Douglas C. Wallace’s research while affiliated with The Children's Hospital of Philadelphia and other places

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Publications (525)


Vitamin A treatment restores vision failures arising from Leber’s hereditary optic neuropathy-linked mtDNA mutation
  • Article
  • Full-text available

March 2025

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16 Reads

JCI Insight

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Huiying Li

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Chunyan Wang

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ZNFX1 functions as a master regulator of epigenetically induced pathogen mimicry and inflammasome signaling in cancer

January 2025

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32 Reads

Cancer Research

DNA methyltransferase and poly (ADP-ribose) polymerase inhibitors (DNMTis, PARPis) induce a stimulator of interferon genes (STING)-dependent pathogen mimicry response (PMR) in ovarian and other cancers. Here, we showed that combining DNMTis and PARPis upregulates expression of the nucleic-acid sensor NFX1-type zinc finger-containing 1 protein (ZNFX1). ZNFX1 mediated induction of PMR in mitochondria, serving as a gateway for STING-dependent interferon/inflammasome signaling. Loss of ZNFX1 in ovarian cancer cells promoted proliferation and spheroid formation in vitro and tumor growth in vivo. In patient ovarian cancer databases, expression of ZNFX1 was elevated in advanced stage disease, and ZNFX1 expression alone significantly correlated with an increase in overall survival in a phase 3 trial for therapy-resistant ovarian cancer patients receiving bevacizumab in combination with chemotherapy. RNA-sequencing revealed an association between inflammasome signaling through ZNFX1 and abnormal vasculogenesis. Together, this study identified that ZNFX1 as a tumor suppressor that controls PMR signaling through mitochondria and may serve as a biomarker to facilitate personalized therapy in ovarian cancer patients.


Mitochondrial DNA lineages determine tumor progression through T cell reactive oxygen signaling

January 2025

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8 Reads

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1 Citation

Proceedings of the National Academy of Sciences

Mitochondrial DNA (mtDNA) is highly polymorphic, and host mtDNA variation has been associated with altered cancer severity. To determine the basis of this mtDNA–cancer association, we analyzed conplastic mice with the C57BL/6J (B6) nucleus but two naturally occurring mtDNA lineages, mtDNA B6 and mtDNA NZB , where mtDNA NZB mitochondria generate more oxidative phosphorylation (OXPHOS)-derived reactive oxygen species (mROS). In a cardiac transplant model, mtDNA B6 Foxp3+ T regulatory (Treg) cells supported long-term allograft survival, whereas mtDNA NZB Treg cells failed to suppress host T effector (Teff) cells, leading to acute rejection. When challenged with melanoma or colon cancer cells, the mtDNA NZB mice exhibited strikingly impaired tumor growth while mtDNA B6 mice showed Treg-dependent inhibition of Teff cells and allowed rapid tumor growth. Transcriptional analysis showed that activation of mtDNA NZB Teff cells increased mitochondrial gene expression while activation of mtDNA NZB Treg cells impaired mitochondrial gene expression and resulted in mtDNA NZB Treg cell exhaustion. Induction of the mitochondrially targeted catalytic antioxidant, mCAT, in hematopoietic cells normalized mtDNA NZB Treg function in both transplant and tumor models, indicating a key role for mROS in promoting Treg dysfunction. Anti-PD-L1 therapy did not modulate these effects, indicating that modulation of host mitochondrial function provides an independent approach for enhancing tumor cell destruction.



