Loss-of-function mutations of SURF-1 are specifically associated with Leigh syndrome with cytochrome c oxidase deficiency.

TitleLoss-of-function mutations of SURF-1 are specifically associated with Leigh syndrome with cytochrome c oxidase deficiency.
Publication TypeJournal Article
Year of Publication1999
AuthorsTiranti, V, Jaksch, M, Hofmann, S, Galimberti, C, Hoertnagel, K, Lulli, L, Freisinger, P, Bindoff, L, Gerbitz, KD, Comi, GP, Uziel, G, Zeviani, M, Meitinger, T
JournalAnn Neurol
Date Published1999 Aug
KeywordsChild, Preschool, Cytochrome-c Oxidase Deficiency, Electron Transport Complex IV, Female, Fibroblasts, Humans, Infant, Infant, Newborn, Leigh Disease, Male, Membrane Proteins, Mitochondrial Proteins, Muscles, Mutation, Proteins, Syndrome

Mutations of SURF-1, a gene located on chromosome 9q34, have recently been identified in patients affected by Leigh syndrome (LS), associated with deficiency of cytochrome c oxidase (COX), the terminal component of the mitochondrial respiratory chain. To investigate to what extent SURF-1 is responsible for human disorders because of COX deficiency, we undertook sequence analysis of the SURF-1 gene in 46 unrelated patients. We analyzed 24 COX-defective patients classified as having typical Leigh syndrome (LS(COX)), 6 patients classified as Leigh-like (LL(COX)) cases, and 16 patients classified as non-LS(COX) cases. Frameshift, stop, and splice mutations of SURF-1 were detected in 18 of 24 (75%) of the LS(COX) cases. No mutations were found in the LL(COX) and non-LS(COX) group of patients. Rescue of the COX phenotype was observed in transfected cells from patients harboring SURF-1 mutations, but not in transfected cell lines from 2 patients in whom no mutations were detected by sequence analysis. Loss of function of SURF-1 protein is specifically associated with LS(COX), although a proportion of LS(COX) cases must be the result of abnormalities in genes other than SURF-1. SURF-1 is the first nuclear gene to be consistently mutated in a major category of respiratory chain defects. DNA analysis can now be used to accurately diagnose LS(COX), a common subtype of Leigh syndrome.

Alternate JournalAnn. Neurol.
Citation Key10.1002/1531-8249(199908)46:2&lt;161::aid-ana4&gt;3.0.co;2-o
PubMed ID10443880