1. Pathogenic SLIRP variants as a novel cause of autosomal recessive mitochondrial encephalomyopathy with complex I and IV deficiency
- Author
-
Bob P.H. Engelen, Florence H J van Tienen, Debby M.E.I. Hellebrekers, Le Guo, Irene M.G.M. Hemel, Mike Gerards, Farah Sadeghi-Niaraki, Maaike Vreeburg, Irenaeus F.M. de Coo, Suzanne C E H Sallevelt, Ed H Jacobs, Hubert J.M. Smeets, Clinical Genetics, Toxicogenomics, RS: MHeNs - R3 - Neuroscience, Genetica & Celbiologie, RS: FSE MaCSBio, RS: FPN MaCSBio, Maastricht Centre for Systems Biology, RS: GROW - R4 - Reproductive and Perinatal Medicine, Klinische Genetica, MUMC+: DA KG Polikliniek (9), MUMC+: DA KG Lab Centraal Lab (9), and RS: FHML MaCSBio
- Subjects
Male ,Mitochondrial encephalomyopathy ,PROTEIN ,Genes, Recessive ,Compound heterozygosity ,Article ,Frameshift mutation ,Electron Transport Complex IV ,POLYADENYLATION ,Mitochondrial Encephalomyopathies ,Complementary DNA ,Genetics ,medicine ,Humans ,Citrate synthase ,Child ,Cells, Cultured ,Genetics (clinical) ,Exome sequencing ,Electron Transport Complex I ,biology ,RNA-Binding Proteins ,RNA ,Fibroblasts ,medicine.disease ,Molecular biology ,LRPPRC ,Mutation ,RNA splicing ,biology.protein - Abstract
In a Dutch non-consanguineous patient having mitochondrial encephalomyopathy with complex I and complex IV deficiency, whole exome sequencing revealed two compound heterozygous variants in SLIRP. SLIRP gene encodes a stem-loop RNA-binding protein that regulates mitochondrial RNA expression and oxidative phosphorylation (OXPHOS). A frameshift and a deep-intronic splicing variant reduced the amount of functional wild-type SLIRP RNA to 5%. Consequently, in patient fibroblasts, MT-ND1, MT-ND6, and MT-CO1 expression was reduced. Lentiviral transduction of wild-type SLIRP cDNA in patient fibroblasts increased MT-ND1, MT-ND6, and MT-CO1 expression (2.5–7.2-fold), whereas mutant cDNAs did not. A fourfold decrease of citrate synthase versus total protein ratio in patient fibroblasts indicated that the resulting reduced mitochondrial mass caused the OXPHOS deficiency. Transduction with wild-type SLIRP cDNA led to a 2.4-fold increase of this ratio and partly restored OXPHOS activity. This confirmed causality of the SLIRP variants. In conclusion, we report SLIRP variants as a novel cause of mitochondrial encephalomyopathy with OXPHOS deficiency.
- Published
- 2021