Mutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review
Mitochondrial encephalomyopathies (MEMP) are heterogeneous multisystem disorders frequently associated with mitochondrial DNA (mtDNA) mutations. Clinical presentation varies considerably in age of onset, course, and severity up to death in early childhood. In this study, we performed molecular genet...
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oai:doaj.org-article:efad65c1e5054e169c32f3dbdc13deda2021-11-25T17:20:20ZMutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review10.3390/diagnostics111119692075-4418https://doaj.org/article/efad65c1e5054e169c32f3dbdc13deda2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/1969https://doaj.org/toc/2075-4418Mitochondrial encephalomyopathies (MEMP) are heterogeneous multisystem disorders frequently associated with mitochondrial DNA (mtDNA) mutations. Clinical presentation varies considerably in age of onset, course, and severity up to death in early childhood. In this study, we performed molecular genetic analysis for mtDNA pathogenic mutation detection in Serbian children, preliminary diagnosed clinically, biochemically and by brain imaging for mitochondrial encephalomyopathies disorders. Sanger sequencing analysis in three Serbian probands revealed two known pathogenic mutations. Two probands had a heteroplasmic point mutation m.3243A>G in the <i>MT-TL1</i> gene, which confirmed mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episode syndrome (MELAS), while a single case clinically manifested for Leigh syndrome had an almost homoplasmic (close to 100%) m.8993T>G mutation in the <i>MT-ATP6</i> gene. After full mtDNA MITOMASTER analysis and PhyloTree build 17, we report MELAS’ association with haplogroups U and H (U2e and H15 subclades); likewise, the mtDNA-associated Leigh syndrome proband shows a preference for haplogroup H (H34 subclade). Based on clinical–genetic correlation, we suggest that haplogroup H may contribute to the mitochondrial encephalomyopathies’ phenotypic variability of the patients in our study. We conclude that genetic studies for the distinctive mitochondrial encephalomyopathies should be well-considered for realizing clinical severity and possible outcomes.Phepy G. A. DawodJasna JancicAna MarjanovicMarija BrankovicMilena JankovicJanko SamardzicAyman Gamil Anwar DawodIvana NovakovicFayda I. Abdel MotalebVladimir RadlovicVladimir S. KosticDejan NikolicMDPI AGarticleMELASleigh syndromemtDNAsanger sequencingmutationshaplogroupsMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 1969, p 1969 (2021) |
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MELAS leigh syndrome mtDNA sanger sequencing mutations haplogroups Medicine (General) R5-920 |
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MELAS leigh syndrome mtDNA sanger sequencing mutations haplogroups Medicine (General) R5-920 Phepy G. A. Dawod Jasna Jancic Ana Marjanovic Marija Brankovic Milena Jankovic Janko Samardzic Ayman Gamil Anwar Dawod Ivana Novakovic Fayda I. Abdel Motaleb Vladimir Radlovic Vladimir S. Kostic Dejan Nikolic Mutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review |
description |
Mitochondrial encephalomyopathies (MEMP) are heterogeneous multisystem disorders frequently associated with mitochondrial DNA (mtDNA) mutations. Clinical presentation varies considerably in age of onset, course, and severity up to death in early childhood. In this study, we performed molecular genetic analysis for mtDNA pathogenic mutation detection in Serbian children, preliminary diagnosed clinically, biochemically and by brain imaging for mitochondrial encephalomyopathies disorders. Sanger sequencing analysis in three Serbian probands revealed two known pathogenic mutations. Two probands had a heteroplasmic point mutation m.3243A>G in the <i>MT-TL1</i> gene, which confirmed mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episode syndrome (MELAS), while a single case clinically manifested for Leigh syndrome had an almost homoplasmic (close to 100%) m.8993T>G mutation in the <i>MT-ATP6</i> gene. After full mtDNA MITOMASTER analysis and PhyloTree build 17, we report MELAS’ association with haplogroups U and H (U2e and H15 subclades); likewise, the mtDNA-associated Leigh syndrome proband shows a preference for haplogroup H (H34 subclade). Based on clinical–genetic correlation, we suggest that haplogroup H may contribute to the mitochondrial encephalomyopathies’ phenotypic variability of the patients in our study. We conclude that genetic studies for the distinctive mitochondrial encephalomyopathies should be well-considered for realizing clinical severity and possible outcomes. |
format |
article |
author |
Phepy G. A. Dawod Jasna Jancic Ana Marjanovic Marija Brankovic Milena Jankovic Janko Samardzic Ayman Gamil Anwar Dawod Ivana Novakovic Fayda I. Abdel Motaleb Vladimir Radlovic Vladimir S. Kostic Dejan Nikolic |
author_facet |
Phepy G. A. Dawod Jasna Jancic Ana Marjanovic Marija Brankovic Milena Jankovic Janko Samardzic Ayman Gamil Anwar Dawod Ivana Novakovic Fayda I. Abdel Motaleb Vladimir Radlovic Vladimir S. Kostic Dejan Nikolic |
author_sort |
Phepy G. A. Dawod |
title |
Mutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review |
title_short |
Mutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review |
title_full |
Mutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review |
title_fullStr |
Mutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review |
title_full_unstemmed |
Mutational Analysis and mtDNA Haplogroup Characterization in Three Serbian Cases of Mitochondrial Encephalomyopathies and Literature Review |
title_sort |
mutational analysis and mtdna haplogroup characterization in three serbian cases of mitochondrial encephalomyopathies and literature review |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/efad65c1e5054e169c32f3dbdc13deda |
work_keys_str_mv |
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