Using a quantitative quadruple immunofluorescent assay to diagnose isolated mitochondrial Complex I deficiency

Isolated Complex I (CI) deficiency is the most commonly observed mitochondrial respiratory chain biochemical defect, affecting the largest OXPHOS component. CI is genetically heterogeneous; pathogenic variants affect one of 38 nuclear-encoded subunits, 7 mitochondrial DNA (mtDNA)-encoded subunits or...

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Veröffentlicht in:Scientific reports 2017-11, Vol.7 (1), p.15676-13, Article 15676
Hauptverfasser: Ahmed, Syeda T., Alston, Charlotte L., Hopton, Sila, He, Langping, Hargreaves, Iain P., Falkous, Gavin, Oláhová, Monika, McFarland, Robert, Turnbull, Doug M., Rocha, Mariana C., Taylor, Robert W.
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container_start_page 15676
container_title Scientific reports
container_volume 7
creator Ahmed, Syeda T.
Alston, Charlotte L.
Hopton, Sila
He, Langping
Hargreaves, Iain P.
Falkous, Gavin
Oláhová, Monika
McFarland, Robert
Turnbull, Doug M.
Rocha, Mariana C.
Taylor, Robert W.
description Isolated Complex I (CI) deficiency is the most commonly observed mitochondrial respiratory chain biochemical defect, affecting the largest OXPHOS component. CI is genetically heterogeneous; pathogenic variants affect one of 38 nuclear-encoded subunits, 7 mitochondrial DNA (mtDNA)-encoded subunits or 14 known CI assembly factors. The laboratory diagnosis relies on the spectrophotometric assay of enzyme activity in mitochondrially-enriched tissue homogenates, requiring at least 50 mg skeletal muscle, as there is no reliable histochemical method for assessing CI activity directly in tissue cryosections. We have assessed a validated quadruple immunofluorescent OXPHOS (IHC) assay to detect CI deficiency in the diagnostic setting, using 10 µm transverse muscle sections from 25 patients with genetically-proven pathogenic CI variants. We observed loss of NDUFB8 immunoreactivity in all patients with mutations affecting nuclear-encoding structural subunits and assembly factors, whilst only 3 of the 10 patients with mutations affecting mtDNA-encoded structural subunits showed loss of NDUFB8, confirmed by BN-PAGE analysis of CI assembly and IHC using an alternative, commercially-available CI (NDUFS3) antibody. The IHC assay has clear diagnostic potential to identify patients with a CI defect of Mendelian origins, whilst highlighting the necessity of complete mitochondrial genome sequencing in the diagnostic work-up of patients with suspected mitochondrial disease.
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CI is genetically heterogeneous; pathogenic variants affect one of 38 nuclear-encoded subunits, 7 mitochondrial DNA (mtDNA)-encoded subunits or 14 known CI assembly factors. The laboratory diagnosis relies on the spectrophotometric assay of enzyme activity in mitochondrially-enriched tissue homogenates, requiring at least 50 mg skeletal muscle, as there is no reliable histochemical method for assessing CI activity directly in tissue cryosections. We have assessed a validated quadruple immunofluorescent OXPHOS (IHC) assay to detect CI deficiency in the diagnostic setting, using 10 µm transverse muscle sections from 25 patients with genetically-proven pathogenic CI variants. We observed loss of NDUFB8 immunoreactivity in all patients with mutations affecting nuclear-encoding structural subunits and assembly factors, whilst only 3 of the 10 patients with mutations affecting mtDNA-encoded structural subunits showed loss of NDUFB8, confirmed by BN-PAGE analysis of CI assembly and IHC using an alternative, commercially-available CI (NDUFS3) antibody. 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CI is genetically heterogeneous; pathogenic variants affect one of 38 nuclear-encoded subunits, 7 mitochondrial DNA (mtDNA)-encoded subunits or 14 known CI assembly factors. The laboratory diagnosis relies on the spectrophotometric assay of enzyme activity in mitochondrially-enriched tissue homogenates, requiring at least 50 mg skeletal muscle, as there is no reliable histochemical method for assessing CI activity directly in tissue cryosections. We have assessed a validated quadruple immunofluorescent OXPHOS (IHC) assay to detect CI deficiency in the diagnostic setting, using 10 µm transverse muscle sections from 25 patients with genetically-proven pathogenic CI variants. We observed loss of NDUFB8 immunoreactivity in all patients with mutations affecting nuclear-encoding structural subunits and assembly factors, whilst only 3 of the 10 patients with mutations affecting mtDNA-encoded structural subunits showed loss of NDUFB8, confirmed by BN-PAGE analysis of CI assembly and IHC using an alternative, commercially-available CI (NDUFS3) antibody. 