The mitochondria-targeted peptide SS-31 binds lipid bilayers and modulates surface electrostatics as a key component of its mechanism of action
Mitchell W, Ng EA, Tamucci JD, Boyd KJ, Sathappa M, Coscia A, Pan M, Han X, +4 more
Journal of Biological Chemistry (2020)
Biophysical and molecular-dynamics analysis showed SS-31 partitions into the membrane interfacial region with affinity proportional to surface charge, does not destabilise bilayer structure, and modulates surface electrostatics — refining the Birk 2013 cardiolipin-binding mechanism into a broader 'membrane electrostatic modulation' framework.
This 2020 Journal of Biological Chemistry paper is the most rigorous biophysical re-examination of the SS-31 mechanism of action and refines the foundational cardiolipin-binding framework that Birk 2013 established. The investigators — a collaboration between the Szeto group at Weill Cornell, the Alder group at University of Connecticut, and computational laboratories — combined biophysical experimental methods (steady-state fluorescence, calorimetry, electrochemistry) with all-atom molecular-dynamics simulations to characterise SS-31 binding to model membranes containing varying proportions of cardiolipin, phosphatidylserine, and other anionic and zwitterionic phospholipids. Key findings: SS-31 partitions into the membrane interfacial region with affinity and lipid-binding density that are directly proportional to bilayer surface charge — meaning the peptide binds anionic membranes (which include cardiolipin-rich mitochondrial inner membranes) generally rather than cardiolipin selectively. The peptide does not destabilise bilayer structure even at high concentrations. Most importantly, SS-31 modulates the surface-electrostatic properties of the bilayer by down-regulating surface potential, which the authors propose affects calcium distribution at the membrane interface and protein–lipid interactions that organise the electron-transport-chain supercomplexes. The paper proposes a refined mechanism: SS-31 protects mitochondria by stabilising the electrostatic environment of the inner membrane, not by interacting with cardiolipin per se as a specific receptor.
This is a biophysical / computational mechanism paper, not a functional pharmacology study. The "surface-electrostatic modulation" framing is mechanistically richer than the original "binds cardiolipin selectively" framing but the precise relationship between the electrostatic effect and the clinical functional outcomes SS-31 has shown (or failed to show) in human trials is not closed by this paper. The model-membrane systems used in biophysical analysis are simpler than real mitochondrial inner membranes — the latter include protein interactions, supercomplex organisation, and dynamic remodelling that bilayer experiments cannot fully capture. The Szeto laboratory's continued involvement is appropriately disclosed; the mechanism-refinement does not change the clinical-trial outcomes for SS-31, which remain mixed (positive Phase 2 signals in mitochondrial myopathy and heart failure that did not confirm in Phase 3 / longer-duration trials; positive findings in Barth syndrome leading to 2025 FDA approval). The PNAS 2020 protein-interaction-landscape paper (Chavez et al., from a different group) provides a complementary mass-spectrometry-based view of SS-31's interactome that supplements but does not replace the bilayer-electrostatics framing here.
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