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.

Clinical Genetics
|May 10, 2020
PubMed

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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