Combined OXPHOS complex I and IV defect, due to mutated complex I assembly factor C20ORF7

被引:43
作者
Saada, Ann [1 ,2 ]
Edvardson, Shimon [3 ]
Shaag, Avraham [1 ,2 ]
Chung, Wendy K. [4 ,5 ]
Segel, Reeval [6 ,7 ]
Miller, Chaya [1 ,2 ]
Jalas, Chaim [8 ]
Elpeleg, Orly [1 ,2 ]
机构
[1] Hebrew Univ Jerusalem, Med Ctr, Monique & Jacques Roboh Dept Genet Res, IL-91120 Jerusalem, Israel
[2] Hebrew Univ Jerusalem, Med Ctr, Dept Genet & Metab Dis, IL-91120 Jerusalem, Israel
[3] Hadassah Med Ctr, Pediat Neurol Unit, IL-91120 Jerusalem, Israel
[4] Columbia Univ, Med Ctr, Dept Pediat, New York, NY 10032 USA
[5] Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA
[6] Shaare Zedek Med Ctr, Dept Pediat, IL-91031 Jerusalem, Israel
[7] Shaare Zedek Med Ctr, Dept Med Genet, IL-91031 Jerusalem, Israel
[8] Bonei Olam Ctr Rare Jewish Genet Disorders, Brooklyn, NY USA
关键词
MITOCHONDRIAL COMPLEX; MOLECULAR CHAPERONE; DEFICIENCY; DISEASE; MUTATIONS; GENE; ENCEPHALOPATHY; PREVALENCE; SUBUNITS; FOXRED1;
D O I
10.1007/s10545-011-9348-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Defects of the mitochondrial oxidative phosphorylation (OXPHOS) system are frequent causes of neurological disorders in children. Linkage analysis and DNA sequencing identified a new founder p.G250V substitution in the C20ORF7 complex I chaperone in five Ashkenazi Jewish patients from two families with a combined OXPHOS complex I and IV defect presenting with Leigh's syndrome in infancy. Complementation with the wild type gene restored complex I, but only partially complex IV activity. Although the pathogenic mechanism remains elusive, a C20ORF7 defect should be considered not only in isolated complex I deficiency, but also in combination with decreased complex IV. Given the significant 1:290 carrier rate for the p.G250V mutation among Ashkenazi Jews, this mutation should be screened in all Ashkenazi patients with Leigh's syndrome prior to muscle biopsy.
引用
收藏
页码:125 / 131
页数:7
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