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. 2021 Apr 5;78(10):4785–4804. doi: 10.1007/s00018-021-03819-5

Table 1.

Oxidative phosphorylation in spinal muscular atrophy

SMA type/model Respiration rate Cellular ATP levels Enzyme activity Enzyme Transcript expression Transcripts Protein expression Proteins References
Patient skeletal muscle fibres: vastus lateralis of quadriceps (SMA type unknown; mean age 5.8 years) Reduced Reduced Complex I; II–III; IV; PDHC; citrate synthase [20]
Patient skeletal muscle (Types 1–3) Reduced Complex II; IV; citrate synthase Reduced MT-CO1; COX4 [21]
Patient muscle (muscle group and SMA type unknown; mean age 3.1 years) Reduced Complex I; II; III; I–III; II–III; IV; V; citrate synthase [22]
Patient quadriceps femoralis muscle (Types 1 and 3) Reduced (Type 1) NDUFB1; CYC1; SLC25A4 [23]
Patient quadriceps/paraspinal muscle (Types 1–3) Reduced Complex I; II; II–III; IV; citrate synthase Reduced MT-ND1; SDHA; MT-CO1; MT-CO2; COX4I1; MT-ATP6 Reduced SDHA; MT-CO1; MT-CO2; COX4I1 [24]
Patient-derived iPSC-MNs/astrocytes No change (astrocytes) No change Complex II, IV [27]
Type 1 patient-derived myoblasts/myotubes Reduced (myoblasts) No change (at baseline) [29]
Spinal cord from Taiwanese mice (P5, P8)a Reduced [28]
Heart from Taiwanese mice (P1)a Increased MT-ATP6 [30]

Spinal MNs from Hung–Li SMA mice (P9)b

Cultured MNs from SMN∆7 mice (E12.5)b

Reduced Reduced [26]
Flexor tibialis and extensor plantaris (fast-twitch) and extensor soleus (slow-twitch) muscles from Smn∆7/∆7; huSMN2+/+micec

Reduced (fast-twitch)

No change

Complex I; II; IV;

citrate synthase

No change NDUFB8; SDHB; UQCRC2; MT-CO1; ATP5A [31]
Smn morphant zebrafish embryos Reduced Reduced ATP5A [28]

All five complexes of the oxidative phosphorylation system show alterations in enzyme activity. Expression changes are found in transcripts and proteins encoded by both the nuclear and mitochondrial (denoted by ‘MT-’) genomes across all five complexes: MT-ND1, NDUFB1, and NDUFB8 (complex I); SDHA and SDHB (complex II); CYC1 and UQCRC2 (complex III); MT-CO1, MT-CO2, COX4, and COX4I1 (complex IV); ATP-5A, and MT-ATP6, and SLC25A4 (complex V). Mouse models of SMA are defined as severea, intermediateb, or mildc (reflecting SMA Types 1, 2, and 3/4, respectively). iPSC induced pluripotent stem cell, MNs motor neurons, PDHC pyruvate dehydrogenase complex, SMA spinal muscular atrophy, SMN survival motor neuron