Research ArticleCELL BIOLOGY

MCART1/SLC25A51 is required for mitochondrial NAD transport

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Science Advances  21 Oct 2020:
Vol. 6, no. 43, eabe5310
DOI: 10.1126/sciadv.abe5310


The nicotinamide adenine dinucleotide (NAD+/NADH) pair is a cofactor in redox reactions and is particularly critical in mitochondria as it connects substrate oxidation by the tricarboxylic acid (TCA) cycle to adenosine triphosphate generation by the electron transport chain (ETC) and oxidative phosphorylation. While a mitochondrial NAD+ transporter has been identified in yeast, how NAD enters mitochondria in metazoans is unknown. Here, we mine gene essentiality data from human cell lines to identify MCART1 (SLC25A51) as coessential with ETC components. MCART1-null cells have large decreases in TCA cycle flux, mitochondrial respiration, ETC complex I activity, and mitochondrial levels of NAD+ and NADH. Isolated mitochondria from cells lacking or overexpressing MCART1 have greatly decreased or increased NAD uptake in vitro, respectively. Moreover, MCART1 and NDT1, a yeast mitochondrial NAD+ transporter, can functionally complement for each other. Thus, we propose that MCART1 is the long sought mitochondrial transporter for NAD in human cells.


Nicotinamide adenine dinucleotide (NAD) is an essential cofactor in redox metabolism and metabolic signaling. As cofactors of metabolic enzymes, NAD+ and its reduced form, NADH, function in redox reactions in central metabolic pathways including glycolysis, tricarboxylic acid (TCA) cycle, oxidative phosphorylation, and one-carbon metabolism and control the direction of flux through these pathways. As a cosubstrate of the sirtuins and poly-(ADP-ribose) polymerases, NAD+ mediates posttranslational modification of metabolic enzymes, DNA repair and chromatin-modifying proteins, and other factors involved in stress response and signaling pathways that connect metabolism to different physiological responses (1). NAD levels decline in aging, and administration of NAD precursors is currently being tested in the clinic as a measure to prevent age-associated diseases [(2, 3);].

Despite its importance for many cellular processes, the compartmentalization of NAD synthesis and its transport remain poorly understood. Up to ~70% of cellular NAD has been reported to be present within mitochondria (4), where it serves as an electron carrier connecting fuel oxidation in the TCA cycle with the electron transport chain (ETC) and thus adenosine triphosphate (ATP) synthesis. Notably, if and how NAD is imported into mitochondria in metazoans is not known. While mitochondrial and chloroplast NAD+ transporters have been identified in yeast and plants (5, 6), the functional ortholog in animals remains elusive.


MCART1 is an inner mitochondrial membrane protein required for mitochondrial respiration

To identify novel genes required for mitochondrial respiration, we used a previously described approach (7) to mine the Achilles dataset containing gene essentiality scores from 341 cell lines (8) for genes that were coessential with the nuclear-encoded core component of respiratory complex I of the ETC, NDUFS1. This analysis identified a cluster of ~400 coessential genes, most of which were previously annotated as encoding mitochondrially localized proteins, including components of or assembly factors for the ETC and components of the mitochondrial translation machinery, whose main function is to synthesize the 13 mitochondrially encoded components of the ETC (Fig. 1A). Embedded in this gene cluster, we identified a thus far unstudied gene, MCART1 (SLC25A51) (Fig. 1A). The top 20 genes coessential with MCART1 are involved in ETC function or mitochondrial translation (Fig. 1B and fig. S1A), and this gene cluster is enriched specifically for genes that affect ETC function or related processes, such as the TCA cycle, but not other mitochondrial processes, such as mitophagy or mitochondrial fusion (Fig. 1C).

Fig. 1 MCART1 (SLC25A51) is an inner mitochondrial membrane solute carrier required for ETC function.

(A) Genes coessential with the respiratory complex I subunit NDUFS1 (8). Gene ontology (GO) annotation of ETC or mitochondrial gene expression are in red. (B) MCART1 is coessential with mitochondrial respiration genes. GO annotation of the top 20 (left) and 100 (right) highest-correlated genes with MCART1. Mt, mitochondrial; Fe-S, iron-sulfur. (C) Plot displays enrichment of ETC components, TCA cycle, and mitochondrial DNA replication. Genes (black lines) are plotted from lowest to highest correlation with MCART1. (D) Phylogenetic tree of the human SLC25 family of mitochondrial carriers. MCART1 and the closely related MCART2 and MCART6 (with % sequence identity) are in red. (E) Predicted topology of MCART1. IMS, intermembrane space. (F) MCART1 localizes to the inner mitochondrial membrane. HeLa cells expressing FLAG-MCART1 were processed for immunofluorescence detection and STED microscopy. FLAG epitope, magenta; inner (COX4; left) or outer (Tom20; right) mitochondrial membrane, green; overlap of channels, white. Scale bar, 2 μm. A.U., arbitrary units. (G) Loss of MCART1 decreases oxygen consumption rate (OCR) (means ± SD; n ≥ 13 technical replicates). (H) MCART1-null cells cannot proliferate using galactose as the carbon source (means ± SD; n = 3; ****P < 0.0001). (I) MCART1 loss reduces mitochondrial ATP production (means ± SD; n ≥ 13 technical replicates).

MCART1 is an unstudied member of the SLC25 family of mitochondrial triple repeat carriers comprising 53 members in humans (Fig. 1D). Two other SLC25 family members, MCART2 (SLC25A52) and MCART6 (SLC25A53), are particularly similar to MCART1, with MCART2 having a notable 96% sequence identity [National Center for Biotechnology Information (NCBI) blast]. However, while MCART1 is expressed at considerable levels across tissues and commonly used cell lines, the expression of MCART6 is generally lower and that of MCART2 appears restricted to the testis (fig. S1, B and C). Like other members of the SLC25 family, the MCART1 protein is predicted to have six transmembrane domains, with both N and C termini facing the intermembrane space matrix based on recent proteomics proximity-labeling analysis [Fig. 1E; (9), topology analysis with Protter (10)]. As expected, FLAG-tagged MCART1 colocalized with the inner mitochondrial membrane protein COX4 in HeLa cells (fig. S1C), and endogenous MCART1 was enriched in mitochondria purified from Jurkat cells (fig. S1D). Superresolution microscopy revealed that MCART1 localizes to the inner mitochondrial membrane, consistent with a function in transporting a metabolite into mitochondria (Fig. 1F).

To test whether MCART1 has a role in oxidative phosphorylation, we deleted MCART1 in human Jurkat leukemic T cells using CRISPR-Cas9. Two clones with complete deletion of MCART1 were chosen for downstream phenotypic analysis (fig. S1, E and F). MCART1-null cells had a strong proliferation defect in full media at early passages (fig. S1G), and we observed an increased acidification of the culture media despite their reduced proliferation suggesting a defect in mitochondrial function. Cells lacking MCART1 had a markedly reduced oxygen consumption rate (OCR), stemming from reduced basal and maximal respiration, spare respiratory capacity, proton leak, and ATP production as measured by Seahorse extracellular flux analysis (Fig. 1G and fig. S1H). MCART1-null cells were also unable to proliferate in media containing galactose instead of glucose as a carbon source, conditions under which cells must generate ATP from mitochondrial respiration (Fig. 1H). This phenotype was also observed in HeLa, human embryonic kidney (HEK) 293T, and 143B cells lacking MCART1 (fig. S1P). MCART1-null cells were defective in mitochondrial ATP production and instead generated the vast majority of their ATP from cytosolic glycolysis (Fig. 1I and fig. S1L). Re-expression of a guide-resistant cDNA for MCART1 reversed all of these defects (Fig. 1, G and H, and fig. S1, G, H, and L). Expression of MCART2, the closest MCART1 homolog, but not of MCART6, rescued proliferation on galactose (fig. S1, I to K). The proliferation defect of MCART1-null cells was not rescued by the addition to the media of metabolites known to bypass different aspects of mitochondrial function, such as pyruvate and uridine, formate, hypoxanthine-thymidine, or aspartate even in cells expressing a plasma membrane aspartate transporter (fig. S1, N and O) (1116). The inability of these metabolites to rescue the proliferation of MCART1-null cells suggests that ATP levels are limiting for proliferation, as described previously for mitochondrial dysfunction caused by loss of ETC components (17), and we did indeed observe a slight decrease in total cellular ATP levels (fig. S1M).

