Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-Analysis

Leber’s hereditary optic neuropathy (LHON) is a mitochondrial disorder that causes loss of central vision. Three primary variants (m.3460G>A, m.11778G>A, and m.14484T>C) and about 16 secondary variants are responsible for LHON in the majority of the cases. We investigated the complete mitoc...

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Main Authors: Rajan Kumar Jha, Chhavi Dawar, Qurratulain Hasan, Akhilesh Pujar, Gaurav Gupta, Venugopalan Y. Vishnu, Ramesh Kekunnaya, Kumarasamy Thangaraj
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/12/9/1300
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author Rajan Kumar Jha
Chhavi Dawar
Qurratulain Hasan
Akhilesh Pujar
Gaurav Gupta
Venugopalan Y. Vishnu
Ramesh Kekunnaya
Kumarasamy Thangaraj
author_facet Rajan Kumar Jha
Chhavi Dawar
Qurratulain Hasan
Akhilesh Pujar
Gaurav Gupta
Venugopalan Y. Vishnu
Ramesh Kekunnaya
Kumarasamy Thangaraj
author_sort Rajan Kumar Jha
collection DOAJ
description Leber’s hereditary optic neuropathy (LHON) is a mitochondrial disorder that causes loss of central vision. Three primary variants (m.3460G>A, m.11778G>A, and m.14484T>C) and about 16 secondary variants are responsible for LHON in the majority of the cases. We investigated the complete mitochondrial DNA (mtDNA) sequences of 189 LHON patients and found a total of 54 disease-linked pathogenic variants. The primary variants m.11778G>A and m.14484T>C were accountable for only 14.81% and 2.64% cases, respectively. Patients with these two variants also possessed additional disease-associated variants. Among 156 patients who lacked the three primary variants, 16.02% harboured other LHON-associated variants either alone or in combination with other disease-associated variants. Furthermore, we observed that none of the haplogroups were explicitly associated with LHON. We performed a meta-analysis of m.4216T>C and m.13708G>A and found a significant association of these two variants with the LHON phenotype. Based on this study, we recommend the use of complete mtDNA sequencing to diagnose LHON, as we found disease-associated variants throughout the mitochondrial genome.
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spelling doaj.art-562c58daf40b4adbbba2925e455a3ab72023-11-22T13:12:53ZengMDPI AGGenes2073-44252021-08-01129130010.3390/genes12091300Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-AnalysisRajan Kumar Jha0Chhavi Dawar1Qurratulain Hasan2Akhilesh Pujar3Gaurav Gupta4Venugopalan Y. Vishnu5Ramesh Kekunnaya6Kumarasamy Thangaraj7CSIR-Centre for Cellular and Molecular Biology (CSIR-CCMB), Hyderabad 500007, IndiaCSIR-Centre for Cellular and Molecular Biology (CSIR-CCMB), Hyderabad 500007, IndiaKamineni Hospital, L.B. Nagar, Hyderabad 500068, IndiaChild Sight Institute, L V Prasad Eye Institute (LVPEI), Hyderabad 500034, IndiaGenome Foundation, Hyderabad 500034, IndiaAll India Institute of Medical Sciences, New Delhi 110029, IndiaChild Sight Institute, L V Prasad Eye Institute (LVPEI), Hyderabad 500034, IndiaCSIR-Centre for Cellular and Molecular Biology (CSIR-CCMB), Hyderabad 500007, IndiaLeber’s hereditary optic neuropathy (LHON) is a mitochondrial disorder that causes loss of central vision. Three primary variants (m.3460G>A, m.11778G>A, and m.14484T>C) and about 16 secondary variants are responsible for LHON in the majority of the cases. We investigated the complete mitochondrial DNA (mtDNA) sequences of 189 LHON patients and found a total of 54 disease-linked pathogenic variants. The primary variants m.11778G>A and m.14484T>C were accountable for only 14.81% and 2.64% cases, respectively. Patients with these two variants also possessed additional disease-associated variants. Among 156 patients who lacked the three primary variants, 16.02% harboured other LHON-associated variants either alone or in combination with other disease-associated variants. Furthermore, we observed that none of the haplogroups were explicitly associated with LHON. We performed a meta-analysis of m.4216T>C and m.13708G>A and found a significant association of these two variants with the LHON phenotype. Based on this study, we recommend the use of complete mtDNA sequencing to diagnose LHON, as we found disease-associated variants throughout the mitochondrial genome.https://www.mdpi.com/2073-4425/12/9/1300LHONmtDNAmeta-analysishaplogroupprimary variantsDNA sequencing
spellingShingle Rajan Kumar Jha
Chhavi Dawar
Qurratulain Hasan
Akhilesh Pujar
Gaurav Gupta
Venugopalan Y. Vishnu
Ramesh Kekunnaya
Kumarasamy Thangaraj
Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-Analysis
Genes
LHON
mtDNA
meta-analysis
haplogroup
primary variants
DNA sequencing
title Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-Analysis
title_full Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-Analysis
title_fullStr Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-Analysis
title_full_unstemmed Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-Analysis
title_short Mitochondrial Genetic Heterogeneity in Leber’s Hereditary Optic Neuropathy: Original Study with Meta-Analysis
title_sort mitochondrial genetic heterogeneity in leber s hereditary optic neuropathy original study with meta analysis
topic LHON
mtDNA
meta-analysis
haplogroup
primary variants
DNA sequencing
url https://www.mdpi.com/2073-4425/12/9/1300
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