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Neurodegenerative disorders associated with genes of mitochondria



Over the last decade, aggregating evidences suggested that there is a causative link between mutation in gene associated with mitochondrial dysfunction and development of several neurodegenerative disorders.

Main text

Recent structural and functional studies associated with mitochondrial genes have shown that mitochondrial abnormalities possibly lead to mitochondrial dysfunction. Several studies on animal models of neurodegenerative diseases and mitochondrial genes have provided compelling evidence that mitochondria is involved in the initiation as well as progression of diseases such as Parkinson’s disease (PD), Alzheimer’s disease (AD), Huntington’s disease (HD), and Friedreich ataxia (FA).


In this mini-review, we have discussed the different etiologic and pathogenesis connected with the mitochondrial dysfunction and relevant neurodegenerative diseases that underlie the dominant part of mitochondrial genes in the disease development and its progress.


Mitochondria basically allied with formation of adenosine triphosphate (ATP) through oxidative phosphorylation process. However, mitochondria also take part in a lots of necessary cellular functions like iron and calcium homeostasis, steroids, pyrimidines and heme biosynthesis [1, 2]. Mitochondria have both inner and outer membrane, which is impermeable to charged ions including all other molecules. The ATP generation process occurs at the inner membrane of mitochondria through electrons donation by nicotinamide adenine dinucleotide (NAD) or flavin adenine dinucleotide (FAD) equivalents formed by the tricarboxylic acid (TCA) cycle. This process is called as the electron transport system [3, 4]. Mitochondrial DNA (mtDNA) involves circular structure of 569, 16 base pairs which are active in the synthesis of proteins and mitochondrial ribonucleic acids (RNSs). This mtDNA encodes 13 polypeptides, 22 ribosomal RNAs and 22 transfer RNAs, all of which are important for ATP formation and electron transport, consequently for normal cellular physiology. There are many human diseases which are strongly related with mutated mitochondrial genes [5,6,7,8]. Oxidative damage and subsequent dysfunction are occurring to mitochondria which is known to be a major site of free radical generation in cells [9]. Mitochondrial genome (mtDNA) is more susceptible to oxidative damage as compared to the nuclear DNA [10]. Due to the decline of defense mechanism in the cell, oxidative stress occurs and damages the nucleic acids. If the damage DNA is not repaired then it is considered being highly mutagenic upon DNA replication [11].

Basic mitochondrial genetics

It is well known that mitochondria contribute to ageing and neurodegeneration through accumulation of mtDNA mutation and generation of reactive oxygen species (ROS) [12]. Excessive production of ROS stimulates several signaling molecule that governs the endogenous mitochondrial apoptotic pathway. Similarly, mtDNA dysfunction can be induced by many signaling molecule that are regulated by nuclear gene and intrinsic factors involved in mitochondrial metabolism. Thus, it is speculated that mtDNA is directly linked with nuclear signaling pathway and thus, can be influence ageing process and associated neurodegeneration [13, 14]. In view of this background, this review summarizes some possible pathophysiology of mitochondrial dysfunction associated with mutation in genes, as a cause of Parkinson’s disease (PD), Alzheimer’s disease (AD), Friedreich's ataxia (FRDA), and Huntington's disease (HD).

Main text

Mitochondrial genes in major neurodegenerative disorders

Parkinson’s disease (PD)

Parkinson’s disease is one of the progressive and most common neurodegenerative diseases characterized by some common clinical features such as bradykinesia, rigidity, tremor, and some non-motor symptoms such as depression, apathy, and sleep disorders [15]. Recently, several reports demonstrated the involvement of mitochondrial genes in the pathogenesis of PD.

