Health Conditions Related to Genetic Changes
Leber hereditary optic neuropathy
A mutation in the MT-ND4L gene has been identified in several families with Leber hereditary optic neuropathy. This mutation, which can be written as T10663C or Val65Ala, changes a single protein building block (amino acid) in the NADH dehydrogenase 4L protein. Specifically, it replaces the amino acid valine with the amino acid alanine at protein position 65.
Researchers have not determined how a mutation in the MT-ND4L gene can lead to the vision loss characteristic of Leber hereditary optic neuropathy. This genetic change appears to disrupt the normal activity of complex I in the mitochondrial inner membrane, which may affect the production of ATP. It remains unclear, however, why the effects of this mutation are limited to the nerve that relays visual information from the eye to the brain (the optic nerve). Additional genetic and environmental factors probably contribute to the features of Leber hereditary optic neuropathy.
More About This Health ConditionMitochondrial complex I deficiency
MedlinePlus Genetics provides information about Mitochondrial complex I deficiency
More About This Health ConditionOther Names for This Gene
- Complex I, subunit ND4L
- mitochondrially encoded NADH 4L
- mitochondrially encoded NADH dehydrogenase 4L
- MTND4L
- NADH dehydrogenase 4L
- NADH dehydrogenase subunit 4L
- NADH-ubiquinone oxidoreductase chain 4L
- NADH-ubiquinone oxidoreductase, subunit ND4L
- NADH4L
- ND4L
- NU4LM_HUMAN
Additional Information & Resources
Tests Listed in the Genetic Testing Registry
Scientific Articles on PubMed
Catalog of Genes and Diseases from OMIM
References
- Brown MD, Starikovskaya E, Derbeneva O, Hosseini S, Allen JC, Mikhailovskaya IE, Sukernik RI, Wallace DC. The role of mtDNA background in disease expression: a new primary LHON mutation associated with Western Eurasian haplogroup J. Hum Genet. 2002 Feb;110(2):130-8. doi: 10.1007/s00439-001-0660-8. Epub 2002 Jan 24. Citation on PubMed
- Mitchell AL, Elson JL, Howell N, Taylor RW, Turnbull DM. Sequence variation in mitochondrial complex I genes: mutation or polymorphism? J Med Genet. 2006 Feb;43(2):175-9. doi: 10.1136/jmg.2005.032474. Epub 2005 Jun 21. Citation on PubMed or Free article on PubMed Central
- Mroczek-Tonska K, Kisiel B, Piechota J, Bartnik E. Leber hereditary optic neuropathy--a disease with a known molecular basis but a mysterious mechanism of pathology. J Appl Genet. 2003;44(4):529-38. Citation on PubMed
- Yu-Wai-Man P, Chinnery PF. Leber Hereditary Optic Neuropathy. 2000 Oct 26 [updated 2021 Mar 11]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. GeneReviews(R) [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2025. Available from http://www.ncbi.nlm.nih.gov/books/NBK1174/ Citation on PubMed
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