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Table 1 Common mutations in genes or gene groups resulting in mitochondrial-associated metabolic diseases

From: Mitochondrial-associated metabolic disorders: foundations, pathologies and recent progress

Gene(s)

Location

Product

Function

Phenotype

Associated diseases

COQ2, COQ9, PDSS1/2, ADCK3

Nuclear

Coenzyme Q10 (CoQ)

Required for synthesis of CoQ; CoQ is an essential electron shuttle, acts as antioxidant, cofactor of pyrimidine synthesis

Decreased ETC activity; Skeletal muscle breakdown

CoQ deficiency

ETC subunits

Mitochondrial

Mitochondrial respiratory complex subunits

Oxidative phosphorylation

Respiratory complex deficiency

Mitochondrial myopathy; Lactic acidosis; MELAS (complex I)

ETFDH

Nuclear

Electron-transferring-flavoprotein dehydrogenase

Required for delivering electrons to complex III; derived from fatty acid and amino acid oxidation

Accumulation of toxic intermediates from fatty acid and amino acid oxidation; Decreased ETC efficiency

Symptoms of glutaric acidemia type 2

POLG, POLG2

Nuclear

Mitochondrial DNA polymerase gamma

mtDNA replication

mtDNA depletion

mtDNA depletion syndrome; Symptoms of MNGIE

12S rRNA, 16S rRNA

Mitochondrial

Mitochondrial ribosomal RNAs

Required for synthesis of mtDNA-encoded proteins

Respiratory complex deficiency

Mitochondrial myopathy; Lactic acidosis

tRNAs

Mitochondrial

Mitochondrial transfer RNAs

Required for synthesis of mtDNA-encoded proteins

Respiratory complex deficiency

Mitochondrial myopathy; Lactic acidosis; MELAS

TYMP

Nuclear

Thymidine phosphorylase

Required for processing thymidine and deoxyuridine into thymine and uracil

Accumulation of thymidine and deoxyuridine; Imbalance in mitochondrial (d)NTP pool; Impaired mtDNA replication and transcription

MNGIE