101. NDUFAF3 variants that disrupt mitochondrial complex I assembly may associate with cavitating leukoencephalopathy
- Author
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Yu-ichi Goto, Shumpei Uchino, Akihiko Ishiyama, C. Sakai, Masakazu Mimaki, Tomomi Ogata, Hirofumi Komaki, Masayuki Sasaki, E. Suzuki, Nishiki Makioka, Kazuhiro Muramatsu, Yuichi Matsushima, and Ichizo Nishino
- Subjects
0301 basic medicine ,NDUFB11 ,Substantia nigra ,NDUFA9 ,NDUFB10 ,Leukoencephalopathy ,Mitochondrial Proteins ,03 medical and health sciences ,0302 clinical medicine ,Leukoencephalopathies ,Exome Sequencing ,Genetics ,medicine ,Humans ,Genetic Predisposition to Disease ,Genetics (clinical) ,Electron Transport Complex I ,Chemistry ,NDUFS2 ,Respiratory infection ,Infant ,medicine.disease ,Molecular biology ,Respiratory enzyme ,Mitochondria ,030104 developmental biology ,Mutation ,Female ,030217 neurology & neurosurgery - Abstract
Genetic abnormalities in mitochondrial complex assembling factors are associated with leukoencephalopathy. We present a 1-year-old girl with consciousness disturbance after a respiratory infection. Brain MRI revealed leukoencephalopathy with bilaterally symmetrical hyperintensity in the substantia nigra, medial thalamic nuclei, and basal nuclei, as well as cavities in the cerebral white matter and corpus callosum. Lactate levels in the spinal fluid were high, while magnetic resonance spectroscopy of the cerebral white matter and basal nuclei showed high peak lactate levels, suggesting mitochondrial dysfunction. The respiratory enzyme activity of complex I was reduced to 17% to 21% in skeletal muscle. Whole exome sequencing identified compound heterozygous variations in NDUFAF3, involved in the assembly of mitochondrial complex I (c.342_343insGTG:p.117Valdup, c.505C > A:p.Pro169Thr). Two-dimensional, blue-native polyacrylamide gel electrophoresis (PAGE) and sodium dodecyl sulfate-PAGE revealed reductions in Q-module (NDUFS2, NDUFS3, and NDUFA9) and P-module (NDUFB10 and NDUFB11) subunits, indicating disruption of mitochondrial complex I assembly. Our report expands the spectrum of clinical phenotypes associated with pathogenic variants of NDUFAF3.
- Published
- 2017