Abstract
Defects of the mitochondrial oxidative phosphorylation (OXPHOS) system are frequent causes of neurological disorders in children. Linkage analysis and DNA sequencing identified a new founder p.G250V substitution in the C20ORF7 complex I chaperone in five Ashkenazi Jewish patients from two families with a combined OXPHOS complex I and IV defect presenting with Leigh's syndrome in infancy. Complementation with the wild type gene restored complex I, but only partially complex IV activity. Although the pathogenic mechanism remains elusive, a C20ORF7 defect should be considered not only in isolated complex I deficiency, but also in combination with decreased complex IV. Given the significant 1:290 carrier rate for the p.G250V mutation among Ashkenazi Jews, this mutation should be screened in all Ashkenazi patients with Leigh's syndrome prior to muscle biopsy.
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Acknowledgements
The authors are most grateful to Prof. Thorburn and Dr. Alison Compton for supplying the viral vector. Dr. Phyllis Dan and Mrs. Sarah Weissman are acknowledged for technical assistance. Rabbi Shlomo Bochner is acknowledged for support. This work was also supported by the Israeli Ministry of Health, grant# 5914 ( A.S. and O.E.) and by the Israeli Academy of Sciences, grant, # 1462/09 (A.S.)
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Communicated by: Shamima Rahman
Competing interest: None declared.
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Homozygous regions and genes, located in these regions from families I and II (DOC 28 kb)
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Saada, A., Edvardson, S., Shaag, A. et al. Combined OXPHOS complex I and IV defect, due to mutated complex I assembly factor C20ORF7. J Inherit Metab Dis 35, 125–131 (2012). https://doi.org/10.1007/s10545-011-9348-y
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DOI: https://doi.org/10.1007/s10545-011-9348-y