SlideShare a Scribd company logo
www.excemed.org
IMPROVING THE PATIENT’S LIFE
THROUGH
MEDICAL EDUCATION
2014 Pre LACTRIMS
conference on progressive MS
26 November 2014 - Lima, Perù
2
Private funding
Novartis, Biogen, Merck KGaA
Public funding
MINECO, CIBERNED, Gobierno Vasco
Faculty disclosure
Universidad del País Vasco /
Euskal Herriko Unibertsitatea
Carlos Matute
e-mail: carlos.matute@ehu.es
Mitochondrial alterations in Multiple Sclerosis
Outline:
• An introduction to mitochondria, the cell powerhouse
• Oligodendrocytes supply lactate to myelinated axons
• Excitotoxicity in oligodendrocytes damages mitochondria
• Mitochondrial defects in MS: neurons, axons and oligodendrocytes
Oxidative
phosphorylation
Intermediate
metabolism
Ca2+ homeostasis
Mitochondria: a multi-functional organelle
Apoptosis
Mitochondrial function relevance in white matter
• In white matter: axons & oligodendrocytes rely on mitochondrial function to
support neurotransmission
• In oligodendrocytes, mitochondrial function is essential for viability and
myelin synthesis (Acetyl-CoA)
• In astrocytes, ATP is critical for the control of glutamate metabolism
• Axons → High energy demand (primarily ATP)
• N-acetylaspartate (NAA)
– Neuronal integrity marker
– Synthesized in neuronal mitochondria
– Converted to acetate by oligodendrocytes for myelin synthesis
Three main mitochondrial homeostatic disruptions
1. Energy failure: [ATP]↓↓
2. Oxidative Stress: ROS > antioxidant systems
3. Ca2+ overload
Central features of all neurodegenerative disorders
Physiologycal
Pathological
Saab et al (2013) Curr Op Neurobiol
Myelin supplies energy substrates to axons
submitted
Oligodendroglial NMDA receptors regulate axonal energy metabolism
Demyelination impairs energy supply to axons
Models of Disease Pathogenesis in Multiple Sclerosis
Hauser and Oksenberg 2006 Neuron
ATP
Demyelination, oligodendrocyte death, axonal damage, neuronal loss, atrophy
Glutamate and ATP in excess is toxic to oligodendrocytes and myelin
MBP TUNEL
CNPase CNPase
Matute 1998 PNAS USA
Glutamate levels are elevated in multiple sclerosis
Magnetic resonance spectroscopy at 3 T astrogliosis
Srinivasan et al 2005 Brain
Glutamate and ATP toxicity in oligodendrocytes
PI – dead cells
KAINATE or ATPCONTROL
FDA – live cells
Matute et al 1997 PNAS USA
CELL DEATH
ROS AIF
Nucleus
DNA fragmentation
PARP-1
Procaspase 8
t-Bid
Caspase 3,6,7
Caspase 8
FADD
Bid
AMPA-RVGCC
Na+
Ca2+
 m
Bcl-2
Cyt c
Apaf-1
Caspase 9
CdP
P P P
Bad Bad
14-3-
3
Bcl-xl
KAINATE-R
[Ca2+]i
Ca2+
VGCC
Calpain
Bax
Sánchez-Gómez et al. J Neurosci 2003
Sánchez-Gómez et al., J Neurosci, 2011
Mitochondria at the crossroads of excitotoxicity in oligodendrocytes
Butt, Fern, Matute (2014 ) Glia
Glutamate and ATP signaling are central to MS pathophysiology
Neuroinflammation favors excitotoxic-mediated mitochondrial damage
• Altered glutamate homeostasis induces mitochondrial damage
• Presence of high NO: oxidative stress
• Myelin loss-induced trophic imbalance
• Expression of mitochondrial respiratory chain complex I, II and III is
reduced in MS active lesions and motor cortex
• mtDNA defects associated with MS
• Abnormal intra-axonal mitochondria prior to axon disruption
• Low N-acetyl aspartate levels in acute and chronic lesions and in normal
appearing WM
Mitochondrial dysfunctions in MS
Franklin y Ffrench-Constant 2008 Nat Rev Neurosci
Persistent demyelination leads to axonal damage
Atrophy: loss of axons and neurons
Axons transiently adapt to demyelination
Early response to
demyelination
Waxman 2006, Nat Rev Neurosci
Demyelinated axons are more vulnerable to energy failure and therefore to
mitochondrial dysfunction → Axonal degeneration in MS
Mitochondrial dysfunction → Energy failure → Na+ / K + ATPase↓ → Depolarization
→ sustained Na+ influx → Reverse activity of the Na+ / Ca2+ exchanger → Ca2+
overload → Axonal damage
Non-remyelinated axons ultimately degenerate
Late response to
demyelination
Waxman 2006, Nat Rev Neurosci
Mechanisms of axonal damage during inflammation and demyelination
Waxman 2006, Nat Rev Neurosci
Ca2+ overload in mitochondria initiates axonal failure in MS
Abou-Sleiman et al. 2006 Nat Rev Neurosci
Ca2+ overload and mPTP opening in MS
• Cyclophilin D is a key regulator of the permeability transition pore (mPTP)
opening.
• CyPD KO neurons were resistant to oxidative stress and NO, and tolerated
higher levels of mitochondrial Ca2+
• CyPD KO-EAE mice partially recovered and preserved axonal integrity.
Forte et al. 2007, PNAS
Conclusions
1. White matter is highly dependent on mitochondrial ATP to propagate
electric signals, maintain ionic gradients and facilitate axonal transport
2. Inflammation, oxidative stress and Ca2+ homeostasis disruption lead to
mitochondrial dysfunction and energy failure in MS
3. Demyelinated axons in MS lesions are more vulnerable to energy
failure and mitochondrial dysfunction
4. ROS and Ca2+ damage axons by inducing mitochondrial mPTP opening.
María Domercq
Alberto Pérez Samartín
Fernando Pérez Cerdá
Fabio Cavaliere
Elena Alberdi
Vicky Sánchez
Olatz Pampliega
Olatz Oyanguren
Estibaliz Etxeberria
Nuria Vázquez
Estibaliz Gonzalez
Juan Carlos Chara
Hospital de Basurto, Bilbao
Alfredo Rodríguez-Antigüedad
MPI, Göttingen
Frank Kirchhoff
AECOM, New York
Eliana Scemes
Universidad del País Vasco, Leioa, Spain
Acknowledgments
Bilbao Guggenheim Museum

