Mutant deoxynucleotide carrier is associated with congenital microcephaly
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Updated: Sep 29, 2026

In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
Published on: August 20, 2019
Marjorie J Rosenberg1, Richa Agarwala, Gerard Bouffard
1National Human Genome Research Institute, National Institutes of Health, 49 Convent Drive, Bethesda, Maryland 20892-4472, USA. marjr@nhgri.nih.gov
Abstract:
The disorder Amish microcephaly (MCPHA) is characterized by severe congenital microcephaly, elevated levels of alpha-ketoglutarate in the urine and premature death. The disorder is inherited in an autosomal recessive pattern and has been observed only in Old Order Amish families whose ancestors lived in Lancaster County, Pennsylvania. Here we show, by using a genealogy database and automated pedigree software, that 23 nuclear families affected with MCPHA are connected to a single ancestral couple. Through a whole-genome scan, fine mapping and haplotype analysis, we localized the gene affected in MCPHA to a region of 3 cM, or 2 Mb, on chromosome 17q25. We constructed a map of contiguous genomic clones spanning this region. One of the genes in this region, SLC25A19, which encodes a nuclear mitochondrial deoxynucleotide carrier (DNC), contains a substitution that segregates with the disease in affected individuals and alters an amino acid that is highly conserved in similar proteins. Functional analysis shows that the mutant DNC protein lacks the normal transport activity, implying that failed deoxynucleotide transport across the inner mitochondrial membrane causes MCPHA. Our data indicate that mitochondrial deoxynucleotide transport may be essential for prenatal brain growth.
Insights
Amish microcephaly (MCPHA) is a severe genetic disorder linked to a mutation in the SLC25A19 gene. This mutation disrupts mitochondrial deoxynucleotide transport, crucial for prenatal brain development.
Area of Science:
- Genetics
- Mitochondrial Biology
- Human Disease
Background:
- Amish microcephaly (MCPHA) is a rare autosomal recessive disorder.
- Characterized by severe congenital microcephaly, elevated urinary alpha-ketoglutarate, and premature death.
- Observed exclusively in Old Order Amish populations with ancestral ties to Lancaster County, Pennsylvania.
Purpose of the Study:
- To identify the genetic cause of Amish microcephaly (MCPHA).
- To investigate the molecular mechanism underlying the disorder.
- To understand the role of mitochondrial deoxynucleotide transport in prenatal brain development.
Main Methods:
- Utilized a genealogy database and automated pedigree software to trace family lineages.
- Conducted a whole-genome scan, fine mapping, and haplotype analysis to localize the disease gene.
- Performed gene sequencing and functional analysis of the identified gene and its protein product.
Main Results:
- Identified a single ancestral couple connecting 23 affected nuclear families.
- Localized the MCPHA-associated gene to a 2 Mb region on chromosome 17q25.
- Discovered a disease-segregating substitution in the SLC25A19 gene, encoding the mitochondrial deoxynucleotide carrier (DNC).
- Demonstrated that the mutant DNC protein exhibits impaired transport activity.
Conclusions:
- A mutation in SLC25A19, causing a loss of DNC transport function, is the cause of MCPHA.
- Failed deoxynucleotide transport across the inner mitochondrial membrane leads to the disorder.
- Mitochondrial deoxynucleotide transport is essential for normal prenatal brain growth.
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