Loss of MCART1 results in defects in mitochondrial metabolism and ETC complex I activity without affecting mitochondrial integrity

Mitochondrial dysfunction and respiratory defects are often due to defects in mitochondrial replication, translation, or structural integrity that lead to loss of respiratory chain complexes. However, loss of MCART1 did not change mitochondrial or cristae morphology nor mitochondrial DNA or mass (fig. S2, A to D). Furthermore, the mitochondrial membrane potential and levels of mitochondrially and nuclear-encoded mitochondrial proteins were only marginally, if at all, affected (fig. S2, E and F). To test whether the ETC generally or a specific respiratory complex was affected in MCART1-null cells, we measured the activity of the respiratory chain by providing (artificial) substrates for each respiratory chain complex to permeabilized cells and analyzed OCR by Seahorse extracellular flux analysis. When complex I substrates were provided, oxygen consumption was ablated (and respiratory control ratio decreased) in MCART1-null cells, while the OCR was comparable to that in wild-type cells or cells re-expressing MCART1 when substrates for other respiratory chain complexes were provided, such as succinate feeding into complex II (Fig. 2, A and B, and fig. S2, G to I). When we added substrates directly to mitochondrial lysates, the NADH:ubiquinone oxidoreductase activity of complex I in MCART1-null cells did not differ from that in wild-type cells, arguing that complex I levels, assembly, or function itself was not perturbed (Fig. 2C). Collectively, these data suggested that the mitochondrial dysfunction caused by MCART1 deletion was most likely caused by loss of a metabolite in the mitochondria with a specific role in complex I of the ETC.

Fig. 2 Loss of MCART1 causes loss of ETC complex I activity and defects in mitochondrial metabolism without affecting mitochondrial integrity.

(A) Loss of MCART1 diminishes respiratory complex I activity but not that of other complexes. OCR of permeabilized cells supplemented with adenosine diphosphate (ADP) and complex I to IV substrates (means ± SD; n = 3 technical replicates). Mal, malate; perm, permeabilizer; pyr, pyruvate; rot, rotenone; AA, antimycin A; TMPD, tetramethyl-phenylenediamine. (B) Loss of MCART1 diminishes complex I–dependent state 3 respiration. Graph from data in Fig. 2A. (C) Rotenone-sensitive NADH:ubiquinone activity in mitochondrial lysates is not dependent on MCART1 (means ± SD; n = 3; n.s., not significant). (D) Mitochondrial and mitochondria-derived metabolites are changed in MCART1-null cells compared to wild-type counterparts (means ± SD; n = 3; *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001). α-KG, α-ketoglutarate; ser, serine; gly, glycine; AICAR, 5-aminoimidazole-4-carboxamide ribonucleotide. (E) Loss of MCART1 increases glucose consumption and lactate and malate excretion and decreases pyruvate secretion. Medium metabolites were extracted after cells grew 48 hours in RPMI (means ± SD; n = 3; *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001). (F) Glutamine tracing scheme used to measure TCA cycle flux. (G) TCA cycle flux depends on MCART1. Metabolites generated by isolated mitochondria from 13C5,15N2-glutamine in the first and second rounds of the TCA cycle according to (F) were detected by LC-MS (means ± SD; n = 3; *P < 0.05, **P < 0.01). cis-Acon, cis-aconitate. N.D., not detected.

To understand how mitochondrial metabolism was altered upon loss of MCART1, we turned to liquid chromatography–mass spectrometry (LC-MS)–based metabolomics analyses. A number of mitochondria-derived metabolites, such as TCA cycle intermediates, the fatty acid carrier carnitine, the branched chain amino acid breakdown product C5-carnitine, and the purine synthesis intermediate 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR), were markedly changed in MCART1-null cells (Fig. 2D). MCART1-null cells also consumed glucose and secreted lactate and malate at higher rates than wild-type cells, while the observed net secretion of pyruvate from cells to the media was decreased (Fig. 2E). These changes in intracellular and media metabolites indicated extensive alterations in TCA cycle and one-carbon flux, fatty acid/branched chain amino acid-oxidation, and ETC function, all of which are major mitochondrial metabolic pathways and are consistent with a switch to aerobic glycolysis in MCART1-null cells.

To assess the capacity for mitochondria to catabolize nutrients, we probed TCA cycle flux in mitochondria specifically by incubating isolated mitochondria with stably isotope-labeled 13C5-15N2-glutamine (M+7) and measuring newly synthesized (labeled) TCA cycle metabolites by LC-MS (Fig. 2F). The use of isolated mitochondria in this assay is critical because some TCA cycle intermediates can also be synthesized in the cytosol or nucleus (1820). Despite substantial glutaminolysis still occurring as assessed by M+6 glutamate levels, detectable TCA cycle intermediates produced in the first (M+5, M+4) and second rounds (M+2) of the TCA cycle were markedly decreased or undetectable when MCART1-null mitochondria were used in the reaction (Fig. 2G). Notably, when glutamine tracing was performed in whole cells, no decrease in the production of TCA cycle metabolites was observed indicating an increased activity, perhaps due to compensation, of cytosolic isoenzymes (fig. S2J).

Depletion of NAD+ and NADH in mitochondria from MCART1-null cells

To understand how loss of MCART1 affects metabolism in mitochondria specifically, we isolated mitochondria using the Mito-IP approach and broadly profiled metabolites by LC-MS, allowing us to detect the mitochondrial metabolites whose levels most markedly change upon loss of MCART1 (21). Notably, the largest difference between mitochondria with and without MCART1 was in the dinucleotide NAD in both its oxidized (NAD+) and reduced form (NADH; Fig. 3A). NAD+ and NADH were greatly diminished in mitochondria of MCART1-null cells, while their whole cell levels were unaffected (Fig. 3B and fig. S3, A and B). We also observed decreases in the TCA cycle intermediates cis-aconitate, α-ketoglutarate, and malate specifically in mitochondria and an overall decrease in phosphoenolpyruvate, which is generated from the TCA cycle intermediate oxaloacetate, consistent with our TCA cycle flux analysis. Glutamate was increased, consistent with repressed TCA cycle anaplerosis, and ATP, adenosine diphosphate (ADP), and other mitochondrial metabolites were only slightly or not significantly changed (Fig. 3B and fig. S3, A and B).

Fig. 3 NAD+ and NADH are depleted in the mitochondria of MCART1-null cells.

