%0 Journal Article %A Heger, Leonie %A Kertess, Leonie %A Kaufhold, Clara Margarete %A Gubinelli, Francesco %A Cardona-Alberich, Aida %A Özata, Gamze %A Müller, Stephan A %A Tschirner, Sarah K %A Stehling, Oliver %A Schifferer, Martina %A Peron, Camille %A Tiranti, Valeria %A Lill, Roland %A Iuso, Arcangela %A Zecca, Luigi %A Strupp, Michael %A Oertel, Wolfgang %A Lichtenthaler, Stefan F %A Burbulla, Lena F. %T Patient-Derived Neurons Exhibit α-Synuclein Pathology and Previously Unrecognized Major Histocompatibility Complex Class I Elevation in Mitochondrial Membrane Protein-Associated Neurodegeneration. %J Movement disorders %V 40 %N 12 %@ 0885-3185 %C New York, NY %I Wiley %M DZNE-2025-01377 %P 2811 - 2818 %D 2025 %X Mitochondrial membrane protein-associated neurodegeneration (MPAN) from the neurodegeneration with brain iron accumulation (NBIA) family is a rare neurodegenerative disease marked by α-synuclein aggregation, brain iron accumulation, and midbrain dopaminergic neuron degeneration.The mechanisms driving neuron vulnerability remain unclear. Our study aimed to develop a patient-derived disease model replicating key pathologies of patient brains.We generated induced pluripotent stem cell-derived midbrain dopaminergic neurons from MPAN patients and examined ultrastructural and biochemical markers of pathology.MPAN patient neurons displayed α-synuclein aggregation, axonal swellings, iron accumulation, and severe membrane destruction. In addition, levels of the major histocompatibility complex class I (MHC-I), linked to cellular stress and neurodegenerative processes, were elevated in patient neurons. Treatment with acetyl-leucine, a potentially neuroprotective compound, decreased MHC-I.This first patient-derived neuronal model of MPAN provides a useful tool for further research aimed at unraveling the complexities of this disease and developing potential therapeutic interventions. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. %K MPAN (Other) %K NBIA (Other) %K dopaminergic neurons (Other) %K iPSC disease modeling (Other) %K α‐synuclein (Other) %F PUB:(DE-HGF)16 %9 Journal Article %$ pmid:40948186 %R 10.1002/mds.70029 %U https://pub.dzne.de/record/282916