Synuclein alpha (SNCA)

SNCA encodes for α-Synuclein (α-Syn), a small polypeptide consisting of 140 amino acids. Even though its role is not discovered, it has been observed that it mediates the release of neurotransmitter at the presynaptic terminals and interact with membranes of organelles, including mitochondria. Interestingly, α-Syn has shown influence on structure of mitochondria and its function [16]. Initially, α-Syn was associated with PD as important component of Lewy bodies [17]. Elevated levels of wild-type (WT) α-Syn to a larger extent, leads to PD-associated mutations such as E46K, H50Q, and A53T which induces in vivo and in vitro mitochondrial fragmentation and reactive oxygen species (ROS) formation. Further, α-Syn is confined to mitochondria-associated membranes (MAM), a special structure which forms an interface between the mitochondria-endoplasmic reticulum (ER) is important for the regulation of apoptosis and Ca2+ signaling. Mutant α-Syn was found to decrease binding to MAM and elevation in mitochondrial fragmentation, suggesting a role for α-Syn in mitochondrial morphology regulation [18, 19]. Mutant α-Syn was reported as reason of separation of mitochondria and ER at MAM, which impairs Ca2+ exchange and reduces ATP formation in mitochondria [20]. Additionally, a recent study has been reported that α-Syn also affects mitochondrial biogenesis through peroxisome proliferator-activated receptor gamma coactivator 1-α (PGC1α) [21]. Accordingly, treatment of dopaminergic neurons containing A53T with mitochondrial toxins such as S-nitrosylation of transcription factor myocyte-specific enhancer factor 2C (MEF2C), leads to reduced mitochondrial biogenesis through down regulation of PGC1α [22]. α-synuclein aggregation is a pathological characteristic common to PD, as well as other neurodegenerative diseases, such as dementia with Lewy bodies (DLB), and multiple system atrophy (MSA) which are collectively called “α-synucleinopathies” [22].

Leucine rich repeat kinase 2 (LRRK2)

In humans, LRRK2 gene encodes leucine rich repeat kinase 2 (LRRK2) which is also called as dardarin and PARK8 is a kinase enzyme [23, 24]. Mutation in LRRK2 causes penetrant autosomal dominant type of PD and it is the most common cause of familial PD. Basically, LRRK2 is a type of protein kinase that is multifunctional and LRRK2 mutants exerts their pathogenic action by elevating kinase activity. The mutant LRRK2 may contribute in elevating the mitochondrial toxins, ROS production and defects in mitochondrial dynamics as shown in Fig. 1 [22, 25]. In addition to this, a common heterozygous mutation, 2877510G→A leads to idiopathic PD. This heterozygous mutation leads to formation of glycine to serine amino acid substitution at codon 2019 (Gly2019Ser) [22].

Fig. 1
figure 1

Representative pathways of mitochondrial dysfunctions involved in Parkinson’s disease pathophysiology. SNCA: synuclein alpha; LRRK2: leucine rich repeat kinase 2; VPS35: vacuolar protein sorting-associated protein 35; CHCHD2: coil-helix-coiled-coil-helix domain 2; PARK2: parkin 2; PINK1: PTEN-induced kinase 1; ATP13A2: ATPase 13A2. ↑increase, ↓decrease, increase or decrease

Vacuolar protein sorting-associated protein 35 (VPS35)

The relation between VPS35 and PD was observed first in European PD cohorts with history of an autosomal dominant inheritance [26,27,28]. The key role of VPS35 in mitochondria is the mitochondrial dynamics regulation through interaction with mitochondrial fusion/fission proteins. Multiple studies have been reported that mutation in VPS35 can trigger mitochondrial fragmentation, which leads to neurodegeneration [29, 30]. Apart from this, it was reported that increased interaction of dynamin-like protein (DLP) 1 with VPS35 mutant, supports change of the mitochondrial DLP1 complexes through the mitochondria-derived vesicle–dependent trafficking of various complexes to lysosomes for degradation. Interestingly, oxidative stress elevates the VPS35-DLP1 interaction, which also observed to be raises in the sporadic PD patients [30].

Coiled-coil-helix-coiled-coil-helix domain 2 (CHCHD2)

Recently, it has been reported that CHCHD2 mutation causes late-onset, autosomal dominant PD in three Japanese families [31]. Mitochondrial inter-membrane space protein CHCHD2 shows functions in the nucleus and mitochondria. In normal conditions, CHCHD2 is bound to mitochondrial complex IV and mutation of CHCHD2 has shown decreased mitochondrial complex IV activity, which results into mitochondrial fragmentation and increases in ROS production [32, 33]. Interestingly, CHCHD2 was found that it translocates in the nucleus and act as a transcription factor under stress conditions. Furthermore, several models expressing mutants associated PD also shown biochemical and structural mitochondrial abnormalities leading to motor dysfunction and dopaminergic neurodegeneration. The mutant CHCHD2 leads to impairment of mitochondrial function which results into the progression of PD [34].

