RT Journal Article T1 Vanillic Acid Restores Coenzyme Q Biosynthesis and ATP Production in Human Cells Lacking COQ6. A1 Acosta Lopez, Manuel J A1 Trevisson, Eva A1 Canton, Marcella A1 Vazquez-Fonseca, Luis A1 Morbidoni, Valeria A1 Baschiera, Elisa A1 Frasson, Chiara A1 Pelosi, Ludovic A1 Rascalou, Bérengère A1 Desbats, Maria Andrea A1 Alcázar-Fabra, María A1 Ríos, José Julián A1 Sánchez-García, Alicia A1 Basso, Giuseppe A1 Navas, Placido A1 Pierrel, Fabien A1 Brea-Calvo, Gloria A1 Salviati, Leonardo AB Coenzyme Q (CoQ), a redox-active lipid, is comprised of a quinone group and a polyisoprenoid tail. It is an electron carrier in the mitochondrial respiratory chain, a cofactor of other mitochondrial dehydrogenases, and an essential antioxidant. CoQ requires a large set of enzymes for its biosynthesis; mutations in genes encoding these proteins cause primary CoQ deficiency, a clinically and genetically heterogeneous group of diseases. Patients with CoQ deficiency often respond to oral CoQ10 supplementation. Treatment is however problematic because of the low bioavailability of CoQ10 and the poor tissue delivery. In recent years, bypass therapy using analogues of the precursor of the aromatic ring of CoQ has been proposed as a promising alternative. We have previously shown using a yeast model that vanillic acid (VA) can bypass mutations of COQ6, a monooxygenase required for the hydroxylation of the C5 carbon of the ring. In this work, we have generated a human cell line lacking functional COQ6 using CRISPR/Cas9 technology. We show that these cells cannot synthesize CoQ and display severe ATP deficiency. Treatment with VA can recover CoQ biosynthesis and ATP production. Moreover, these cells display increased ROS production, which is only partially corrected by exogenous CoQ, while VA restores ROS to normal levels. Furthermore, we show that these cells accumulate 3-decaprenyl-1,4-benzoquinone, suggesting that in mammals, the decarboxylation and C1 hydroxylation reactions occur before or independently of the C5 hydroxylation. Finally, we show that COQ6 isoform c (transcript NM_182480) does not encode an active enzyme. VA can be produced in the liver by the oxidation of vanillin, a nontoxic compound commonly used as a food additive, and crosses the blood-brain barrier. These characteristics make it a promising compound for the treatment of patients with CoQ deficiency due to COQ6 mutations. YR 2019 FD 2019-07-10 LK http://hdl.handle.net/10668/14362 UL http://hdl.handle.net/10668/14362 LA en DS RISalud RD Apr 8, 2025