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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1352311</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2024.1352311</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A peptide derived from TID1S rescues frataxin deficiency and mitochondrial defects in FRDA cellular models</article-title>
<alt-title alt-title-type="left-running-head">Dong et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2024.1352311">10.3389/fphar.2024.1352311</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Dong</surname>
<given-names>Yi Na</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1994755/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Ngaba</surname>
<given-names>Lucie Vanessa</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1715636/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>An</surname>
<given-names>Jacob</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Adeshina</surname>
<given-names>Miniat W.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Warren</surname>
<given-names>Nathan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Wong</surname>
<given-names>Johnathan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lynch</surname>
<given-names>David R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Pediatrics and Neurology</institution>, <institution>The Children&#x2019;s Hospital of Philadelphia</institution>, <addr-line>Philadelphia</addr-line>, <addr-line>PA</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Neurology</institution>, <institution>Perelman School of Medicine</institution>, <institution>University of Pennsylvania</institution>, <addr-line>Philadelphia</addr-line>, <addr-line>PA</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/6920/overview">Li Zhang</ext-link>, National Institutes of Health (NIH), United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2000205/overview">Bibekananda Kar</ext-link>, Mayo Clinic, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/284598/overview">Charareh Pourzand</ext-link>, University of Bath, United Kingdom</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Yi Na Dong, <email>dongy@chop.edu</email>; David R. Lynch, <email>lynchd@pennmedicine.upenn.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>01</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1352311</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>12</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>02</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Dong, Ngaba, An, Adeshina, Warren, Wong and Lynch.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Dong, Ngaba, An, Adeshina, Warren, Wong and Lynch</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Friedreich&#x2019;s ataxia (FRDA), the most common recessive inherited ataxia, results from homozygous guanine&#x2013;adenine&#x2013;adenine (GAA) repeat expansions in intron 1 of the <italic>FXN</italic> gene, which leads to the deficiency of frataxin, a mitochondrial protein essential for iron-sulphur cluster synthesis. The study of frataxin protein regulation might yield new approaches for FRDA treatment. Here, we report tumorous imaginal disc 1 (TID1), a mitochondrial J-protein cochaperone, as a binding partner of frataxin that negatively controls frataxin protein levels. TID1 interacts with frataxin both <italic>in vivo</italic> in mouse cortex and <italic>in vitro</italic> in cortical neurons. Acute and subacute depletion of frataxin using RNA interference markedly increases TID1 protein levels in multiple cell types. In addition, TID1 overexpression significantly increases frataxin precursor but decreases intermediate and mature frataxin levels in HEK293 cells. In primary cultured human skin fibroblasts, overexpression of TID1S results in decreased levels of mature frataxin and increased fragmentation of mitochondria. This effect is mediated by the last 6 amino acids of TID1S as a peptide made from this sequence rescues frataxin deficiency and mitochondrial defects in FRDA patient-derived cells. Our findings show that TID1 negatively modulates frataxin levels, and thereby suggests a novel therapeutic target for treating FRDA.</p>
</abstract>
<kwd-group>
<kwd>Friedreich ataxia (FRDA)</kwd>
<kwd>frataxin</kwd>
<kwd>Tid1</kwd>
<kwd>mitochondrial fragmentation</kwd>
<kwd>ATP</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Neuropharmacology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>1 Introduction</title>
<p>Friedreich&#x2019;s ataxia (FRDA) is an autosomal recessive neurodegenerative disease characterized by progressive gait and limb ataxia, hypertrophic cardiomyopathy, scoliosis, slurred speech, vision loss and in some individuals diabetes (<xref ref-type="bibr" rid="B34">Strawser et al., 2017</xref>). FRDA is typically caused by homozygous, expanded guanine&#x2013;adenine&#x2013;adenine (GAA) repeats in the intron 1 of frataxin gene leading to transcriptional silencing of frataxin gene (<xref ref-type="bibr" rid="B4">Campuzano et al., 1996</xref>). The mitochondrial protein frataxin is essential for the formation of iron-sulfur clusters (ISC). Frataxin deficiency reduces the activity of ISC-containing enzymes such as aconitase and respiratory complex II (<xref ref-type="bibr" rid="B29">R&#xf6;tig et al., 1997</xref>; <xref ref-type="bibr" rid="B33">Stehling et al., 2004</xref>), resulting in impaired ATP synthesis and mitochondrial respiration (<xref ref-type="bibr" rid="B20">Lodi et al., 1999</xref>; <xref ref-type="bibr" rid="B41">Zarse et al., 2007</xref>) as well as increased mitochondrial iron and oxidative stress (<xref ref-type="bibr" rid="B28">Puccio et al., 2001</xref>; <xref ref-type="bibr" rid="B1">Al-Mahdawi et al., 2006</xref>), and cause pathological changes in affected tissues. Increasing frataxin levels is therefore the most direct approach for FRDA treatment.</p>