Substrate‐inhibitor‐uncoupler‐titration protocol used to measure mitochondrial respiration. Representation of the substrate‐inhibitor‐uncoupler‐titration protocol used to measure mitochondrial respiration in kidney tissue homogenates from control mice (A) and after LPS (B). The same protocol was used in other experimental groups and in liver tissue homogenates. The blue line indicates oxygen concentration and the red line indicates the rate of oxygen consumption (O2 flux) in pmol/sec/mg tissue.
Kidney mitochondrial respiration. Mitochondrial respiration is measured within kidney tissue homogenates using a high‐resolution respirometer. Data are presented as oxygen flux in pmol O2/sec/mg tissue, which is directly proportional to the oxygen consumption rate. Groups are indicated as control (phosphate‐buffered saline only), LPS (lipopolysaccharide) only, B600‐LPS (sodium butyrate 600 mg/kg followed 2 h later by LPS), B1200‐LPS (sodium butyrate 1200 mg/kg followed 2 h later by LPS), LPS‐B600 (LPS followed 1 h later by sodium butyrate 600 mg/kg), LPS‐B1200 (LPS followed 1 h later by sodium butyrate 1200 mg/kg), or B1200 (sodium butyrate 1200 mg/kg) only. Graphs A–F indicate distinct parameters of mitochondrial respiration. Data are presented as mean ± SE with individual observations represented by the overlaying circles. **p < .01 and *p < .05 after correction for multiple comparisons using the post hoc Dunnett test.
Liver mitochondrial respiration. Mitochondrial respiration is measured within liver tissue homogenates using a high‐resolution respirometer. Data are presented as oxygen flux in pmol O2/sec/mg tissue, which is directly proportional to the oxygen consumption rate. Groups are indicated as control (phosphate‐buffered saline only), LPS (lipopolysaccharide) only, B600‐LPS (sodium butyrate 600 mg/kg followed 2 h later by LPS), B1200‐LPS (sodium butyrate 1200 mg/kg followed 2 h later by LPS), LPS‐B600 (LPS followed 1 h later by sodium butyrate 600 mg/kg), LPS‐B1200 (LPS followed 1 h later by sodium butyrate 1200 mg/kg), or B1200 (sodium butyrate 1200 mg/kg) only. Graphs A–F indicate distinct parameters of mitochondrial respiration. Data are presented as mean ± SE with individual observations represented by the overlaying circles. None of the comparisons were significantly different after correction for multiple comparisons using the post hoc Dunnett test.
Mitochondrial electron transport system enzyme complex activity. Mitochondrial electron transport system complex activity was measured in (A) kidney and (B) liver tissue homogenates in control (phosphate‐buffered saline only), LPS (lipopolysaccharide) only, B1200‐LPS (sodium butyrate 1200 mg/kg followed 2 h later by LPS), and LPS‐B1200 (LPS followed 1 h later by sodium butyrate 1200 mg/kg). Data are presented as mean ± SE with individual observations represented by the overlaying circles. Mitochondrial electron transport complex I + II, II + III, and IV were not significantly different across groups after correction for multiple comparisons using the post hoc Dunnett test.
Mitochondrial content. (A, B) Citrate synthase activity as nmol/min/mg cellular protein and (C, D) mtDNA/nDNA presented as expression fold change relative to controls. Data are presented as mean ± SE with individual observations represented by the overlaying circles. None of the comparisons were significantly different after correction for multiple comparisons using the post hoc Dunnett test.

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Effect of sodium butyrate on kidney and liver mitochondrial dysfunction in a lipopolysaccharide mouse model

December 2024

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13 Reads

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1 Citation

Sodium butyrate can reduce inflammation, but it is not known if butyrate can improve mitochondrial dysfunction during sepsis. We tested butyrate to prevent or reverse lipopolysaccharide (LPS)‐induced mitochondrial dysfunction in murine kidney and liver. C57BL/6 mice were grouped as control (n = 9), intraperitoneal (IP) LPS (n = 8), pretreatment with IP butyrate 600 (n = 3) or 1200 mg/kg (n = 8) followed 2 h later by LPS, posttreatment with IP butyrate 600 (n = 3) or 1200 mg/kg (n = 7) 1 h after LPS, or butyrate 1200 mg/kg only (n = 8). Kidney and liver tissue were collected at 24 h to measure mitochondrial respiration, electron transport system (ETS) complex activity and subunit expression, and content (citrate synthase [CS] activity and mtDNA/nDNA). Kidney mitochondrial respiration was decreased after LPS compared to controls. Pretreatment with butyrate 1200 mg/kg increased kidney OXPHOSCI+II, ETSCI+II, ETSCII, and CIV respiration compared to LPS; posttreatment did not achieve significant increases except for OXPHOSCI. Liver mitochondrial respiration exhibited a similar pattern as in kidney, but differences were not significant. ETS complex and CS activity did not differ between groups, but CI and CII subunit expression trended higher with butyrate in kidney. Changes in mtDNA/nDNA followed a similar pattern as respiration in kidney and liver with a decrease after LPS that was not present with butyrate pretreatment. These data show that butyrate can prevent—but not significantly reverse—the LPS‐induced decrease in kidney mitochondrial respiration without a clear effect in liver. Mitochondrial protection was not attributable to changes in ETS complex activity but may reflect maintenance of ETS subunit expression.


Lethal COVID-19 associates with RAAS-induced inflammation for multiple organ damage including mediastinal lymph nodes

November 2024

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63 Reads

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1 Citation

Proceedings of the National Academy of Sciences

Lethal COVID-19 outcomes are attributed to classic cytokine storm. We revisit this using RNA sequencing of nasopharyngeal and 40 autopsy samples from patients dying of SARS-CoV-2. Subsets of the 100 top-upregulated genes in nasal swabs are upregulated in the heart, lung, kidney, and liver, but not mediastinal lymph nodes. Twenty-two of these are “noncanonical” immune genes, which we link to components of the renin-angiotensin-activation-system that manifest as increased fibrin deposition, leaky vessels, thrombotic tendency, PANoptosis, and mitochondrial dysfunction. Immunohistochemistry of mediastinal lymph nodes reveals altered architecture, excess collagen deposition, and pathogenic fibroblast infiltration. Many of the above findings are paralleled in animal models of SARS-CoV-2 infection and human peripheral blood mononuclear and whole blood samples from individuals with early and later SARS-CoV-2 variants. We then redefine cytokine storm in lethal COVID-19 as driven by upstream immune gene and mitochondrial signaling producing downstream RAAS (renin-angiotensin-aldosterone system) overactivation and organ damage, including compromised mediastinal lymph node function.


