A mitochondrial protein’s protective role offers new hope for Charcot-Marie-Tooth disease microbiologystudy

Researchers from Cologne, Bochum, Padova and Angers have discovered a novel connection between mitochondrial function, protein quality control and cellular health, whose failure could be the leading cause of the currently incurable neurological disease Charcot-Marie-Tooth (CMT).

The study led by Mafalda Escobar at the University of Cologne’s Institute of Genetics, CECAD Cluster of Excellence in Aging Research and Center for Molecular Medicine Cologne (CMMC), uncovered an unexpected function of the protein Mitofusin 2 (MFN2) in mitochondria. It could have far-reaching implications for the treatment of CMT and similar conditions.

The work, “Mitofusin 2 displays fusion-independent roles in proteostasis surveillance,” is published in Nature Communications.

Mitochondria are best known as the energy producers of the cell, but they also regulate metabolism, gene expression and cell survival, all essential for healthy aging. MFN2 has long been recognized for its role in mitochondrial fusion.

The researchers now uncovered an additional, unexpected function of MFN2 in maintaining protein quality within cells. The team found that MFN2 interacts with the proteasome and chaperones—cellular systems that prevent newly produced proteins from forming toxic aggregates, which can lead to neurodegeneration.

Unexpectedly, MFN2 shares this protective function. Further analysis of skin cells from CMT patients confirmed that when MFN2 is mutated, this novel function is lost, leading to harmful protein clumping. This discovery opens new possibilities for treating diseases like CMT.

“Although MFN2 is a leading causative gene in Charcot-Marie-Tooth, most other genes linked to the disease do not encode mitochondrial proteins. This makes it less surprising that MFN2’s connection to CMT is independent of its primary function in mitochondrial dynamics,” explained Mariana Joaquim, one of the first authors.

To understand MFN2’s unique role, the researchers compared it to its closely related counterpart, MFN1. While hundreds of mutations in MFN2 are known to cause CMT, MFN1 has not been linked to the disease. By generating human cell lines lacking either MFN1 or MFN2, they found that only MFN2 interacts with the proteasome and prevents harmful protein accumulation. This highlights MFN2’s specialized role in cellular health.

The authors used a combination of state-of-the-art proteomics, microscopy and biochemistry techniques, mainly thanks to facilities at CECAD, thanks to support from the CMMC and largely benefiting from the mitochondria and proteostasis research communities in Cologne.

Doctoral researchers from the Cologne Graduate School of Ageing Research (CGA) were involved in the discovery. The CGA is a joint venture of CECAD, University Hospital Cologne, the Max Planck Institute for Biology of Ageing and the Max Planck Institute for Metabolism Research.

Doctoral researcher Maria-Bianca Bulimaga shared her excitement about the results: “Seeing these aggregates in CMT patients’ cells was a real eye-opener for me. It reinforced how mitochondria are deeply involved in balancing protein synthesis and degradation. It’s something I’m eager to explore further.”

“The study suggests that MFN2’s function in protein quality control could also be relevant for diseases like obesity, where cellular stress and protein misfolding play a major role,” said Tânia Simões, another author on the study.

Selver Altin, a former doctoral student, said, “It is immensely rewarding to see the results of this work, which I helped initiate during my doctoral work.”

According to the researchers, this discovery is a key step in uncovering how mitochondria contribute to cellular health. The team now sees potential for new therapeutic approaches.

“By understanding how MFN2 interacts with the cellular machinery that maintains protein health, we may be able to develop treatments that prevent harmful protein aggregation and protect neuronal function in CMT and perhaps other neurodegenerative diseases. We are very thankful to the many sponsors of our study, including the German Research Foundation (DFG) as well as the Fritz Thyssen, Boehringer Ingelheim and Bayer Foundations,” added Escobar.