Novel mutations in COX15 in a long surviving Leigh syndrome patient with cytochrome c oxidase deficiency.

Abstract:

BACKGROUND:Isolated cytochrome c oxidase (COX) deficiency is usually associated with mutations in several factors involved in the biogenesis of COX. METHODS:We describe a patient with atypical, long surviving Leigh syndrome carrying two novel mutations in the COX15 gene, which encodes an enzyme involved in the biosynthesis of heme A. RESULTS:Only two COX15 mutated patients, one with severe neonatal cardiomyopathy, the other with rapidly fatal Leigh syndrome, have been described to date. In contrast, our patient had a slowly progressive course with no heart involvement. COX deficiency was mild in muscle and a normal amount of fully assembled COX was present in cultured fibroblasts. CONCLUSIONS:The clinical and biochemical phenotypes in COX15 defects are more heterogeneous than in other conditions associated with COX deficiency, such as mutations in SURF1.

journal_name

J Med Genet

authors

Bugiani M,Tiranti V,Farina L,Uziel G,Zeviani M

doi

10.1136/jmg.2004.029926

keywords:

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

e28

issue

5

eissn

0022-2593

issn

1468-6244

pii

42/5/e28

journal_volume

42

pub_type

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