1. Mitochondrial DNA analysis from exome sequencing data improves diagnostic yield in neurological diseases
- Author
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Poole, Olivia V, Pizzamiglio, Chiara, Murphy, David, Falabella, Micol, Macken, William L, Bugiardini, Enrico, Woodward, Cathy E, Labrum, Robyn, Efthymiou, Stephanie, Salpietro, Vincenzo, Chelban, Viorica, Kaiyrzhanov, Rauan, Maroofian, Reza, Synaps, Group, Aguennouz, M'Hammed, Di Rosa, Gabriella, Amato, Anthony A, Gregory, Allison, Hayflick, Susan J, Jonvik, Hallgeir, Wood, Nicholas, Houlden, Henry, Vandrovcova, Jana, Hanna, Michael G, Pittman, Alan, and Pitceathly, Robert D S
- Subjects
Adult ,Male ,0301 basic medicine ,Mitochondrial DNA ,Mitochondrial Diseases ,Adolescent ,Disease ,Brief Communication ,DNA, Mitochondrial ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Exome Sequencing ,Humans ,Medicine ,Exome sequencing ,Aged ,Aged, 80 and over ,Genetics ,business.industry ,Middle Aged ,Phenotype ,Mtdna mutations ,030104 developmental biology ,Neurology ,Child, Preschool ,Neurology (clinical) ,Nervous System Diseases ,Brief Communications ,business ,030217 neurology & neurosurgery - Abstract
A rapidly expanding catalog of neurogenetic disorders has encouraged a diagnostic shift towards early clinical whole exome sequencing (WES). Adult primary mitochondrial diseases (PMDs) frequently exhibit neurological manifestations that overlap with other nervous system disorders. However, mitochondrial DNA (mtDNA) is not routinely analyzed in standard clinical WES bioinformatic pipelines. We reanalyzed 11,424 exomes, enriched with neurological diseases, for pathogenic mtDNA variants. Twenty-four different mtDNA mutations were detected in 64 exomes, 11 of which were considered disease causing based on the associated clinical phenotypes. These findings highlight the diagnostic uplifts gained by analyzing mtDNA from WES data in neurological diseases. ANN NEUROL 2021;89:1240-1247.
- Published
- 2021