1. Mitochondrial 'dysmorphology' in variant classification
- Author
-
Fowzan S. Alkuraya, Firdous Abdulwahab, Mais Hashem, Brahim Tabarki, Amal Alhashem, Hanan E. Shamseldin, and Rachid Sougrat
- Subjects
Male ,Mitochondrial Diseases ,Mitochondrial disease ,Mutation, Missense ,Mitochondrion ,Biology ,Mitochondrial Dynamics ,Cell Line ,Mitochondrial Proteins ,Microscopy, Electron, Transmission ,Exome Sequencing ,Genetics ,medicine ,Humans ,Missense mutation ,Child ,Gene ,Genetics (clinical) ,Exome sequencing ,Genetic Variation ,Membrane Proteins ,HSP40 Heat-Shock Proteins ,medicine.disease ,Phenotype ,Human genetics ,Mitochondria ,Molecular Diagnostic Techniques ,Child, Preschool ,DNAJA3 ,Female - Abstract
Mitochondrial disorders are challenging to diagnose. Exome sequencing has greatly enhanced the diagnostic precision of these disorders although interpreting variants of uncertain significance (VUS) remains a formidable obstacle. Whether specific mitochondrial morphological changes can aid in the classification of these variants is unknown. Here, we describe two families (four patients), each with a VUS in a gene known to affect the morphology of mitochondria through a specific role in the fission-fusion balance. In the first, the missense variant in MFF, encoding a fission factor, was associated with impaired fission giving rise to a characteristically over-tubular appearance of mitochondria. In the second, the missense variant in DNAJA3, which has no listed OMIM phenotype, was associated with fragmented appearance of mitochondria consistent with its published deficiency states. In both instances, the highly specific phenotypes allowed us to upgrade the classification of the variants. Our results suggest that, in select cases, mitochondrial "dysmorphology" can be helpful in interpreting variants to reach a molecular diagnosis.
- Published
- 2021
- Full Text
- View/download PDF