Human SIRT5 variants with reduced stability and activity do not cause neuropathology in mice
Taolin Yuan,
Surinder Kumar,
Mary E. Skinner,
Ryan Victor-Joseph,
Majd Abuaita,
Jaap Keijer,
Jessica Zhang,
Thaddeus J. Kunkel,
Yanghan Liu,
Elyse M. Petrunak,
Thomas L. Saunders,
Andrew P. Lieberman,
Jeanne A. Stuckey,
Nouri Neamati,
Fathiya Al-Murshedi,
Majid Alfadhel,
Johannes N. Spelbrink,
Richard Rodenburg,
Vincent C.J. de Boer,
David B. Lombard
Affiliations
Taolin Yuan
Human and Animal Physiology, Wageningen University, De Elst 1, Wageningen, the Netherlands
Surinder Kumar
Department of Pathology & Laboratory Medicine, Miller School of Medicine, and Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL 33136, USA; Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA
Mary E. Skinner
Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA
Ryan Victor-Joseph
Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA
Majd Abuaita
Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA
Jaap Keijer
Human and Animal Physiology, Wageningen University, De Elst 1, Wageningen, the Netherlands
Jessica Zhang
Department of Pathology & Laboratory Medicine, Miller School of Medicine, and Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL 33136, USA
Thaddeus J. Kunkel
Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA
Yanghan Liu
Department of Medicinal Chemistry, College of Pharmacy and Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA
Elyse M. Petrunak
Life Sciences Institute and Department of Biological Chemistry, University of Michigan, Ann Arbor, MI 48109, USA
Thomas L. Saunders
Division of Genetic Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA
Andrew P. Lieberman
Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA
Jeanne A. Stuckey
Life Sciences Institute and Department of Biological Chemistry, University of Michigan, Ann Arbor, MI 48109, USA
Nouri Neamati
Department of Medicinal Chemistry, College of Pharmacy and Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA
Fathiya Al-Murshedi
Genetic and Developmental Medicine Clinic, Department of Genetics, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman
Majid Alfadhel
Medical Genomic Research Department, King Abdullah International Medical Research Center(KAIMRC), King Saud Bin Abdulaziz University for Health Sciences(KSAU-HS), Ministry of National Guard Health Affairs (MNG-HA), Riyadh, Saudi Arabia; Genetics and Precision Medicine Department (GPM), King Abdullah Specialized Children’s Hospital (KASCH), King Abdulaziz Medical City, Ministry of National Guard Health Affairs (MNG-HA), Riyadh, Saudi Arabia
Johannes N. Spelbrink
Radboud Center for Mitochondrial Medicine, Department of Pediatrics, Radboud University Medical Center, Nijmegen, the Netherlands
Richard Rodenburg
Radboud Center for Mitochondrial Medicine, Department of Pediatrics, Radboud University Medical Center, Nijmegen, the Netherlands
Vincent C.J. de Boer
Human and Animal Physiology, Wageningen University, De Elst 1, Wageningen, the Netherlands; Corresponding author
David B. Lombard
Department of Pathology & Laboratory Medicine, Miller School of Medicine, and Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL 33136, USA; Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA; Miami VA Healthcare System, Miami, FL 33125, USA; Corresponding author
Summary: SIRT5 is a sirtuin deacylase that removes negatively charged lysine modifications, in the mitochondrial matrix and elsewhere in the cell. In benign cells and mouse models, under basal conditions, the phenotypes of SIRT5 deficiency are quite subtle. Here, we identify two homozygous SIRT5 variants in patients suspected to have mitochondrial disease. Both variants, P114T and L128V, are associated with reduced SIRT5 protein stability and impaired biochemical activity, with no evidence of neomorphic or dominant negative properties. The crystal structure of the P114T enzyme was solved and shows only subtle deviations from wild-type. Via CRISPR-Cas9, we generated a mouse model that recapitulates the human P114T mutation; homozygotes show reduced SIRT5 levels and activity, but no obvious metabolic abnormalities, neuropathology, or other gross phenotypes. We conclude that these human SIRT5 variants most likely represent severe hypomorphs, but are likely not by themselves the primary pathogenic cause of the neuropathology observed in the patients.