(A) NAD+ and NADH are the most depleted metabolites in mitochondria of MCART1-null cells. The log2 fold change of metabolites detected in mitochondria isolated from MCART1-null cells versus in mitochondria from null cells expressing MCART1 cDNA (mean; n = 3). (B) Loss of MCART1 depletes NAD+ and NADH in mitochondria and reduces TCA cycle intermediates. Whole cell and mitochondrial metabolite levels in indicated cells were measured by LC-MS using the Mito-IP method, data from two independent experiments were combined (means ± SD; n > 5). Asterisks denote statistically significant differences of MCART1-null samples with both wild-type cells and cells re-expressing the MCART1 cDNA (*P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001). Data from the second MCART1-null clone are shown in fig. S2I. (C) MCART1-null cells depend on glycolytic enzymes and mitochondrial FAD/folate transporter. Top-scoring genes from the MCART1 synthetic lethality screen. Genes were ranked according to the differential gene score in MCART1-null versus control cells. PEP, phosphoenolpyruvate; glu, glutamate; asp, aspartate; mito, mitochondrial; FAD, flavin adenine dinucleotide.

The NAD+/NADH redox pair is a critical cofactor in mitochondrial metabolism and acts as an electron carrier feeding into ETC complex I. Thus, the specific loss of complex I activity and the metabolite changes observed in MCART1-null cells are consistent with a loss of mitochondrial NAD, and together, these results suggested MCART1 functions in the uptake of NAD or an NAD precursor into mitochondria. In subsequent metabolite profiling experiments, we therefore used a metabolite extraction method optimized for preserving NAD-related metabolites [adapted from (22)].

To corroborate this possible function of MCART1 in an unbiased way, we identified genes synthetically lethal with MCART1 using a negative selection CRISPR-Cas9 screen. Consistent with our previous results, several genes involved in glycolysis (which uses NAD in the cytosol) were selectively essential in cells lacking MCART1, while control cells re-expressing the MCART1 cDNA depended more on TCA cycle enzymes (which use NAD in mitochondria) (Fig. 3C and fig. S3C). Notably, the mitochondrial folate carrier MFT/SCL25A32, which has been proposed to transport the redox cofactor flavin adenine dinucleotide (FAD) and folates into mitochondria (2327), was the most selectively essential gene in MCART1-null cells. This could be explained by the notion that depletion of one redox cofactor (NAD) from mitochondria upon MCART1 loss results in increased dependence on another (FAD).

A yeast mitochondrial NAD+ transporter but not a predicted substrate-binding mutant of MCART1 rescues loss of MCART1

In mammals, de novo synthesis of NAD from tryptophan occurs primarily in the liver, while most other tissues rely on NAD synthesis or salvage from its precursors niacin, nicotinamide (Nam), nicotinamide riboside (NR), or nicotinamide mononucleotide (NMN) (28, 29). The precise step at which NAD is transported into mitochondria and whether NAD can be synthesized in mitochondria are unclear (Fig. 4A). Both NMN and NAD have been proposed to be transported into mitochondria of human cells (28, 30, 31). However, deletion of nicotinamide nucleotide adenylyltransferase 3 (NMNAT3), the mitochondrial NAD synthesis isoenzyme that uses NMN to generate NAD, which is expressed in Jurkat cells, did not affect respiration or mitochondrial NAD levels, making NMN as the transported species highly unlikely (fig. S4, A to F).

Fig. 4 MCART1 and the yeast mitochondrial NAD+ transporter NDT1 are functional homologs of each other.

(A) The NAD salvage pathway. Nam, nicotinamide; NR, nicotinamide riboside; NRK, nicotinamide riboside kinase; NAMPT, nicotinamide phosphoribosyltransferase. (B) Yeast NDT1 but not closest sequence homologs of MCART1 in yeast rescues growth in galactose of MCART1-null cells. Asterisks denote significant differences in galactose between cells expressing the empty vector and the solute carrier homologs, respectively (means ± SD; n = 3). ODC, oxodicarboxylate carrier; GGC, guanosine triphosphate/guanosine diphosphate carrier; MFT, mitochondrial FAD/folate carrier. (C) In MCART1-null cells, NDT1 expression rescues complex I activity (means ± SD; n > 3 technical replicates) and (D) mitochondrial NAD levels (means ± SD; n > 3). (E) Alignment of MCART1 homologs and comparison with ADP/ATP carrier identifies lysine 91 and arginines 182 and 278 as potential substrate contact points. (F) Mutation of lysine 91 to alanine abolishes MCART1-dependent proliferation on galactose (means ± SD; n = 3). (G) MCART1 K91A does not rescue mitochondrial NAD levels (means ± SD; n = 4). (H) Wild-type but not mutant MCART1 rescues proliferation of two independent clones of ndt1Δndt2Δ S. cerevisiae in synthetic minimal media with 2% ethanol. (I) Mitochondrial NAD+ concentrations normalized to protein content in wild-type or ndt1Δndt2Δ yeast transformed with indicated vectors (means ± SD; n = 3 technical replicates). EV, empty vector; **P < 0.01, ***P < 0.001, ****P < 0.0001.

On the basis of sequence alignment and previously published mutational and structural analysis of the ADP/ATP carrier (3235), we were able to model the structure of MCART1. We identified three residues conserved across species, lysine 91, arginine 182, and arginine 278, located on the inside of the pore as potential substrate contact points (Fig. 4E). Mutation of the conserved lysine residue 91, which is part of transmembrane helix 2, or arginine 278, part of transmembrane helix 6, to alanine abolished the ability of MCART1 to rescue mitochondrial NAD levels and respiration (Fig. 4, F and G, and fig. S4G) without significantly affecting protein stability or localization (fig. S4, I and J), indicating that MCART1 is likely a transport channel and not simply an auxiliary factor for a transporter.

While a mammalian mitochondrial NAD transporter has not been identified, NDT1 and NDT2 are well known as the mitochondrial NAD+ transporters in yeast and plants (5, 6, 36, 37). Like MCART1, NDT1 and NDT2 are part of the SLC25 family of mitochondrial transporters, but they are not closely related to MCART1 in sequence or predicted structure, and sequence analysis has failed to reveal the mitochondrial NAD transporter in humans (38). To test whether NDT1 and NDT2 could functionally complement loss of MCART1 as would be predicted if MCART1 is required for NAD transport into mitochondria, we expressed in MCART1-null cells cDNAs for NDT1 or NDT2 codon-optimized for expression in human cells. NDT1 and NDT2 but neither of the closest yeast MCART1 homologs predicted based on sequence or structure, the 2-oxodicarboxylate carriers ODC1 and ODC2 and the guanosine triphosphate/guanosine diphosphate carrier GGC1, rescued mitochondrial respiration in MCART1-null cells (Fig. 4B and fig. S4, H and J). NDT1 also rescued complex I activity in MCART1-null cells and mitochondrial NAD levels (Fig. 4, C and D). The lesser rescue ability of NDT2 is likely due to its lower expression/protein stability and activity (fig. S4H) (5). Notably, overexpression of the closest homolog of NDT1 in humans, the mitochondrial FAD and folate transporter MFT/SLC25A32, which scored as selectively essential in MCART1-null cells in our CRISPR screen, only very slightly improved respiration in MCART1-null cells (Fig. 4B).

Having identified a putative functional ortholog of the yeast mitochondrial NAD transporters in mammalian cells, we tested whether expression of MCART1 was able to rescue the phenotypes of yeast lacking the known mitochondrial NAD transporters NDT1 and NDT2. MCART1, but not its K91A mutant, rescued the proliferation and mitochondrial NAD+ levels of ndt1Δndt2Δ yeast grown on minimal ethanol media (Fig. 4, H and I). MCART1 rescued proliferation nearly completely but NAD+ levels only partially, consistent with previous results suggesting that a threshold exists below which mitochondrial NAD levels become limiting for proliferation (NADH was not detected, which is consistent with its low abundance in yeast mitochondria) (5).