Methodologies for Mitochondrial Omic Profiling During Spaceflight

November 2024

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10 Reads

Methods in molecular biology (Clifton, N.J.)

To be able to understand how spaceflight can affect human biology, there is a need for maximizing the amount of information that can be obtained from experiments flown to space. Recently there has been an influx of data obtained from astronauts through multi-omics approaches based on both governmental and commercial spaceflight missions. In addition to data from humans, mitochondrial specific data is gathered for other experiments from rodents and other organisms that are flown in space. This data has started to universally demonstrate that mitochondrial dysfunction is the key regulator associated with increasing health risks associated with spaceflight. This mitochondrial dysfunction can have influence downstream on immune suppression, inflammation, circadian rhythm issues, and more. Due to the space environment, standard methodologies have to be altered for performing mitochondrial specific analysis and in general sample collection for omics. To perform mitochondrial specific analysis and data collection from samples flown to space we will outline the current sample collection methods, processing of the samples, and specific analysis. Specifically we will highlight the different mitochondrial methodologies and challenges involved with research associated with spaceflight.


sChemNET: a deep learning framework for predicting small molecules targeting microRNA function

October 2024

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94 Reads

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2 Citations

MicroRNAs (miRNAs) have been implicated in human disorders, from cancers to infectious diseases. Targeting miRNAs or their target genes with small molecules offers opportunities to modulate dysregulated cellular processes linked to diseases. Yet, predicting small molecules associated with miRNAs remains challenging due to the small size of small molecule-miRNA datasets. Herein, we develop a generalized deep learning framework, sChemNET, for predicting small molecules affecting miRNA bioactivity based on chemical structure and sequence information. sChemNET overcomes the limitation of sparse chemical information by an objective function that allows the neural network to learn chemical space from a large body of chemical structures yet unknown to affect miRNAs. We experimentally validated small molecules predicted to act on miR-451 or its targets and tested their role in erythrocyte maturation during zebrafish embryogenesis. We also tested small molecules targeting the miR-181 network and other miRNAs using in-vitro and in-vivo experiments. We demonstrate that our machine-learning framework can predict bioactive small molecules targeting miRNAs or their targets in humans and other mammalian organisms.


ZNFX1 is a Novel Master Regulator in Epigenetically-induced Pathogen Mimicry and Inflammasome Signaling in Cancer

October 2024

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151 Reads

DNA methyltransferase and poly(ADP-ribose) polymerase inhibitors (DNMTis, PARPis) induce a stimulator of interferon (IFN) genes (STING)-dependent pathogen mimicry response (PMR) in ovarian (OC) and other cancers. We now show that combining DNMTis and PARPis upregulates expression of a little-studied nucleic-acid sensor, NFX1-type zinc finger-containing 1 protein (ZNFX1). We demonstrate that ZNFX1 is a novel master regulator for PMR induction in mitochondria, serving as a gateway for STING-dependent PMR. In patient OC databases, high ZNFX1 expression levels correlate with advanced stage disease. ZNFX1 expression alone significantly correlates with an increase in overall survival in a phase 3 trial for therapy-resistant OC patients receiving bevacizumab in combination with chemotherapy. In correlative RNA-seq data, inflammasome signaling through ZNFX1 correlates with abnormal vasculogenesis. ZNFX1 controls PMR signaling through the mitochondria and may serve as a biomarker to facilitate offering personalized therapy in OC patients, highlighting the strong translational significance of our findings. Significance statement DNA methyltransferase and poly(ADP-ribose) polymerase inhibitors upregulate expression of a novel nucleic-acid sensor, ZNFX1 that serves as a mitochondrial gateway to STING-dependent interferon/inflammasome signaling with tumor suppressor properties in ovarian cancer.


Citations (65)


... Tian et al. [59] further found that butyrate could inhibit pyroptosis, thereby attenuating LPS induced kidney injury. Butyrate could also safeguard mitochondrial function to protect the kidney against septic renal injury [60]. The 5/6th nephrectomy animal model serves as an excellent platform for the study of renal failure [61][62][63]. ...

