Frontiers in Genetics (Jun 2022)

Case Report: Optic Atrophy and Nephropathy With m.13513G>A/MT-ND5 mtDNA Pathogenic Variant

  • Valentina Barone,
  • Chiara La Morgia,
  • Leonardo Caporali,
  • Claudio Fiorini,
  • Michele Carbonelli,
  • Laura Ludovica Gramegna,
  • Laura Ludovica Gramegna,
  • Fiorina Bartiromo,
  • Fiorina Bartiromo,
  • Caterina Tonon,
  • Caterina Tonon,
  • Luca Morandi,
  • Luca Morandi,
  • Rocco Liguori,
  • Rocco Liguori,
  • Aurelia Petrini,
  • Rachele Brugnano,
  • Rachele Del Sordo,
  • Carla Covarelli,
  • Manrico Morroni,
  • Raffaele Lodi,
  • Raffaele Lodi,
  • Valerio Carelli,
  • Valerio Carelli

DOI
https://doi.org/10.3389/fgene.2022.887696
Journal volume & issue
Vol. 13

Abstract

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Isolated complex I deficiency represents the most common mitochondrial respiratory chain defect involved in mitochondrial disorders. Among these, the mitochondrial DNA (mtDNA) m.13513G>A pathogenic variant in the NADH dehydrogenase 5 subunit gene (MT-ND5) has been associated with heterogenous manifestations, including phenotypic overlaps of mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes, Leigh syndrome, and Leber’s hereditary optic neuropathy (LHON). Interestingly, this specific mutation has been recently described in patients with adult-onset nephropathy. We, here, report the unique combination of LHON, nephropathy, sensorineural deafness, and subcortical and cerebellar atrophy in association with the m.13513G>A variant.

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