More Related Content

What's hot

Vaillencourt
VaillencourtVaillencourt
Vaillencourt
Kathryn Brayer
 
Garam Lee NMDA
Garam Lee NMDAGaram Lee NMDA
Garam Lee NMDA
Garam Lee
 
2014 BDSRA Micsenyi LINCL and JNCL
2014 BDSRA Micsenyi LINCL and JNCL2014 BDSRA Micsenyi LINCL and JNCL
2014 BDSRA Micsenyi LINCL and JNCL
Batten Disease Support and Research Association
 
Protein kinases
Protein kinasesProtein kinases
Protein kinases
MukulTambe
 
The I1 Imidazoline Receptor In Pc12 Pheochromocytoma Cells
The I1 Imidazoline Receptor In Pc12 Pheochromocytoma CellsThe I1 Imidazoline Receptor In Pc12 Pheochromocytoma Cells
The I1 Imidazoline Receptor In Pc12 Pheochromocytoma Cells
DMFishman
 
Missense mutation and non-sense mutation (molecular biology)
Missense mutation and non-sense mutation (molecular biology)Missense mutation and non-sense mutation (molecular biology)
Missense mutation and non-sense mutation (molecular biology)
ShafqatHussain52
 
Cle peptides the power of moving around
Cle peptides the power of moving around Cle peptides the power of moving around
Cle peptides the power of moving around
Ritasree Sarma
 
A Double Point Mutation In The Selectivity Filter Site
A Double Point Mutation In The Selectivity Filter SiteA Double Point Mutation In The Selectivity Filter Site
A Double Point Mutation In The Selectivity Filter Site
Taruna Ikrar
 
Cell signaling transduction mechanisms
Cell signaling transduction mechanismsCell signaling transduction mechanisms
Cell signaling transduction mechanisms
jlquinonesrivera
 
signal transduction
signal transductionsignal transduction
Lesson 16 mutations
Lesson 16 mutationsLesson 16 mutations
Lesson 16 mutations
beaduro
 
Li, Lisanti, Puszkin - Purification and molecular characterization of NP185
Li, Lisanti, Puszkin - Purification and molecular characterization of NP185Li, Lisanti, Puszkin - Purification and molecular characterization of NP185
Li, Lisanti, Puszkin - Purification and molecular characterization of NP185
Shengwen Calvin Li, PhD
 
Synthesis of Proteins or the Formation of the Conga Line
Synthesis of Proteins or the Formation of the Conga LineSynthesis of Proteins or the Formation of the Conga Line
Synthesis of Proteins or the Formation of the Conga Line
Andrea Sánchez del Rio
 
Second Messenger: cAMP Pathway
Second Messenger: cAMP PathwaySecond Messenger: cAMP Pathway
Second Messenger: cAMP Pathway
Hotaru Imai
 
Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...
Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...
Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...
Ken Takahashi
 
