Abstract |
Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ( MELAS) is a maternally inherited mitochondrial disease. Most cases of MELAS are caused by the m.3243A > G variant in the MT-TL1 gene encoding tRNALeu(UUR). However, the genetic cause in 10% of patients with MELAS is unknown. We investigated the pathogenicity of the novel mtDNA variant m.9396G > A/MT-CO3 (p.E64K), which affects an extremely conserved amino acid in the CO3 subunit of mitochondrial respiratory chain (MRC) complex IV (CIV) in a patient with MELAS. Biochemical assays of a muscle biopsy confirmed remarkable CIV deficiency, and pathological examination showed ragged red fibers and generalized COX non-reactive muscle fibers. Transfer of the mutant mtDNA into cybrids impaired CIV assembly, followed by remarkable mitochondrial dysfunction and ROS production. Our findings highlight the pathogenicity of a novel m.9396G > A variant and extend the spectrum of pathogenic mtDNA variants.
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Authors | Manting Xu, Robert Kopajtich, Matthias Elstner, Zhaoxia Wang, Zhimei Liu, Junling Wang, Holger Prokisch, Fang Fang |
Journal | Frontiers in genetics
(Front Genet)
Vol. 12
Pg. 638749
( 2021)
ISSN: 1664-8021 [Print] Switzerland |
PMID | 34054915
(Publication Type: Journal Article)
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Copyright | Copyright © 2021 Xu, Kopajtich, Elstner, Wang, Liu, Wang, Prokisch and Fang. |