Novel GFM2 variants associated with early-onset neurological presentations of mitochondrial disease and impaired expression of OXPHOS subunits
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Novel GFM2 variants associated with early-onset neurological presentations of mitochondrial disease and impaired expression of OXPHOS subunits. / Glasgow, Ruth I C; Thompson, Kyle; Barbosa, Inês A; He, Langping; Alston, Charlotte L; Deshpande, Charu; Simpson, Michael A; Morris, Andrew A M; Neu, Axel; Löbel, Ulrike; Hall, Julie; Prokisch, Holger; Haack, Tobias B; Hempel, Maja; McFarland, Robert; Taylor, Robert W.
in: NEUROGENETICS, Jahrgang 18, Nr. 4, 12.2017, S. 227-235.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Novel GFM2 variants associated with early-onset neurological presentations of mitochondrial disease and impaired expression of OXPHOS subunits
AU - Glasgow, Ruth I C
AU - Thompson, Kyle
AU - Barbosa, Inês A
AU - He, Langping
AU - Alston, Charlotte L
AU - Deshpande, Charu
AU - Simpson, Michael A
AU - Morris, Andrew A M
AU - Neu, Axel
AU - Löbel, Ulrike
AU - Hall, Julie
AU - Prokisch, Holger
AU - Haack, Tobias B
AU - Hempel, Maja
AU - McFarland, Robert
AU - Taylor, Robert W
PY - 2017/12
Y1 - 2017/12
N2 - Mitochondrial diseases are characterised by clinical, molecular and functional heterogeneity, reflecting their bi-genomic control. The nuclear gene GFM2 encodes mtEFG2, a protein with an essential role during the termination stage of mitochondrial translation. We present here two unrelated patients harbouring different and previously unreported compound heterozygous (c.569G>A, p.(Arg190Gln); c.636delA, p.(Glu213Argfs*3)) and homozygous (c.275A>C, p.(Tyr92Ser)) recessive variants in GFM2 identified by whole exome sequencing (WES) together with histochemical and biochemical findings to support the diagnoses of pathological GFM2 variants in each case. Both patients presented similarly in early childhood with global developmental delay, raised CSF lactate and abnormalities on cranial MRI. Sanger sequencing of familial samples confirmed the segregation of bi-allelic GFM2 variants with disease, while investigations into steady-state mitochondrial protein levels revealed respiratory chain subunit defects and loss of mtEFG2 protein in muscle. These data demonstrate the effects of defective mtEFG2 function, caused by previously unreported variants, confirming pathogenicity and expanding the clinical phenotypes associated with GFM2 variants.
AB - Mitochondrial diseases are characterised by clinical, molecular and functional heterogeneity, reflecting their bi-genomic control. The nuclear gene GFM2 encodes mtEFG2, a protein with an essential role during the termination stage of mitochondrial translation. We present here two unrelated patients harbouring different and previously unreported compound heterozygous (c.569G>A, p.(Arg190Gln); c.636delA, p.(Glu213Argfs*3)) and homozygous (c.275A>C, p.(Tyr92Ser)) recessive variants in GFM2 identified by whole exome sequencing (WES) together with histochemical and biochemical findings to support the diagnoses of pathological GFM2 variants in each case. Both patients presented similarly in early childhood with global developmental delay, raised CSF lactate and abnormalities on cranial MRI. Sanger sequencing of familial samples confirmed the segregation of bi-allelic GFM2 variants with disease, while investigations into steady-state mitochondrial protein levels revealed respiratory chain subunit defects and loss of mtEFG2 protein in muscle. These data demonstrate the effects of defective mtEFG2 function, caused by previously unreported variants, confirming pathogenicity and expanding the clinical phenotypes associated with GFM2 variants.
KW - Journal Article
U2 - 10.1007/s10048-017-0526-4
DO - 10.1007/s10048-017-0526-4
M3 - SCORING: Journal article
C2 - 29075935
VL - 18
SP - 227
EP - 235
JO - NEUROGENETICS
JF - NEUROGENETICS
SN - 1364-6745
IS - 4
ER -