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Haack, T.B. ; Madignier, F. ; Herzer, M. ; Lamantea, E.* ; Danhauser, K. ; Invernizzi, F.* ; Koch, J.* ; Freitag, M. ; Drost, R. ; Hillier, I. ; Haberberger, B. ; Mayr, J.A.* ; Ahting, U.* ; Tiranti, V.* ; Rotig, A.* ; Iuso, A.* ; Horvath, R.* ; Tesarova, M.* ; Baric, I.* ; Uziel, G.* ; Rolinski, B.* ; Sperl, W.* ; Meitinger, T. ; Zeviani, M.* ; Freisinger, P.* ; Prokisch, H.

Mutation screening of 75 candidate genes in 152 complex I deficiency cases identifies pathogenic variants in 16 genes including NDUFB9.

J. Med. Genet. 49, 83-89 (2012)
DOI PMC
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
Background Mitochondrial complex I deficiency is the most common cause of mitochondrial disease in childhood. Identification of the molecular basis is difficult given the clinical and genetic heterogeneity. Most patients lack a molecular definition in routine diagnostics. Methods A large-scale mutation screen of 75 candidate genes in 152 patients with complex I deficiency was performed by high-resolution melting curve analysis and Sanger sequencing. The causal role of a new disease allele was confirmed by functional complementation assays. The clinical phenotype of patients carrying mutations was documented using a standardised questionnaire. Results Causative mutations were detected in 16 genes, 15 of which had previously been associated with complex I deficiency: three mitochondrial DNA genes encoding complex I subunits, two mitochondrial tRNA genes and nuclear DNA genes encoding six complex I subunits and four assembly factors. For the first time, a causal mutation is described in NDUFB9, coding for a complex I subunit, resulting in reduction in NDUFB9 protein and both amount and activity of complex I. These features were rescued by expression of wild-type NDUFB9 in patient-derived fibroblasts. Conclusion Mutant NDUFB9 is a new cause of complex I deficiency. A molecular diagnosis related to complex I deficiency was established in 18% of patients. However, most patients are likely to carry mutations in genes so far not associated with complex I function. The authors conclude that the high degree of genetic heterogeneity in complex I disorders warrants the implementation of unbiased genome-wide strategies for the complete molecular dissection of mitochondrial complex I deficiency.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Korrespondenzautor
Schlagwörter mitochondrial-dna mutation; hereditary optic neuropathy; nadh-quinone oxidoreductase; leigh-syndrome; respiratory-chain; nd3 gene; missense mutation; assembly factor; disease; subunit
ISSN (print) / ISBN 0022-2593
e-ISSN 1468-6244
Quellenangaben Band: 49, Heft: 2, Seiten: 83-89 Artikelnummer: , Supplement: ,
Verlag BMJ Publishing Group
Nichtpatentliteratur Publikationen
Begutachtungsstatus Peer reviewed