MCART1 is required for mitochondria to take up NAD

To test whether MCART1 was required for mitochondrial NAD uptake in mammalian cells, we isolated mitochondria from wild-type cells, MCART1-null cells, or the MCART1-null cells overexpressing the MCART1 cDNA, incubated them in vitro with stable isotope-labeled 13C5-NAD+, and after 10 min, quantified metabolites taken up and generated by the mitochondria by LC-MS. NAD uptake into mitochondrial lacking MCART1 was highly reduced, and uptake into mitochondria from cells overexpressing MCART1 was increased compared to wild-type mitochondria (Fig. 5, A and B). In addition, loss of MCART1 greatly reduced, and its overexpression increased, the generation of labeled NADH in the reaction. Consistent with the oxidation of NAD+ into NADH by complex I requiring its transport into the mitochondrial matrix, the addition to the reaction of rotenone, an inhibitor of complex I–mediated NAD+ oxidation, increased the ratio of labeled NADH to NAD+. These results indicate that NAD+ was taken up in an MCART1-dependent manner, into the mitochondrial matrix, where it was enzymatically reduced (Fig. 5, A and B, and fig. S4K). NAD uptake remained dependent on MCART1 even upon the addition of succinate and ADP (fig. S4K), conditions under which the respiration of MCART1-null mitochondria is comparable to that of wild-type mitochondria (Fig. 2, A and B). Succinate/ADP had a membrane potential–dependent effect on increasing the NADH-to-NAD+ ratio, presumably through reverse electron flux through complex I (fig. S4K). The MCART1-dependent uptake of NAD+ into mitochondria was competed by the addition of unlabeled NAD+ or NADH but not NMN (Fig. 5C).

Fig. 5 Mitochondrial NAD uptake depends on MCART1.

(A) Transport of NAD+ into mitochondria depends on MCART1. Mitochondria purified from wild-type, MCART1-null, or MCART1-null cells overexpressing the MCART1 cDNA were incubated with 50 μM stably isotope labeled 13C5-NAD+ for 10 min at 30°C with or without 5 μM rotenone. Levels of uptaken 13C5-NAD+ and generated 13C5-NADH were quantified by LC-MS (means ± SD; n = 3 uptake reaction replicates). (B) Fold change of NAD+ and NADH uptake data in (A). (C) MCART1-dependent mitochondrial NAD transport is competed by NAD+ and NADH but not the NAD synthesis intermediate NMN. Wild-type mitochondria were incubated for 10 min with 500 μM 13C5-NAD+ in the presence of unlabeled metabolites as indicated. The level of background binding/uptake in MCART1-null mitochondria is shown on the right. The sum of quantified 13C5-NAD+ and 13C5-NADH is shown (means ± SD; n = 3 uptake reaction replicates).


Our results show that MCART1 is required for NAD uptake into mitochondria and thus the function of complex I in the ETC. Loss of MCART1 and mitochondrial NAD leads to diminished flux through pathways relying on NAD in mitochondria such as the TCA cycle, mitochondrial one-carbon metabolism, and oxidative phosphorylation. Our work identifies a putative mitochondrial NAD importer in humans and thus addresses a long-standing question in the metabolism and mitochondrial biology fields. Further studies made possible by our identification of MCART1 including biochemical assays will reveal the precise biochemical properties of MCART1-dependent transport of NAD into mitochondria.

Our findings corroborate a recent study claiming NAD itself is the imported species (31). In agreement, deletion of NMNAT3, the mitochondrial isoform of the NAD synthesis enzyme NMNAT previously implicated in maintenance of mitochondrial NAD levels (28, 39), did not affect mitochondrial NAD levels in our system or in several mouse tissues in a recent study (40). However, it is possible that there are other mitochondrial NAD synthesis enzymes, and we do not exclude a contribution from the mitochondrial matrix to NAD synthesis and do not claim that transport from the cytosol is the only source of mitochondrial NAD in any eukaryotic cell type.

Our findings support that the mechanism of mitochondrial NAD transport and maintenance in mammals is related to that of yeast or plants, where mitochondrial NAD transporters have previously been identified (5, 6). We find that MCART1 and the yeast NAD+ transporter NDT1 can functionally complement each other, although they are not homologous based on sequence. Several substrates have been reported for yeast and plant NAD transporters in addition to NAD+, such as adenosine monophosphate, guanosine monophosphate, flavin mononucleotide, and FAD. Moreover, expression of the Arabidopsis thaliana mitochondrial NAD+ transporter NDT2 in HEK-293 cells resulted in marked growth retardation and a metabolic shift from oxidative phosphorylation to glycolysis, despite elevated mitochondrial NAD levels, indicating that the yeast and plant NDTs, particularly NDT2, likely have other substrates besides NAD and different biochemical properties or regulation than mammalian MCART1 (38).

Further experiments, specifically with the purified protein reconstituted into proteoliposomes, will reveal whether MCART1 contains the NAD transport channel and can transport the additional substrates reported for NDT1 and NDT2. That overexpression of MCART1 is sufficient to increase the transport of NAD into isolated mitochondria suggests that MCART1 itself contains the NAD transport channel, but we cannot exclude the possibility that other nonlimiting proteins are necessary for MCART1-mediated NAD transport. In vitro transport assays combined with structural information will likely be necessary to understand the precise mechanism of NAD transport and how MCART1 activity and transport of NAD and related metabolites is regulated to not disrupt the redox balance between mitochondria and the cytosol. For example, MCART1 activity must not interfere with the malate-aspartate shuttle, which is responsible for exchanging reducing equivalents in the form of NADH across the inner mitochondrial membrane serving as an electron transport system for coupling NADH production by glycolysis in the cytosol to oxidative phosphorylation in mitochondria. Consistent with this, on the basis of our uptake experiments, MCART1 likely has a high Km (Michaelis constant), which would support net transport only at high NAD concentrations or in situations when mitochondrial NAD actually becomes significantly depleted, such as in cells consuming mitochondrial NAD through sirtuins.

Despite displaying severe metabolic changes and strong mitochondrial respiration and growth defects, MCART1 is not absolutely cell essential as we were able to generate MCART1-null cells. Glycolysis provides ATP in MCART1-null cells, and it is possible that NAD-requiring reactions shift to other cellular compartments where isoenzymes are present to compensate for loss of the production of certain metabolites in mitochondria. It is also possible that another transporter is able to maintain basal levels of NAD in mitochondria in the absence of MCART1. Candidates are the mitochondrial FAD/folate transporter MFT/SLC25A32, which was synthetically lethal with MCART1 in our screen, as well as MCART2, although we could not detect its expression in our cell system. MCART1 has previously been reported to interact with assembly factors for iron-sulfur proteins and complex V (41), and thus, it is possible that MCART1 affects mitochondrial respiration and metabolism in other ways than by maintaining mitochondrial NAD levels.

Determining how MCART1-null cells adapt and rewire their metabolism to loss of mitochondrial NAD could uncover metabolite or genetic interventions that are able to bypass MCART1 or ETC function and might be useful strategies to treat complex I deficiency. In this way, MCART1 deficiency could be useful as a model for mitochondrial disease.

