondrial respiration, in real time in live PBMCs. ATP-linked…”
MethodInfluentialSelf-citationTargeting breast cancer metabolism with a novel inhibitor of mitochondrial ATP synthesis
Kim, M. S., Gernapudi, R., Cedeno, Y. C., Polster, B. M., Martinez, R., Shapiro, P., Kesari, S., Nurmemmedov, E., & Passaniti, A. (2020) · Oncotarget · doi:10.18632/oncotarget.27743 · Cited by 22
“Baseline cellular OCR (BL) was calculated from basal respiration after subtracting NM [111].”
MethodPhysiological mediators of prenatal environmental influences in autism spectrum disorder
Frye, R. E., Cakir, J., Rose, S., Palmer, R. F., Austin, C. E., & Curtin, P. C. P. (2021) · BioEssays · doi:10.1002/bies.202000307 · Cited by 24
“dysregulation of oxidative stress at the inner mitochondria membrane in neurodevelopmental disorders,[15] including ASD[78] and Fragile X,[79] as manifested by proton leak across the inner mitochondrial membrane.”
BackgroundSelf-citationIKCa channels control breast cancer metabolism including AMPK-driven autophagy
Gross, D., Bischof, H., Maier, S., Sporbeck, K., Birkenfeld, A. L., Malli, R., Ruth, P., Proikas‐Cezanne, T., & Łukowski, R. (2022) · Cell Death and Disease · doi:10.1038/s41419-022-05329-z · Cited by 23
Serum starvation affects mitochondrial metabolism of adipose-derived stem/stromal cells
Giannasi, C., Niada, S., Morte, E. D., Casati, S. R., Palma, C. D., & Brini, A. T. (2023) · Cytotherapy · doi:10.1016/j.jcyt.2023.03.004 · Cited by 21
Slattery, J., MacFabe, D., Kahler, S., & Frye, R. (2016) · Current Pharmaceutical Design · doi:10.2174/1381612822666160905123953 · Cited by 20
Self-citationInheritance of HLA-Cw7 Associated With Autism Spectrum Disorder (ASD)
Harville, T., Rhodes-Clark, B. S., Bennuri, S. C., Delhey, L. M., Slattery, J. M., Tippett, M., Wynne, R. A., Rose, S., Kahler, S. G., & Frye, R. E. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00612 · Cited by 20
Self-citationSaxena, R., Saribas, S., Jadiya, P., Tomar, D., Kaminski, R., Elrod, J. W., & Safak, M. (2020) · Virology · doi:10.1016/j.virol.2020.11.004 · Cited by 18
“That is, this inhibitor provides information about the levels of O2 consumption, directly coupled to ATP production (Supplement 1) (Rose et al., 2014).”
BackgroundEnhancing enterocyte fatty acid oxidation in mice affects glycemic control depending on dietary fat
Ramachandran, D., Clara, R., Fedele, S., Michel, L., Burkard, J., Kaufman, S., Alvarado-Diaz, A., Weissfeld, N., Bock, K. D., Prip‐Buus, C., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-29139-6 · Cited by 18
Webb, L. M. C., Pascall, J. C., Hepburn, L., Carter, C., Turner, M., & Butcher, G. W. (2014) · PLoS ONE · doi:10.1371/journal.pone.0110294 · Cited by 17
“We used the Seahorse Extracellular Flux (XF) 96 Analyzer (Seahorse Bioscience, Inc, North Billerica, MA, USA), to measure the oxygen consumption rate (OCR), an indicator of mitochondrial respiration, in real-time in live intact B lymphocytes as previously described [51].”
MethodNitrosative Stress in Autism: Supportive Evidence and Implications for Mitochondrial Dysfunction
Frye, R. E., Rose, S., Voinsky, I., & Gurwitz, D. (2024) · Advanced Science · doi:10.1002/advs.202304439 · Cited by 16
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Oxidative stress and neuroimmune proteins in a mouse model of autism
Uddin, M. N., Mondal, T. K., Yao, Y., MANLEY, K. M., & Lawrence, D. A. (2023) · Cell Stress and Chaperones · doi:10.1007/s12192-023-01331-2 · Cited by 17
Bioenergetic signatures of neurodevelopmental regression
Frye, R. E., McCarty, P. J., Werner, B. A., Rose, S., & Scheck, A. C. (2024) · Frontiers in Physiology · doi:10.3389/fphys.2024.1306038 · Cited by 15
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Association of NGF and Mitochondrial Respiration with Autism Spectrum Disorder
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“Furthermore, we found that reserve respiratory capacity is almost 40% higher in ASD children with developmental regression compared to those without, which is regarded by some authors as a protective adaptation in response to environmental stressors [83].”
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“, 1–350 amol/s per cell[29], and 1–120 amol/s per cell[30]), changes reported in the same cells varied no more than 10-fold when the culture conditions were modified[14,31].”
BackgroundRedox System Dysfunction as a Key Mechanism in Autism Spectrum Disorder Pathogenesis
de Oliveira, C. A., Iorio, E. L., & Espíndola, F. S. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26209850 · Cited by 12
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Metadata
- Authors
- Rose, S., Frye, R. E., Slattery, J., Wynne, R., Tippett, M., Pavliv, O., Melnyk, S., & James, S. J.
- Affiliations
- Arkansas Children's Hospital (US)
- Corresponding author
- Frye, Richard E.
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-01-08
- Volume
- 9
- Issue
- 1
- Pages
- e85436
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3885720
- OpenAlex
- W2163485668
- Cited by
- 168
- References
- 61
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 20 · 2023: 7 · 2022: 22 · 2021: 17 · 2020: 18 · 2019: 9 · 2018: 10 · 2017: 12 · 2016: 13 · 2015: 16 · 2014: 6
- FWCI
- 6.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Arkansas Biosciences Institute
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Autophagy in Disease and Therapy
- Keywords
- autism spectrum disorder, mitochondrial dysfunction, oxidative stress, reserve capacity, lymphoblastoid cell lines, reactive oxygen species, UCP2, glycolysis, ATP-linked respiration, mitochondrial heterogeneity
- MeSH terms
- Uncoupling Protein 2, Autistic Disorder, Cell Line, Child, Child, Preschool, Female, Glycolysis, Humans, Ion Channels, Lymphocytes, Male, Mitochondria, Naphthoquinones, Oxidation-Reduction, Protons, Case-Control Studies, Reactive Oxygen Species, Oxidative Stress, Cell Respiration, Mitochondrial Proteins, Mitochondrial Membranes
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