Evidence map›Paper›PMID 29518248›Full record

ArticleHuman molecular genetics2018

Defective mitochondrial protease LonP1 can cause classical mitochondrial disease.

Bradley Peter, Christie L Waddington, Monika Oláhová, Ewen W Sommerville, Sila Hopton, Angela Pyle, Michael Champion, Monica Ohlson, Triinu Siibak, Zofia M A Chrzanowska-Lightowlers and 3 more

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In one paragraph

Article in Human molecular genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 66 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Bradley PeterInstitute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Christie L WaddingtonWellcome Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Monika OláhováWellcome Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Ewen W SommervilleWellcome Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Sila HoptonWellcome Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Angela PyleWellcome Centre for Mitochondrial Research, Institute of Genetics, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Michael ChampionDepartment of Inherited Metabolic Disease, Guy's and St Thomas' NHS Foundation Trusts, Evelina London Children's Hospital, London, UK.
Monica OhlsonInstitute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Triinu SiibakInstitute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Zofia M A Chrzanowska-LightowlersDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Robert W TaylorWellcome Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Maria FalkenbergInstitute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Robert N LightowlersWellcome Centre for Mitochondrial Research, Institute for Cell and Molecular Biosciences, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Newcastle University · GBUniversity of Gothenburg · SEBaylor College of Medicine · USWellcome Centre for Mitochondrial Research · GBEvelina London Children's Healthcare · GB

Funding

Medical Research Council G0601943
6 · The paper itself

Abstract

LonP1 is a mitochondrial matrix protease whose selective substrate specificity is essential for maintaining mitochondrial homeostasis. Recessively inherited, pathogenic defects in LonP1 have been previously reported to underlie cerebral, ocular, dental, auricular and skeletal anomalies (CODAS) syndrome, a complex multisystemic and developmental disorder. Intriguingly, although classical mitochondrial disease presentations are well-known to exhibit marked clinical heterogeneity, the skeletal and dental features associated with CODAS syndrome are pathognomonic. We have applied whole exome sequencing to a patient with congenital lactic acidosis, muscle weakness, profound deficiencies in mitochondrial oxidative phosphorylation associated with loss of mtDNA copy number and MRI abnormalities consistent with Leigh syndrome, identifying biallelic variants in the LONP1 (NM_004793.3) gene; c.1693T > C predicting p.(Tyr565His) and c.2197G > A predicting p.(Glu733Lys); no evidence of the classical skeletal or dental defects observed in CODAS syndrome patients were noted in our patient. In vitro experiments confirmed the p.(Tyr565His) LonP1 mutant alone could not bind or degrade a substrate, consistent with the predicted function of Tyr565, whilst a second missense [p.(Glu733Lys)] variant had minimal effect. Mixtures of p.(Tyr565His) mutant and wild-type LonP1 retained partial protease activity but this was severely depleted when the p.(Tyr565His) mutant was mixed with the p.(Glu733Lys) mutant, data consistent with the compound heterozygosity detected in our patient. In summary, we conclude that pathogenic LONP1 variants can lead to a classical mitochondrial disease presentations associated with severe biochemical defects in oxidative phosphorylation in clinically relevant tissues.

Indexed as

ATP-Dependent ProteasesBiopsyCell LineCraniofacial AbnormalitiesExomeExome SequencingEye AbnormalitiesGrowth DisordersHip Dislocation, CongenitalHumansInfantLeigh DiseaseMaleMitochondriaMitochondrial DiseasesMitochondrial ProteinsATP-Dependent ProteasesLONP1 protein, humanMitochondrial Proteins

Identifiers

PMID29518248
PMCPMC5932559
OpenAlexW2793194148

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.