Mitochondrial
proteases are interesting but challenging drug targets
for multifactorial diseases, such as neurodegeneration and cancer.
The mitochondrial inner membrane protease OMA1 is a bona fide drug
target for heart failure supported by data from human linkage analysis
and animal disease models, but presumably relevant for more indications.
OMA1 acts at the intersection of energy metabolism and stress signaling.
The protease cleaves the structural protein OPA1, which organizes
the cristae, as well as the signaling peptide DELE1, which can stimulate
the integrated stress response. OMA1 shows little activity under physiological
conditions but hydrolyzes OPA1 in mitochondria destined for mitophagy
and during apoptosis. Little is known about OMA1, its structure has
not been solved, let alone its context-dependent regulation. Autocatalytic
processing and the lack of OMA1 inhibitors are thereby creating the
biggest roadblocks. This study introduces a scalable, cellular OMA1
protease assay suitable for high-throughput drug screening. The assay
utilizes an engineered luciferase targeted to the inner membrane as
artificial OMA1 substrate, whereby the reporter signal inversely correlates
to OMA1 activity. Testing different screening protocols and sampling
different compound collections validated the reporter and demonstrated
that both OMA1 activators as well as OMA1 inhibitors can be identified
with the assay. Ten kinase-targeted cancer drugs triggered OMA1 in
the assays, which suggestsconsidering cardiotoxicity as a
rather common side-effect of this class of drugscross-reactivity
with the OMA1 pathway.