NAD plays a critical role in cellular and mitochondrial metabolism beyond its role as an enzymatic cofactor in redox reactions as a cosubstrate of sirtuins and poly-ADP-ribose-polymerases. Three sirtuin homologs, SIRT3 to SIRT5, serving as signaling factors connecting metabolism to cell state are present in mitochondria, and their activity is likely coupled to mitochondrial NAD levels (36, 42). As NAD levels decline in aging and recent efforts are aimed at boosting cellular NAD levels to delay the onset of aging and age-related diseases (1, 2, 43), MCART1 emerges as a tool to study the role of the mitochondrial NAD pool in the regulation of these processes and perhaps as an interesting target to modulate life span.



Reagents were obtained from the following sources: the antibodies that recognize SHMT2 (HPA020549) from Atlas Antibodies; AKT (4691), calreticulin (12238), catalase (12980), citrate synthase (14309), cytochrome c oxidase subunit 4 isoform 1 (COX4; 4850), GOLGA1 (13192), RPSS6KB1 (2708), voltage-dependent anion channel (4661), the myc (2278) and hemagglutinin (HA) epitopes (3724), and horseradish peroxidase (HRP)–coupled anti-rabbit secondary antibody, as well as normal donkey serum from Cell Signaling Technology (CST); the FLAG epitope from CST (2368) and Sigma-Aldrich (F1804); LAMP2 (sc-18822), TOM20 (sc-11415), and HRP-labeled anti-mouse secondary from Santa Cruz Biotechnology (SCBT); MCART1/SLC25A51 (CSB-PA875649LA01HU) from Cusabio; total OXPHOS Rodent WB Antibody Cocktail (ab110413), ND6 (ab81212), and NDUFS3 (ab177471) from Abcam; cytochrome c oxidase subunit 1 (COX1; 459600) from Invitrogen; cytochrome c oxidase subunit 2 (COX2, MTCO2; A-6404) from Life Technologies; and the ND1 (55410-1-AP) and ND5 (19703-1-AP) antibodies from Proteintech Group Inc. Antibodies against mitochondrially encoded proteins were validated using ρ0-cells. Amino acids, galactose, oligomycin, carbonyl cyanide p-trifluoromethoxyphenylhydrazone (FCCP), rotenone, antimycin, sodium azide, pyruvic acid, malic acid, ascorbate, ADP, N,N,N′,N′-tetramethyl-p-phenylenediamine, malonic acid, and succinic acid were from Sigma-Aldrich; duroquinol from TCI America; X-tremeGENE 9 and Complete Protease Cocktail from Roche; Alexa 488–, Alexa 568–, and Alexa 642–conjugated secondary antibodies from Invitrogen; anti-HA magnetic beads from Thermo Fisher Scientific; glucose from Westnet Inc. (no. BM-675); ANTI-FLAG M2 Agarose Affinity Gel and sodium formate from Sigma-Aldrich; egg phosphatidylcholine, Escherichia coli total lipids, and the lipid extruder from Avanti Polar Lipids; Bio-Beads SM-2 Adsorbents from Bio-Rad Laboratories; filter membranes for extrusion and supports from Whatman; Cell-Tak from Corning.

Cell lines and plasmids

The pMXs-IRES-Bsd vector was from Cell Biolabs. The identities of the Jurkat, K562, and HeLa cells used in this study were authenticated by short-tandem repeat profiling. Jurkat cells were used for all functional studies in cells unless indicated otherwise. Sequences of human MCART1, MCART2, and MCART6; MFT; and Saccharomyces cerevisiae NDT1 (YIL006W), NDT2 (YEL006W), ODC1 (YPL134C), ODC2 (YOR222W), and GGC1 (YDL198C) were synonymously mutated to remove the proto-spacer adjacent motif sequence and/or codon-optimized for expression in human cells. The generated expression plasmids were deposited to Addgene (Table 1). Yeast strains were a gift from M. Vai. The wild-type yeast strain derived from CEN.PK 113-7D (MATa MAL2-8c SUC2) (44). In the ndt1Δndt2Δ strain (36), NDT1 and NDT2 genes were replaced with the KanMX3 and HphMX4 cassettes by homologous recombination, conferring resistance to G418 and hygromycin B, respectively. For yeast complementation experiments, MCART1 and MCART1K91A sequences were codon-optimized for expression in S. cerevisiae and cloned into a centromeric expression plasmid with 5′ and 3′ untranslated regions (UTRs) of NDT1 (see Table 1).

Table 1 cDNA constructs generated and used in this study.

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Cell culture

Unless otherwise indicated, Jurkat and K562 cells were cultured in RPMI (Life Technologies) supplemented with 10% inactivated fetal calf serum (IFS; Sigma-Aldrich and Gemini), 2 mM glutamine, and penicillin/streptomycin. HeLa, HEK-293T, 14-3B, and Ben cells were cultured in Dulbecco’s modified Eagle’s medium (Life Technologies) supplemented with 10% IFS and penicillin/streptomycin. HEK-293T cells used for virus production were cultured in Iscove’s modified Dulbecco’s medium (Life Technologies) supplemented with 20% IFS and penicillin/streptomycin. To compare proliferation of cells in glucose to proliferation in galactose, RPMI without glucose (Life Technologies) was supplemented with dialyzed IFS and either 10 mM glucose or galactose. All cell lines were maintained at 37°C and 5% CO2.

Virus production

HEK-293T cells were cotransfected with the pLentiCRISPR single guide RNA (sgRNA) library, the vesicular stomatitis virus G (VSV-G) envelope plasmid, and the viral protein R lentiviral packaging plasmid or with pMXS plasmids and retroviral packaging plasmids Gag-Pol and VSV-G, using X-tremeGENE 9 Transfection Reagent. The culture medium was exchanged 24 hours after transfection with the same medium instead supplemented with 30% IFS. The virus-containing supernatant was collected 48 hours after transfection and spun for 5 min at 400g to eliminate cells.

Transduction of cell lines

Cells were seeded at a density of 1 × 106 cells/ml in RPMI containing polybrene (8 μg/ml; EMD Millipore) and then transduced with lentivirus by centrifugation at 2200 rpm for 45 min at 37°C. After an 18-hour incubation, cells were pelleted to remove virus, washed twice in phosphate-buffered saline (PBS), then re-seeded into fresh culture medium containing puromycin or blasticidin, and selected for 72 hours.

CRISPR-Cas9–mediated generation of knockout cell lines

Human MCART1 and NMNAT3 were depleted using the pX330 system and the following sense (S) and antisense (AS) oligonucleotides: sgMCART1_3 (S): caccgGAGATGAAGCATTACTTGTG; sgMCART1_3 (AS): aaacCACAAGTAATGCTTCATCTCc; sgNMNAT3_9 (S): caccgCCACAGAGAAGCTTCAGCTC; sgNMNAT3_9 (AS): aaacGAGCTGAAGCTTCTCTGTGGc.

One million Jurkat cells were electroporated with the 2.5 μg of sgRNA plasmid and green fluorescent protein (GFP) control plasmid at a 10:1 ratio using an Amaxa Cell Line Nucleofector Kit V and an Amaxa Nucleofector II (Lonza). HeLa, 143B, and HEK-293T cells were transfected using FuGENE transfection reagent. GFP-positive cells were single-cell fluorescence-activated cell sorter (FACS)–sorted into 96-well plates containing media supplemented with 30% IFS and 50% conditioned media. MCART1 knockout cell clones were identified by Western blotting and confirmed by next-generation sequencing. Two different knockout clones of Jurkat cells (designated #1 and #2) were used for experiments. Between experiments, MCART1-null cells were maintained in media supplemented with 30% IFS, 2 mM l-glutamine, 1 mM uridine, and 0.1 mM/16 μM hypoxanthine/thymidine. NMNAT3 knockout clones were identified by next-generation sequencing.