<p>Tumorous imaginal disc 1 (TID1), also called DnaJ homolog subfamily A member 3, mitochondrial (DNAJA3), is a member of the heat shock protein (Hsp) 40 family. TID1 interacts with the Hsp70 family of chaperone proteins through its distinctive J domain, a highly conserved tetrahelical region, which increases their ATPase activity for substrate binding and functions as a cochaperone and regulatory component for Hsp70 (<xref ref-type="bibr" rid="B14">Hendrick et al., 1993</xref>; <xref ref-type="bibr" rid="B31">Silver and Way, 1993</xref>; <xref ref-type="bibr" rid="B35">Syken et al., 1999</xref>; <xref ref-type="bibr" rid="B38">Trentin et al., 2001</xref>; <xref ref-type="bibr" rid="B17">Liu et al., 2012</xref>). TID1 also affects cell survival, proliferation, and responses to stress (<xref ref-type="bibr" rid="B6">Cheng et al., 2001</xref>; <xref ref-type="bibr" rid="B36">Syken et al., 2003</xref>; <xref ref-type="bibr" rid="B37">Tarunina et al., 2004</xref>; <xref ref-type="bibr" rid="B19">Lo et al., 2004</xref>; <xref ref-type="bibr" rid="B5">Chen et al., 2009</xref>). TID1 null mutations are lethal (<xref ref-type="bibr" rid="B19">Lo et al., 2004</xref>). In mice, a particular TID1-related cardiac deficiency also leads to progressive respiratory chain deficiency, dilated cardiomyopathy, and premature death before the age of 10&#xa0;weeks (<xref ref-type="bibr" rid="B13">Hayashi et al., 2006</xref>). TID1 encodes two mitochondrial matrix localized splice variants, TID1-long (TID1L, 43&#xa0;kDa) and -short (TID1S, 40&#xa0;kDa), which differ only at their carboxyl termini (<xref ref-type="bibr" rid="B21">Lu et al., 2006</xref>). The cellular targets and functions of TID1L and TID1S are distinct. For instance, TID1S interacts with the agrin receptor and is involved in neuromuscular transmission, whereas TID1L connects with the von Hippel-Lindau protein and is implicated in tumor suppression (<xref ref-type="bibr" rid="B16">Linnoila et al., 2008</xref>; <xref ref-type="bibr" rid="B45">Bae et al., 2005</xref>). TID1L enhances external stimulus-induced apoptosis, whereas TID1S suppresses it (<xref ref-type="bibr" rid="B35">Syken et al., 1999</xref>).</p>
<p>The mitochondrial molecular chaperone GRP75 regulates frataxin post-translationally (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). It is unknown if the cochaperone TID1 regulates frataxin. In this study, we examined the physical and functional interactions between frataxin and TID1 using cellular and molecular approaches and suggest that TID1S negatively regulates frataxin levels. A peptide derived from the last six amino acids of TID1S rescues frataxin deficiency and mitochondrial defects in FRDA patient-derived cells. These findings demonstrate that TID1S is a novel regulator of frataxin and thus provide a new therapeutic target for FRDA.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Animals</title>
<p>C57BL/6 mice (stock no: 000664) were purchased from Jackson Laboratory. Doxycycline inducible frataxin knockdown (FRDAkd) mice were originally obtained from Drs. Geschwind and Chandran at University of California (Los Angeles, CA), then bred with C57BL/6 mice (The Jackson Laboratory Stock No: 000664) to generate wild type (WT) and transgenic (TG) mice. All mice were housed in an environment of 12&#xa0;h light/dark cycle, temperature of 25 &#xb1; 2&#xb0;C, 55% humidity, with <italic>ad libitum</italic> standard diet and water; treated according to the protocols approved by the Children&#x2019;s Hospital of Philadelphia Institutional Animal Care and Use Committee (IACUC; protocol 16-250); and genotyped at weaning by commercial vendor (Transnetyx, Cordova, TN). Wildtype and transgenic mice were fed Dox-compounded chow diet (200PPM Doxycycline, Animal Specialties and Provisions, LLC., Quakertown, PA) to induce frataxin knockdown in the transgenic mice. Mice were harvested at 4&#xa0;weeks after doxycycline treatment.</p>
</sec>
<sec id="s2-2">
<title>2.2 Preparation of tissue homogenates</title>
<p>Mice were deeply anesthetized and euthanized by decapitation. The cerebellum, heart and skeletal muscle were collected and homogenized with a Potter-Elvehjem homogenizer (Thermo Fisher Scientific Inc., Hampton, NH) in RIPA buffer (100&#xa0;mM Tris-HCL, 150&#xa0;mM NaCl, 1% IGEPAL, 1&#xa0;mM EDTA, pH 7.4) containing a protease inhibitor cocktail (1:500 dilution; Calbiochem, Darmstadt, Germany). The homogenates were spun down at 13,000&#xa0;rpm for 15&#xa0;minutes (min). The supernatant was frozen and kept at &#x2212;80&#xb0;C until it was used for Western blot or Co-Immunoprecipitation.</p>
</sec>
<sec id="s2-3">
<title>2.3 Preparation of primary neuronal cultures</title>
<p>Primary rat cortical neurons were derived from embryonic day 17 Sprague Dawley rat embryos, as described previously (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). Cells were used after at least 14&#xa0;days <italic>in vitro</italic>.</p>
</sec>
<sec id="s2-4">
<title>2.4 RNA interference-mediated downregulation of frataxin in human skin fibroblasts and overexpression of plasmid DNAs in HEK293 cells</title>
<p>Human skin fibroblasts (Dr. Marek Napierala, UT Southwestern Medical Center, Dallas, Texas) were cultured as described previously (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). Frataxin knockdown was achieved by transfection of human frataxin siRNA (5&#x2032;-rGrArArCrCrUrArUrGrUrGrArUrCrArArCrArArGrCrArGAC-3&#x2032;) (Integrated DNA Technologies, Coralville, IA) into human skin fibroblasts using Lipofectamine RNAiMax reagent (Thermo Fisher Scientific, Hampton, NH). TID1L siRNA sequence is as follows: 5&#x2032;-GAA&#x200b;GCA&#x200b;AGG&#x200b;CTA&#x200b;GGC&#x200b;GTG&#x200b;A-3&#x2032; (<xref ref-type="bibr" rid="B25">Ng et al., 2014</xref>). Scrambled siRNA was used as a negative control. Cells were collected after 3&#xa0;days.</p>
<p>For overexpression of plasmid DNAs, HEK293 cells were cultured and transfected as described previously (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). Briefly, plasmid DNAs containing wild-type frataxin fused to a C-terminal HA tag, frataxin G130V mutant fused to a C-terminal HA tag (<xref ref-type="bibr" rid="B7">Clark et al., 2017</xref>), wild-type TID1L, wild-type TID1S, TID1L H121Q, TID1S H121Q (Both wildtype and mutants are from Addgene, Cambridge, MA), TID1S-Flag (Genscript, Piscataway, NJ) were transfected into HEK 293 cells using LipofectamineTM 2000 reagent (Thermo Fisher Scientific, Hampton, NH) for 24&#xa0;h. Cells were then collected and subjected to Western blotting or immunofluorescence.</p>
