[A novel frameshift NDUFV1 mutation in a child with the phenotype of optic nerve atrophy]

Z Zhang1, H Yuan2, S Zhang3

  • 1Department of Ophthalmology, China-Japan Friendship Hospital, Beijing 100029, China.

Insights

A novel mutation in the NDUFV1 gene was identified in a child with optic nerve atrophy. This genetic finding offers new insights into the relationship between NDUFV1 gene mutations and their resulting phenotypes.

Area of Science:

  • Genetics
  • Ophthalmology
  • Neuroscience

Background:

  • Optic atrophy is a significant cause of vision impairment.
  • Understanding the genetic basis of optic atrophy is crucial for diagnosis and treatment.
  • Mitochondrial complex I dysfunction has been implicated in various neurological disorders.

Observation:

  • A 13-year-old girl presented with bilateral optic nerve atrophy and impaired vision.
  • Clinical examinations revealed low amplitude visual-evoked potentials (VEP) but no neurological deficits like dystonia or pyramidal tract symptoms.
  • Brain MRI did not show evidence of leukodystrophy.

Findings:

  • Whole exome sequencing identified a heterozygous c.53_54delTG mutation in the NDUFV1 gene (complex I).
  • This mutation resulted in a frameshift (p.Val18AlafsX20), altering the NDUFV1 protein structure by truncating a critical subunit.
  • A secondary intronic mutation (c.1162+4A>C) was also detected.

Implications:

  • This study identifies a novel NDUFV1 gene mutation associated with optic atrophy in a pediatric patient.
  • The findings contribute to the understanding of genotype-phenotype correlations for NDUFV1-related disorders.
  • Further research into NDUFV1 mutations may reveal new therapeutic targets for optic neuropathies.
Abstract