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Alston, Charlotte L. ; Hopton, Sila ; He, Langping ; Hargreaves, Iain P. ; Falkous, Gavin ; Oláhová, Monika ; McFarland, Robert ; Turnbull, Doug M. ; Rocha, Mariana C. ; Taylor, Robert W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-3ff4d93c654373fd54ad90d90e4654844c0670c07c097122db1c33099a53574c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>13/1</topic><topic>13/51</topic><topic>45</topic><topic>45/23</topic><topic>631/208/1516</topic><topic>631/45/881</topic><topic>82</topic><topic>82/29</topic><topic>Biopsy</topic><topic>Cell Nucleus - genetics</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>DNA, Mitochondrial - genetics</topic><topic>Electron transport</topic><topic>Electron transport chain</topic><topic>Electron Transport Complex I - deficiency</topic><topic>Electron Transport Complex I - genetics</topic><topic>Enzymatic activity</topic><topic>Female</topic><topic>Fluorescent Antibody Technique</topic><topic>Fluoroimmunoassay - methods</topic><topic>Genetic Heterogeneity</topic><topic>Genomes</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Immunoreactivity</topic><topic>Male</topic><topic>Mitochondria - genetics</topic><topic>Mitochondrial Diseases - diagnosis</topic><topic>Mitochondrial Diseases - genetics</topic><topic>Mitochondrial Diseases - pathology</topic><topic>Mitochondrial DNA</topic><topic>multidisciplinary</topic><topic>Muscle, Skeletal - metabolism</topic><topic>Muscle, Skeletal - pathology</topic><topic>Mutation</topic><topic>NADH Dehydrogenase - genetics</topic><topic>NADH-ubiquinone oxidoreductase</topic><topic>Oxidative Phosphorylation</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Skeletal muscle</topic><topic>Spectrophotometry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed, Syeda T.</creatorcontrib><creatorcontrib>Alston, Charlotte L.</creatorcontrib><creatorcontrib>Hopton, Sila</creatorcontrib><creatorcontrib>He, Langping</creatorcontrib><creatorcontrib>Hargreaves, Iain P.</creatorcontrib><creatorcontrib>Falkous, Gavin</creatorcontrib><creatorcontrib>Oláhová, Monika</creatorcontrib><creatorcontrib>McFarland, Robert</creatorcontrib><creatorcontrib>Turnbull, Doug M.</creatorcontrib><creatorcontrib>Rocha, Mariana C.</creatorcontrib><creatorcontrib>Taylor, Robert W.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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CI is genetically heterogeneous; pathogenic variants affect one of 38 nuclear-encoded subunits, 7 mitochondrial DNA (mtDNA)-encoded subunits or 14 known CI assembly factors. The laboratory diagnosis relies on the spectrophotometric assay of enzyme activity in mitochondrially-enriched tissue homogenates, requiring at least 50 mg skeletal muscle, as there is no reliable histochemical method for assessing CI activity directly in tissue cryosections. We have assessed a validated quadruple immunofluorescent OXPHOS (IHC) assay to detect CI deficiency in the diagnostic setting, using 10 µm transverse muscle sections from 25 patients with genetically-proven pathogenic CI variants. We observed loss of NDUFB8 immunoreactivity in all patients with mutations affecting nuclear-encoding structural subunits and assembly factors, whilst only 3 of the 10 patients with mutations affecting mtDNA-encoded structural subunits showed loss of NDUFB8, confirmed by BN-PAGE analysis of CI assembly and IHC using an alternative, commercially-available CI (NDUFS3) antibody. The IHC assay has clear diagnostic potential to identify patients with a CI defect of Mendelian origins, whilst highlighting the necessity of complete mitochondrial genome sequencing in the diagnostic work-up of patients with suspected mitochondrial disease.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>29142257</pmid><doi>10.1038/s41598-017-14623-2</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects 13/1
13/51
45
45/23
631/208/1516
631/45/881
82
82/29
Biopsy
Cell Nucleus - genetics
Child
Child, Preschool
DNA, Mitochondrial - genetics
Electron transport
Electron transport chain
Electron Transport Complex I - deficiency
Electron Transport Complex I - genetics
Enzymatic activity
Female
Fluorescent Antibody Technique
Fluoroimmunoassay - methods
Genetic Heterogeneity
Genomes
Humanities and Social Sciences
Humans
Immunoreactivity
Male
Mitochondria - genetics
Mitochondrial Diseases - diagnosis
Mitochondrial Diseases - genetics
Mitochondrial Diseases - pathology
Mitochondrial DNA
multidisciplinary
Muscle, Skeletal - metabolism
Muscle, Skeletal - pathology
Mutation
NADH Dehydrogenase - genetics
NADH-ubiquinone oxidoreductase
Oxidative Phosphorylation
Science
Science (multidisciplinary)
Skeletal muscle
Spectrophotometry
title Using a quantitative quadruple immunofluorescent assay to diagnose isolated mitochondrial Complex I deficiency
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