</sec>
<sec id="s2-5">
<title>2.5 Lentiviral transduction of human skin fibroblasts</title>
<p>Human skin fibroblasts from healthy individuals and FRDA patients were cultured as described previously (<xref ref-type="bibr" rid="B9">Dong et al., 2022</xref>). Lentivirus containing the pHAGE-TID1L gene (Genscript, Piscataway, NJ), pHAGE-TID1S gene (genscript, Piscataway, NJ), or vector control (pHAGE-CMV-dsRed-UBC-GFP-W) (Addgene, Cambridge, MA 02139), made at the research vector core at the Children&#x2019;s Hospital of Philadelphia, was transduced into cultured fibroblasts in the presence of polybrene (8&#xa0;&#x3bc;g/mL) (Sigma, St. Louis, MO). The medium was changed to normal culture medium after 1&#xa0;day transduction. Fibroblasts were collected after 5&#xa0;days transduction and used for experiments.</p>
</sec>
<sec id="s2-6">
<title>2.6 Co-immunoprecipitation</title>
<p>Cultured rat cortical neurons or HEK293 cells were rinsed with PBS and lysed in RIPA buffer (100&#xa0;mM Tris-HCL, 150&#xa0;mM NaCl, 1% IGEPAL, 1&#xa0;mM EDTA, pH 7.4) with a protease inhibitor cocktail (1:500 dilution; Calbiochem, Darmstadt, Germany) at 4&#xb0;C for 1&#xa0;h. Cell lysates were then spun down at 13,000&#xa0;rpm for 10&#xa0;min and the supernatant was collected and used in the assay. Co-immunoprecipitation was performed as described previously (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). The following antibodies were used: TID1L (Abcam, Cambridge, MA), TID1L/S (Santa Cruz Biotechnology, Dallas, TX), or MPP (Proteintech, Rosemont, IL).</p>
</sec>
<sec id="s2-7">
<title>2.7 Platelets and Peripheral blood mononuclear cells isolation</title>
<p>Whole blood collected from both healthy individuals and FRDA patients were spun at 800&#xa0;rpm for 10&#xa0;min. Platelet-rich plasma were then transferred to microcentrifuge tube and spun at 10,000&#xa0;g for 3&#xa0;min. Platelets were washed in PBS twice followed by sonication (Output: 3; Duty Cycle: 50%; 20 pulses) in RIPA buffer (See above) and centrifugation (13,200&#xa0;rpm &#xd7; 3&#xa0;min). The supernatant was stored at &#x2212;80&#xb0; until use.</p>
<p>For peripheral blood mononuclear cells (PBMCs) isolation, whole blood was diluted with PBS at 1:1 ratio before added to the top of 8&#xa0;mL RT Ficoll-Paque (GE Healthcare, Chicago, IL). Blood samples were then spun at 1,600&#xa0;rpm for 25&#xa0;min (room temperature, no brake) in swing bucket centrifuge. PBMCs layer was transferred to a new tube and diluted with PBS (30&#x2013;50&#xa0;mL volume). After 15&#xa0;min centrifugation at 1,000&#xa0;rpm (room temperature, high brake), the supernatant was aspirated out and PBMCs were resuspened and washed in PBS twice before lysed in RIPA buffer (see above) for future use.</p>
</sec>
<sec id="s2-8">
<title>2.8 Western blot</title>
<p>Cultured human fibroblasts and HEK293 cells were collected in Laemmli sample buffer (50&#xa0;mM Tris-HCl, pH 6.8, 2% SDS, 5&#xa0;mM EDTA, 0.1% bromophenol blue, 10% glycerol, and 2% &#x3b2;-mercaptoethanol). Buccal cells from controls and FRDA patients were collected in extraction buffer (Abcam, Cambridge, MA) as previously described (<xref ref-type="bibr" rid="B44">Deutsch et al., 2010</xref>) and diluted with Laemmli sample buffer. A sample (15&#x2013;50&#xa0;&#x3bc;g) of total protein was boiled for 5&#xa0;min and then loaded onto NuPAGE 4%&#x2013;12% Bis-Tris gel. Following SDS-PAGE, proteins were transferred to nitrocellulose, blocked with 3% dry milk, and incubated with antibodies against: frataxin (Abcam, Waltham, Boston), TID1L/S (Santa Cruz Biotechnology, Dallas, TX), TID1L (Abcam, Waltham, Boston), actin (Sigma, St. Louis, MO), HA (Cell Signaling, Danvers, MA), actin (Cell signaling, Danvers, MA), Aconitase 2 (Abcam, Waltham, Boston), GRP75 (Abcam, Waltham, Boston), TOM20 (Abcam, Waltham, Boston). Blots were then incubated with appropriate horseradish peroxidase-conjugated secondary antibodies and developed using enhanced chemiluminescence (Pierce, Rockford, IL).</p>
</sec>
<sec id="s2-9">
<title>2.9 Mitochondria isolation</title>
<p>Mitochondria were isolated from HEK293 cells transfected with frataxin-HA, TID1L or TID1S plasmid DNAs using mitochondria isolation kit (Thermo Fisher Scientific, Hampton, NH) and then lysed in RIPA buffer (See above) before Western blot analysis.</p>
</sec>
<sec id="s2-10">
<title>2.10 Immunofluorescence</title>
<p>Immunofluorescence was performed as previously described (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). Mitotracker&#x2122; Red CMXRos (Thermo Fisher Scientific, Waltham, MA) was loaded to human skin fibroblasts for 45&#xa0;min before immunofluorescence was performed. The following antibodies were used: HA (Cell Signaling, Danvers, MA), Flag (Sigma, St. Louis, MO), TID1L (Abcam, Waltham, Boston), TID1L/S (Santa Cruz Biotechnology, Dallas, TX), GFP (Neuromab, Davis, CA at 1/200).</p>
</sec>
<sec id="s2-11">
<title>2.11 Peptide treatment</title>
<p>Human skin fibroblasts were treated with TID1S448-453Tat (KRSTGNYGRKKRRQRRR) (Genscript, Piscataway, NJ) or scrambled TID1S448-453Tat (SNRTKGYGRKKRRQRRR) (Genscript, Piscataway, NJ) for 48&#xa0;h followed by Western blot analysis or Immunoflurescence.</p>
</sec>
<sec id="s2-12">
<title>2.12 Determination of ATP content</title>
<p>An equal number of skin fibroblasts transduced with lentivirus containing pHAGE-TID1L or vector control were seeded in a 96-well plate. ATP content of the cells was quantified with the CellTiter-Glo Luminescent Cell Viability Kit (catalog &#x23; G7570, Promega, Madison, WI).</p>
</sec>
<sec id="s2-13">
<title>2.13 <italic>In vitro</italic> binding assay</title>
