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Updated: Dec 22, 2025

In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
Published on: August 20, 2019
A homozygous variant in NDUFA8 is associated with developmental delay, microcephaly, and epilepsy due to
Yukiko Yatsuka1,2, Yoshihito Kishita1,2, Luke E Formosa3
1Intractable Disease Research Center, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Abstract:
Mitochondrial complex I deficiency is caused by pathogenic variants in mitochondrial and nuclear genes associated with complex I structure and assembly. We report the case of a patient with NDUFA8-related mitochondrial disease. The patient presented with developmental delay, microcephaly, and epilepsy. His fibroblasts showed apparent biochemical defects in mitochondrial complex I. Whole-exome sequencing revealed that the patient carried a homozygous variant in NDUFA8. His fibroblasts showed a reduction in the protein expression level of not only NDUFA8, but also the other complex I subunits, consistent with assembly defects. The enzyme activity of complex I and oxygen consumption rate were restored by reintroducing wild-typeNDUFA8 cDNA into patient fibroblasts. The functional properties of the variant in NDUFA8 were also investigated using NDUFA8 knockout cells expressing wild-type or mutated NDUFA8 cDNA. These experiments further supported the pathogenicity of the variant in complex I assembly. This is the first report describing that the loss of NDUFA8, which has not previously been associated with mitochondrial disease, causes severe defect in the assembly of mitochondrial complex I, leading to progressive neurological and developmental abnormalities.
Insights
Mitochondrial complex I deficiency can stem from NDUFA8 gene variants. This study identifies a novel NDUFA8 mutation causing severe mitochondrial disease, impacting neurological development.
Area of Science:
- Biochemistry
- Genetics
- Neuroscience
Background:
- Mitochondrial complex I deficiency is a significant cause of inherited metabolic disorders, often linked to genetic defects affecting enzyme structure and assembly.
- Pathogenic variants in nuclear or mitochondrial genes can disrupt the intricate process of complex I biogenesis, leading to cellular dysfunction.
Observation:
- A patient presented with developmental delay, microcephaly, and epilepsy, exhibiting biochemical defects in mitochondrial complex I.
- Fibroblast analysis revealed reduced expression of NDUFA8 and other complex I subunits, indicating assembly defects.
- Whole-exome sequencing identified a homozygous variant in the NDUFA8 gene in the affected patient.
Findings:
- The identified NDUFA8 variant was confirmed to be pathogenic, causing severe defects in mitochondrial complex I assembly.
- Restoration of NDUFA8 gene function in patient-derived cells normalized complex I activity and oxygen consumption.
- Functional studies in knockout cells further validated the role of the NDUFA8 variant in impairing complex I biogenesis.
Implications:
- This research establishes NDUFA8 as a novel gene associated with mitochondrial complex I deficiency and progressive neurological disorders.
- The findings expand the genetic landscape of mitochondrial diseases, offering new diagnostic targets.
- Understanding the role of NDUFA8 in complex I assembly provides insights into potential therapeutic strategies for related neurodevelopmental conditions.
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