RT Journal Article T1 Genetic Rescue of Mitochondrial and Skeletal Muscle Impairment in an Induced Pluripotent Stem Cells Model of Coenzyme Q10 Deficiency. A1 Romero-Moya, Damià A1 Santos-Ocaña, Carlos A1 Castaño, Julio A1 Garrabou, Gloria A1 Rodríguez-Gómez, José A A1 Ruiz-Bonilla, Vanesa A1 Bueno, Clara A1 González-Rodríguez, Patricia A1 Giorgetti, Alessandra A1 Perdiguero, Eusebio A1 Prieto, Cristina A1 Moren-Nuñez, Constanza A1 Fernández-Ayala, Daniel J A1 Victoria Cascajo, Maria A1 Velasco, Iván A1 Canals, Josep Maria A1 Montero, Raquel A1 Yubero, Delia A1 Jou, Cristina A1 López-Barneo, José A1 Cardellach, Francesc A1 Muñoz-Cánoves, Pura A1 Artuch, Rafael A1 Navas, Plácido A1 Menendez, Pablo K1 COQ4 K1 CRISPR-Cas9 K1 Coenzyme Q10 K1 Dopaminergic and motor neurons K1 Induced pluripotent stem cell K1 Skeletal muscle AB Coenzyme Q10 (CoQ10 ) plays a crucial role in mitochondria as an electron carrier within the mitochondrial respiratory chain (MRC) and is an essential antioxidant. Mutations in genes responsible for CoQ10 biosynthesis (COQ genes) cause primary CoQ10 deficiency, a rare and heterogeneous mitochondrial disorder with no clear genotype-phenotype association, mainly affecting tissues with high-energy demand including brain and skeletal muscle (SkM). Here, we report a four-year-old girl diagnosed with minor mental retardation and lethal rhabdomyolysis harboring a heterozygous mutation (c.483G > C (E161D)) in COQ4. The patient's fibroblasts showed a decrease in [CoQ10 ], CoQ10 biosynthesis, MRC activity affecting complexes I/II + III, and respiration defects. Bona fide induced pluripotent stem cell (iPSCs) lines carrying the COQ4 mutation (CQ4-iPSCs) were generated, characterized and genetically edited using the CRISPR-Cas9 system (CQ4ed -iPSCs). Extensive differentiation and metabolic assays of control-iPSCs, CQ4-iPSCs and CQ4ed -iPSCs demonstrated a genotype association, reproducing the disease phenotype. The COQ4 mutation in iPSC was associated with CoQ10 deficiency, metabolic dysfunction, and respiration defects. iPSC differentiation into SkM was compromised, and the resulting SkM also displayed respiration defects. Remarkably, iPSC differentiation in dopaminergic or motor neurons was unaffected. This study offers an unprecedented iPSC model recapitulating CoQ10 deficiency-associated functional and metabolic phenotypes caused by COQ4 mutation. Stem Cells 2017;35:1687-1703. YR 2017 FD 2017-05-23 LK http://hdl.handle.net/10668/11172 UL http://hdl.handle.net/10668/11172 LA en DS RISalud RD Apr 10, 2025