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  • Researchers used multiple methods to analyze mitochondrial genetic data and identify a mitochondrial microprotein associated with the risk of Alzheimer’s disease.
  • They discovered the SHMOOSE microprotein, which appears to have a physiological role in neurodegeneration.
  • The mutated version of the SHMOOSE microprotein, found in over 20% of Europeans, is linked to a higher Alzheimer’s disease risk.
  • The finding opens new avenues for detecting, preventing, and treating Alzheimer’s disease.

Mitochondria are structures within the cell that convert energy from food into energy the cell can use. Each cell contains hundreds to thousands of mitochondria. Although most DNA is found inside the cell’s nucleus, mitochondria also contain a small amount of DNA, known as mitochondrial DNA.

In the early 2000s, compazine dystonic reaction treatment researchers realized that short sections of mitochondrial DNA encode small (less than 100 amino acids long), biologically active proteins, now referred to as mitochondrial microproteins. The first mitochondrial microprotein to be discovered was called “humanin.”

There is growing evidence that humanin and other similar mitochondrial microproteins play a role in several age-related conditions, including Alzheimer’s disease.

Alzheimer’s disease is the most common type of dementia, characterized by progressive mental deterioration. According to the CDC, as many as 5.8 million Americans were living with Alzheimer’s disease in 2020.

The Cohen Laboratory at the University of Southern California (USC), one of the three laboratories that independently discovered humanin in 2003, has discovered a new microprotein connected to the risk of Alzheimer’s disease.

Their latest research, published in the journal of Molecular Psychiatry, revealed that a mutation in the newly discovered ‘SHMOOSE’ microprotein is associated with a higher risk for Alzheimer’s disease across four cohorts. According to the researchers, nearly 1 in 4 individuals with European ancestry have the mutated version of the protein.

Dr. Pinchas Cohen, professor of gerontology, medicine, and biological sciences and senior author of the study, told Medical News Today:

“The implications are not immediate, but we believe that [relatively soon], the SHMOOSE SNP [single nucleotide polymorphism] genetic variant that is found in over 20% of Europeans may guide both the classification of individuals that are at risk for Alzheimer’s that may benefit from certain preventive measures and also could inform the selection of medical interventions that will become available in the near future. A bit further ahead, SHMOOSE [protein] analogues may become available as therapeutics for individuals who carry the SNP and develop dementia, in a ‘precision medicine’ approach.”

Study discovers mutated protein

Brendan Miller, Ph.D., first author of the study, studied mitochondrial DNA sequences from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database, searching for small variations in the genes called single nucleotide polymorphisms or SNPs. He found that a mutation in one particular mitochondrial SNP (rs2853499) was associated with a greater risk of Alzheimer’s disease and brain atrophy.

Dr. Miller and his colleagues then discovered that the mutated SNP causes a change in a mitochondrial microprotein, which they called “SHMOOSE.” The researchers used a technique called immunoprecipitation to isolate the SHMOOSE microprotein from the mitochondria of nerve cells.

When they analyzed this sample using mass spectrometry, they detected and identified two unique protein fragments from the SHMOOSE microprotein. The researchers reported that this is “the first unique mass spectrometry-based detection of a mitochondrial-encoded microprotein to date.”

Microprotein and Alzheimer’s disease

Having identified a microprotein associated with a higher risk of Alzheimer’s disease, the researchers followed up on their discovery by carrying out studies in rats and cell culture experiments.

They found that the SHMOOSE microprotein accumulates in the mitochondria of neurons (nerve cells), where it binds to the inner mitochondrial membrane protein mitofilin. The SHMOOSE microprotein appears to act on the brain by influencing mitochondrial gene expression and boosting mitochondrial oxygen consumption. The researchers noted that mutated SHMOOSE microprotein was less effective at boosting oxygen consumption and impacted gene expression differently.

“Dysregulated mitochondrial associated brain energetics is one of the multiple pathways thought to be important for Alzheimer’s disease,” Andrew Saykin, PsyD, ABCN, Professor and Director of the Center for Neuroimaging and Indiana Alzheimer’s Disease Research Center, told MNT.

George Perry, Ph.D., Professor and Semmes Foundation Distinguished University Chair in Neurobiology at the University of Texas at San Antonio, told MNT that this study is “very important as it links risk of [Alzheimer’s disease] to cellular metabolism. There are numerous cell biology and biochemical studies that highlight this […] and finding genetic data further support[s] this view.”

Alzheimer’s prevention and treatment

Dr. Saykin observed that “with further development and validation there could be implications of this and other microproteins for early detection, longitudinal monitoring, and potentially for therapeutic targeting.”

MNT also discussed the study’s findings with Tal Nuriel, Ph.D., Assistant Professor of Pathology and Cell Biology at Columbia University Irving Medical Center. Dr. Nuriel told MNT that most Alzheimer’s disease-related gene mutations discovered in the past “are either very rare variants or common variants that confer a very small risk.”

He said the mutation, or variant, in the SHMOOSE microprotein “appears to confer a moderate risk for Alzheimer’s disease and is relatively common in the population” and “[this] alone makes it interesting.”

Dr. Nuriel added that “the fact that this is a microprotein that can theoretically be administered as a therapeutic agent is valuable.” He cautioned that “there will be a very long road ahead before any therapy derived from this microprotein could become a reality. Importantly, it’s unclear whether this SHMOOSE microprotein would enter the brain if given subcutaneously or intravenously. And if it doesn’t enter the brain, this would greatly limit its ability to be used therapeutically.”

When asked about the next step in the research following this discovery, Dr. Cohen told MNT, “Our immediate plan is to treat mice that have been engineered to develop Alzheimer’s disease with SHMOOSE over several months and assess the improvement in their symptoms and performance. We will also work on developing longer acting analogues of the pep[t]ide.”

The researchers noted in the study that “SHMOOSE is yet another microprotein of a growing number that modify mitochondrial biology.” According to a recent review, “thousands” of DNA sequences with microprotein-coding potential are currently unverified or functionally uncharacterized.

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