<scp><i>BCS1L</i></scp>‐Associated Disease: 5′‐<scp>UTR</scp> Variant Shifts the Phenotype Towards Axonal Neuropathy
This study expands the clinical spectrum of BCS1L-related disorders to include a comparatively milder phenotype with central and peripheral nervous system involvement. Our findings demonstrate that the 5'-UTR variant modulates disease severity by enabling residual wild-type BCS1L expression, partially mitigating the pathogenic effects of the missense variant. These insights underscore the importance of evaluating both protein coding and regulatory variants in mitochondrial disease diagnostics and pathogenesis.
Authors
- Tracey A. Rouault (ORCID: https://orcid.org/0000-0003-0062-0245)
- Sandra Donkervoort (ORCID: https://orcid.org/0000-0001-6399-1444)
- Tanya Lehky (ORCID: https://orcid.org/0000-0001-6421-505X)
- Katherine R. Chao (ORCID: https://orcid.org/0000-0003-2897-2410)
- Carsten G. Bönnemann (ORCID: https://orcid.org/0000-0002-5930-2324)
- Rotem Orbach (ORCID: https://orcid.org/0000-0002-1015-1529)
- Russell J. Butterfield (ORCID: https://orcid.org/0000-0002-8452-7189)
- Nunziata Maio (ORCID: https://orcid.org/0000-0002-6225-6058)
- A. Reghan Foley (ORCID: https://orcid.org/0000-0003-2168-1119)
- A. Potticary
- Yan Li (ORCID: https://orcid.org/0000-0002-2091-7313)
- Sarah Silverstein (ORCID: https://orcid.org/0000-0003-3428-3734)
Institutions
- Broad Institute (US)
- National Institutes of Health (US)
- University of Utah (US)
- University of Utah Hospital (US)
- National Institute of Neurological Disorders and Stroke (US)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (US)
Publication Details
- Journal
- Annals of Clinical and Translational Neurology
- Published
- 2025-07-14
- DOI
- https://doi.org/10.1002/acn3.70108
- Primary Topic
- Mitochondrial Function and Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Broad Institute
- National Institutes of Health
- National Institute of Neurological Disorders and Stroke
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development