Health Conditions Related to Genetic Changes
Multiple mitochondrial dysfunctions syndrome
Mutations in the NFU1 gene can cause multiple mitochondrial dysfunctions syndrome. This severe condition is characterized by impairment of more than one mitochondrial function, such as reduced activity of complex I, II, or III, pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase, or the glycine cleavage system. Affected infants often have severe brain dysfunction (encephalopathy) and elevated levels of a chemical called lactic acid in the body (lactic acidosis). These babies usually do not survive past infancy.
NFU1 gene mutations lead to production of an altered NFU-1 protein that is likely broken down quickly. Although some mutations affect both isoforms of the NFU-1 protein, loss of the mitochondrial version appears to be responsible for the condition. The lack of mitochondrial NFU-1 protein impairs Fe-S cluster formation. Consequently, proteins affected by the presence of Fe-S clusters, including those involved in energy production and glycine breakdown, cannot function normally. Reduced activity of complex I, II, or III, pyruvate dehydrogenase, or alpha-ketoglutarate dehydrogenase leads to potentially fatal lactic acidosis, encephalopathy, and other signs and symptoms of multiple mitochondrial dysfunctions syndrome. In some affected individuals, impairment of the glycine cleavage system leads to a buildup of glycine (hyperglycinemia).
More About This Health ConditionOther Names for This Gene
- CGI-33
- HIRA-interacting protein 5
- HIRIP
- HIRIP5
- iron-sulfur cluster scaffold protein
- MMDS1
- Nfu
- NFU1 iron-sulfur cluster scaffold homolog, mitochondrial
- NFU1 iron-sulfur cluster scaffold homolog, mitochondrial isoform 1
- NFU1 iron-sulfur cluster scaffold homolog, mitochondrial isoform 2
- NFU1 iron-sulfur cluster scaffold homolog, mitochondrial isoform 3
- NFU1_HUMAN
- NifU
- NifU-like C-terminal domain containing
- NIFUC
Additional Information & Resources
Tests Listed in the Genetic Testing Registry
Scientific Articles on PubMed
Catalog of Genes and Diseases from OMIM
References
- Cameron JM, Janer A, Levandovskiy V, Mackay N, Rouault TA, Tong WH, Ogilvie I, Shoubridge EA, Robinson BH. Mutations in iron-sulfur cluster scaffold genes NFU1 and BOLA3 cause a fatal deficiency of multiple respiratory chain and 2-oxoacid dehydrogenase enzymes. Am J Hum Genet. 2011 Oct 7;89(4):486-95. doi: 10.1016/j.ajhg.2011.08.011. Epub 2011 Sep 22. Citation on PubMed or Free article on PubMed Central
- Invernizzi F, Ardissone A, Lamantea E, Garavaglia B, Zeviani M, Farina L, Ghezzi D, Moroni I. Cavitating leukoencephalopathy with multiple mitochondrial dysfunction syndrome and NFU1 mutations. Front Genet. 2014 Nov 20;5:412. doi: 10.3389/fgene.2014.00412. eCollection 2014. Citation on PubMed or Free article on PubMed Central
- Mayr JA, Feichtinger RG, Tort F, Ribes A, Sperl W. Lipoic acid biosynthesis defects. J Inherit Metab Dis. 2014 Jul;37(4):553-63. doi: 10.1007/s10545-014-9705-8. Epub 2014 Apr 29. Citation on PubMed
- Navarro-Sastre A, Tort F, Stehling O, Uzarska MA, Arranz JA, Del Toro M, Labayru MT, Landa J, Font A, Garcia-Villoria J, Merinero B, Ugarte M, Gutierrez-Solana LG, Campistol J, Garcia-Cazorla A, Vaquerizo J, Riudor E, Briones P, Elpeleg O, Ribes A, Lill R. A fatal mitochondrial disease is associated with defective NFU1 function in the maturation of a subset of mitochondrial Fe-S proteins. Am J Hum Genet. 2011 Nov 11;89(5):656-67. doi: 10.1016/j.ajhg.2011.10.005. Citation on PubMed or Free article on PubMed Central
- Rouault TA. Biogenesis of iron-sulfur clusters in mammalian cells: new insights and relevance to human disease. Dis Model Mech. 2012 Mar;5(2):155-64. doi: 10.1242/dmm.009019. Citation on PubMed or Free article on PubMed Central
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