Parkin protein gene (PARK2)

Parkin protein in humans is encoded by the PARK2 gene. Mutations in PARK2 gene cause Parkinson’s disease, especially autosomal recessive juvenile Parkinson’s disease. Parkin is a cytosolic E3 ubiquitin ligase. Target proteins for proteasomal degradation are ubiquitinated by Parkin [35, 36]. Parkin plays key role in maintaining healthy mitochondria by regulating their biogenesis and degradation through mitophagy [36]. The removal of damaged mitochondria from the healthy mitochondrial pool and allows their degradation through the autophagy-lysosomal pathway by the process of mitophagy. Parkin is also known to regulate the functional mitochondrial pol by mitochondrial biogenesis regulation [37]. In normal condition, it interposes the degradation of parkin interaction substrate (PARIS), leading to transcriptional activation of nuclear translocation of PGC1α and mitochondria-associated genes [38]. Accordingly, loss in Parkin function facilitates PARIS to accumulate and supress mitochondrial biogenesis, which results in mitochondrial functional defects.

PTEN-induced kinase 1 (PINK1)

Mutations in PINK1 is very known common causes of the autosomal recessive early-onset PD. PINK1, which plays an important role in balancing mitochondrial homeostasis, impairs several aspects of mitochondrial biology, including morphology, degradation, and trafficking [39,40,41]. Most widely reported role of PINK1 is in the mitochondria mitophagy, promoting removal of damaged mitochondria by activating and recruiting Parkin [42]. PINK1 activates Parkin by two mechanisms: (1) trans-activation by phosphorylation of ubiquitin at S65 and further binding to Parkin and (2) direct Parkin phosphorylation at S65. Loss of PINK1 leads to wide range of mitochondrial dysfunction in mice, cell models, and Drosophila [41]. These mainly result into loss of PINK1 mitophagy. Mutant PINK1 protein leads to development of improperly folded proteins in the mitochondria. Mutations in the threonine/serine kinase domain of PINK1 have been found Parkinson’s patients [39, 43]. There are several studies reported that PINK1 is basically mitochondrial site located and this may show a protective effect on cell that is affected by the mutations, and that leads to increased susceptibility to cellular stress. This suggests a direct relation between the pathogenesis of PD and mitochondria [39].

ATPase cation transporting 13A2 (ATP13A2)

An enzyme found in humans, probable cation-transporting ATPase 13A2, mainly involved in the transport of divalent transition metal cations [44]. Mutant ATP13A2 causes Kufor-Rakeb syndrome (KRS). It is an autosomal recessive juvenile-onset PD [45]. ATP13A2 mitochondrial function was firstly recognized in mitochondrial dysfunction in KRS patient-derived skin fibroblast [46]. Several studies have been also reported that ATP13A2-deficient models demonstrates mitochondrial dysfunction, decreased ATP production, elevated ROS production, and increased mitochondrial fragmentation as shown in Fig. 1. Additionally, deregulation of Zn2+ metabolism leads to lysosomal dysfunction, which further lead to defective mitophagy. This shows that associated pathways is involved in the pathogenesis of PD [47, 48].

Alzheimer’s disease (AD)

Alzheimer disease (AD) is a very common and disabling neurodegenerative disorder which is a form of dementia of the aged [49]. Its incidence increases along with age and thereby it is a significant public-health concern. In the late stages of AD, severe memory loss is observed and serious neurodegeneration is obvious [50].

Amyloid protein precursor (APP)

Highly conserved and an ancient protein APP is a precursor, produces amyloid beta (Aβ), a polypeptide which contains 37 to 49 amino acid residues. In the brain of Alzheimer’s patient the amyloid fibrillar form of Aβ that is amyloid plaques was observed [51]. Mutations in APP gene, causes familial susceptibility to Alzheimer’s disease. It has been reported that APP duplications or APP mutations located around the β cleavage site leads to the overall increase in production of Aβ species which causes early-onset Alzheimer disease (EOAD) [51].