Reference:

Beneficial Effects of Butyrate on Kidney Disease
Effect of sodium butyrate on kidney and liver mitochondrial dysfunction in a lipopolysaccharide mouse model

... Emerging evidence suggests that inflammation and certain programmed (regulated) cell death processes play pivotal roles in the pathogenesis of COVID-19 (reviewed in [1][2][3]). Lytic forms of regulated cell death, such as necroptosis and pyroptosis, have been linked to dysregulation of the immune system associated with COVID-19 through the release of damage associated molecular patterns (DAMPs), cytokines and immune activation and inflammation linked to cell membrane disruption [4][5][6][7][8][9][10]. Pyroptosis is a distinct form of programmed (regulated) cell death characterised by features of necrosis and an inflammatory response. ...

Lethal COVID-19 associates with RAAS-induced inflammation for multiple organ damage including mediastinal lymph nodes
  • Citing Article
  • November 2024

Proceedings of the National Academy of Sciences

... To identify any countermeasures that currently exist for targeting the SGA-spaceflight miRNA signature, we leveraged our well-established machine-learning tool, sChemNET 77 . Using sChemNET, we predicted potential FDA-approved small molecule drugs that could target these miRNAs and be further developed as countermeasures. ...

sChemNET: a deep learning framework for predicting small molecules targeting microRNA function

... Positron emission tomography (PET) with the ROS-sensitive radiotracer [ 18 F]ROStrace [19,20] has recently been used to detect elevations in ROS production in multiple rodent models of protein aggregation [21,22] and neurodegeneration [23], suggesting that [ 18 F]ROStrace PET may also be capable of detecting 4R tau-associated oxidative stress in vivo. As described previously [20], [ 18 F]ROStrace enters the brain as a neutral species and becomes trapped following oxidation by ROS, resulting in higher PET signal in brain regions with increased ROS production. ...

PET Imaging with [18F]ROStrace Detects Oxidative Stress and Predicts Parkinson’s Disease Progression in Mice

... Previous studies have shown that SARS-CoV-2 infection alters nuclear-encoded mitochondrial gene expression in different organs as a result of a systemic response to SARS-CoV-2 infection. These transcriptomic changes lead to inhibition of oxidative phosphorylation and enhanced glycolysis that contribute to disease progression and pathogenesis (53,54). Aberrant mitochondrial elongation, likely caused by an increase in mitochondrial transmembrane potential, was reported after SARS-CoV-2 infection (55). ...

Mitochondrial antioxidants abate SARS-COV-2 pathology in mice
  • Citing Article
  • July 2024

Proceedings of the National Academy of Sciences

... Therefore, single-cell sequencing combined with spatial transcriptomics will be a future trend (34). There are now some articles on single-cell sequencing combined with spatial transcriptomics studies of ND, but the number is not large (35). Here we propose this possible hotspot in the hope that it can provide some help to future researchers studying neurodegenerative diseases. ...

Spatially resolved multiomics on the neuronal effects induced by spaceflight in mice

... One study investigates the regulatory role of microRNAs in cardiovascular disease, demonstrating the therapeutic potential of targeting specific miRNA interactions to reduce atherosclerosis ( 72 ). Another study explores the role of miRNAs in DNA double-strand break gene repair, using miRTarBase to validate gene targets ( 73 ). Additionally, research on miRNAbased transcriptional regulation employs miRTarBase to support the identification and analysis of MTIs at the genome scale ( 74 ). ...

Space radiation damage rescued by inhibition of key spaceflight associated miRNAs

... 5 Additionally, SARS-CoV-2 infection interacts with the tricarboxylic acid (TCA) cycle, increasing pyruvate production, reducing oxidative phosphorylation, and promoting glycolysis, further altering metabolic pathways. [6][7][8] Viral infection also impedes glucose utilization and reduces the efficiency of carbohydrate metabolism. ...

SARS-CoV-2 mitochondrial metabolic and epigenomic reprogramming in COVID-19

Pharmacological Research

... In the context of biology, changes in fluorescent lifetimes can be correlated to protein-protein interactions [8][9][10] , changes in pH or temperature [11][12][13] , and molecular dynamics [14][15][16][17][18] . Moreover, FLIM enables the detection of the intrinsic autofluorescent lifetime signal that is characteristic of cellular metabolism [19][20][21] . Given its impact, several approaches for FLIM data analysis have been developed. ...

Visualizing subcellular changes in the NAD(H) pool size versus redox state using fluorescence lifetime imaging microscopy of NADH

Communications Biology

... We observe fluorescently labelled mitochondria in a transi on from tubular to globular shape (supplementary movie SM3, SM4), a commonly observed morphological change following photo-induced oxida ve stress [41][42][43] . A er transforma on into globular shape, the mitochondria further transi on into a hollow-looking structure with circular rims and patches a ributed to cristae being relocalized to the edge [44][45][46] . ...

Photobleaching and phototoxicity of mitochondria in live cell fluorescent super-resolution microscopy

Mitochondrial Communications