作者: Cristiane Benincá , Vanessa Zanette , Michele Brischigliaro , Mark Johnson , Aurelio Reyes
DOI: 10.1136/JMEDGENET-2020-106861
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摘要: Background Mitochondria provide ATP through the process of oxidative phosphorylation, physically located in inner mitochondrial membrane (IMM). The contact site and organising system (MICOS) complex is known as ‘mitoskeleton’ due to its role maintaining IMM architecture. APOO encodes MIC26, a component MICOS, whose exact function maintenance or assembly has still not been completely elucidated. Methods We have studied family which most affected subject presented progressive developmental delay, lactic acidosis, muscle weakness, hypotonia, weight loss, gastrointestinal body temperature dysautonomia, repetitive infections, cognitive impairment autistic behaviour. Other members showed variable phenotype presentation. Whole exome sequencing was used screen for pathological variants. Patient-derived skin fibroblasts were confirm pathogenicity variant found APOO. Knockout models Drosophila melanogaster Saccharomyces cerevisiae employed validate MIC26 involvement MICOS function. Results A likely pathogenic c.350T>C transition predicting an I117T substitution MIC26. mutation caused impaired processing protein during import faulty insertion into IMM. This associated with altered cristae junction disruption. corresponding complete loss structural functional deficiencies yeast D. models. Conclusion first case APOO, causing neuromuscular impairment. involved stability humans, flies.