“…Clinical syndromes associated with defects in mtRNA metabolism are characterized by the variable combination of encephalopathy, myopathy, sideroblastic anemia, cardiomyopathy, hearing loss, optic atrophy, and renal or liver dysfunction (Boczonadi, Ricci, & Horvath, ; D'Souza & Minczuk, ). HCM and lactic acidosis are frequent presentations in some mitochondrial diseases related to dysfunctional mt‐tRNA maturation, such as those caused by biallelic variants in MTO1 (MIM# 614667), GTPBP3 (MIM# 608536), AARS2 (MIM# 612035) and RARS2 (MIM# 611524; Ghezzi et al, ; Gotz et al, ; Kopajtich et al, ; Lax et al, ).…”