<p>2&#xa0;&#x3bc;g Glutathione-S-Transferase (GST) (Sigma, St. Louis, MO) or recombinant human frataxin fused to an N-terminal GST tag (GST-Frataxin) (Novus biologicals Littleton, CO) were bound to glutathione beads in RIPA buffer (100&#xa0;mM Tris-HCL, 150&#xa0;mM NaCl, 1% IGEPAL, 0.5% Sodium deoxycholate, 1&#xa0;mM EDTA, pH 7.4) overnight at 4&#xb0;C. After 4 washes, 2&#xa0;&#x3bc;g human TID1L fused to a C-terminal Myc/DDK tag (Origene, Rockville, MD, Catalog &#x23;TP315039) was added and incubated overnight at 4&#xb0;C. Glutathione beads were then washed 3 times, eluted with Laemmli sample buffer, and subjected to SDS-PAGE.</p>
</sec>
<sec id="s2-14">
<title>2.14 Statistical analysis</title>
<p>Calculations of statistical differences were assessed by Two-tailed Student&#x2019;s t-test and a probability value of <italic>p</italic> &#x3c;0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 TID1 physically interacts with frataxin both in mouse brain cortex and neuronal cells</title>
<p>Frataxin was immunoprecipitated using an anti-frataxin antibody in mouse cortical homogenates, followed by mass spectrometry analysis in order to look for binding partners to frataxin in the brain (<xref ref-type="bibr" rid="B9">Dong et al., 2022</xref>). TID1 was identified as a potential frataxin binding partner with three peptide fragments precipitated (<xref ref-type="sec" rid="s11">Supplementary Table S1</xref>). Co-immunoprecipitation was carried out in both mouse cortical homogenates and cultured mouse cortical neurons to verify the interaction between frataxin and TID1. An antibody that recognizes both the long and short forms of TID1 (TID1L/S) precipitated frataxin in both preparations while control IgG had no effect (<xref ref-type="fig" rid="F1">Figures 1A, B</xref>). These results indicate that TID1 physically interacts with frataxin both <italic>in vivo</italic> in mouse cortex and <italic>in vitro</italic> in mouse cortical neurons.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>TID1 physically interacts with frataxin both <italic>in vivo</italic> in mouse cortex and <italic>in vitro</italic> in cortical neurons. In both cortical homogenates <bold>(A)</bold> and neuronal lysates <bold>(B)</bold>, frataxin was immunoprecipitated by a TID1L/S antibody but not control IgG. Similarly, a specific TID1L antibody but not control IgG immunoprecipitated frataxin from cortical homogenates <bold>(C)</bold> and HEK293 cells <bold>(D)</bold> but to a much lesser extent. In an <italic>in vitro</italic> binding assay, purified glutathione S- transferase (GST)-frataxin but not purified GST pulled down TID1L <bold>(E)</bold>. In HEK293 cells transfected with frataxin-HA and TID1S-Flag, immunofluorescence was performed using anti-HA and anti-Flag antibodies. Frataxin colocalized with TID1S <bold>(F)</bold>. Frataxin also colocalized with endogenously expressed TID1L stained with an anti-TID1L antibody <bold>(F)</bold>, further supported the interaction between TID1 and frataxin.</p>
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<p>To distinguish the binding of frataxin to TID1L and TID1S, an antibody to the TID1L&#xa0;C-terminus (amino acids 450&#x2013;480) was utilized in the Co-IP assay. TID1L antibody also pulled down frataxin in mouse cortical homogenates, but to a much lesser extent than TIDL/S antibody (<xref ref-type="fig" rid="F1">Figure 1C</xref>). The same outcome was seen in HEK293 cells (<xref ref-type="fig" rid="F1">Figure 1D</xref>), suggesting that TID1S may be the main form interacting with frataxin. Immunofluorescence performed in HEK293 cells transfected with frataxin-HA and TID1S-Flag plasmids also revealed the colocalization of TID1S and frataxin (<xref ref-type="fig" rid="F1">Figure 1F</xref>). Similar results were found for frataxin and endogenously expressed TID1L, further supporting the presence of physical interactions between TID1 and frataxin.</p>
<p>To determine whether TID1 directly interacts with frataxin, an <italic>in vitro</italic> binding assay was performed using purified glutathione S-transferase (GST)-frataxin fusion proteins and TID1L fused to a C-terminal C-Myc tag. GST-frataxin but not GST bound to TID1L in the <italic>in vitro</italic> binding assay (<xref ref-type="fig" rid="F1">Figure 1E</xref>), indicating that TID1L directly interacts with frataxin.</p>
</sec>
<sec id="s3-2">
<title>3.2 Frataxin deficiency causes opposing changes in TID1 proteins</title>
<p>To examine whether frataxin deficiency affects TID1 protein levels, human skin fibroblasts were transfected with frataxin siRNA followed by Western blot analysis. Frataxin siRNA treatment for 3&#xa0;days led to 40% residual frataxin compared with control siRNA (<xref ref-type="fig" rid="F2">Figures 2A, B</xref>) (<italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.05), accompanied by a significant increase in TID1L protein levels (<xref ref-type="fig" rid="F2">Figures 2A, B</xref>) (40% increase, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.05). Similar result was found for TID1L using TID1L antibody (<xref ref-type="sec" rid="s11">Supplementary Figures S1A, B</xref>). No change was detected for TID1S. We next investigated TID1 protein levels <italic>in vivo</italic> in doxycycline-inducible frataxin knockdown mice. In comparison with wildtype (WT) mice, doxycycline induction for 4&#xa0;weeks led to 30%, 42% and 40% residual frataxin in the homogenates of cerebellum (<xref ref-type="fig" rid="F2">Figures 2C, D</xref>, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.01), heart (<xref ref-type="fig" rid="F2">Figures 2E, F</xref>, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.01) and skeletal muscle (<xref ref-type="fig" rid="F2">Figures 2G, H</xref>, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.01) of frataxin knockdown mice, respectively. Accordingly, TID1 proteins were also significantly increased in the homogenates of cerebellum (<xref ref-type="fig" rid="F2">Figures 2C, D</xref>, 64% increase for TID1L, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.05), heart (<xref ref-type="fig" rid="F2">Figures 2E, F</xref>, 62% and 99% increase for TID1L and TID1S, respectively, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.05) and skeletal muscle (<xref ref-type="fig" rid="F2">Figures 2G, H</xref>, 64% and 29% increase for TID1L and TID1S, respectively, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.05) of frataxin knockdown mice. Similar results were found for TID1L in cerebellum (<xref ref-type="sec" rid="s11">Supplementary Figures S1C, D</xref>) and heart (<xref ref-type="sec" rid="s11">Supplementary Figures S1E, F</xref>) using TID1L antibody. GRP75, a major mitochondrial chaperone, showed no change in the homogenates of either tissue (<xref ref-type="fig" rid="F2">Figures 2C, E, G</xref>). Acute frataxin knockdown also has no effect on GRP75 protein levels in human skin fibroblasts (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). These results indicate that acute and subacute frataxin deficiency specifically increases TID1 protein levels.