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Stenton, S. ; Sheremet, N.L.* ; Catarino, C.B.* ; Andreeva, N.* ; Assouline, Z.* ; Barboni, P.* ; Barel, O.* ; Berutti, R. ; Bychkov, I.O.* ; Caporali, L.* ; Capristo, M.* ; Carbonelli, M.* ; Cascavilla, M.L.* ; Charbel Issa, P.* ; Freisinger, P.* ; Gerber, S.* ; Ghezzi, D.* ; Graf, E. ; Heidler, J.* ; Hempel, M.* ; Héon, E.* ; Itkis, Y.S.* ; Javasky, E.* ; Kaplan, J.* ; Kopajtich, R. ; Kornblum, C.* ; Kovács-Nagy, R.* ; Krylova, T.* ; Kunz, W.S.* ; La Morgia, C.* ; Lamperti, C.* ; Ludwig, C.* ; Malacarne, P.F.* ; Maresca, A.* ; Mayr, J.A.* ; Meisterknecht, J.* ; Nevinitsyna, T.* ; Palombo, F.* ; Pode-Shakked, B.* ; Shmelkova, M.S.* ; Strom, T.M.* ; Tagliavini, F.* ; Tzadok, M.* ; van der Ven, A.T.* ; Vignal-Clermont, C.* ; Wagner, M. ; Zakharova, E.* ; Zhorzholadze, N.* ; Rozet, J.M.* ; Carelli, V.* ; Tsygankova, P.* ; Klopstock, T.* ; Wittig, I.* ; Prokisch, H.

Impaired complex I repair causes recessive Leber's hereditary optic neuropathy.

J. Clin. Invest. 131:e138267 (2021)
Verlagsversion Postprint DOI PMC
Open Access Hybrid
Creative Commons Lizenzvertrag
Leber's hereditary optic neuropathy (LHON) is the most frequent mitochondrial disease and was the first to be genetically defined by a point mutation in the mitochondrial DNA (mtDNA). A molecular diagnosis is reached in up to 95%, the vast majority of which are accounted for by three mutations within mitochondrial complex I (CI) subunit encoding genes in the mtDNA (mtLHON). Here, we resolve the enigma of LHON in the absence of pathogenic mtDNA mutations. We describe biallelic mutations in a nuclear encoded gene, DNAJC30, in 33 unsolved patients from 29 families and establish an autosomal recessive mode of inheritance for LHON (arLHON), which to date has been a prime example of a maternally inherited disorder. Remarkably, all hallmarks of mtLHON are recapitulated, including incomplete penetrance, male predominance, and significant idebenone responsivity. Moreover, by tracking protein turnover in patient-derived cell lines and a DNAJC30-knock-out cellular model, we measure reduced turnover of specific CI N-module subunits and a resultant impairment of CI function. This demonstrates DNAJC30 is to be a chaperone protein needed for the efficient exchange of CI subunits exposed to reactive oxygen species and integral to a mitochondrial CI repair mechanism, thereby providing the first example of a disease resulting from impaired exchange of assembled respiratory chain subunits.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Genetic Diseases ; Genetics ; Neuroscience; Lhon/melas Overlap Syndrome; Mitochondrial; Identification; Mutations; Idebenone; Pathway
Sprache englisch
Veröffentlichungsjahr 2021
HGF-Berichtsjahr 2021
ISSN (print) / ISBN 0021-9738
e-ISSN 1558-8238
Quellenangaben Band: 131, Heft: 6, Seiten: , Artikelnummer: e138267 Supplement: ,
Verlag American Society of Clinical Investigation
Verlagsort 2015 Manchester Rd, Ann Arbor, Mi 48104 Usa
Begutachtungsstatus Peer reviewed
POF Topic(s) 30205 - Bioengineering and Digital Health
30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
Forschungsfeld(er) Genetics and Epidemiology
PSP-Element(e) G-503292-001
G-500700-001
G-503200-001
Förderungen Horizon2020 through ERA PerMed project PerMiM
German BMBF
Horizon2020 through the ERare project GENOMIT
Italian Ministry of Health
Deutsche Forschungsgemeinschaft (DFG)
Cardio Pulmonary Institute (CPI) of the DFG
National Institute for Health Research (NIHR) Oxford Biomedical Research Centre (BRC, Oxford, United Kingdom)
Austrian Science Fund (FWF)
German Federal Ministry of Education and Research (BMBF, Bonn, Germany)
Scopus ID 85102720298
PubMed ID 33465056
Erfassungsdatum 2021-02-08