Mitochondrial Copy Number and D-Loop Variants in Pompe Patients
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Published on: October 10, 2025
Fatemeh Bahreini1, Massoud Houshmand2, Mohammad Hossein Modaresi1
1Department of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Objective:
Pompe disease is a rare neuromuscular genetic disorder and is classified into two forms of early and late-onset. Over the past two decades, mitochondrial abnor- malities have been recognized as an important contributor to an array of neuromuscular diseases. We therefore aimed to compare mitochondrial copy number and mitochondrial displacement-loop sequence variation in infantile and adult Pompe patients.
Materials And Methods:
In this retrospective study, the mitochondrial D-loop sequence was analyzed by polymerase chain reaction (PCR) and direct sequencing to detect pos- sible variation in 28 Pompe patients (17 infants and 11 adults). Results were compared with 100 healthy controls and sequences of all individuals were compared with the Cam- bridge reference sequence. Real-time PCR was used to quantify mitochondrial DNA copy number.
Results:
Among 59 variants identified, 37(62.71%) were present in the infant group, 14(23.333%) in the adult group and 8(13.333%) in both groups. Mitochondrial copy number in infant patients was lower than adults (P<0.05). A significant frequency differ- ence was seen between the two groups for 12 single nucleotide polymorphism (SNP). A novel insertion (317-318 ins CCC) was observed in patients and six SNPs were iden- tified as neutral variants in controls. There was an inverse association between mito- chondrial copy number and D-loop variant number (r=0.54).
Conclusion:
The 317-318 ins CCC was detected as a new mitochondrial variant in Pompe patients.
Insights
Mitochondrial DNA copy number was lower in infantile Pompe disease patients compared to adults. A novel mitochondrial variant, 317-318 ins CCC, was identified in Pompe patients, suggesting a role in this neuromuscular disorder.
Area of Science:
- Genetics
- Mitochondrial Biology
- Neuromuscular Disorders
Background:
- Pompe disease is a rare genetic neuromuscular disorder with infantile and late-onset forms.
- Mitochondrial abnormalities are increasingly recognized as significant factors in neuromuscular diseases.
- This study investigates mitochondrial DNA (mtDNA) in Pompe disease patients.
Purpose of the Study:
- To compare mitochondrial DNA copy number and displacement-loop (D-loop) sequence variation in infantile and adult Pompe disease patients.
- To identify potential novel mitochondrial variants associated with Pompe disease.
Main Methods:
- Retrospective analysis of mtDNA D-loop sequences from 28 Pompe patients (17 infants, 11 adults) using PCR and direct sequencing.
- Comparison of patient sequences with 100 healthy controls and the Cambridge reference sequence.
- Quantification of mtDNA copy number using real-time PCR.
Main Results:
- 59 mtDNA variants were identified; 37% in infants, 23% in adults, and 13% in both.
- Infant Pompe patients exhibited significantly lower mtDNA copy number than adult patients (P<0.05).
- A novel insertion (317-318 ins CCC) was observed in Pompe patients, and an inverse association between mtDNA copy number and D-loop variant number was found (r=0.54).
Conclusions:
- The novel mitochondrial variant 317-318 ins CCC was identified in Pompe disease patients.
- Mitochondrial DNA copy number and D-loop sequence variations differ between infantile and adult Pompe disease.
- Mitochondrial abnormalities may play a role in the pathogenesis of Pompe disease.
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