CRISPR-Cas9 synthetic lethality negative selection genetic screen

MCART1-null or control cells re-expressing the guide-resistant MCART1 cDNA were transduced with a genome-wide sgRNA library (7, 45). Forty-eight hours after infection, cells were selected with puromycin for 72 hours. Subsequently, cells were passaged every other day at a seeding density of 250,000 cells/ml until reaching ~14 population doublings. DNA was extracted from 80 × 106 cells using the QIAamp DNA Blood Maxi Kit (QIAGEN). sgRNA inserts were polymerase chain reaction (PCR)–amplified using ExTaq DNA Polymerase (Takara). The resultant PCR products were purified and sequenced on a HiSeq 2500 (Illumina) (primer sequences provided below) to monitor the change in the abundance of each sgRNA between the initial and final cell populations.

Primer sequences for sgRNA quantification are as follows: AATGATACGGCGACCACCGAGATCTACACGAATACTGCCATTTGTCTCAAGATCTA (forward); CAAGCAGAAGACGGCATACGAGATCnnnnnnTTTCTTGGGTAGTTTGCAGTTTT (reverse) (nnnnnn denotes the sample barcode).



Sequencing reads were aligned to the sgRNA library, and the abundance of each sgRNA was calculated. sgRNAs with less than 50 counts in the initial cell pool were removed from downstream analyses. The log2 fold change in abundance of each sgRNA was calculated for each treatment condition after adding a pseudocount of one. A pseudocount of one was added to all sgRNAs, and counts were normalized by number of reads in each sample multiplied by 1 million. Gene scores were defined as the average log2 fold change in the abundance of all sgRNAs targeting a given gene between the initial and final cell populations and calculated for both cell lines, and Z-score was normalized. The differential gene score was calculated as the difference in gene scores between cell lines.

Cell proliferation assays

Ten thousand cells per well were seeded into 96-well plates in triplicate. Cell titer glo reagent (Promega) was added to one plate 1 hour after seeding and luminescence was measured, while a second plate was read-out 4 days after seeding. The number of doublings in 4 days was determined by calculating the log2 fold change in signal between days 0 and 4. For cell counting experiments, 100,000 cells/ml were seeded in a six-well plate in triplicates and counted immediately after seeding and from then on every 24 hours for five sequential days. For metabolite rescue experiments, 1 mM pyruvate and uridine (100 μg/ml), 1 mM formate, or 0.1 mM/16 μM hypoxanthine/thymidine were added at the beginning of the culture period. For proliferation assays with HeLa, HEK-293T, or 143B cells, 2000 cells per well were seeded and cultured in media containing 30% IFS (and glutamine, uridine, and hypoxanthine/thymidine) supplemented with 11 mM glucose or galactose for 3 days before switching to media of the respective carbon source supplemented with 10% dialyzed IFS only for another 24 hours before readout.

mRNA quantification by qPCR


Immunofluorescence assays and STED imaging

For immunofluorescence assays, 50,000 HeLa cells were plated in a 24-well glass bottom imaging plate (Cellvis, Mountain View, CA) and transfected with 500 ng of the cDNAs for FLAG constructs 16 hours later. Forty-eight hours after transfection, cells were rinsed twice with PBS and fixed with 3% paraformaldehyde with 0.1% glutaraldehyde in PBS for 10 min. The fixation and all subsequent steps were performed at room temperature. Cells were rinsed three times with PBS and permeabilized with 0.3% NP-40, 0.05% Triton X-100, and 0.1% bovine serum albumin (BSA) in PBS for 3 min. After rinsing three times with wash buffer (0.05% NP-40, 0.05% Triton X-100, and 0.2% BSA in PBS), samples were blocked for 1 hour in blocking buffer (0.05% NP-40, 0.05% Triton X-100, and 5% normal donkey serum). The samples were incubated with primary antibody in blocking buffer for 1 hour, washed three times with wash buffer, and incubated with secondary antibodies produced in donkey (diluted 1:500 in blocking buffer) for 30 min in the dark, washed three times with wash buffer, and rinsed three times with PBS. The primary antibodies used were directed against COX4 (1:250 dilution; CST), the FLAG epitope (1:500 dilution; Sigma-Aldrich), and TOM20 (1:500; SCBT). Secondary antibodies conjugated with Alexa 488 and Alexa 568 were used for confocal microscopy. Images were acquired on a Zeiss AxioVert200M microscope with a 63× oil immersion objective and a Yokogawa CSU-22 spinning disk confocal head with a Borealis modification (Spectral Applied Research/Andor) and a Hamamatsu ORCA-ER charge-coupled device (CCD) camera. The MetaMorph software package (Molecular Devices) was used to control the hardware and image acquisition. The excitation lasers used to capture the images were 488 and 561 nm. Images were processed with FIJI (46). Stimulated emission depletion (STED) imaging was carried out on a Leica TCS SP8 STED 3X setup with an HC PL APO 100×/1.40 oil STEDwhite objective. Samples were fixed as described above. FLAG was detected using Alexa 594 secondary antibodies, COX4 with Atto647N (Sigma-Aldrich), and Tom20 with Alexa 488. The 660- and 775-nm or 592-nm depletion lasers were used. Images were deconvolved using the Adaptive Lightning strategy (Leica). Line profiles were generated from the raw data using FIJI.

MS-based metabolomics and quantification of metabolite abundances

Metabolite abundance using LC-MS–based metabolomics was measured and quantified as previously described (11). Briefly, Jurkat cells were seeded at a density of 0.6 × 106 per ml. Twenty-four hours later, 1.5 to 2 × 106 cells were harvested, washed once in ice-cold 0.9% saline prepared with LC-MS–grade water, and extracted with 80% methanol containing 500 nM isotope-labeled amino acids as internal standards (Cambridge Isotope Laboratories). Where indicated in the “Mitochondrial isolations for metabolite analyses” section, a different extraction method was used to specifically quantify NAD levels.

The samples were vortexed for 10 min at 4°C and centrifuged at 17,000g. The supernatant was dried by vacuum centrifugation at 4°C. Samples were stored at −80°C until analyzed. On the day of analysis, samples were resuspended in 50 to 100 μl of LC-MS–grade water, and the insoluble fraction was cleared by centrifugation at 15,000 rpm. The supernatant was then analyzed as previously described by LC-MS (11, 21). Amino acids were normalized to their respective internal standards. TCA cycle intermediates, malate, carnitine, and C5-carnitine were normalized to the glutamate internal standard. NAD+ and NADH were normalized to the valine internal standard.

Glucose consumption and metabolite secretion assay

For media metabolite extraction, six wells of a six-well plate were seeded with 300,000 Jurkat cells in 2-ml RPMI. The next day, cells were washed in PBS and resuspended in media. One milliliter of the upper three wells was collected and centrifuged at 3000 rpm for 5 min to pellet cells. For the remaining media, the number of cells was counted. Two days later, the same procedure was repeated for the lower three wells. Metabolites were extracted from the media with a 75/25/0.2 extraction mix acetonitrile/methanol/formic acid with internal standards by vortexing for 10 min at 4°C. Samples were centrifuged at 17,000g, and the supernatant was analyzed by LC-MS. To calculate metabolite secretion or consumption rates, the difference in concentration between days 2 and 0 was divided by the area under the growth curve according to (47).

