Copyright: © 2025 by the authors. Licensee: Pirogov University.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (CC BY).

ORIGINAL RESEARCH

Expression of MTCO1 in cell cultures from patients with Leigh syndrome under the action of AAV9-SURF1

Adrianov MA1,2 , Gautier MS1 , Degtyareva AV1,3 , Marey MV1 , Manukhova LA1 , Rastorguev SM4 , Simonov VS4 , Ushakova LV1 , Vyssokikh MYu1,2
About authors

1 Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Moscow, Russia

2 Belozersky Research Institute of Physico-Chemical Biology at Lomonosov Moscow State University, Moscow, Russia

3 Filatov Clinical Institute of Child Health, Sechenov First Moscow State Medical University, Moscow, Russia

4 Pirogov Russian National Research Medical University, Moscow, Russia

Correspondence should be addressed: Mikhail A. Adrianov
Academica Oparina, 4, 117997, Moscow, Russia, moc.liamg@hcstil.ay

About paper

Funding: The study was conducted under state assignment number EGISU 125022002694-7, "Development of gene therapy drugs based on viral delivery for the treatment of hemophilia, Leigh syndrome, and glycogen storage disease type Ia." The project was conducted at the FSBI «National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov», Ministry of Health of the Russian Federation.

Acknowledgements: The authors thank A. M. Gamisoniya and N. M. Marycheva for the help in the research.

Author contribution: Adrianov MA — gene expression assessment, manuscript preparation; Gautier MS, Degtyareva AV, Ushakova LV — clinical work with patients; Rastorguev SM, Simonov VS — construction and preparation the AAV vector; Marey MV — protein expression assessment, fibroblasts cultivation, transfection, and the viral construct toxicity assessment, microscopy; Manukhova LA — sample processing, protein expression assessment, data processing and statistical analysis; Vysokikh MY — overall supervision, the research coordination, writing the manuscript.

Compliance with ethical standards: all procedures with patients were carried out in accordance with the rules of Ethics Committee of the Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology (Protocol No. 10, dated November 28, 2024). Voluntary informed consent was obtained from all study participants regarding their inclusion in the study and the use of their biological materials.

Received: 2025-12-12 Accepted: 2025-12-23 Published online: 2025-12-29
|
  1. Leigh D. Subacute necrotizing encephalomyelopathy in an infant. J Neurol Neurosurg Psychiatry. 1951; 14 (3): 216–21. DOI: 10.1136/jnnp.14.3.216
  2. Freya A Bundschuh 1, Achim Hannappel, Oliver Anderka, Bernd Ludwig. Surf1, associated with Leigh syndrome in humans, is a heme-binding protein in bacterial oxidase biogenesis. J Biol Chem. 2009; 284 (38): 25735–41. DOI: 10.1074/jbc.M109.040295.
  3. Valeria Tiranti, Konstanze Hoertnagel, Rosalba Carrozzo, Claudia Galimberti, Monica Munaro, Matteo Granatiero et al. Mutations of SURF-1 in Leigh Disease Associated with Cytochrome c Oxidase Deficiency.1998; 63: 1609–21.
  4. Zhiqing Zhu, Jianbo Yao, Timothy Johns, Katherine Fu, Isabelle De Bie, Carol Macmillan, et al. SURF1, encoding a factor involved in the biogenesis of cytochrome c oxidase, is mutated in Leigh syndrome. Nature Genetics. 1998; 20: 337–43.
  5. Inn-Chi Lee, Kuo-Liang Chiang. Clinical Diagnosis and Treatment of Leigh Syndrome Based on SURF1: Genotype and Phenotype Antioxidants. 2021; 10 (12): 1950. Available from: https://doi.org/10.3390/antiox10121950.
  6. Shamima Rahman. Gastrointestinal and hepatic manifestations of mitochondrial disorders. SSIEM Symposium. 2012; Available from: https://doi.org/10.1007/s10545-013-9614-2
  7. Albert Z Lim, Yi Shiau Ng, Alasdair Blain, Cecilia Jiminez-Moreno, Charlotte L Alston, Victoria Nesbitt, et al. Natural History of Leigh Syndrome: A Study of Disease Burden and Progression. Ann Neurol. 2022; 91 (1): 117–30. DOI: 10.1002/ana.26260. Epub 2021 Nov 12.
  8. Yehani Wedatilake, Ruth M Brown, Robert McFarland, Joy Yaplito-Lee, Andrew A M Morris, Mike Champion, et al. SURF1 deficiency: a multi-centre natural history study. Orphanet Journal of Rare Diseases. 2013; 8 (96).
  9. Andrzej Bartke. New findings in gene knockout, mutant and transgenic mice. Exp Gerontol. 2008; 43 (1): 11–4. DOI: 10.1016/j.exger.2007.10.009.
  10. Daniel A Pulliam, Sathyaseelan S Deepa, Yuhong Liu, Shauna Hill, Ai-Ling Lin, Arunabh Bhattacharya, et al. Complex IV-deficient Surf1(‒/‒) mice initiate mitochondrial stress responses. Biochem J. 2014; 462 (2): 359–71. DOI: 10.1042/BJ20140291.
  11. Qinglan Ling, Matthew Rioux, Harrison Higgs, Yuhui Hu, Scarlett E. Dwyer, Steven J. Gray Improved AAV9-based gene therapy design for SURF1-related Leigh syndrome with minimal toxicity. Molecular therapy. 2025; 33 (3): 101554.
  12. Qinglan Ling, Matthew Rioux, Yuhui Hu, MinJae Lee, Steven J Gray. Adeno-associated viral vector serotype 9-based gene replacement therapy for SURF1-related Leigh syndrome. Mol Ther Methods Clin Dev. 2021; 23: 158–68. DOI: 10.1016/j.omtm.2021.09.001.
  13. Hanahan D, Jessee J, Bloom FR. Plasmid transformation of Escherichia coli and other bacteria. Methods Enzymol. 1991; 204 (C): 63–113.
  14. Khashchenko EP, Vysokikh MYu, Marey MV, Sidorova KO, Manukhova LA, Shkavro NN, et al. Altered Glycolysis, Mitochondrial Biogenesis, Autophagy and Apoptosis in Peritoneal Endometriosis in Adolescents. Int J Mol Sci. 2024; 25: 4238. Available from: https://doi.org/10.3390/ijms25084238.
  15. Giuseppe Magro, Vincenzo Laterza, Federico Tosto. Leigh Syndrome: A Comprehensive Review of the Disease and Present and Future Treatments Biomedicines. 2025, 13 (3): 733. Available from: https://doi.org/10.3390/biomedicines13030733.