Ablooglu et al 2001 Nat Str Biol
Ablooglu et al 2001 Nat Str BiolAblooglu et al 2001 Nat Str Biol
Ablooglu et al 2001 Nat Str Biol
Ararat Ablooglu
 
nihms2969
nihms2969nihms2969
nihms2969
Paul E. Massa
 
Nrn ad posters- nature
Nrn ad posters- natureNrn ad posters- nature
Nrn ad posters- nature
Dayanne Teixeira
 
Mitochondrion in neurodegeneration and neuroprotection
Mitochondrion in neurodegeneration and neuroprotectionMitochondrion in neurodegeneration and neuroprotection
Mitochondrion in neurodegeneration and neuroprotection
Adonis Sfera, MD
 
Protein folding, Heat shock proteins and disease involved with protein misfol...
Protein folding, Heat shock proteins and disease involved with protein misfol...Protein folding, Heat shock proteins and disease involved with protein misfol...
Protein folding, Heat shock proteins and disease involved with protein misfol...
Pradeep B J Reddy
 

What's hot (20)

Vaillencourt
VaillencourtVaillencourt
Vaillencourt
 
Garam Lee NMDA
Garam Lee NMDAGaram Lee NMDA
Garam Lee NMDA
 
2014 BDSRA Micsenyi LINCL and JNCL
2014 BDSRA Micsenyi LINCL and JNCL2014 BDSRA Micsenyi LINCL and JNCL
2014 BDSRA Micsenyi LINCL and JNCL
 
Protein kinases
Protein kinasesProtein kinases
Protein kinases
 
The I1 Imidazoline Receptor In Pc12 Pheochromocytoma Cells
The I1 Imidazoline Receptor In Pc12 Pheochromocytoma CellsThe I1 Imidazoline Receptor In Pc12 Pheochromocytoma Cells
The I1 Imidazoline Receptor In Pc12 Pheochromocytoma Cells
 
Missense mutation and non-sense mutation (molecular biology)
Missense mutation and non-sense mutation (molecular biology)Missense mutation and non-sense mutation (molecular biology)
Missense mutation and non-sense mutation (molecular biology)
 
Cle peptides the power of moving around
Cle peptides the power of moving around Cle peptides the power of moving around
Cle peptides the power of moving around
 
A Double Point Mutation In The Selectivity Filter Site
A Double Point Mutation In The Selectivity Filter SiteA Double Point Mutation In The Selectivity Filter Site
A Double Point Mutation In The Selectivity Filter Site
 
Cell signaling transduction mechanisms
Cell signaling transduction mechanismsCell signaling transduction mechanisms
Cell signaling transduction mechanisms
 
signal transduction
signal transductionsignal transduction
signal transduction
 
Lesson 16 mutations
Lesson 16 mutationsLesson 16 mutations
Lesson 16 mutations
 
Li, Lisanti, Puszkin - Purification and molecular characterization of NP185
Li, Lisanti, Puszkin - Purification and molecular characterization of NP185Li, Lisanti, Puszkin - Purification and molecular characterization of NP185
Li, Lisanti, Puszkin - Purification and molecular characterization of NP185
 
Synthesis of Proteins or the Formation of the Conga Line
Synthesis of Proteins or the Formation of the Conga LineSynthesis of Proteins or the Formation of the Conga Line
Synthesis of Proteins or the Formation of the Conga Line
 
Second Messenger: cAMP Pathway
Second Messenger: cAMP PathwaySecond Messenger: cAMP Pathway
Second Messenger: cAMP Pathway
 
Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...
Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...
Simultaneous mapping of multiple proteins in heart using matrix-assisted lase...
 
Ablooglu et al 2001 Nat Str Biol
Ablooglu et al 2001 Nat Str BiolAblooglu et al 2001 Nat Str Biol
Ablooglu et al 2001 Nat Str Biol
 
nihms2969
nihms2969nihms2969
nihms2969
 
Nrn ad posters- nature
Nrn ad posters- natureNrn ad posters- nature
Nrn ad posters- nature
 
Mitochondrion in neurodegeneration and neuroprotection
Mitochondrion in neurodegeneration and neuroprotectionMitochondrion in neurodegeneration and neuroprotection
Mitochondrion in neurodegeneration and neuroprotection
 
Protein folding, Heat shock proteins and disease involved with protein misfol...
Protein folding, Heat shock proteins and disease involved with protein misfol...Protein folding, Heat shock proteins and disease involved with protein misfol...
Protein folding, Heat shock proteins and disease involved with protein misfol...
 

