Systematic analysis of a mitochondrial disease-causing ND6 mutation in mitochondrial deficiency

Deyu Chen1, Qiongya Zhao2, Jingting Xiong3

  • 1Key Laboratory of Laboratory Medicine, Ministry of Education, Zhejiang Provincial Key Laboratory of Medical Genetics, College of Laboratory Medicine and Life sciences, Wenzhou Medical University, Wenzhou, China.

Abstract

Insights

The m.14487T>C mutation alone does not cause mitochondrial disease. Additional genetic factors likely influence disease severity, suggesting caution in using this mutation solely for diagnosing mitochondrial disorders.

Area of Science:

  • Mitochondrial genetics
  • Molecular biology
  • Human genetics

Background:

  • The m.14487T>C mutation is a known diagnostic marker for mitochondrial disease.
  • Emerging evidence indicates a weak correlation between m.14487T>C mutant load and disease phenotype.

Purpose of the Study:

  • To investigate the direct impact of the m.14487T>C mutation on mitochondrial function.
  • To explore the role of modifier genes in m.14487T>C-associated mitochondrial disease.

Main Methods:

  • Generated immortalized lymphocytes from a Chinese patient with Leigh syndrome carrying the m.14487T>C mutation.
  • Created cytoplasmic hybrid (cybrid) cell lines by fusing cells with and without the mutation.
  • Analyzed mitochondrial function at transcriptomic, metabolomic, and biochemical levels.

Main Results:

  • Homoplastic m.14487T>C mutation showed minimal impact on mitochondrial respiratory chain complexes, respiration, and OXPHOS function in cybrid cells.
  • No transcriptomic or metabolomic reprogramming indicative of mitochondrial dysfunction was observed in cybrid cells with homoplastic m.14487T>C.
  • Mitochondrial function was impaired in patient-derived immortalized lymphocytes, suggesting other factors are involved.

Conclusions:

  • The m.14487T>C mutation is insufficient to cause mitochondrial deficiency on its own.
  • Additional genetic modifiers likely contribute to m.14487T>C-associated mitochondrial disease.
  • Sole reliance on the m.14487T>C mutation for molecular diagnosis of mitochondrial disease warrants caution.