Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial Diseases

Background: Mitochondrial diseases are a clinically heterogeneous group of rare hereditary disorders that are defined by a genetic defect predominantly affecting mitochondrial oxidative phosphorylation. Mitochondrial diseases are caused by mutations of genes encoded by either nuclear DNA or mitochon...

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Main Authors: Emine Begüm Gencer Öncül, Duygu Duman, Fatma Tuba Eminoğlu, Süleyman Aktuna, Mustafa Türker Duman
Format: Article
Language:English
Published: Galenos Publishing House 2022-03-01
Series:Balkan Medical Journal
Online Access:https://balkanmedicaljournal.org/text.php?lang=en&id=2387
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author Emine Begüm Gencer Öncül
Duygu Duman
Fatma Tuba Eminoğlu
Süleyman Aktuna
Mustafa Türker Duman
author_facet Emine Begüm Gencer Öncül
Duygu Duman
Fatma Tuba Eminoğlu
Süleyman Aktuna
Mustafa Türker Duman
author_sort Emine Begüm Gencer Öncül
collection DOAJ
description Background: Mitochondrial diseases are a clinically heterogeneous group of rare hereditary disorders that are defined by a genetic defect predominantly affecting mitochondrial oxidative phosphorylation. Mitochondrial diseases are caused by mutations of genes encoded by either nuclear DNA or mitochondrial DNA. Hundreds of different mitochondrial DNA point mutations and large-scale mitochondrial DNA rearrangements have been shown to cause mitochondrial diseases including Kearns–Sayre syndrome, Leber’s hereditary optic neuropathy, Leigh syndrome, myoclonic epilepsy with ragged-red fibers, mitochondrial encephalopathy lactic acidosis stroke. Aims: To investigate new variants that could be associated with mitochondrial diseases and to determine the effect of mitochondrial DNA mutations on the clinical spectrum. Study Design: Cross-sectional study. Methods: We screened whole mitochondrial DNA genome using next-generation sequencing in 16 patients who are considered to have mitochondrial disease. CentoGene and Mikrogen Genetic Diseases Diagnostic Center’s database were used to investigate sequence variants. Detected variants were evaluated in bioinformatic databases to determine pathogenicity and were classified as class 1 (pathogenic), class 2 (likely pathogenic), and class 3 (variant of uncertain significance) according to CentoGene-ACMG database. Results: As a result of the study, 2 patients were diagnosed with Leigh syndrome as previously reported class 1 mutations in MT-ATP6 and MT-ND5 genes. Four variants were identified for the first time in literature and 2 variants, previously reported but with uncertain pathogenic effect, are thought to be associated with mitochondrial disease. Conclusion: Mitochondrial DNA screening should be among the primary clinical tests in patients with suspected mitochondrial disease to rule out DNA-associated mutations.
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spelling doaj.art-0d0dd5946c564cf6b6b1b1bda3f6480b2023-02-15T16:20:43ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312022-03-013929610610.5152/balkanmedj.2021.21141Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial DiseasesEmine Begüm Gencer Öncül0https://orcid.org/0000-0001-9653-1508Duygu Duman1https://orcid.org/0000-0001-7583-0349Fatma Tuba Eminoğlu2https://orcid.org/0000-0001-7583-0349Süleyman Aktuna3https://orcid.org/0000-0003-0348-3530Mustafa Türker Duman4https://orcid.org/0000-0003-0093-2396Ankara University Biotechnology Institute, Ankara, TurkeyDepartment of Audiology, Ankara University Faculty of Health Sciences, Ankara, TurkeyDepartment of Pediatric Metabolism, Ankara University Faculty of Medicine, Ankara, TurkeyDepartment of Medical Genetics, Yuksek Ihtisas University Faculty of Medicine, Ankara, TurkeyDivision of Molecular Biology, Department of Biology, Ankara University Faculty of Sciences, Ankara, TurkeyBackground: Mitochondrial diseases are a clinically heterogeneous group of rare hereditary disorders that are defined by a genetic defect predominantly affecting mitochondrial oxidative phosphorylation. Mitochondrial diseases are caused by mutations of genes encoded by either nuclear DNA or mitochondrial DNA. Hundreds of different mitochondrial DNA point mutations and large-scale mitochondrial DNA rearrangements have been shown to cause mitochondrial diseases including Kearns–Sayre syndrome, Leber’s hereditary optic neuropathy, Leigh syndrome, myoclonic epilepsy with ragged-red fibers, mitochondrial encephalopathy lactic acidosis stroke. Aims: To investigate new variants that could be associated with mitochondrial diseases and to determine the effect of mitochondrial DNA mutations on the clinical spectrum. Study Design: Cross-sectional study. Methods: We screened whole mitochondrial DNA genome using next-generation sequencing in 16 patients who are considered to have mitochondrial disease. CentoGene and Mikrogen Genetic Diseases Diagnostic Center’s database were used to investigate sequence variants. Detected variants were evaluated in bioinformatic databases to determine pathogenicity and were classified as class 1 (pathogenic), class 2 (likely pathogenic), and class 3 (variant of uncertain significance) according to CentoGene-ACMG database. Results: As a result of the study, 2 patients were diagnosed with Leigh syndrome as previously reported class 1 mutations in MT-ATP6 and MT-ND5 genes. Four variants were identified for the first time in literature and 2 variants, previously reported but with uncertain pathogenic effect, are thought to be associated with mitochondrial disease. Conclusion: Mitochondrial DNA screening should be among the primary clinical tests in patients with suspected mitochondrial disease to rule out DNA-associated mutations.https://balkanmedicaljournal.org/text.php?lang=en&id=2387
spellingShingle Emine Begüm Gencer Öncül
Duygu Duman
Fatma Tuba Eminoğlu
Süleyman Aktuna
Mustafa Türker Duman
Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial Diseases
Balkan Medical Journal
title Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial Diseases
title_full Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial Diseases
title_fullStr Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial Diseases
title_full_unstemmed Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial Diseases
title_short Whole Mitochondrial Genome Analysis in Turkish Patients With Mitochondrial Diseases
title_sort whole mitochondrial genome analysis in turkish patients with mitochondrial diseases
url https://balkanmedicaljournal.org/text.php?lang=en&id=2387
work_keys_str_mv AT eminebegumgenceroncul wholemitochondrialgenomeanalysisinturkishpatientswithmitochondrialdiseases
AT duyguduman wholemitochondrialgenomeanalysisinturkishpatientswithmitochondrialdiseases
AT fatmatubaeminoglu wholemitochondrialgenomeanalysisinturkishpatientswithmitochondrialdiseases
AT suleymanaktuna wholemitochondrialgenomeanalysisinturkishpatientswithmitochondrialdiseases
AT mustafaturkerduman wholemitochondrialgenomeanalysisinturkishpatientswithmitochondrialdiseases