Viewers also liked

Oxidative Stress in Aging and Human Diseases - Exploring the Mechanisms
Oxidative Stress in Aging and Human Diseases - Exploring the MechanismsOxidative Stress in Aging and Human Diseases - Exploring the Mechanisms
Oxidative Stress in Aging and Human Diseases - Exploring the Mechanisms
QIAGEN
 
Molecular Mechanisms of Neurodegeneration: Neurodegenerative Disorders Webin...
Molecular Mechanisms of Neurodegeneration:  Neurodegenerative Disorders Webin...Molecular Mechanisms of Neurodegeneration:  Neurodegenerative Disorders Webin...
Molecular Mechanisms of Neurodegeneration: Neurodegenerative Disorders Webin...
QIAGEN
 
Oxidative stress
Oxidative stressOxidative stress
Oxidative stress
Fadi Marroushi
 
Oxidative stress and disease
Oxidative stress and diseaseOxidative stress and disease
Oxidative stress and disease
Rawan Ayman
 
Oxidative stress 2014
Oxidative stress 2014Oxidative stress 2014
Oxidative stress 2014
Andrea José Fuentes Bisbal
 
Free Radicals
Free RadicalsFree Radicals
Free Radicals
guest371c9f
 
13. free radicals and antioxidants
13. free radicals and antioxidants13. free radicals and antioxidants
13. free radicals and antioxidants
Madhumita Sen
 
Free radicals
Free radicalsFree radicals
Free radicals
Khalid Hussain
 

Viewers also liked (8)

Oxidative Stress in Aging and Human Diseases - Exploring the Mechanisms
Oxidative Stress in Aging and Human Diseases - Exploring the MechanismsOxidative Stress in Aging and Human Diseases - Exploring the Mechanisms
Oxidative Stress in Aging and Human Diseases - Exploring the Mechanisms
 
Molecular Mechanisms of Neurodegeneration: Neurodegenerative Disorders Webin...
Molecular Mechanisms of Neurodegeneration:  Neurodegenerative Disorders Webin...Molecular Mechanisms of Neurodegeneration:  Neurodegenerative Disorders Webin...
Molecular Mechanisms of Neurodegeneration: Neurodegenerative Disorders Webin...
 
Oxidative stress
Oxidative stressOxidative stress
Oxidative stress
 
Oxidative stress and disease
Oxidative stress and diseaseOxidative stress and disease
Oxidative stress and disease
 
Oxidative stress 2014
Oxidative stress 2014Oxidative stress 2014
Oxidative stress 2014
 
Free Radicals
Free RadicalsFree Radicals
Free Radicals
 
13. free radicals and antioxidants
13. free radicals and antioxidants13. free radicals and antioxidants
13. free radicals and antioxidants
 
Free radicals
Free radicalsFree radicals
Free radicals
 

Similar to 2014 11-25 presentación lactrims matute - lima (peru)

Apoptosis and neurological disorders
Apoptosis and neurological disordersApoptosis and neurological disorders
Apoptosis and neurological disorders
NeurologyKota
 
Neurodegenrative disorders by Dr Rbalaraman.pptx
Neurodegenrative disorders by Dr Rbalaraman.pptxNeurodegenrative disorders by Dr Rbalaraman.pptx
Neurodegenrative disorders by Dr Rbalaraman.pptx
RBalaraman4
 
3846573 (6)
3846573 (6)3846573 (6)
3846573 (6)
Saeed Aghdam
 
MITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISM
MITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISMMITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISM
MITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISM
Sainikil Uppala
 
Talk 2008-meeting about NAD
Talk 2008-meeting about NADTalk 2008-meeting about NAD
Talk 2008-meeting about NAD
chenmiaomiao
 
Alzheimer's disease
Alzheimer's diseaseAlzheimer's disease
Alzheimer's disease
jusiin
 
Na f activates map ks and induces apoptosis in odontoblast-like
Na f activates map ks and induces apoptosis in odontoblast-likeNa f activates map ks and induces apoptosis in odontoblast-like
Na f activates map ks and induces apoptosis in odontoblast-like
Ganesh Murthi
 
Florence Molinari - INMED-INSERM U901. Marseille.
Florence Molinari - INMED-INSERM U901. Marseille. Florence Molinari - INMED-INSERM U901. Marseille.
Florence Molinari - INMED-INSERM U901. Marseille.
Fundación Ramón Areces
 
Mitochondrial Medicine - Mosul project
Mitochondrial Medicine - Mosul projectMitochondrial Medicine - Mosul project
Mitochondrial Medicine - Mosul project
Mohammad Alkataan
 
Mitochondrial dna and dysfunctions
Mitochondrial dna and dysfunctionsMitochondrial dna and dysfunctions
Mitochondrial dna and dysfunctions
Nandhini Elango
 
Cell Injury Patho
Cell Injury PathoCell Injury Patho
Cell Injury Patho
axix
 
Mitochondrial genes and neurology
Mitochondrial genes and neurologyMitochondrial genes and neurology
Mitochondrial genes and neurology
NeurologyKota
 
