2020
DOI: 10.1212/nxg.0000000000000428
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Mutations in the m-AAA proteases AFG3L2 and SPG7 are causing isolated dominant optic atrophy

Abstract: ObjectiveTo improve the genetic diagnosis of dominant optic atrophy (DOA), the most frequently inherited optic nerve disease, and infer genotype-phenotype correlations.MethodsExonic sequences of 22 genes were screened by new-generation sequencing in patients with DOA who were investigated for ophthalmology, neurology, and brain MRI.ResultsWe identified 7 and 8 new heterozygous pathogenic variants in SPG7 and AFG3L2. Both genes encode for mitochondrial matricial AAA (m-AAA) proteases, initially involved in rece… Show more

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Cited by 39 publications
(32 citation statements)
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“…These candidate genes do not have a direct mitochondrial function, but these are selected after analysis of the WES data of other NOH patients by filtering with a list of 1,600 mitochondrial genes. Four primer pools (125- to 275-bp amplicon target sizes) were designed to amplify 313 and 274 amplicons, covering 22 genes ( Supplementary Table 1 ) ( 12 ) of a total length of 55.28 and 50.99 kb.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…These candidate genes do not have a direct mitochondrial function, but these are selected after analysis of the WES data of other NOH patients by filtering with a list of 1,600 mitochondrial genes. Four primer pools (125- to 275-bp amplicon target sizes) were designed to amplify 313 and 274 amplicons, covering 22 genes ( Supplementary Table 1 ) ( 12 ) of a total length of 55.28 and 50.99 kb.…”
Section: Methodsmentioning
confidence: 99%
“…DOA is mainly caused by pathogenic OPA1 variants (8-10) and less frequently by mutations in other genes including OPA3, MFN2, SPG7, AFG3L2, DNM1L, and SSBP1 (11)(12)(13)(14)(15)(16)(17). These genes are all involved in controlling the mitochondrial dynamics, with the exception of SSBP1, which is involved in mtDNA replication.…”
Section: Introductionmentioning
confidence: 99%
“…The Qubit dsDNA High Sensitivity Assay Kit (Thermo Fisher Scientific) was used to quantify DNA for NGS library construction. Library preparation for each sample was performed using Ion AmpliSeq technologies, sequencing was undertaken using 540 ChIPs on Ion S5™ Sequencer using barcoded samples, and sequencing data was processed using our own dedicated bioinformatics pipeline as described elsewhere [ 31 , 32 ]. Within the design regions, 95% of bases had coverage over 100X, indicating that sufficient coverage was achieved to enable high variant detection sensitivity.…”
Section: Methodsmentioning
confidence: 99%
“…Clinically phenocopies of LHON or DOA have been described in association with mutations in other nuclear genes, either recessive such as NDUFS2 [ 108 ], TMEM126A [ 109 , 110 ], RNT4IP1 [ 111 , 112 ] , SLC25A46 [ 113 ], ACO2 [ 114 ] , YME1L1 [ 115 ], or dominant as AFG3L2 and SPG7 [ 116 118 ], leading to isolated or syndromic HONs. Also, variable degrees of optic atrophy may be present along with other neurological and extra-neurological symptoms in other mtDNA-based mitochondrial encephalomyopathies, such as mitochondrial encephalopathy with ragged red fibres (MERRF), Leigh syndrome and mitochondrial encephalopathy with lactic acid and stroke-like episodes (MELAS) [ 1 , 2 , 6 ].…”
Section: Clinical Genetic and Biochemical Findings In Mitochondrialmentioning
confidence: 99%