Presenilin, a sub-component of γ-secretase, is basically responsible for the APP cutting. A γ-secretase can intercept APP at multiple points within protein, which leads to the formation of Aβ of different lengths in relation with Alzheimer’s disease; 40 and 42 amino acids long [52, 53]. It has been reported that Aβ 42 have more chances to form plaques in the brain than Aβ 40. Mutant presenilin leads to an elevation in the ratio of Aβ 42 production as compared to Aβ 40. This mutation also results into a decrease in amyloid precursor protein-derived amyloid β-peptide generation [54]. The loss in presenilin function causes an incomplete degradation of the amyloid β-peptide which contributes to an increased vulnerability of the brain, and therefore became a cause EOAD [55].


The human mitochondrial genome contains AvaII in a non-coding region. The frequency of AvaII16390 in the Alzheimer’s brain was investigated [50]. The DNA sequence analysis of the AvaII16390 has been shown that the major change in the sequence was a C to T transition mutation at position 5 of the AvaII site [56]. Increase frequency of AvaII16390 in the Alzheimer’s brain may contribute to the formation of oxidative radicals. Some studies found that no notable relation in between the person age and AvaII16390 frequency [57].

Cytochrome c oxidase CO1 and CO2

Cytochrome c oxidase (CO) encoded exclusively by two mitochondrial genes, CO1 (subunits I) and CO2 (subunits II). It was found that cytochrome c oxidase activity decline in peripheral tissue and brain especially in late-onset AD patients [58]. Higher frequency of specific missense mutations in the mitochondrial CO1 and CO2 genes were AD showed the strong association in between the genes and AD. A mutant mitochondrial DNA molecule revealed the decrease in CO activity and elevated production of ROS [59]. It has been reported that a CO defect may directly participate in a cascade of events that result in AD. They again identified that AD mother’s asymptomatic child had more number of these mutations than child of AD fathers. These mutations are maternally inherited [60].

16S rRNA

Mitochondrial 16S rRNA alteration in most of the AD patients is considering the possible reason for its involvement in AD but additional studies are required to clarify the possible role of rRNA mutations in pathogenesis. One of the possible roles of genetic mutation is to interfere with the normal tRNA protection activity [61].

Apolipoprotein E (APO E)

APO E consists of three different isoforms such as apo e2, e3, and e4 which are different at 299 amino acid chain [62]. Presence of APO E e4 allele confers considerable risk for late-onset AD, which may be sporadic or familial [63]. The brain APO E is the principal cholesterol carrier involve in the disease by cholesterol dyshomeostasis [64]. Existing studies suggested that rise in the cholesterol content, increased the risk of developing AD [65].

Huntington’s disease (HD)

Huntington’s disease (HD) is an untreatable, late-onset, slowly progressive, neurodegenerative disease caused by genetic mutation which leading to an expanded polyglutamine (polyQ) for which no suitable therapy is currently available [66, 67]. HD is identified by ataxia, chorea and dementia [68]. Another type of peptide having 23 aa known as P42 shows protective action by preventing the polyQ-hHtt aggregation [69]. The neuropathological classification of HD disease involved 5 classes (0–IV). Among all the classes, class-IV is considered to be more severe which shows increase loss of neurons [70].

Huntington (Htt) gene

Htt is a 3144 amino acids containing protein having molecular weight about 350 kDa, ever present in the brain as well as peripheral tissues [71]. Htt mostly found in the cell organelles like cytoplasm, along with the mitochondria [72]. The role of Htt protein is not well established but various studies show that it may play a vital role in the development of neurons [66, 73]. Huntington protein is an essential for regulating axonal transport of vesicles including brain-derived neurotrophic factor (BDNF) [74].