Mitochondrial disorders overview
Mitochondrial disorders overviewMitochondrial disorders overview
Mitochondrial disorders overview
sabiiiiii
 
Mitochondrial dynamics and cancer (2)
Mitochondrial dynamics and cancer (2)Mitochondrial dynamics and cancer (2)
Mitochondrial dynamics and cancer (2)
soumik1997
 
J Neurochem 2003
J Neurochem 2003J Neurochem 2003
J Neurochem 2003
Raul Pardo
 
Mitochondrial Inheritance in Man
Mitochondrial Inheritance in ManMitochondrial Inheritance in Man
Mitochondrial Inheritance in Man
Vharshini Manoharan
 
Molecular Biology Article Andres Arango
Molecular Biology Article Andres ArangoMolecular Biology Article Andres Arango
Molecular Biology Article Andres Arango
Andres Arango Diaz
 
Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)
Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)
Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)
Ahmed Al-Abadlah
 
MM var mtDNA 11-3
MM var mtDNA 11-3MM var mtDNA 11-3
MM var mtDNA 11-3
Michael Rothkopf
 
Mitochondrial disorders
Mitochondrial disordersMitochondrial disorders
Mitochondrial disorders
Amr Saeed
 

Similar to 2014 11-25 presentación lactrims matute - lima (peru) (20)

Apoptosis and neurological disorders
Apoptosis and neurological disordersApoptosis and neurological disorders
Apoptosis and neurological disorders
 
Neurodegenrative disorders by Dr Rbalaraman.pptx
Neurodegenrative disorders by Dr Rbalaraman.pptxNeurodegenrative disorders by Dr Rbalaraman.pptx
Neurodegenrative disorders by Dr Rbalaraman.pptx
 
3846573 (6)
3846573 (6)3846573 (6)
3846573 (6)
 
MITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISM
MITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISMMITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISM
MITOCHONDRIAL COMPLEX 1 ROLE IN PARKINSONISM
 
Talk 2008-meeting about NAD
Talk 2008-meeting about NADTalk 2008-meeting about NAD
Talk 2008-meeting about NAD
 
Alzheimer's disease
Alzheimer's diseaseAlzheimer's disease
Alzheimer's disease
 
Na f activates map ks and induces apoptosis in odontoblast-like
Na f activates map ks and induces apoptosis in odontoblast-likeNa f activates map ks and induces apoptosis in odontoblast-like
Na f activates map ks and induces apoptosis in odontoblast-like
 
Florence Molinari - INMED-INSERM U901. Marseille.
Florence Molinari - INMED-INSERM U901. Marseille. Florence Molinari - INMED-INSERM U901. Marseille.
Florence Molinari - INMED-INSERM U901. Marseille.
 
Mitochondrial Medicine - Mosul project
Mitochondrial Medicine - Mosul projectMitochondrial Medicine - Mosul project
Mitochondrial Medicine - Mosul project
 
Mitochondrial dna and dysfunctions
Mitochondrial dna and dysfunctionsMitochondrial dna and dysfunctions
Mitochondrial dna and dysfunctions
 
Cell Injury Patho
Cell Injury PathoCell Injury Patho
Cell Injury Patho
 
Mitochondrial genes and neurology
Mitochondrial genes and neurologyMitochondrial genes and neurology
Mitochondrial genes and neurology
 
Mitochondrial disorders overview
Mitochondrial disorders overviewMitochondrial disorders overview
Mitochondrial disorders overview
 
Mitochondrial dynamics and cancer (2)
Mitochondrial dynamics and cancer (2)Mitochondrial dynamics and cancer (2)
Mitochondrial dynamics and cancer (2)
 
J Neurochem 2003
J Neurochem 2003J Neurochem 2003
J Neurochem 2003
 
Mitochondrial Inheritance in Man
Mitochondrial Inheritance in ManMitochondrial Inheritance in Man
Mitochondrial Inheritance in Man
 
Molecular Biology Article Andres Arango
Molecular Biology Article Andres ArangoMolecular Biology Article Andres Arango
Molecular Biology Article Andres Arango
 
Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)
Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)
Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1)
 
MM var mtDNA 11-3
MM var mtDNA 11-3MM var mtDNA 11-3
MM var mtDNA 11-3
 
Mitochondrial disorders
Mitochondrial disordersMitochondrial disorders
Mitochondrial disorders
 

More from Achucarro-Neuroscience

Neurogune2016 Abstract Book
Neurogune2016 Abstract BookNeurogune2016 Abstract Book
Neurogune2016 Abstract Book
Achucarro-Neuroscience
 
Entrevista a Carlos Matute
Entrevista a Carlos MatuteEntrevista a Carlos Matute
Entrevista a Carlos Matute
Achucarro-Neuroscience
 
