This report describes general characteristics of the group of diseases classified as mitochondrial complex I deficiency, nuclear type (MC1DN). MC1DN is a genetically heterogeneous disorder, with multiple genes and mapped loci. A comprehensive list of MC1DN subtypes, as defined by OMIM, can be found by following the link in the "OMIM phenotypic series" section, below. A subset of these are listed in the table below, with links to more detailed reports for subtypes that have been investigated using fly models.
Mitochondrial complex I ( NADH:ubiquinone oxidoreductase) is the first enzyme in the mitochondrial respiratory electron transport chain; it is the largest of the multimeric enzyme complexes of the mitochondrial respiratory chain. The mammalian enzyme consists of 14 core subunits, 7 of which are encoded in the mitochondrial DNA (not included in this phenotypic series), and 30 accessory or supernumerary subunits. In addition, there are numerous assembly factors required for the synthesis and processing of the various subunits, and correct assembly within the inner mitochondrial membrane.
A number of subtypes of mitochondrial complex I deficiency were previously described as subtypes of Leigh syndrome (MIM:256000; FBhh0000099).
[updated Apr. 2019 by FlyBase; FBrf0222196]
Mitochondrial complex I deficiency causes a wide range of clinical disorders, ranging from lethal neonatal disease to adult-onset neurodegenerative disorders. Phenotypes include macrocephaly with progressive leukodystrophy, nonspecific encephalopathy, hypertrophic cardiomyopathy, myopathy, and liver disease. [from MIM:252010; 2016.08.12]
Mitochondrial complex I deficiency can be caused by mutations in multiple different genes, both nuclear-encoded and mitochondrial-encoded; mutation in any of the component subunits can cause the disorder. [from MIM:252010; 2016.08.12]
The mammalian complex I consists of 14 core subunits, 7 of which are encoded in the mitochondrial DNA, and 30 accessory subunits. [HGNC, Gene Family: http://www.genenames.org/cgi-bin/genefamilies/set/640; 2016.08.16]