Resumen: Background: The oxidative phosphorylation system (OXPHOS) includes nuclear chromosome (nDNA)– and mitochondrial DNA (mtDNA)–encoded polypeptides. Many rare OXPHOS disorders, such as striatal necrosis syndromes, are caused by genetic mutations. Despite important advances in sequencing procedures, causative mutations remain undetected in some patients. It is possible that etiologic factors, such as environmental toxins, are the cause of these cases. Indeed, the inhibition of a particular enzyme by a poison could imitate the biochemical effects of pathological mutations in that enzyme. Moreover, environmental factors can modify the penetrance or expressivity of pathological mutations. Objectives: We studied the interaction between mitochondrially encoded ATP synthase 6 (p.MT-ATP6) subunit and an environmental exposure that may contribute phenotypic differences between healthy individuals and patients suffering from striatal necrosis syndromes or other mitochondriopathies. Methods: We analyzed the effects of the ATP synthase inhibitor tributyltin chloride (TBTC), a widely distributed environmental factor that contaminates human food and water, on transmitochondrial cell lines with or without an ATP synthase mutation that causes striatal necrosis syndrome. Doses were selected based on TBTC concentrations previously reported in human whole blood samples. Results: TBTC modified the phenotypic effects caused by a pathological mtDNA mutation. Interestingly, wild-type cells treated with this xenobiotic showed similar bioenergetics when compared with the untreated mutated cells. Conclusions: In addition to the known genetic causes, our findings suggest that environmental exposure to TBTC might contribute to the etiology of striatal necrosis syndromes. Idioma: Inglés DOI: 10.1289/EHP182 Año: 2016 Publicado en: ENVIRONMENTAL HEALTH PERSPECTIVES 124, 9 (2016), 1399-1405 ISSN: 0091-6765 Factor impacto JCR: 9.776 (2016) Categ. JCR: ENVIRONMENTAL SCIENCES rank: 4 / 229 = 0.017 (2016) - Q1 - T1 Categ. JCR: TOXICOLOGY rank: 2 / 92 = 0.022 (2016) - Q1 - T1 Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 4 / 176 = 0.023 (2016) - Q1 - T1 Factor impacto SCIMAGO: 3.13 - Public Health, Environmental and Occupational Health (Q1) - Health, Toxicology and Mutagenesis (Q1)