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Expanding the Genetic and Phenotypic Spectrum of POLRMT-Related Mitochondrial Disease

Lookup NU author(s): Dr Mahmoud FassadORCiD, Dr Monika Olahova, Dr Jack Collier, Charlotte Knowles, Eleni Mavraki, Professor Bobby McFarlandORCiD, Professor Robert TaylorORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2025 The Author(s). Clinical Genetics published by John Wiley & Sons Ltd.Mitochondrial diseases are a complex group of conditions exhibiting significant phenotypic and genetic heterogeneity. Genomic testing is increasingly used as the first step in the diagnostic pathway for mitochondrial diseases. We used next-generation sequencing followed by bioinformatic data analysis to identify potentially damaging variants in the POLRMT gene (NM_005035.4) in six new affected individuals. Structural protein analysis predicted the detrimental impact of variants on POLRMT protein structure. Patients show extended phenotypic abnormalities often presenting early in life with features including global developmental delay, cognitive impairment, short stature and muscular hypotonia. This study expands the genetic and phenotypic landscape of mitochondrial disease associated with POLRMT variants.


Publication metadata

Author(s): Fassad MR, Valenzuela S, Olahova M, Collier JJ, Knowles CVY, Mavraki E, Elbracht M, Guzel N, Herberhold T, Kurth I, Maier A, Mattern L, Saunders C, McCullagh H, Ounap K, Wortmann SB, Reis A, Zhang L, Gustafsson CM, McFarland R, Taylor RW

Publication type: Article

Publication status: Published

Journal: Clinical Genetics

Year: 2025

Pages: epub ahead of print

Online publication date: 29/06/2025

Acceptance date: 14/06/2025

Date deposited: 14/07/2025

ISSN (print): 0009-9163

ISSN (electronic): 1399-0004

Publisher: John Wiley and Sons Inc

URL: https://doi.org/10.1111/cge.70011

DOI: 10.1111/cge.70011

Data Access Statement: The data that supports the findings of this study are available in Supporting Information Material of this article.


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Funding

Funder referenceFunder name
203105/Z/16/ZWellcome Trust
G0800674
Fight for Sight
Medical Research Council International Centre for Genomic Medicine in Neuromuscular Disease
MR/W019027/1
LifeArc
Lily Foundation
MRC
Mitochondrial Disease Patient Cohort (UK)
MR/S005021/1Medical Research Council (MRC)
NIHR Biomedical Research Centre for Ageing and Age-related disease
Pathological Society
Wellcome Centre for Mitochondrial Research

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