Neurogune 2016
Neurogune 2016Neurogune 2016
Neurogune 2016
Achucarro-Neuroscience
 
Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...
Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...
Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...
Achucarro-Neuroscience
 
Achucarro in the web and social media
Achucarro in the web and social mediaAchucarro in the web and social media
Achucarro in the web and social media
Achucarro-Neuroscience
 
Sala Achúcarro (Museo Vasco de la Historia de la Medicina)
Sala Achúcarro (Museo Vasco de la Historia de la Medicina)Sala Achúcarro (Museo Vasco de la Historia de la Medicina)
Sala Achúcarro (Museo Vasco de la Historia de la Medicina)
Achucarro-Neuroscience
 
October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...
October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...
October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...
Achucarro-Neuroscience
 

More from Achucarro-Neuroscience (7)

Neurogune2016 Abstract Book
Neurogune2016 Abstract BookNeurogune2016 Abstract Book
Neurogune2016 Abstract Book
 
Entrevista a Carlos Matute
Entrevista a Carlos MatuteEntrevista a Carlos Matute
Entrevista a Carlos Matute
 
Neurogune 2016
Neurogune 2016Neurogune 2016
Neurogune 2016
 
Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...
Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...
Presentación de la Conferencia Divulgativa en Zientziateka de Carlos Matute s...
 
Achucarro in the web and social media
Achucarro in the web and social mediaAchucarro in the web and social media
Achucarro in the web and social media
 
Sala Achúcarro (Museo Vasco de la Historia de la Medicina)
Sala Achúcarro (Museo Vasco de la Historia de la Medicina)Sala Achúcarro (Museo Vasco de la Historia de la Medicina)
Sala Achúcarro (Museo Vasco de la Historia de la Medicina)
 
October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...
October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...
October 24th 2012 Public presentation of the Achucarro Basque Center for Neur...
 

Recently uploaded

原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样
原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样
原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样
yqqaatn0
 
Compexometric titration/Chelatorphy titration/chelating titration
Compexometric titration/Chelatorphy titration/chelating titrationCompexometric titration/Chelatorphy titration/chelating titration
Compexometric titration/Chelatorphy titration/chelating titration
Vandana Devesh Sharma
 
Oedema_types_causes_pathophysiology.pptx
Oedema_types_causes_pathophysiology.pptxOedema_types_causes_pathophysiology.pptx
Oedema_types_causes_pathophysiology.pptx
muralinath2
 
Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...
Leonel Morgado
 
Shallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptxShallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptx
Gokturk Mehmet Dilci
 
ESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptxESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptx
PRIYANKA PATEL
 
8.Isolation of pure cultures and preservation of cultures.pdf
8.Isolation of pure cultures and preservation of cultures.pdf8.Isolation of pure cultures and preservation of cultures.pdf
8.Isolation of pure cultures and preservation of cultures.pdf
by6843629
 
The use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptx
The use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptxThe use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptx
The use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptx
MAGOTI ERNEST
 
Cytokines and their role in immune regulation.pptx
Cytokines and their role in immune regulation.pptxCytokines and their role in immune regulation.pptx
Cytokines and their role in immune regulation.pptx
Hitesh Sikarwar
 
Deep Software Variability and Frictionless Reproducibility
Deep Software Variability and Frictionless ReproducibilityDeep Software Variability and Frictionless Reproducibility
Deep Software Variability and Frictionless Reproducibility
University of Rennes, INSA Rennes, Inria/IRISA, CNRS
 
Thornton ESPP slides UK WW Network 4_6_24.pdf
Thornton ESPP slides UK WW Network 4_6_24.pdfThornton ESPP slides UK WW Network 4_6_24.pdf
Thornton ESPP slides UK WW Network 4_6_24.pdf
European Sustainable Phosphorus Platform
 
bordetella pertussis.................................ppt
bordetella pertussis.................................pptbordetella pertussis.................................ppt
bordetella pertussis.................................ppt
kejapriya1
 
Equivariant neural networks and representation theory
Equivariant neural networks and representation theoryEquivariant neural networks and representation theory
Equivariant neural networks and representation theory
Daniel Tubbenhauer
 
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
Abdul Wali Khan University Mardan,kP,Pakistan
 
Immersive Learning That Works: Research Grounding and Paths Forward
Immersive Learning That Works: Research Grounding and Paths ForwardImmersive Learning That Works: Research Grounding and Paths Forward
Immersive Learning That Works: Research Grounding and Paths Forward
Leonel Morgado
 
NuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyerNuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyer
pablovgd
 
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
Sérgio Sacani
 
molar-distalization in orthodontics-seminar.pptx
molar-distalization in orthodontics-seminar.pptxmolar-distalization in orthodontics-seminar.pptx
molar-distalization in orthodontics-seminar.pptx
Anagha Prasad
 
Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.
Aditi Bajpai
 
Medical Orthopedic PowerPoint Templates.pptx
Medical Orthopedic PowerPoint Templates.pptxMedical Orthopedic PowerPoint Templates.pptx
Medical Orthopedic PowerPoint Templates.pptx
terusbelajar5
 

Recently uploaded (20)

原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样
原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样
原版制作(carleton毕业证书)卡尔顿大学毕业证硕士文凭原版一模一样
 
Compexometric titration/Chelatorphy titration/chelating titration
Compexometric titration/Chelatorphy titration/chelating titrationCompexometric titration/Chelatorphy titration/chelating titration
Compexometric titration/Chelatorphy titration/chelating titration
 
Oedema_types_causes_pathophysiology.pptx
Oedema_types_causes_pathophysiology.pptxOedema_types_causes_pathophysiology.pptx
Oedema_types_causes_pathophysiology.pptx
 
Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...
 
Shallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptxShallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptx
 
ESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptxESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptx
 
8.Isolation of pure cultures and preservation of cultures.pdf
8.Isolation of pure cultures and preservation of cultures.pdf8.Isolation of pure cultures and preservation of cultures.pdf
8.Isolation of pure cultures and preservation of cultures.pdf
 
The use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptx
The use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptxThe use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptx
The use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptx
 
Cytokines and their role in immune regulation.pptx
Cytokines and their role in immune regulation.pptxCytokines and their role in immune regulation.pptx
Cytokines and their role in immune regulation.pptx
 
Deep Software Variability and Frictionless Reproducibility
Deep Software Variability and Frictionless ReproducibilityDeep Software Variability and Frictionless Reproducibility
Deep Software Variability and Frictionless Reproducibility
 
Thornton ESPP slides UK WW Network 4_6_24.pdf
Thornton ESPP slides UK WW Network 4_6_24.pdfThornton ESPP slides UK WW Network 4_6_24.pdf
Thornton ESPP slides UK WW Network 4_6_24.pdf
 
bordetella pertussis.................................ppt
bordetella pertussis.................................pptbordetella pertussis.................................ppt
bordetella pertussis.................................ppt
 
Equivariant neural networks and representation theory
Equivariant neural networks and representation theoryEquivariant neural networks and representation theory
Equivariant neural networks and representation theory
 
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
 
Immersive Learning That Works: Research Grounding and Paths Forward
Immersive Learning That Works: Research Grounding and Paths ForwardImmersive Learning That Works: Research Grounding and Paths Forward
Immersive Learning That Works: Research Grounding and Paths Forward
 
NuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyerNuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyer
 
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
 
molar-distalization in orthodontics-seminar.pptx
molar-distalization in orthodontics-seminar.pptxmolar-distalization in orthodontics-seminar.pptx
molar-distalization in orthodontics-seminar.pptx
 
Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.
 
Medical Orthopedic PowerPoint Templates.pptx
Medical Orthopedic PowerPoint Templates.pptxMedical Orthopedic PowerPoint Templates.pptx
Medical Orthopedic PowerPoint Templates.pptx
 

2014 11-25 presentación lactrims matute - lima (peru)

