Impact of <scp>SDHA</scp> Mutations on Yeast Growth and Mitochondrial Function. Case Study Linking Genetic Findings to Clinical Phenotypes
We present the case of a child who developed focal seizures, emotional and behavioral dysregulation, and sleep abnormalities at age 5. Trio whole genome sequencing identified biallelic mutations in the SDHA gene, which encodes a key component of mitochondrial complex II. Mitochondrial respiratory chain activities and muscle biopsy confirmed impaired oxidative metabolism. Yeast Saccharomyces cerevisiae complementation assays showed that all the mutations were presumably disease related. Mutations in SDHA are associated with developmental delay, hypotonia, ataxia, together with bilateral hyperintensities in the basal ganglia at brain MRI. This case corroborates the phenotypic variability of SDHA variants and highlights the relevance of functional assays in validating genetic findings.
Authors
- Stefano Pagano (ORCID: https://orcid.org/0000-0002-7256-090X)
- Emanuele Bartolini (ORCID: https://orcid.org/0000-0002-5683-1941)
- Flavio Dal Canto (ORCID: https://orcid.org/0000-0002-6447-4585)
- Camilla Meossi (ORCID: https://orcid.org/0000-0002-6574-9608)
- Claudia Nesti (ORCID: https://orcid.org/0000-0001-5769-8655)
- Rosanna Trovato (ORCID: https://orcid.org/0000-0001-5990-5590)
- Filippo Maria Santorelli (ORCID: https://orcid.org/0000-0002-1359-9062)
- Anna Rubegni (ORCID: https://orcid.org/0000-0002-0484-3799)
- Alessandro De Falco (ORCID: https://orcid.org/0000-0003-1569-1556)
- Leonardo Salviati (ORCID: https://orcid.org/0000-0001-5642-9963)
- Marco Marchi (ORCID: https://orcid.org/0009-0003-7061-4972)
Institutions
- University of Padua (IT)
- Fondazione Stella Maris (IT)
- Città della Speranza Foundation (IT)
Publication Details
- Journal
- Clinical Genetics
- Published
- 2025-03-06
- DOI
- https://doi.org/10.1111/cge.14738
- Citations
- 1
- Primary Topic
- Mitochondrial Function and Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.81
Funders
- Ministero della Salute