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SS-31 Case Study

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Results
SS-31 treatment upregulates FXN expression in FRDA patient-derived cells
Efforts to find a drug capable of increasing the ability to cope with oxidative stress have long been made in the treatment of FRDA. Based on the characteristics of SS-31, a mitochondrion-targeted antioxidant, we chose it to treat the cells derived from FRDA patients as a potential drug. Very strikingly, we found that SS-31 treatment increased the expression of FXN (Fig. 1). This pushed us to evaluate the value of the peptide. First, we optimised the condition for inducing the expression of FXN and found that the protein level of FXN increased in a dose dependent manner in both lymphoblasts and fibroblasts derived from patients (Fig. 1a and Fig. S1). The …show more content…

To investigate the effects of SS-31 on the mitochondria in cells derived from FRDA patients, we detected MMP with the lipophilic dye JC-1 by measuring a potential-dependent shift in fluorescence from green to red, which reflected its aggregation in mitochondria29. The increased ratio of red versus green fluorescence in patient-derived cells after SS-31 treatment indicated more polarised mitochondria (Fig. 2a). Intracellular ATP level is another pivotal measure of mitochondrial quality. We found that SS-31 treatment significantly raised ATP levels in patient-derived cells (Fig. 2b), indicating increased oxidative phosphorylation. The ratio of NADH/NAD+ in patient-derived lymphoblasts was also measured and was found to be significantly reduced to the levels comparable to the healthy control cells (Fig. 2c). These results indicate much improvement of mitochondrial quality in patient-derived lymphoblasts post SS-31 treatment. Furthermore, we quantified the copy number of mitochondrial DNA and found that SS-31 treatment mildly increased the copy number of mitochondria in patient-derived lymphoblasts (Fig. 2d). Electron microscopic data substantiated these results revealing structural improvements from abnormal cristae in patient-derived cells to regular invagination of the inner membrane after SS-31 treatment (Fig. 2e). Taken together, SS-31 improved the

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