Clinical and molecular findings in children with complex I deficiency
Open accessAbstract
Isolated complex I deficiency, the most frequent OXPHOS disorder in infants and children, is genetically heterogeneous. Mutations have been found in seven mitochondrial DNA (mtDNA) and eight nuclear DNA encoded subunits, respectively, but in most of the cases the genetic basis of the biochemical defect is unknown. We analyzed the entire mtDNA and 11 nuclear encoded complex I subunits in 23 isolated complex I-deficient children, classified into five clinical groups: Leigh syndrome, progressive leukoencephalopathy, neonatal cardiomyopathy, severe infantile lactic acidosis, and a miscellaneous group of unspecified encephalomyopathies. A genetic definition was reached in eight patients (35%). Mutations in mtDNA were found in six out of eight children with Leigh syndrome, indicating a prevalent association between this phenotype and abnormalities in ND genes. In two patients with leukoencephalopathy, homozygous mutations were detected in two different nuclear-encoded complex I genes, including a novel transition in NDUFS1 subunit. In addition to these, a child affected by mitochondrial encephalomyopathy had heterozygous mutations in NDUFA8 and NDUFS2 genes, while another child with neonatal cardiomyopathy had a complex rearrangement in a single NDUFS7 allele. The latter cases suggest the possibility of unconventional patterns of inheritance in complex I defects.
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PARP inhibitors lessen genetic mitochondrial metabolism defects in human fibroblasts.
“Furthermore, PARP inhibitors reverse mitochondrial defects in primary myotubes of obese humans and attenuate genetic defects of mitochondrial metabolism in human fibroblasts and C. elegans.”
From Pharmacological Inhibition of poly(ADP-ribose) polymerases improves fitness and mitochondrial function in skeletal muscle (2014) · cites this paper as Bugiani et al., 2004
NDUFS1 mutant fibroblasts have a mutation that lowers complex I activity by 87%.
“To test whether these observations could also apply in human models, we used skin fibroblasts from a patient with a mutation in the nuclear NDUFS1 gene, which reduced complex I activity by 87% (Bugiani et al., 2004).”
From Pharmacological Inhibition of poly(ADP-ribose) polymerases improves fitness and mitochondrial function in skeletal muscle (2014) · cites this paper as Bugiani et al., 2004
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Self-citationBiallelic Mutations in TMEM126B Cause Severe Complex I Deficiency with a Variable Clinical Phenotype
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Mitochondrial Neurodegeneration
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- Authors
- Bugiani, M., Invernizzi, F., Alberio, S., Briem, E., Lamantea, E., Carrara, F., Moroni, I., Farina, L., Spada, M., Donati, M. A., Uziel, G., & Zeviani, M.
- Affiliations
- Fondazione IRCCS Istituto Neurologico Carlo Besta (IT)
- Ospedale Regina Margherita (IT)
- Meyer Children's Hospital (IT)
- Corresponding author
- Zeviani, M.
- Venue
- Biochimica et Biophysica Acta (BBA) - Bioenergetics
- Publisher
- Elsevier BV
- Published
- 2004-12
- Volume
- 1659
- Issue
- 2-3
- Pages
- 136-147
- ISSN
- 0005-2728 (ISSN-L)
- OpenAlex
- W2077446001
- Cited by
- 264
- References
- 44
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 10 · 2023: 7 · 2022: 8 · 2021: 13 · 2020: 15 · 2019: 12 · 2018: 14 · 2017: 15 · 2016: 16 · 2015: 15 · 2014: 15 · 2013: 17 · 2012: 17
- FWCI
- 2.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biochimica et Biophysica Acta (BBA) - Bioenergetics (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- complex I deficiency, mitochondrial disease, Leigh syndrome, neonatal cardiomyopathy, mitochondrial encephalomyopathy, NDUFS1, NDUFS2, NDUFS7, mitochondrial DNA mutations, genetic heterogeneity, children
- MeSH terms
- Acidosis, Lactic, Child, DNA, Mitochondrial, Humans, Infant, Iron-Sulfur Proteins, Leigh Disease, Leukoencephalopathy, Progressive Multifocal, Metabolism, Inborn Errors, Mutation, Cardiomyopathies, NADH Dehydrogenase, Proteins, NAD(P)H Dehydrogenase (Quinone), Mitochondrial Proteins, Electron Transport Complex I
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