Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA Deletions

Mitochondrial DNA (mtDNA) depletion and deletion syndrome encompasses a group of disorders caused by mutations in genes involved in mtDNA replication and maintenance. The clinical phenotype ranges from fatal infantile hepatocerebral forms to mild adult onset progressive external ophthalmoplegia (PEO...

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Main Authors: Lidia Carreño-Gago, Cora Blázquez-Bermejo, Jordi Díaz-Manera, Yolanda Cámara, Eduard Gallardo, Ramon Martí, Javier Torres-Torronteras, Elena García-Arumí
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-06-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fgene.2019.00576/full
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author Lidia Carreño-Gago
Lidia Carreño-Gago
Cora Blázquez-Bermejo
Cora Blázquez-Bermejo
Jordi Díaz-Manera
Jordi Díaz-Manera
Yolanda Cámara
Yolanda Cámara
Eduard Gallardo
Eduard Gallardo
Ramon Martí
Ramon Martí
Javier Torres-Torronteras
Javier Torres-Torronteras
Elena García-Arumí
Elena García-Arumí
Elena García-Arumí
author_facet Lidia Carreño-Gago
Lidia Carreño-Gago
Cora Blázquez-Bermejo
Cora Blázquez-Bermejo
Jordi Díaz-Manera
Jordi Díaz-Manera
Yolanda Cámara
Yolanda Cámara
Eduard Gallardo
Eduard Gallardo
Ramon Martí
Ramon Martí
Javier Torres-Torronteras
Javier Torres-Torronteras
Elena García-Arumí
Elena García-Arumí
Elena García-Arumí
author_sort Lidia Carreño-Gago
collection DOAJ
description Mitochondrial DNA (mtDNA) depletion and deletion syndrome encompasses a group of disorders caused by mutations in genes involved in mtDNA replication and maintenance. The clinical phenotype ranges from fatal infantile hepatocerebral forms to mild adult onset progressive external ophthalmoplegia (PEO). We report the case of a patient with PEO and multiple mtDNA deletions, with two new homozygous mutations in RNASEH1. The first mutation (c.487T>C) is located in the same catalytic domain as the four previously reported mutations, and the second (c.258_260del) is located in the connection domain, where no mutations have been reported. In silico study of the mutations predicted only the first mutation as pathogenic, but functional studies showed that both mutations cause loss of ribonuclease H1 activity. mtDNA replication dysfunction was demonstrated in patient fibroblasts, which were unable to recover normal mtDNA copy number after ethidium bromide-induced mtDNA depletion. Our results demonstrate the pathogenicity of two new RNASEH1 variants found in a patient with PEO syndrome, multiple deletions, and mild mitochondrial myopathy.
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spelling doaj.art-cd58f1af7be14c018f24419717dfc6ed2022-12-21T19:39:39ZengFrontiers Media S.A.Frontiers in Genetics1664-80212019-06-011010.3389/fgene.2019.00576452641Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA DeletionsLidia Carreño-Gago0Lidia Carreño-Gago1Cora Blázquez-Bermejo2Cora Blázquez-Bermejo3Jordi Díaz-Manera4Jordi Díaz-Manera5Yolanda Cámara6Yolanda Cámara7Eduard Gallardo8Eduard Gallardo9Ramon Martí10Ramon Martí11Javier Torres-Torronteras12Javier Torres-Torronteras13Elena García-Arumí14Elena García-Arumí15Elena García-Arumí16Departament de Patologia Mitocondrial i Neuromuscular, Hospital Universitari Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainDepartament de Patologia Mitocondrial i Neuromuscular, Hospital Universitari Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainServei de Neurologia, Malalties Neuromusculars, Hospital de la Santa Creu i Sant Pau i Institut de Recerca de HSCSP, Universitat Autònoma de Barcelona, Barcelona, SpainDepartament de Patologia Mitocondrial i Neuromuscular, Hospital Universitari Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainServei de Neurologia, Malalties Neuromusculars, Hospital de la Santa Creu i Sant Pau i Institut de Recerca de HSCSP, Universitat Autònoma de Barcelona, Barcelona, SpainDepartament de Patologia Mitocondrial i Neuromuscular, Hospital Universitari Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainDepartament de Patologia Mitocondrial i Neuromuscular, Hospital Universitari Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainDepartament de Patologia Mitocondrial i Neuromuscular, Hospital Universitari Vall d’Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, SpainCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Barcelona, SpainÀrea de Genètica Clínica i Molecular, Hospital Universitari Vall d’Hebron, Barcelona, SpainMitochondrial DNA (mtDNA) depletion and deletion syndrome encompasses a group of disorders caused by mutations in genes involved in mtDNA replication and maintenance. The clinical phenotype ranges from fatal infantile hepatocerebral forms to mild adult onset progressive external ophthalmoplegia (PEO). We report the case of a patient with PEO and multiple mtDNA deletions, with two new homozygous mutations in RNASEH1. The first mutation (c.487T>C) is located in the same catalytic domain as the four previously reported mutations, and the second (c.258_260del) is located in the connection domain, where no mutations have been reported. In silico study of the mutations predicted only the first mutation as pathogenic, but functional studies showed that both mutations cause loss of ribonuclease H1 activity. mtDNA replication dysfunction was demonstrated in patient fibroblasts, which were unable to recover normal mtDNA copy number after ethidium bromide-induced mtDNA depletion. Our results demonstrate the pathogenicity of two new RNASEH1 variants found in a patient with PEO syndrome, multiple deletions, and mild mitochondrial myopathy.https://www.frontiersin.org/article/10.3389/fgene.2019.00576/fullmtDNAmitochondrial diseasePEOmultiple mtDNA deletionsRNASEH1
spellingShingle Lidia Carreño-Gago
Lidia Carreño-Gago
Cora Blázquez-Bermejo
Cora Blázquez-Bermejo
Jordi Díaz-Manera
Jordi Díaz-Manera
Yolanda Cámara
Yolanda Cámara
Eduard Gallardo
Eduard Gallardo
Ramon Martí
Ramon Martí
Javier Torres-Torronteras
Javier Torres-Torronteras
Elena García-Arumí
Elena García-Arumí
Elena García-Arumí
Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA Deletions
Frontiers in Genetics
mtDNA
mitochondrial disease
PEO
multiple mtDNA deletions
RNASEH1
title Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA Deletions
title_full Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA Deletions
title_fullStr Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA Deletions
title_full_unstemmed Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA Deletions
title_short Identification and Characterization of New RNASEH1 Mutations Associated With PEO Syndrome and Multiple Mitochondrial DNA Deletions
title_sort identification and characterization of new rnaseh1 mutations associated with peo syndrome and multiple mitochondrial dna deletions
topic mtDNA
mitochondrial disease
PEO
multiple mtDNA deletions
RNASEH1
url https://www.frontiersin.org/article/10.3389/fgene.2019.00576/full
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