Novel MT-ND gene variants causing adult-onset mitochondrial disease and isolated complex I deficiency

Abstract: Mitochondrial complex I deficiency is associated with a diverse range of clinical phenotypes and can arise due to either mitochondrial DNA (mtDNA) or nuclear gene defects. We investigated two adult patients who exhibited non-syndromic neurological features and evidence of isolated mitochondrial complex I deficiency in skeletal muscle biopsies. The first presented with indolent myopathy, progressive since age 17, while the second developed deafness around age 20 and other relapsing-remitting neurological symptoms since. A novel, likely de novo, frameshift variant in MT-ND6 (m.14512_14513del) and a novel maternally-inherited transversion mutation in MT-ND1 were identified, respectively. Skewed tissue segregation of mutant heteroplasmy level was observed; the mutant heteroplasmy levels of both variants were greater than 70% in muscle homogenate, however, in blood the MT-ND6 variant was undetectable while the mutant heteroplasmy level of the MT-ND1 variant was low (12%). Assessment of complex I assembly by Blue-Native PAGE demonstrated a decrease in fully assembled complex I in the muscle of both cases. SDS-PAGE and immunoblotting showed decreased levels of mtDNA-encoded ND1 and several nuclear encoded complex I subunits in both cases, consistent with functional pathogenic consequences of the identified variants. Pathogenicity of the m.14512_14513del was further corroborated by single-fiber segregation studies

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch
Anmerkungen
Frontiers in genetics. - 11 (2020) , 24, ISSN: 1664-8021

Schlagwort
Galerie Lempertz Contempora
Mitochondriale DNS
Muskelkrankheit

Ereignis
Veröffentlichung
(wo)
Freiburg
(wer)
Universität
(wann)
2020
Urheber
Ng, Yi Shiau
Thompson, Kyle
Loher, Daniela
Hopton, Sila
Falkous, Gavin
Hardy, Steven A.
Schaefer, Andrew M.
Shaunak, Sandip
Roberts, Mark E.
Lilleker, James B.
Taylor, Robert W.

DOI
10.3389/fgene.2020.00024
URN
urn:nbn:de:bsz:25-freidok-1586696
Rechteinformation
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Letzte Aktualisierung
25.03.2025, 13:52 MEZ

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Beteiligte

  • Ng, Yi Shiau
  • Thompson, Kyle
  • Loher, Daniela
  • Hopton, Sila
  • Falkous, Gavin
  • Hardy, Steven A.
  • Schaefer, Andrew M.
  • Shaunak, Sandip
  • Roberts, Mark E.
  • Lilleker, James B.
  • Taylor, Robert W.
  • Universität

Entstanden

  • 2020

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