Abstract

The main goal of the present study was the identification of cellular phenotypes in attention-deficit-/hyperactivity disorder (ADHD) patient-derived cellular models from carriers of rare copy number variants (CNVs) in the PARK2 locus that have been previously associated with ADHD. Human-derived fibroblasts (HDF) were cultured and human-induced pluripotent stem cells (hiPSC) were reprogrammed and differentiated into dopaminergic neuronal cells (mDANs). A series of assays in baseline condition and in different stress paradigms (nutrient deprivation, carbonyl cyanide m-chlorophenyl hydrazine (CCCP)) focusing on mitochondrial function and energy metabolism (ATP production, basal oxygen consumption rates, reactive oxygen species (ROS) abundance) were performed and changes in mitochondrial network morphology evaluated. We found changes in PARK2 CNV deletion and duplication carriers with ADHD in PARK2 gene and protein expression, ATP production and basal oxygen consumption rates compared to healthy and ADHD wildtype control cell lines, partly differing between HDF and mDANs and to some extent enhanced in stress paradigms. The generation of ROS was not influenced by the genotype. Our preliminary work suggests an energy impairment in HDF and mDAN cells of PARK2 CNV deletion and duplication carriers with ADHD. The energy impairment could be associated with the role of PARK2 dysregulation in mitochondrial dynamics.

Highlights

  • Attention-deficit/hyperactivity disorder (ADHD) is a very heterogeneous disorder, with a broad spectrum of type and severity of symptoms that interfere with personal functioning and negatively impacts social and occupational activities [1,2]

  • PARK2 copy number variants (CNVs) status was confirmed by an Illumina Infinium Omni2.5-8 bead array that showed PARK2 CNVs, spanning exon 2 of transcript NM_004562 (Figures S3A and S5) (PARK2 CNV hg19 position: PARK2 CNV DUPLICATION/ADHD chr6:162737426-162882874; PARK2 CNV DELETION/ADHD chr6:162719417-162914986)

  • There were no significant differences between the PARK2 CNV carriers and the controls

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Summary

Introduction

Attention-deficit/hyperactivity disorder (ADHD) is a very heterogeneous disorder, with a broad spectrum of type and severity of symptoms that interfere with personal functioning and negatively impacts social and occupational activities [1,2]. PARK2 ( known as Parkin/PRKN, a protein with E3 Ubiquitin ligase function), in concert with the Ser/Thr protein kinase PINK1, plays a pivotal role in the regulation of the mitochondria quality control (MQC) system directing processes such as mitophagy (i.e., selective autophagy-mediated degradation of mitochondria), fusion and fission, biogenesis and mitochondrial transport, and is involved in the cellular energy balance and oxidative stress response [16]. Different stimuli, both physiological and pathological, can lead to PINK1 accumulation on the mitochondrial outer membrane where it can recruit and activate cytosolic PARK2 by phosphorylation. Studies have implicated mitochondrial (mt) dysfunction in ADHD in that increased oxidative markers [20], reduced oxygen consumption, and ATP production as well as increased levels of superoxide radicals have been reported [21]

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