Genetic bases of mitochondrial respiratory chain disorders
1Inserm U781, hôpital Necker-Enfants Malades, université Paris Descartes, 149, rue de Sèvres, 75015 Paris, France. agnes.Rotig@inserm.fr
Insights
Respiratory chain (RC) deficiency can cause diverse symptoms due to its dual genetic origin. Growing evidence shows nuclear gene mutations, not just mitochondrial DNA, are key causes of RC disorders.
Area of Science:
- Biochemistry
- Genetics
- Cellular Respiration
Background:
- Oxidative phosphorylation, driven by the respiratory chain (RC), generates ATP, essential for cellular energy. This process is fully functional at birth.
- The dual genetic origin of RC components (nuclear and mitochondrial DNA) theoretically allows for any symptom, in any organ, at any age, with any inheritance pattern.
Purpose of the Study:
- To highlight the expanding understanding of respiratory chain (RC) disorders.
- To emphasize the growing number of identified disease-causing mutations in nuclear genes, challenging the historical focus on mitochondrial DNA (mtDNA).
Main Methods:
- Review of existing literature on RC disorders.
- Analysis of genetic origins of RC components.
- Comparison of historical and current etiological findings in RC deficiencies.
Main Results:
- Historically, RC disorders were primarily attributed to mitochondrial DNA (mtDNA) mutations.
- The number of identified disease-causing mutations in nuclear genes is increasing significantly.
- Nuclear genes encode not only RC subunits but also crucial proteins for holoenzyme biogenesis and mtDNA metabolism.
Conclusions:
- RC disorders are genetically complex, arising from both nuclear and mitochondrial DNA.
- The etiological landscape of RC disorders is shifting, with a greater recognition of nuclear gene involvement.
- Comprehensive genetic analysis is crucial for diagnosing RC deficiencies.
Abstract:
Oxidative phosphorylation - ATP synthesis by the oxygen-consuming respiratory chain (RC) - supplies most organs and tissues with a readily usable energy source, and is already fully functioning at birth. This means that, in theory, RC deficiency can give rise to any symptom in any organ or tissue at any age and with any mode of inheritance, due to the two-fold genetic origin of RC components (nuclear DNA and mitochondrial DNA). It has long been erroneously believed that RC disorders originate from mutations of mtDNA as, for some time, only mutations or deletions of mtDNA could be identified. However, the number of disease-causing mutations in nuclear genes is now steadily growing. These genes not only encode the various subunits of each complex, but also the ancillary proteins involved in the different stages of holoenzyme biogenesis, including transcription, translation, chaperoning, addition of prosthetic groups and assembly of proteins, as well as the various enzymes involved in mtDNA metabolism.
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