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Effect of frataxin knockdown on TID1 protein levels. Representative blots and bar graph show decreased frataxin and increased TID1 protein levels in human skin fibroblasts transfected with frataxin siRNA for 3 days <bold>(A,B)</bold> (<italic>n</italic> &#x3d; 6) as well as in the homogenates of cerebellum <bold>(C,D)</bold> (<italic>n</italic> &#x3d; 6), heart <bold>(E,F)</bold> (<italic>n</italic> &#x3d; 6) and skeletal muscle <bold>(G,H)</bold> (<italic>n</italic> &#x3d; 6) from frataxin knockdown mice induced with doxycycline for 4&#xa0;weeks. &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01. Data were shown as mean &#xb1; SE.</p>
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<p>We then examined TID1 protein in FRDA patient-derived cells. Due to the low expression level of TID1S in buccal cells, platelets and PBMCs (<xref ref-type="sec" rid="s11">Supplementary Figure S2</xref>), only TID1L was measured in patient cells. Compared with healthy individuals, frataxin levels significantly decreased in buccal cells (<xref ref-type="fig" rid="F3">Figures 3A, B</xref>, 78% decrease, <italic>n</italic> &#x3d; 14 for control and <italic>n</italic> &#x3d; 16 for patient, <italic>p</italic> &#x3c; 0.01), platelets (<xref ref-type="fig" rid="F3">Figures 3C, D</xref>, 60% decrease, <italic>n</italic> &#x3d; 15 for control and <italic>n</italic> &#x3d; 20 for patient, <italic>p</italic> &#x3c; 0.01), PBMCs (<xref ref-type="fig" rid="F3">Figures 3E, F</xref>, 47% decrease, <italic>n</italic> &#x3d; 18 for both control and patient, <italic>p</italic> &#x3c; 0.01) and fibroblasts (<xref ref-type="fig" rid="F3">Figures 3G, H</xref>, 65% decrease, <italic>n</italic> &#x3d; 16&#x2013;17 both control and patient, <italic>p</italic> &#x3c; 0.01). Accordingly, TID1L levels were significantly decreased in buccal cells (<xref ref-type="fig" rid="F3">Figures 3A, B</xref>, 60% decrease, <italic>n</italic> &#x3d; 14 for control and <italic>n</italic> &#x3d; 16 for patient, <italic>p</italic> &#x3c; 0.01), platelets (<xref ref-type="fig" rid="F3">Figures 3C, D</xref>, 51% decrease, <italic>n</italic> &#x3d; 15 for control and <italic>n</italic> &#x3d; 20 for patient, <italic>p</italic> &#x3c; 0.01) and fibroblasts (<xref ref-type="fig" rid="F3">Figures 3G, H</xref>, 65% decrease, <italic>n</italic> &#x3d; 16&#x2013;17 both control and patient, <italic>p</italic> &#x3c; 0.01). No change in TID1L was detected in PBMCs (<xref ref-type="fig" rid="F3">Figures 3E, F</xref>). These results indicate that TID1L is reduced in FRDA patient-derived cells.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>TID1L protein levels are reduced in FRDA patient-derived cells. FRDA patient buccal cells, skin fibroblasts, platelets or PBMCs were lysed and subjected to Western blotting with the indicated antibodies. The amount of immunoreactivity in the lysates was quantified as a percentage of the controls. Representative blots and bar graphs demonstrate reduced frataxin and TID1L in buccal cells <bold>(A,B)</bold> (<italic>n</italic> &#x3d; 14 for controls and <italic>n</italic> &#x3d; 16 for patients), platelets <bold>(C,D)</bold> (<italic>n</italic> &#x3d; 16 for controls and <italic>n</italic> &#x3d; 17 for patients) and fibroblasts <bold>(G,H)</bold> (<italic>n</italic> &#x3d; 15 for controls and <italic>n</italic> &#x3d; 20 for patients). While frataxin was significantly reduced in PBMCs, no change in TID1L was detected in PBMCs <bold>(E,F)</bold> (<italic>n</italic> &#x3d; 18 for both controls and patients). &#x2217;<italic>p</italic> &#x3c; 0.05; &#x2217;&#x2217;<italic>p</italic> &#x3c; 0.01. Data were shown as mean &#xb1; SE.</p>
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</sec>
<sec id="s3-3">
<title>3.3 TID1 overexpression increases frataxin precursor but decreases intermediate and mature frataxin</title>
<p>To investigate the functional significance of TID1 elevation upon acute and subacute frataxin deficiency, TID1 protein was overexpressed in HEK293 cells along with frataxin followed by Western blot analysis. Both TID1 precursor and mature form were detected when overexpressed in HEK293 cells. Compared with vector control, both TID1L and TID1S overexpression significantly increased frataxin precursor (<xref ref-type="fig" rid="F4">Figures 4A, B</xref>, 171% increase and 234% increase for TID1L and TID1S, respectively, <italic>n</italic> &#x3d; 8, <italic>p</italic> &#x3c; 0.01) but decreased intermediate and mature frataxin (<xref ref-type="fig" rid="F4">Figures 4A, B</xref>, Intermediate frataxin: 85% decrease for both TID1L and TID1S, <italic>n</italic> &#x3d; 8, <italic>p</italic> &#x3c; 0.05; Mature frataxin: 70% and 57% decrease for TID1L and S, respectively, <italic>n</italic> &#x3d; 8, <italic>p</italic> &#x3c; 0.05). Given that GRP75 regulates frataxin (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>) and TID1 is a cochaperone of GRP75 (<xref ref-type="bibr" rid="B38">Trentin et al., 2001</xref>), we overexpressed TID1L H121Q and TID1S H121Q, mutants functionally inactivate TID1 by allowing to bind to, but not to activate, Hsp70 chaperone proteins (<xref ref-type="bibr" rid="B35">Skyen et al., 1999</xref>), to rule out the potential that GRP75 mediates the impact of TID1 on frataxin. Both TID1L H121Q and TID1S H121Q overexpression had similar effects on frataxin as wildtype TID1L and TID1S (<xref ref-type="fig" rid="F4">Figures 4A, B</xref>, frataxin precursor: 224% and 200% increase for TID1L H121Q and TID1S H121Q, respectively, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.01; intermediate frataxin: 85% and 78% decrease for TID1L H121Q and TID1S H121Q, respectively, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.05; mature frataxin: 57% and 48% decrease for TID1L H121Q and TID1S H121Q, respectively, <italic>n</italic> &#x3d; 6, <italic>p</italic> &#x3c; 0.05). TID1L and TID1S overexpression also had no effect on GRP75 levels (<xref ref-type="fig" rid="F4">Figure 4C</xref>). These results indicate that TID1 regulates frataxin independently of its ability to activate GRP75.