Mitochondrial Complex I Mutations Predispose Drosophila to Isoflurane Neurotoxicity
Mitochondrial Complex I Mutations Predispose Drosophila to Isoflurane Neurotoxicity
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DOI:
10.1097/aln.0000000000003486
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发表时间:
2020-10-01
期刊:
影响因子:
8.8
通讯作者:
Perouansky, Misha
中科院分区:
文献类型:
--
作者:
Olufs, Zachariah P. G.;Ganetzky, Barry;Perouansky, Misha
Background: General anesthetics influence mitochondrial homeostasis, placing individuals with mitochondrial disorders and possibly carriers of recessive mitochondrial mutations at increased risk of perioperative complications. InDrosophila, mutations in the ND23 subunit of complex I of the mitochondrial electron transport chain-analogous to mammalian NDUFS8-replicate key characteristics of Leigh syndrome, an inherited mitochondrial disorder. The authors used theND23mutant for testing the hypothesis that anesthetics have toxic potential in carriers of mitochondrial mutations. Methods: The authors exposed wild-type flies andND23mutant flies to behaviorally equivalent doses of isoflurane or sevoflurane in 5%, 21%, or 75% oxygen. The authors used percent mortality (mean +/- SD, n >= 3) at 24 h after exposure as a readout of toxicity and changes in gene expression to investigate toxicity mechanisms. Results: Exposure of 10- to 13-day-old maleND23flies to isoflurane in 5%, 21%, or 75% oxygen resulted in 16.0 +/- 14.9% (n = 10), 48.2 +/- 16.1% (n = 9), and 99.2 +/- 2.0% (n = 10) mortality, respectively. Comparable mortality was observed in females. In contrast, under the same conditions, mortality was less than 5% for all male and female groups exposed to sevoflurane, except 10- to 13-day-old maleND23flies with 9.6 +/- 8.9% (n = 16) mortality. The mortality of 10- to 13-day-oldND23flies exposed to isoflurane was rescued by neuron- or glia-specific expression of wild-typeND23. Isoflurane and sevoflurane differentially affected expression of antioxidant genes in 10- to 13-day-oldND23flies.ND23flies had elevated mortality from paraquat-induced oxidative stress compared with wild-type flies. The mortality of heterozygousND23flies exposed to isoflurane in 75% oxygen increased with age, resulting in 54.0 +/- 19.6% (n = 4) mortality at 33 to 39 days old, and the percent mortality varied in different genetic backgrounds. Conclusions: Mutations in the mitochondrial complex I subunit ND23 increase susceptibility to isoflurane-induced toxicity and to oxidative stress inDrosophila. Asymptomatic flies that carryND23mutations are sensitized to hyperoxic isoflurane toxicity by age and genetic background.