Novel compound heterozygous TARS2 variants in a Chinese family with mitochondrial encephalomyopathy : a case report

BACKGROUND: Mitochondrial encephalomyopathy caused by bi-allelic deleterious variants in TARS2 is rare. To date, only two pedigrees were reported in the literature and the connection between the gene and disease needs further study.

CASE PRESENTATION: We report one infant who presented with limb hypertonia, epilepsy, developmental delay, and increased serum lactate from a non-consanguineous Chinese family. Whole-genome sequencing was performed to help to underlie the cause. We identified compound heterozygous variants c.470C > G, p.Thr157Arg and c.2143G > A, p.Glu715Lys in TARS2 and the variants were confirmed by Sanger sequencing. The patient was diagnosed with combined oxidative phosphorylation deficiency 21 according to the Online Mendelian Inheritance in Man (OMIM) database based on the clinical data and the deleterious effect of the two variants in TARS2 predicted by in silico tools.

CONCLUSIONS: We presented one case diagnosed with combined oxidative phosphorylation deficiency 21 based on clinical characteristics and genetic analysis. This is the first case in China and the fourth case in the world based on our document retrieval. This study facilitates the understanding of combined oxidative phosphorylation deficiency disease and demonstrates that the next-generation sequencing has a high potential to study inherited disease with high phenotypic heterogeneity and genetic heterogeneity including mitochondrial diseases such as combined oxidative phosphorylation deficiency.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

BMC medical genetics - 21(2020), 1 vom: 05. Nov., Seite 217

Sprache:

Englisch

Beteiligte Personen:

Li, Xiaojing [VerfasserIn]
Peng, Bingwei [VerfasserIn]
Hou, Chi [VerfasserIn]
Li, Jinliang [VerfasserIn]
Zeng, Yiru [VerfasserIn]
Wu, Wenxiao [VerfasserIn]
Liao, Yinting [VerfasserIn]
Tian, Yang [VerfasserIn]
Chen, Wen-Xiong [VerfasserIn]

Links:

Volltext

Themen:

33X04XA5AT
Case Reports
Case report
EC 6.1.1.3
Encephalomyopathy
Journal Article
Lactic Acid
Mitochondrial diseases
TARS2
Threonine-tRNA Ligase
Whole genome sequencing

Anmerkungen:

Date Completed 08.01.2021

Date Revised 07.12.2022

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12881-020-01149-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317215817