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Effect of TID1 overexpression on frataxin protein levels. HEK293 cells transfected with frataxin and TID1 plasmid DNAs were lysed and subjected to Western blotting with the indicated antibodies. The amount of immunoreactivity in the lysates was quantified as a percentage of vector control. Representative blots and bar graphs demonstrate increased frataxin precursor and decreased intermediate and mature frataxin following TID1L or TID1S overexpression <bold>(A,B)</bold> (<italic>n</italic> &#x3d; 8). TID1L H121Q and TID1S H121Q had similar effects as wildtype TID1L and TID1S <bold>(A,B)</bold> (<italic>n</italic> &#x3d; 6), respectively. No change was found in GRP75 levels upon TID1L or TID1S overexpression <bold>(C)</bold>. &#x2217;<italic>p</italic> &#x3c; 0.05, &#x2217;&#x2217;<italic>p</italic> &#x3c; 0.01. Data were shown as mean &#xb1; SE.</p>
</caption>
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</fig>
<p>TID1 overexpression increases levels of frataxin precursor but decreases levels of intermediate and mature frataxin, suggesting that frataxin precursor is either not imported or is degraded. To test these hypotheses, subcellular fractionation was performed in HEK293 cells followed by Western blot analysis. As shown in <xref ref-type="fig" rid="F5">Figure 5A</xref>, increased frataxin precursor caused by TID1L or TID1S overexpression were predominantly localized in the mitochondrial fraction whereas a small portion was localized in the cytosolic fraction, suggesting that decreased intermediate and mature frataxin are not caused by impaired mitochondrial import. Treatment with a proteasomal inhibitor MG132 had no effect on the levels of intermediate and mature frataxin while same treatment significantly increased frataxin G130V precursor and intermediate forms (<xref ref-type="fig" rid="F5">Figure 5B</xref>), consistent with our previous report on such variant (<xref ref-type="bibr" rid="B7">Clark et al., 2017</xref>). These results indicate that TID1L or TID1S overexpression caused a decrease in intermediate and mature frataxin that is not caused by proteasomal degradation either.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Mechanistic study of TID1 overexpression-caused changes in frataxin levels. HEK293 cells transfected with frataxin and TID1 plasmid DNAs were subject to mitochondria fractionation followed by Western blotting analysis. Frataxin precursor is predominantly localized in the mitochondrial fraction upon TID1L or TID1S overexpression <bold>(A)</bold>. Tom20 was used as a mitochondrial marker <bold>(A)</bold>. Treatment with MG132 (10&#xa0;&#x3bc;M) also had no effect on TID1L or TID1S overexpression-caused decrease in intermediate and mature frataxin <bold>(B)</bold>. Frataxin G130V mutant transfected HEK293 cells were used as a positive control <bold>(B)</bold>. Neither TID1L nor TID1S interacted with MPP, in contrast to GRP75 <bold>(C)</bold>.</p>
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</fig>
<p>As GRP75 regulates frataxin partly through its interaction with mitochondrial processing peptidase (MPP) (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>), we next examined whether TID1L and TID1S interact with MPP using a Co-IP assay. An antibody against MPP pulled down GRP75 but not TID1L or TID1S (<xref ref-type="fig" rid="F5">Figure 5C</xref>), suggesting that neither TID1L nor TID1S interact with MPP and alter frataxin processing by MPP.</p>
</sec>
<sec id="s3-4">
<title>3.4 TID1S overexpression decreases mature frataxin and ATP levels in human skin-derived fibroblasts</title>
<p>To examine whether TID1 overexpression affects frataxin levels in primary cultured cells, lentivirus carrying pHAGE-TID1S gene or vector control was transduced into human skin fibroblasts for 5&#xa0;days followed by Western blot analysis. TID1S overexpression decreased mature frataxin levels in fibroblasts (<xref ref-type="fig" rid="F6">Figures 6A, B</xref>, 54% decrease, <italic>n</italic> &#x3d; 5, <italic>p</italic> &#x3c; 0.05) compared with vector control. Similar as in HEK293 cells, TID1S overexpression had no effect on GRP75 in fibroblasts. TID1S overexpression also decreased ATP levels, a marker of cell viability (<xref ref-type="fig" rid="F6">Figure 6C</xref>, 26% decrease, <italic>n</italic> &#x3d; 4, <italic>p</italic> &#x3c; 0.05) and increased mitochondrial fragmentation in fibroblasts (<xref ref-type="fig" rid="F6">Figure 6D</xref>). While lentivirus-mediated TID1L overexpression had no effect on mature frataxin (<xref ref-type="sec" rid="s11">Supplementary Figure S3A</xref>), it resulted in mitochondria fragmentation (<xref ref-type="sec" rid="s11">Supplementary Figure S3B</xref>). These results indicate that TID1L and TID1S have distinct roles in regulating frataxin in fibroblasts.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>TID1S overexpression decreases mature frataxin in human skin fibroblasts. Human skin fibroblasts from healthy individuals were transduced with lentivirus carrying pHAGE-TID1S gene or vector control for 5&#xa0;days before Western blotting or immunofluorescence. TID1S transduction decreased mature frataxin <bold>(A, B)</bold> and ATP levels <bold>(C)</bold> (<italic>n</italic> &#x3d; 5). TID1S transduction also caused mitochondria fractionation in fibroblasts <bold>(D)</bold>. Vector control was stained with an anti-GFP antibody and TID1S was stained with an anti-TID1L/S antibody. &#x2217;<italic>p</italic> &#x3c; 0.05, &#x2217;&#x2217;<italic>p</italic> &#x3c; 0.01. Data were shown as mean &#xb1; SE.</p>
