Evidence map›Paper›PMID 42255925›Full record

ArticleBrain communications2026

Expanding the landscape of tRNA pathogenic variants in mitochondrial DNA.

Salvatore Loris Siragusa, Santino Blando, Claudio Fiorini, Alberto Pietro Pasti, Danara Ormanbekova, Francesco Casadei, Luca Morandi, Elena Pegoraro, Rocco Liguori, Valerio Carelli and 3 more

Abstract read
In one paragraph

Article in Brain communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Salvatore Loris SiragusaDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Neurology Unit, University of Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0009-0009-4030-8126
Santino BlandoDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Cellular Signaling Laboratory - Anatomy Center, University of Bologna, 40126 Bologna, Italy.
Claudio FioriniProgramma di Neurogenetica, IRCCS Istituto Delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0003-2099-0745
Alberto Pietro PastiProgramma di Neurogenetica, IRCCS Istituto Delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0009-0007-2788-7632
Danara OrmanbekovaProgramma di Neurogenetica, IRCCS Istituto Delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0002-6564-3109
Francesco CasadeiProgramma Neuroimmagini Funzionali e MolecolariProgramma Neuroimmagini Funzionali e Molecolari, IRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0009-0006-0789-546X
Luca MorandiDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Neurology Unit, University of Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0002-3810-9760
Elena PegoraroData Science e Bioinformatics Laboratory, IRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0002-7740-4156
Rocco LiguoriDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Neurology Unit, University of Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0002-1815-1013
Valerio CarelliDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Neurology Unit, University of Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0003-4923-6404
Chiara La MorgiaDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Neurology Unit, University of Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0002-4639-8929
Leonardo CaporaliProgramma di Neurogenetica, IRCCS Istituto Delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.ORCID https://orcid.org/0000-0002-0666-4380
Maria Lucia ValentinoDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Neurology Unit, University of Bologna, 40139 Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a comprehensive molecular and histopathological characterization of nine patients with mitochondrial myopathy, predominantly manifesting progressive external ophthalmoplegia (PEO), associated with heteroplasmic variants in mitochondrial tRNA genes (mt-tRNA). Among the ten variants identified, four were novel and previously unreported in MITOMAP. Using laser capture microdissection and deep next-generation sequencing, we quantified heteroplasmy at the single-muscle-fibre level, demonstrating that cytochrome c oxidase (COX)-deficient fibres consistently reached near-homoplasmic mutant loads, whereas COX-positive fibres remained heteroplasmic with lower variant fractions. These findings firmly support the pathogenic role of all variants. Furthermore, digital droplet PCR revealed an increased mitochondrial DNA (mtDNA) content in COX-deficient fibres, indicating compensatory mitochondrial biogenesis. Of particular note, one patient harboured two novel heteroplasmic variants, m.10009G > A and m.15961G > A, for which long-read sequencing identified mitogenomes carrying both variants also

Indexed as

mitochondrial DNAmitochondrial myopathymtDNA recombinationmt-tRNA variantsingle muscle fibre microdissection

Identifiers

PMID42255925
PMCPMC13233312

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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.