Abstract

Energy metabolism has been repeatedly linked to amyotrophic lateral sclerosis (ALS). Yet, motor neuron (MN) metabolism remains poorly studied and it is unknown if ALS MNs differ metabolically from healthy MNs. To address this question, we first performed a metabolic characterization of induced pluripotent stem cells (iPSCs) versus iPSC-derived MNs and subsequently compared MNs from ALS patients carrying FUS mutations to their CRISPR/Cas9-corrected counterparts. We discovered that human iPSCs undergo a lactate oxidation-fuelled prooxidative metabolic switch when they differentiate into functional MNs. Simultaneously, they rewire metabolic routes to import pyruvate into the TCA cycle in an energy substrate specific way. By comparing patient-derived MNs and their isogenic controls, we show that ALS-causing mutations in FUS did not affect glycolytic or mitochondrial energy metabolism of human MNs in vitro. These data show that metabolic dysfunction is not the underlying cause of the ALS-related phenotypes previously observed in these MNs.

Highlights

  • Energy metabolism has been repeatedly linked to amyotrophic lateral sclerosis (ALS)

  • We show that induced pluripotent stem cells (iPSCs), as they differentiate into functional motor neuron (MN), shift towards a more oxidative phenotype as they reduce glucose uptake and glycolytic flux, but elevate tricarboxylic acid (TCA) cycle activity and respiratory potential

  • 80% of cells stained positive for the pan-neuronal markers Tuj[1] and synapsin[1] and for the MN-specific markers ChAT, Isl[1] and SMI32 without significant differences between any of the lines (Fig. 1c)

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Summary

Introduction

Energy metabolism has been repeatedly linked to amyotrophic lateral sclerosis (ALS). Yet, motor neuron (MN) metabolism remains poorly studied and it is unknown if ALS MNs differ metabolically from healthy MNs. By comparing patient-derived MNs and their isogenic controls, we show that ALS-causing mutations in FUS did not affect glycolytic or mitochondrial energy metabolism of human MNs in vitro. These data show that metabolic dysfunction is not the underlying cause of the ALS-related phenotypes previously observed in these MNs. As a consequence, more than 80,000 patients who are alive at present will succumb to the disease[3]. We and others found that ALS-causing FUS mutations affect the two most energy demanding biological processes in MNs, neuronal firing and axonal transport, using humaninduced pluripotent stem cell (iPSC)-derived MNs15–18.

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