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</sec>
<sec id="s3-5">
<title>3.5 A peptide targeting TID1S rescues frataxin deficiency and mitochondrial phenotype in FRDA patient-derived skin fibroblasts</title>
<p>TID1S and TID1L only differ in the C-terminus. TID1L has 33 amino acids unique to its C-terminus while TID1S contains 6 amino acids (<xref ref-type="bibr" rid="B21">Lu et al., 2006</xref>). To investigate whether the effect of TID1S on frataxin is mediated by the last 6 amino acids of its C-terminus (448-453), we generated a competing peptide based on the amino acid sequence of TID1S448-453. To make the TID1S448-453 peptide permeable to cell membranes, it was coupled with a peptide from the transactivator of transcription (TAT) of human immunodeficiency virus (<xref ref-type="bibr" rid="B18">Liu et al., 2008</xref>). As a negative control, scrambled TID1S448-453 (sTID1S448-453) was also produced. FRDA patient-derived skin fibroblasts were treated with both peptides for 48&#xa0;h followed by Western blot analysis. In comparison with sTID1S448-453Tat, TID1S448-453Tat dose dependently increased frataxin levels with maximal effect achieved at 1&#xa0;&#x3bc;M (<xref ref-type="fig" rid="F7">Figures 7A, B</xref>) (146% increase, <italic>n</italic> &#x3d; 5, <italic>p</italic> &#x3c; 0.05). 1&#x3bc;M TID1S448-453Tat also significantly increased aconitase levels (<xref ref-type="fig" rid="F7">Figures 7A, B</xref>) (59% increase, <italic>n</italic> &#x3d; 5, <italic>p</italic> &#x3c; 0.01) and rescued mitochondrial fractionation (<xref ref-type="fig" rid="F7">Figure 7C</xref>) in FRDA patient fibroblasts.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>TID1S448-453Tat rescues frataxin deficiency and mitochondrial defect in FRDA patient-derived skin fibroblasts. FRDA patient skin fibroblasts were treated with TID1S448-453Tat and sTID1448-453Tat for 48&#xa0;h followed by Western blotting analysis or immunofluorescence. Compared with sTID1448-453Tat, TID1S448-453Tat does-dependently increased frataxin levels <bold>(A,B)</bold> (<italic>n</italic> &#x3d; 5). 1&#x3bc;M TID1S448-453Tat treatment also increased aconitase levels <bold>(A,B)</bold> (<italic>n</italic> &#x3d; 5) and rescued mitochondrial fragmentation in FRDA patient skin fibroblasts <bold>(C)</bold>. Mitotracker was used to identify mitochondria. &#x2217;<italic>p</italic> &#x3c; 0.05, &#x2217;&#x2217;<italic>p</italic> &#x3c; 0.01. Data were shown as mean &#xb1; SE.</p>
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</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>In the present study, we demonstrate that TID1 is a novel binding partner and regulator of frataxin. In both HEK293 cells and primary cultured human skin fibroblasts, overexpression of TID1S lowers the amounts of mature frataxin. The effect of TID1S on frataxin is mediated by the last 6 amino acids of TID1S as a competing peptide made from these amino acids rescues frataxin deficiency and mitochondrial abnormalities in the FRDA cellular model. Our findings thus identify TID1S as a negative posttranslational regulator of frataxin and a new therapeutic target for FRDA.</p>
<p>TID1L and TID1S differ only at their extreme carboxyl termini but have distinct role in regulating frataxin. While both TID1L and TID1S increase frataxin precursor and decrease mature frataxin in HEK293 cells, only TID1S overexpression decreases mature frataxin in primary cultured fibroblasts. The lack of effect of TID1L in primary cultured fibroblasts could be ascribed to both the altered protein interactome and its limited binding affinity for frataxin (<xref ref-type="fig" rid="F1">Figures 1C, D</xref>). Aside from this, TID1L has a longer residency time in the cytosol due to its interaction with the cytosolic chaperone Hsc70 and its cytosolic substrates such as STAT1 and STAT3, (<xref ref-type="bibr" rid="B21">Lu et al., 2006</xref>), whereas TID1S predominates in the mitochondria where it is more likely to interact with and control frataxin. Since TID1S overexpression has no effect on the mitochondrial localization of frataxin precursor and a proteasomal inhibitor, MG132, does not restore intermediate and mature frataxin in HEK293 cells, the TID1S overexpression-generated decrease in mature frataxin is neither due to compromised mitochondrial import nor to proteasomal degradation. Given that frataxin is susceptible to degradation by mitochondrial proteases such as PITRM1 in addition to the proteasome (<xref ref-type="bibr" rid="B30">Rufuni et al., 2011</xref>; <xref ref-type="bibr" rid="B23">Nabhan et al., 2015</xref>; <xref ref-type="bibr" rid="B12">Hackett et al., 2022</xref>), one explanation for this decrease is that TID1S directs frataxin precursor to mitochondrial proteases for destruction. Additionally, unlike GRP75, which facilitates the maturation of frataxin by MPP, TID1S does not interact with MPP. The binding of TID1S to frataxin alone may not only decrease the efficiency of MPP-mediated frataxin maturation but also make the frataxin precursor more accessible to other methods of destruction. It will be interesting to know whether mitochondrial proteases are involved in this process and whether TID1S and GRP75 compete with one another for binding to frataxin, decreasing the effectiveness of GRP75-facilitated frataxin maturation.</p>
