Homozygous Gly555Glu mutation in the nuclear-encoded 70 kDa flavoprotein gene causes instability of the respiratory
Rudy Van Coster1, S Seneca, J Smet
1Department of Pediatrics, Division of Pediatric Neurology and Metabolism, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium. rudy.vancoster@rug.ac.be
Abstract:
A homozygous mutation in the flavoprotein (Fp) gene associated with complex II deficiency was demonstrated in a patient with consanguineous parents. She succumbed at 5(1/2) months of age following a respiratory infection. The c1664G-->A transition detected, predicted the substitution of the small uncharged glycine at position 555 by glutamic acid. Her clinical course was at variance with the Leigh syndrome in three previously reported patients due to Fp gene mutations. In this proband, CRM for flavoprotein as well as iron-containing protein (Ip) was decreased, CRM for the entire complex II (130 kDa) being reduced even more. This observation prompts speculation of a labile interaction between Ip and Fp polypeptides and of a key role of the amino acid at position 555 in the interacting domain.
Insights
A novel mutation in the flavoprotein (Fp) gene caused complex II deficiency in an infant. This genetic defect impacted protein interactions, differing from previously reported cases.
Area of Science:
- Biochemistry
- Genetics
- Molecular Biology
Background:
- Mitochondrial complex II (succinate dehydrogenase) is crucial for cellular respiration.
- Mutations in the flavoprotein (Fp) gene can lead to complex II deficiency, a severe metabolic disorder.
Observation:
- A homozygous mutation (c1664G-->A) in the Fp gene was identified in an infant with consanguineous parents.
- The mutation resulted in a glycine to glutamic acid substitution at position 555 of the flavoprotein subunit.
- The patient presented with complex II deficiency and succumbed at 5.5 months of age.
Findings:
- The patient exhibited reduced levels of flavoprotein (Fp) and iron-containing protein (Ip), with a more pronounced decrease in the entire complex II.
- The clinical presentation differed from previously reported Leigh syndrome cases caused by Fp gene mutations.
- The findings suggest a potential role for amino acid 555 in the interaction between Fp and Ip subunits.
Implications:
- This study highlights a novel mutation in the Fp gene associated with complex II deficiency.
- The results suggest a labile interaction between Fp and Ip, potentially mediated by amino acid 555.
- Understanding these molecular interactions is vital for diagnosing and potentially treating mitochondrial disorders.
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