Mitochondrial isolations for immunoblot analyses

A total of 30 × 106 Jurkat cells expressing the HA-mito tag or a control tag were washed once in PBS, once in potassium phosphate-buffered saline (KPBS) according to (21). Five microliters of the cell suspension in 1-ml KPBS was lysed in 50 μl of 1% Triton X-100 lysis buffer to obtain whole cell protein levels. The rest was lysed using eight strokes with a 30 ½ gauge needle. Lysates were spun for 1 min at 1000g to pellet unbroken cells and subsequently incubated with 100-μl HA magnetic beads for 4 min. Beads were washed three times in KPBS, and mitochondria were lysed in 50-μl lysis buffer for 10 min. Beads were removed using the magnet, and samples were spun 10 min at 17,000g to remove residual beads and insoluble material. SDS–polyacrylamide gel electrophoresis (PAGE) loading dye was added to each sample, and 6 μl of whole cell lysate and 9 μl of the mitochondrial fraction were analyzed by SDS-PAGE.

Mitochondrial isolations for metabolite analyses

Mitochondria were isolated using the Mito-IP method as described above for immunoblotting, except cells were disrupted with 20 strokes in a homogenizer containing a pure polytetrafluoroethylene (PTFE) head (VWR International) and two strokes with a dounce tissue grinder with tight-fitting pestle (DWK Life Sciences Kimble Kontes). Eight hundred fifty microliters of the final suspension of beads with bound mitochondria in 1-ml KPBS was used for metabolite extraction, and the remaining 150 μl was used for immunoblotting to determine mitochondrial capture efficiency. Metabolites were extracted with 50-μl of 80% methanol containing internal standards. To obtain paired whole cell metabolite quantification, 25 μl of the initial cell suspension in 1-ml KPBS was extracted in 225 μl of 80% methanol with internal standards. In experiments in Fig. 4 and figs. S3 and S4, an extraction buffer consisting of 2:2:1 acetonitrile:methanol:water was used to preserve NAD+ and NADH followed by quenching with 15% (w/v) ammonium bicarbonate [8.7 μl per 100 μl solvent; adapted from (22)]. Five microliters of the mitochondrial extract was injected for MS analysis. Mitochondrial metabolite levels were normalized on the basis of the citrate synthase signal determined by Western blot. For the experiment in fig. S3B, mitochondria were isolated as described in mitochondrial uptake assays and washed once in KPBS before metabolite extraction. Separate replicates were used for protein quantification by the bicinchoninic acid assay method.

Mitochondrial transport assays

Mitochondria were isolated as described previously (48). Cells (at least ~1 g starting material) grown in shaking culture [in glucose-containing RPMI as described above, with 0.1% pluronic (Gibco)] were resuspended in low tonicity buffer [100 mM sucrose, 10 mM 3-(N-Morpholino)propanesulfonic acid (MOPS) (pH 7.2), 1 mM EGTA, and 0.1% BSA] and disrupted with 20 strokes in a homogenizer containing a pure PTFE head (VWR International) and two strokes with a dounce tissue grinder with tight-fitting pestle (DWK Life Sciences Kimble Kontes). After adjusting tonicity, lysates were spun twice at 950g to remove unbroken cells and nuclei, and mitochondria were pelleted by centrifuging at 10,000g for 10 min. The supernatant as well as the top, white part of the pellet containing other membranes was aspirated, and the brown/yellow mitochondrial pellet was washed in isolation buffer [210 mM mannitol, 70 mM sucrose, 10 mM MOPS (pH 7.2), 1 mM EGTA, and 0.1% BSA] before resuspending in mitochondria incubation media [125 mM KCl, 10 mM MOPS (pH 7.2), 2 mM MgCl2, 2 mM KH2PO4, 10 mM NaCl, and 1 mM EGTA]. Mitochondrial preparations were adjusted for protein content. Volume uptake reactions (100 μl) with 50 μM 13C5-NAD+ (Cambridge Isotope Laboratories) were initiated by adding substrate to 80 μg of mitochondria in incubation media containing 0.1% BSA and 100 μM unlabeled NAD+ at 30°C. Rotenone (5 μM), 10 mM succinate/1 μM ADP, and 5 μM FCCP were added where indicated. For competition experiments, 500 μM labeled NAD+ was added to mitochondria preincubated with 50 μM unlabeled NAD+. In addition, unlabeled NAD+, NADH, or NMN was added at 2 or 5 mM where indicated. After 10 min, 700-μl ice-cold KPBS was added to the reaction, and the samples were collected by centrifugation at 10,000g for 3 min at 4°C. Mitochondrial pellets were washed once in ice-cold KPBS before extracting the metabolites in 160-μl extraction buffer [2:2:1 acetonitrile:methanol:water followed by quenching with 12-μl 15% (w/v) ammonium bicarbonate]. Absolute levels of labeled NAD+ and NADH were quantified on the basis of a standard curve. 15N-13C5-Valine was used as an internal standard.

Yeast complementation experiments

Ndt1Δndt2Δ cells were transformed with empty vector or plasmids containing S. cerevisiae NDT1, human MCART1, or the K91A point mutant with 5′ and 3′UTRs of NDT1 and plated onto standard YPD plates with Nourseothricin (100 μg/ml; NAT). For growth and metabolomics experiments, yeast were cultured in baffled flasks shaking at 250 rpm at 30°C in synthetic minimal media consisting of yeast nitrogen base without amino acids, ammonium sulfate, and 2% ethanol as a carbon source with NAT (100 μg/ml). For growth assays, cultures were inoculated at an OD600 (optical density at 600 nm) of 0.1 from precultures. Growth curves were fitted on the basis of the average of two independent clones except for wild-type cells. Mitochondria were isolated according to a published protocol (49) and extracted as described above.

Glutamine tracing experiments

For glutamine tracing experiments in whole cells, cells were incubated in RPMI containing 2 mM 13C5,15N2-glutamine (Cambridge Isotope Laboratories) as the sole glutamine source for 2 hours before metabolites were extracted and quantified as described above with the exception that no internal standards were added to the extraction buffer. To measure TCA cycle flux in isolated mitochondria, mitochondria were purified by Mito-IP as described above. Mitochondria bound to magnetic beads were incubated in 100-μl KPBS containing 4 mM 13C5,15N2-glutamine, 0.5 mM malate, and 1 mM ADP at 33°C for 2.3 hours with rocking. The reaction was stopped, and metabolites were extracted by addition of 150-μl ice-cold acetonitrile. Samples were vortexed and centrifuged at 17,000g for 10 min. Four microliters of a 1:10 dilution in 80% methanol was injected for MS detection. Metabolites were normalized on the basis of the citrate synthase signal determined by Western blot.

