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...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: 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
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
Acceso en línea:https://doaj.org/article/efad65c1e5054e169c32f3dbdc13deda
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:efad65c1e5054e169c32f3dbdc13deda
record_format dspace
spelling 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)
institution DOAJ
collection DOAJ
language EN
topic MELAS
leigh syndrome
mtDNA
sanger sequencing
mutations
haplogroups
Medicine (General)
R5-920
spellingShingle 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 AT phepygadawod mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT jasnajancic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT anamarjanovic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT marijabrankovic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT milenajankovic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT jankosamardzic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT aymangamilanwardawod mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT ivananovakovic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT faydaiabdelmotaleb mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT vladimirradlovic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT vladimirskostic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
AT dejannikolic mutationalanalysisandmtdnahaplogroupcharacterizationinthreeserbiancasesofmitochondrialencephalomyopathiesandliteraturereview
_version_ 1718412505365086208