<p>Altered TID1 protein levels are noted in some neurodegenerative diseases including Alzheimer&#x2019;s disease (AD) and Parkinson&#x2019;s disease (PD). Elevated TID1 protein levels are observed in the hippocampus of both AD patients and Tg2576 mice. This elevation contributes to A&#x3b2;42 induced neurotoxicity through reactive oxygen species generation, apoptosis and A&#x3b2; production, all of which can be reversed by TID1 knockdown (<xref ref-type="bibr" rid="B42">Zhou et al., 2020</xref>). In the 6-OHDA rat model of Parkinson&#x2019;s disease, a 26&#xa0;kDa breakdown product of TID1 is widely increased following a 6-OHDA lesion. TID1 protein is also reduced in CAD (CNS-derived catecholaminergic neuronal cell line) cells by the same treatment (<xref ref-type="bibr" rid="B27">Proft et al., 2011</xref>). No alteration in heat shock proteins such as Hsp70 is seen in either the <italic>in vitro</italic> or <italic>in vivo</italic> model of Parkinson&#x2019;s disease (<xref ref-type="bibr" rid="B27">Proft et al., 2011</xref>), indicating a critical role of TID1 in the pathogenesis of neurodegenerative diseases. Our results demonstrate that both TID1L and TID1S are increased in the affected tissues of frataxin knockdown mice upon subacute frataxin deficiency. TID1L is widely elevated whereas TID1S is only increased in specific tissues, including the heart and skeletal muscle, suggesting tissue specific effects of frataxin deficiency on TID1 splice variants levels. TID1S elevation could result in a further decrease in frataxin levels leading to exacerbation of pathological changes in FRDA, forming a vicious cycle. While TID1L overexpression has no effect on mature frataxin in primary cultured fibroblasts, it causes mitochondrial fragmentation, just like TID1S. TID1L-caused mitochondrial fragmentation is Dynamin-related protein 1 (Drp1) dependent and associated with reduced cell viability (Elwi et al., 2012). Consistent with increased TID1L, in the cerebellum of frataxin knockdown mice increased activation of Drp1 and structural changes in mitochondria were observed in the cerebellum of one FRDA mouse model (<xref ref-type="bibr" rid="B22">Mercado-Ay&#xf3;n et al., 2022</xref>). Similar results are also observed <italic>in vitro</italic> in frataxin deficient fibroblasts (<xref ref-type="bibr" rid="B43">Johnson et al., 2021</xref>), suggesting that TID1L elevation could also contribute to pathological changes in FRDA. Although the mechanism by which frataxin deficiency increases TID1 is yet unclear, one possibility is that frataxin deficiency-caused oxidative stress activates the integrated stress response (<xref ref-type="bibr" rid="B40">V&#xe1;squez-Trincado et al., 2022</xref>), consequently affecting TID1 levels.</p>
<p>In contrast to TID1L elevation upon acute and subacute frataxin deficiency, TID1L is significantly decreased in FRDA patient-derived cells, suggesting that chronic frataxin deficiency causes the opposite changes in TID1L. Consistent with previous reports in Hela cells (<xref ref-type="bibr" rid="B10">Elwi et al., 2012</xref>), TID1L decreases also cause mitochondrial fragmentation in fibroblasts (<xref ref-type="sec" rid="s11">Supplementary Figure S4</xref>), suggesting that both TID1L elevation and decrease can contribute to pathological changes in FRDA. An optimal concentration of TID1 may be needed for its physiological effects. The decrease in TID1L levels may reflect decreased mitochondrial numbers (<xref ref-type="bibr" rid="B15">Huang et al., 2013</xref>; <xref ref-type="bibr" rid="B40">V&#xe1;squez-Trincado et al., 2022</xref>) as multiple proteins including GRP75 are lowered in FRDA patient cells (<xref ref-type="bibr" rid="B8">Dong et al., 2019</xref>). The easy accessibility of such patient cells suggests that TID1L decrease could serve as a biomarker for FRDA.</p>
<p>Our result that TID1S448-453 rescuing frataxin deficiency and mitochondrial defects in FRDA fibroblasts offers a potential small molecule therapeutic candidate for FRDA. Although more research is needed to determine whether TID1S448-453 can effectively restore the frataxin levels and phenotype of FRDA neurons and cardiomyocytes, the most severely affected tissues, as well as animal models, its small molecular weight and ease of modification provide a new avenue for therapeutic development. In addition, TID1S448-453 increases aconitase 2 protein levels, suggesting a potential impact on mitochondrial biogenesis. TID1S448-453 may be beneficial for a number of neurodegenerative diseases, including FRDA, which have a mitochondrial biogenesis deficit (<xref ref-type="bibr" rid="B3">Calkins et al., 2011</xref>; <xref ref-type="bibr" rid="B39">Uittenbogaard and Chiaramello, 2014</xref>; <xref ref-type="bibr" rid="B11">Golpich et al., 2017</xref>) and aconitase 2 deficient disorders (<xref ref-type="bibr" rid="B32">Spiegel et al., 2012</xref>; <xref ref-type="bibr" rid="B2">Bouwkamp et al., 2018</xref>; <xref ref-type="bibr" rid="B24">Neumann et al., 2020</xref>; <xref ref-type="bibr" rid="B26">Park et al., 2020</xref>).</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Ethics statement</title>
<p>The studies involving humans were approved by Institutional Review Boards of Children&#x2019;s Hospital of Philadelphia. The studies were conducted in accordance with the local legislation and institutional requirements. The human samples used in this study were acquired from primarily isolated as part of your previous study for which ethical approval was obtained. Written informed consent for participation was not required from the participants or the participants&#x2019; legal guardians/next of kin in accordance with the national legislation and institutional requirements. The animal study was approved by Children&#x2019;s Hospital of Philadelphia Institutional Animal Care and Use Committee. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>YD: Conceptualization, Data curation, Investigation, Project administration, Supervision, Writing&#x2013;original draft. LN: Data curation, Investigation, Writing&#x2013;review and editing. JA: Investigation, Writing&#x2013;review and editing. MA: Data curation, Writing&#x2013;review and editing. NW: Investigation, Writing&#x2013;review and editing. JW: Investigation, Writing&#x2013;review and editing. DL: Supervision, Writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was funded by the Friedreich&#x2019;s Ataxia Research Alliance (Center of Excellence Grant to DL).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2024.1352311/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2024.1352311/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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