Seahorse extracellular flux analyses

OCRs of intact cells were measured using an XFe96 Extracellular Flux Analyzer (Agilent). A total of 100,000 Jurkat cells were seeded on Seahorse XFe96 culture plates coated with Cell-Tak and assayed after incubation at 37°C for 1 hour. Three basal OCR measurements were taken, followed by sequential injections of 1 μM oligomycin, 3 μM FCCP, and 1 μM antimycin A, taking three measurements following each treatment. Cellular respiration was calculated by subtracting the OCR after Antimycin A treatment from the basal or FCCP-stimulated OCR. ATP synthesis was measured with the Seahorse XF Real-Time ATP Rate Assay kit (Agilent) according to the manufacturer’s instructions. Activity measurements for each respiratory chain complex in permeabilized cells were performed according to (50). Briefly, after seeding of cells the media was changed to Mannitol and sucrose–BSA buffer [70 mM sucrose, 220 mM Mannitol, 10 mM KH2PO4, 5 mM MgCl2, 2 mM Hepes (pH 7.2), 1 mM EGTA, and 0.4% BSA], and flux measurements were started. After three basal measurements, cells were permeabilized by injection of XF Plasma Membrane Permeabilizer (1 nM final concentration; Agilent) together with 1 mM ADP and the following respiratory complex substrates or ADP only: complex I, pyruvate/malate (5 mM/2.5 mM); complex II, succinate/rotenone (10 mM/1 μM); complex III, duroquinol (0.5 mM); complex IV, N,N,N,N-tetramethyl-p-phenylenediamine/ascorbate (0.5 mM/2 mM final concentration). These were followed by injections with Oligomycin (1 μg/ml final) and respective complex inhibitors (complex I, 1 μM rotenone; complexes II and III, 20 μM antimycin A; complex IV, 20 mM sodium azide). Wells in which cells were lifted off the plate during the assay were excluded from the analysis.

Characterization of mitochondria

For quantification of mitochondrial mass and morphology, Jurkat cells were stained with MitoTracker Green (Life Technologies, M22426) at 25 nM for 1 hour before analysis by flow cytometry or fluorescence microscopy. For microscopy, nuclei were stained with Hoechst 33342 fluorescent stain (Molecular Probes) at 2 μg/ml, and z-stacks with 250-nm step size were taken at ×100 magnification. FIJI was used to generate max intensity z-projections and measure mitochondrial length (46). To measure mitochondrial membrane potential, cells were stained with 200 nM tetramethylrhodamine, methyl ester, perchlorate (TMRM; Life Technologies, T668) in RPMI for 20 min at 37°C, washed once with PBS, and resuspended in fresh PBS for flow cytometry analysis of live cells. Where indicated, cells were incubated with 10 μM FCCP for 10 min before adding TMRM dye. For ultrastructural analysis by electron microscopy, cells were fixed in 2.5% glutaraldehyde, 3% paraformaldehyde with 5% sucrose in 0.1 M sodium cacodylate buffer (pH 7.4), pelletted, and postfixed in 1% OsO4 in veronal-acetate buffer. The cells were stained en block overnight with 0.5% uranyl acetate in veronal-acetate buffer (pH 6.0), then dehydrated, and embedded in Embed-812 resin. Sections were cut on a Leica EM UC7 ultra microtome with a Diatome diamond knife at a thickness setting of 50 nm, stained with 2% uranyl acetate, and lead citrate. The sections were examined using a FEI Tecnai spirit at 80 kV and photographed with an AMT CCD camera. Analysis of mitochondrial DNA copy number was performed as previously described (13). Briefly, genomic and mitochondrial DNA were extracted from cells using the QIAamp DNA mini kit according to the manufacturer’s instructions (QIAGEN). The following primers targeting the mitochondrial gene ND1 and the nuclear gene RUNX2 were used to assess mitochondrial DNA copy number by qPCR by normalizing Ct values of ND1 to those of RUNX2. ND1_F: CCC TAA AAC CCG CCA CAT CT; ND1_R: GAG CGA TGG TGA GAG CTA AGG T; RUNX2_F: CGC ATT CCT CAT CCC AGT ATG; RUNX2_R: AAA GGA CTT GGT GCA GAG TTC AG. Jurkat whole cell lysates for immunoblot analysis of mitochondrial (and other) proteins were prepared by lysis in 1% Triton X-100 lysis buffer.

Bioinformatics analyses

MCART1 (Q9H1U9; S2551_HUMAN) topology was predicted using Protter (10). The Broad Institute Achilles CRISPR dataset (8) was analyzed in Excel using the in-build correlation function to calculate MCART1 correlation with all genes in the dataset. In addition, the Achilles data were further analyzed in “R” (version 3.3.3, x64) using custom written scripts. The limma package was used to generate barcode plots. Gene ontology (GO) terms used for barcode plots are ETC: GO:0022900; TCA cycle: GO:0006099; mitochondrial DNA replication: GO:0006264; mitophagy: GO:0000423; mitochondrial fusion: GO:0008053; mitochondrial transmembrane transport: GO:1990542; fatty acid β-oxidation: GO:0006635. All groups were filtered for human genes only. For construction of the phylogenetic tree, protein sequences of all members of the human SLC25 family [obtained from (51)] were aligned using MUSCLE (52). The PHYLIP proml module (53) was used to construct the phylogenetic tree and FigTree software v.1.4.3 to visualize it. Percent sequence identities and similarities were calculated with the NCBI blastp tool. GraphPad Prism 7 software was used to generate the heat map of MCART RNA expression based on data from the Cancer Cell Line Encyclopedia ( MCART TPM (transcripts per kilobase million) levels in normal tissues were extracted from GTEx Portal V7. The MCART1 structure was modeled using MEMOIR (membrane protein modeling pipeline) (54) based on the structure of the bovine mitochondrial ADP/ATP carrier in complex with carboxyatractyloside (32) (Protein Data Bank #1OKC). The high-coverage model was visualized using Chimera (55).

Statistical analyses

Two-tailed t tests were used for comparison between two groups. All comparisons were two-sided, and P values of less than 0.05 were considered to indicate statistical significance. All error bars denote SDs between biological replicates unless indicated otherwise. Where fold changes are shown, the average of control or wild-type replicates was normalized to 1, and other samples were normalized accordingly.


Supplementary material for this article is available at

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Acknowledgments: We thank all members of the Sabatini lab for helpful insights, suggestions, and discussion, in particular J. Spinelli and E. Frenkel, as well as E. Kunji at Cambridge University. We thank H. Keys from the Functional Genomics Platform for technical assistance and helpful suggestions, as well as N. Watson and W. Salmon from the W.M. Keck Microscopy Facility at the Whitehead Institute and the Whitehead Institute FACS facility for technical assistance. We also thank C. Hanko and D. Tom from Leica for help with STED superresolution microscopy. Wild-type and ndt1Δndt2Δ yeast strains were a gift from M. Vai. Funding: This work was supported by an HHMI Damon-Runyon Cancer Research Foundation fellowship and a NIH K99 award (CA241332) to N.K. and by grants from the NIH to D.M.S. (R01 CA103866, R01 CA129105, and R37 AI47389), the Department of Defense (W81XWH-07-0448), and the St. Baldrick’s Foundation. D.M.S. is an investigator of the Howard Hughes Medical Institute and an ACS Research Professor. Author contributions: N.K. initiated the project, devised the research plan, designed and analyzed most experiments, and interpreted experimental results with guidance from D.M.S. N.K., J.u.d.B., S.v.d.R., N.J., and M.G. performed experiments with assistance from N.A. and G.P. N.K. wrote and D.M.S. edited the manuscript. I.A.P., C.A.L., S.H.C., and T.K. assisted with LC-MS sample preparation and analysis. Competing interests: N.K. and D.M.S. are inventors on a patent application filed by the Whitehead Institute relating to work described in this paper. All other authors declare that they have no competing interests. Data and materials availability: All data needed to evaluate the conclusions in the paper are present in the paper and/or the Supplementary Materials. All expression plasmids were deposited at Addgene. Additional data related to this paper may be requested from the authors.
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