DNMT1 mutations leading to neurodegeneration paradoxically reflect on mitochondrial metabolism

Alessandra Maresca, Valentina Del Dotto, Mariantonietta Capristo, Emanuela Scimonelli, Francesca Tagliavini, Luca Morandi, Concetta Valentina Tropeano, Leonardo Caporali, Susan Mohamed, Marina Roberti, Letizia Scandiffio, Mirko Zaffagnini, Jacopo Rossi, Martina Cappelletti, Francesco Musiani, Manuela Contin, Roberto Riva, Rocco Liguori, Fabio Pizza, Chiara La MorgiaElena Antelmi, Paola Loguercio Polosa, Emmanuel Mignot, Claudia Zanna, Giuseppe Plazzi, Valerio Carelli

Research output: Contribution to journalArticlepeer-review


ADCA-DN and HSN-IE are rare neurodegenerative syndromes caused by dominant mutations in the replication foci targeting sequence (RFTS) of the DNA methyltransferase 1 (DNMT1) gene. Both phenotypes resemble mitochondrial disorders, and mitochondrial dysfunction was first observed in ADCA-DN. To explore mitochondrial involvement, we studied the effects of DNMT1 mutations in fibroblasts from four ADCA-DN and two HSN-IE patients.We documented impaired activity of purified DNMT1 mutant proteins, which in fibroblasts results in increased DNMT1 amount.We demonstrated that DNMT1 is not localized within mitochondria, but it is associated with the mitochondrial outer membrane. Concordantly, mitochondrial DNA failed to show meaningful CpG methylation. Strikingly, we found activated mitobiogenesis and OXPHOS with significant increase of H2O2, sharply contrasting with a reduced ATP content. Metabolomics profiling of mutant cells highlighted purine, arginine/urea cycle and glutamate metabolisms as the most consistently altered pathways, similar to primary mitochondrial diseases. The most severe mutations showed activation of energy shortage AMPK-dependent sensing, leading to mTORC1 inhibition.We propose that DNMT1 RFTS mutations deregulate metabolism lowering ATP levels, as a result of increased purine catabolism and urea cycle pathways. This is associated with a paradoxical mitochondrial hyper-function and increased oxidative stress, possibly resulting in neurodegeneration in non-dividing cells.

Original languageEnglish
Pages (from-to)1864-1881
Number of pages18
JournalHuman Molecular Genetics
Issue number11
Publication statusPublished - 2020

ASJC Scopus subject areas

  • Molecular Biology
  • Genetics
  • Genetics(clinical)

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