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Impact of compound heterozygous SDHA variants on mitochondrial function in pediatric with neurological disease - PubMed

3 hours ago
  • #SDHA gene
  • #Mitochondrial dysfunction
  • #Neurological disorders
  • Study examines two rare compound heterozygous missense variants in the SDHA gene (c.1535G > A and c.1753C > T) in a pediatric patient with neurological symptoms.
  • Patient exhibited epilepsy, developmental delay, and optic atrophy, linked to SDHA mutations affecting succinate dehydrogenase (SDH) activity.
  • Analysis using patient-derived fibroblasts showed significant decreases in SDH activity and subunit levels, along with impaired mitochondrial respiratory chain (MRC) assembly.
  • Complex I (CI) activity and CI-containing supercomplexes formation were impaired, indicating broader mitochondrial dysfunction.
  • Basal and maximal respiration rates remained unchanged, but spare respiratory capacity was significantly reduced.
  • Findings functionally validate the deleterious effects of these SDHA variants, previously associated with primary mitochondrial disorder (PMD) and tumors.