# Understanding the regulation of mtDNA heteroplasmy and integrity

> **NIH NIH R35** · UNIVERSITY OF WASHINGTON · 2024 · $388,750

## Abstract

PROJECT SUMMARY
 Mitochondria have retained a small circular genome (mtDNA) that encodes essential components of the elec-
tron transport chain. Mutations in the mtDNA can cause devastating maternally inherited diseases, while the
accumulation of somatic mtDNA mutations is linked to common pathologies. Although mtDNA mutations impact
human health, the process(es) that influence their occurrence and level with the cell (i.e., heteroplasmy) remain
under considerable debate, despite nearly 30 years of study. Using cutting edge sequencing methods, we have
made key contributions to understanding the drivers of mtDNA mutagenesis in a variety of diseases and animal
models. This includes the discovery that the types and frequencies of mutations varies considerably between
organisms and tissues, evidence that deaminations arising from a single-stranded replication interemediate is
the driver of mutations in most vertebrates, and strong evidence that selection of mtDNA is occurring in somatic
tissues.
 Here, we aim to understand the cellular mechanisms that regulate mtDNA heteroplasmy and its intersection
with mitochondrial quality control pathways. Testing hypotheses related to heteroplasmy and mtDNA selection
has been difficult due to the reliance on bulk sequencing approaches. However, the advent of new methods, such
as single-cell and ultra-high accuracy sequencing, has opened up the possibility of answering these questions.
We will use a combination of these two technologies to directly assess how mitochondrial quality control mecha-
nistically influences the occurrence and accumulation of mtDNA mutations. Specifically, we will pursue three main
focus areas: 1) Using a modified form of scATAC-Seq adapted to quantify mtDNA mutations/heteroplasmy, we will
perform experiments that will test hypotheses related to if/how mitochondrial quality control (mQC) mechanisms
regulate mtDNA heteroplasmy in cells and thereby keeping deleterious mutations from exceeding a phenotypic
threshold by small molecule interventions and manipulations genes known to be involved in quality control; 2)
We have identified mutationally intolerant sites in mouse mtDNA. We will determine the specific molecular cause
behind the presence of these apparent “immutable” sites by using cutting-edge base editing methods and then
performing biochemical and in vitro assays to determine the impact of the induced mutation on mitophagy, mtDNA
replication, oxidative phosphorylation, and other mitochondrial functions; 3) Develop single-cell ultra-high accu-
racy long read sequencing that will allow for the simultaneous accounting of single-nucleotide variants, structural
variants, and heteroplasmy. Such technology is needed in order to fully understand the biology of mtDNA mu-
tations in disease. The long-term objective of our work is to define the cellular mechanisms that influence the
occurrence of mtDNA mutations in the germline and somatic tissues. This work will contribute to an understandin...

## Key facts

- **NIH application ID:** 10837271
- **Project number:** 1R35GM153370-01
- **Recipient organization:** UNIVERSITY OF WASHINGTON
- **Principal Investigator:** Scott Robert Kennedy
- **Activity code:** R35 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $388,750
- **Award type:** 1
- **Project period:** 2024-08-01 → 2029-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10837271

## Citation

> US National Institutes of Health, RePORTER application 10837271, Understanding the regulation of mtDNA heteroplasmy and integrity (1R35GM153370-01). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10837271. Licensed CC0.

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