  • 1. www.excemed.org IMPROVING THE PATIENT’S LIFE THROUGH MEDICAL EDUCATION 2014 Pre LACTRIMS conference on progressive MS 26 November 2014 - Lima, Perù
  • 2. 2 Private funding Novartis, Biogen, Merck KGaA Public funding MINECO, CIBERNED, Gobierno Vasco Faculty disclosure Universidad del País Vasco / Euskal Herriko Unibertsitatea Carlos Matute e-mail: carlos.matute@ehu.es
  • 3. Mitochondrial alterations in Multiple Sclerosis Outline: • An introduction to mitochondria, the cell powerhouse • Oligodendrocytes supply lactate to myelinated axons • Excitotoxicity in oligodendrocytes damages mitochondria • Mitochondrial defects in MS: neurons, axons and oligodendrocytes
  • 5. Mitochondrial function relevance in white matter • In white matter: axons & oligodendrocytes rely on mitochondrial function to support neurotransmission • In oligodendrocytes, mitochondrial function is essential for viability and myelin synthesis (Acetyl-CoA) • In astrocytes, ATP is critical for the control of glutamate metabolism • Axons → High energy demand (primarily ATP) • N-acetylaspartate (NAA) – Neuronal integrity marker – Synthesized in neuronal mitochondria – Converted to acetate by oligodendrocytes for myelin synthesis
  • 6. Three main mitochondrial homeostatic disruptions 1. Energy failure: [ATP]↓↓ 2. Oxidative Stress: ROS > antioxidant systems 3. Ca2+ overload Central features of all neurodegenerative disorders Physiologycal Pathological
  • 7. Saab et al (2013) Curr Op Neurobiol Myelin supplies energy substrates to axons
  • 8. submitted Oligodendroglial NMDA receptors regulate axonal energy metabolism Demyelination impairs energy supply to axons
  • 9. Models of Disease Pathogenesis in Multiple Sclerosis Hauser and Oksenberg 2006 Neuron ATP Demyelination, oligodendrocyte death, axonal damage, neuronal loss, atrophy
  • 10. Glutamate and ATP in excess is toxic to oligodendrocytes and myelin MBP TUNEL CNPase CNPase Matute 1998 PNAS USA
  • 11. Glutamate levels are elevated in multiple sclerosis Magnetic resonance spectroscopy at 3 T astrogliosis Srinivasan et al 2005 Brain
  • 12. Glutamate and ATP toxicity in oligodendrocytes PI – dead cells KAINATE or ATPCONTROL FDA – live cells Matute et al 1997 PNAS USA
  • 13. CELL DEATH ROS AIF Nucleus DNA fragmentation PARP-1 Procaspase 8 t-Bid Caspase 3,6,7 Caspase 8 FADD Bid AMPA-RVGCC Na+ Ca2+  m Bcl-2 Cyt c Apaf-1 Caspase 9 CdP P P P Bad Bad 14-3- 3 Bcl-xl KAINATE-R [Ca2+]i Ca2+ VGCC Calpain Bax Sánchez-Gómez et al. J Neurosci 2003 Sánchez-Gómez et al., J Neurosci, 2011 Mitochondria at the crossroads of excitotoxicity in oligodendrocytes
  • 14. Butt, Fern, Matute (2014 ) Glia Glutamate and ATP signaling are central to MS pathophysiology Neuroinflammation favors excitotoxic-mediated mitochondrial damage
  • 15. • Altered glutamate homeostasis induces mitochondrial damage • Presence of high NO: oxidative stress • Myelin loss-induced trophic imbalance • Expression of mitochondrial respiratory chain complex I, II and III is reduced in MS active lesions and motor cortex • mtDNA defects associated with MS • Abnormal intra-axonal mitochondria prior to axon disruption • Low N-acetyl aspartate levels in acute and chronic lesions and in normal appearing WM Mitochondrial dysfunctions in MS
  • 16. Franklin y Ffrench-Constant 2008 Nat Rev Neurosci Persistent demyelination leads to axonal damage Atrophy: loss of axons and neurons
  • 17. Axons transiently adapt to demyelination Early response to demyelination Waxman 2006, Nat Rev Neurosci
  • 18. Demyelinated axons are more vulnerable to energy failure and therefore to mitochondrial dysfunction → Axonal degeneration in MS Mitochondrial dysfunction → Energy failure → Na+ / K + ATPase↓ → Depolarization → sustained Na+ influx → Reverse activity of the Na+ / Ca2+ exchanger → Ca2+ overload → Axonal damage Non-remyelinated axons ultimately degenerate Late response to demyelination Waxman 2006, Nat Rev Neurosci
  • 19. Mechanisms of axonal damage during inflammation and demyelination Waxman 2006, Nat Rev Neurosci
  • 20. Ca2+ overload in mitochondria initiates axonal failure in MS Abou-Sleiman et al. 2006 Nat Rev Neurosci
  • 21. Ca2+ overload and mPTP opening in MS • Cyclophilin D is a key regulator of the permeability transition pore (mPTP) opening. • CyPD KO neurons were resistant to oxidative stress and NO, and tolerated higher levels of mitochondrial Ca2+ • CyPD KO-EAE mice partially recovered and preserved axonal integrity. Forte et al. 2007, PNAS
  • 22. Conclusions 1. White matter is highly dependent on mitochondrial ATP to propagate electric signals, maintain ionic gradients and facilitate axonal transport 2. Inflammation, oxidative stress and Ca2+ homeostasis disruption lead to mitochondrial dysfunction and energy failure in MS 3. Demyelinated axons in MS lesions are more vulnerable to energy failure and mitochondrial dysfunction 4. ROS and Ca2+ damage axons by inducing mitochondrial mPTP opening.
  • 23. María Domercq Alberto Pérez Samartín Fernando Pérez Cerdá Fabio Cavaliere Elena Alberdi Vicky Sánchez Olatz Pampliega Olatz Oyanguren Estibaliz Etxeberria Nuria Vázquez Estibaliz Gonzalez Juan Carlos Chara Hospital de Basurto, Bilbao Alfredo Rodríguez-Antigüedad MPI, Göttingen Frank Kirchhoff AECOM, New York Eliana Scemes Universidad del País Vasco, Leioa, Spain Acknowledgments