Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.

Tubulointerstitial kidney disease is an important cause of progressive renal failure whose aetiology is incompletely understood. We analysed a large pedigree with maternally inherited tubulointerstitial kidney disease and identified a homoplasmic substitution in the control region of the mitochondri...

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Main Authors: Thomas M Connor, Simon Hoer, Andrew Mallett, Daniel P Gale, Aurora Gomez-Duran, Viktor Posse, Robin Antrobus, Pablo Moreno, Marco Sciacovelli, Christian Frezza, Jennifer Duff, Neil S Sheerin, John A Sayer, Margaret Ashcroft, Michael S Wiesener, Gavin Hudson, Claes M Gustafsson, Patrick F Chinnery, Patrick H Maxwell
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-03-01
Series:PLoS Genetics
Online Access:https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1006620&type=printable
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author Thomas M Connor
Simon Hoer
Andrew Mallett
Daniel P Gale
Aurora Gomez-Duran
Viktor Posse
Robin Antrobus
Pablo Moreno
Marco Sciacovelli
Christian Frezza
Jennifer Duff
Neil S Sheerin
John A Sayer
Margaret Ashcroft
Michael S Wiesener
Gavin Hudson
Claes M Gustafsson
Patrick F Chinnery
Patrick H Maxwell
author_facet Thomas M Connor
Simon Hoer
Andrew Mallett
Daniel P Gale
Aurora Gomez-Duran
Viktor Posse
Robin Antrobus
Pablo Moreno
Marco Sciacovelli
Christian Frezza
Jennifer Duff
Neil S Sheerin
John A Sayer
Margaret Ashcroft
Michael S Wiesener
Gavin Hudson
Claes M Gustafsson
Patrick F Chinnery
Patrick H Maxwell
author_sort Thomas M Connor
collection DOAJ
description Tubulointerstitial kidney disease is an important cause of progressive renal failure whose aetiology is incompletely understood. We analysed a large pedigree with maternally inherited tubulointerstitial kidney disease and identified a homoplasmic substitution in the control region of the mitochondrial genome (m.547A>T). While mutations in mtDNA coding sequence are a well recognised cause of disease affecting multiple organs, mutations in the control region have never been shown to cause disease. Strikingly, our patients did not have classical features of mitochondrial disease. Patient fibroblasts showed reduced levels of mitochondrial tRNAPhe, tRNALeu1 and reduced mitochondrial protein translation and respiration. Mitochondrial transfer demonstrated mitochondrial transmission of the defect and in vitro assays showed reduced activity of the heavy strand promoter. We also identified further kindreds with the same phenotype carrying a homoplasmic mutation in mitochondrial tRNAPhe (m.616T>C). Thus mutations in mitochondrial DNA can cause maternally inherited renal disease, likely mediated through reduced function of mitochondrial tRNAPhe.
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publisher Public Library of Science (PLoS)
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spelling doaj-art-6685dd0c725b4fedbc65cf57e4a7ebde2025-08-20T02:03:16ZengPublic Library of Science (PLoS)PLoS Genetics1553-73901553-74042017-03-01133e100662010.1371/journal.pgen.1006620Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.Thomas M ConnorSimon HoerAndrew MallettDaniel P GaleAurora Gomez-DuranViktor PosseRobin AntrobusPablo MorenoMarco SciacovelliChristian FrezzaJennifer DuffNeil S SheerinJohn A SayerMargaret AshcroftMichael S WiesenerGavin HudsonClaes M GustafssonPatrick F ChinneryPatrick H MaxwellTubulointerstitial kidney disease is an important cause of progressive renal failure whose aetiology is incompletely understood. We analysed a large pedigree with maternally inherited tubulointerstitial kidney disease and identified a homoplasmic substitution in the control region of the mitochondrial genome (m.547A>T). While mutations in mtDNA coding sequence are a well recognised cause of disease affecting multiple organs, mutations in the control region have never been shown to cause disease. Strikingly, our patients did not have classical features of mitochondrial disease. Patient fibroblasts showed reduced levels of mitochondrial tRNAPhe, tRNALeu1 and reduced mitochondrial protein translation and respiration. Mitochondrial transfer demonstrated mitochondrial transmission of the defect and in vitro assays showed reduced activity of the heavy strand promoter. We also identified further kindreds with the same phenotype carrying a homoplasmic mutation in mitochondrial tRNAPhe (m.616T>C). Thus mutations in mitochondrial DNA can cause maternally inherited renal disease, likely mediated through reduced function of mitochondrial tRNAPhe.https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1006620&type=printable
spellingShingle Thomas M Connor
Simon Hoer
Andrew Mallett
Daniel P Gale
Aurora Gomez-Duran
Viktor Posse
Robin Antrobus
Pablo Moreno
Marco Sciacovelli
Christian Frezza
Jennifer Duff
Neil S Sheerin
John A Sayer
Margaret Ashcroft
Michael S Wiesener
Gavin Hudson
Claes M Gustafsson
Patrick F Chinnery
Patrick H Maxwell
Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.
PLoS Genetics
title Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.
title_full Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.
title_fullStr Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.
title_full_unstemmed Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.
title_short Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.
title_sort mutations in mitochondrial dna causing tubulointerstitial kidney disease
url https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1006620&type=printable
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