Mitochondrial structural genes (Drp1, Fis1, Mfn1, Mfn2 and Opa1)

Different forces like fission and fusion are responsible for changing morphology of mitochondria [75]. Various mitochondrial structural genes are also known as shaping proteins because which are responsible for maintaining the proper morphology of mitochondria [76]. Free radical in mitochondria activates the Dynamin-related protein 1 (Drp1) and mitochondrial fission 1 (Fis1) protein which are responsible for the mitochondrial fission. Mitochondrial fusion proteins are Mfn1 (mitofusin 1), Mfn2 (mitofusin 2), and Opa1 (optric atrophy 1) which are the GTPase proteins [77]. Increase expression of fission proteins as well as decreased expression of fusion proteins may be the reason for change in mitochondrial dynamics which leads to neuronal damage in HD brain [78].

Friedreich’s ataxia (FA)

The neurodegenerative disorder Friedreich’s ataxia (FRDA) is an adolescent autosomal recessive disorder caused by mutations in frataxin, a mitochondrial protein whose function remains controversial [79]. It is a prevalence of approximately 1 in 50,000. Dysarthria, progressive ataxia, skeletal deformities, pyramidal features, hypertrophic cardiomyopathy, and hyporefexia are the major clinical sign of the FA [80]. Some established reports shows that mitochondrial enzymes such as pyruvate glutamate dehydrogenase, α-ketoglutarate dehydrogenase, and dehydrogenase activities are decreased in FA cells [81,82,83].


Friedreich’s ataxia is caused due the mutation of a 210 amino acid protein called frataxin [84]. Although the exact role is not fully understood, it may be vital for the proper functioning of mitochondria. The main cause involves the tri-nucleotide GAA repeat expansion within the intron of the frataxin gene [85]. The increase iron content has been reported in mitochondria suggesting that frataxin plays a major role in transportation of the iron [86]. Mutated frataxin result into the aconatse and mitochondrial Fe-S (iron-sulfur) respiratory enzyme deficiency in FA [87].


There are several reported factors which cause neurodegenerative disorders such as PD, AD, HD, and FRDA. Among all these, mitochondrial dysfunction plays an important role in the etiology and pathogenesis of these disorders. Hence, this article is mainly focusing on the causality relationship between gene-associated mitochondrial dysfunction which leads to development of neurodegenerative disorders as shown in Table 1. The additional studies are needed to clarify the possible pathogenic role of mtDNA mutations. Rapid advances in these types of knowledge have created an unmatched and great opportunity towards the study of mitochondrial dysfunction in neurodegenerative disorders. This also creates an opportunity for the research and development of drugs or therapies which targets mitochondrial genes, whose mutation leads to the generation of neurodegenerative disorders.

Table 1 Neurodegenerative disorders associated genes

Availability of data and materials

Not applicable



Adenosine triphosphate


Nicotinamide adenine dinucleotide


Flavin adenine dinucleotide


Tricarboxylic acid


Ribonucleic acids


Parkinson’s disease


Alzheimer’s disease


Huntington’s disease


Friedreich’s ataxia




Wild type


Reactive oxygen species


Mitochondria-associated membranes


Endoplasmic reticulum


Multiple system atrophy


Dementia with Lewy bodies


Dynamin-like protein


Proliferator-activated receptor gamma coactivator 1-α


Myocyte-specific enhancer factor 2C


Leucine rich repeat kinase 2


Vacuolar protein sorting-associated protein 35


Coil-helix-coiled-coil-helix domain 2


Parkin 2


Parkin interaction substrate


PTEN-induced kinase 1


ATPase 13A2


Amyloid protein precursor


Amyloid beta


Cytochrome c oxidase


Ribosomal ribonucleic acid


Apolipoprotein E



Htt :



Dynamin-related protein 1


Fission 1


Mitofusin 1


Optric atrophy 1

Tomm40 :

Translocase of outer membrane 40


Cyclophilin D




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VM contributed in preparation primary content. He performed extensive literature survey and compile the content. NW contributed in preparation of figures and table. PT contributed in checking of manuscript and correction of grammatical mistake. MU contributed in preparation of figure. AU contributed in finalization of manuscript and in its correction. MK contributed in finalization of content, preparation of concrete manuscript, and in schematic presentation of content. BT contributed in checking of manuscript and correction of grammatical mistake. All authors have read and approved the final manuscript.

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Marde, V.S., Tiwari, P.L., Wankhede, N.L. et al. Neurodegenerative disorders associated with genes of mitochondria. Futur J Pharm Sci 7, 66 (2021).

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