This report describes mitochondrial complex IV deficiency, nuclear type 5 (MC4DN5), previously called Leigh syndrome, French Canadian type. MC4DN5 exhibits autosomal recessive inheritance. The human gene implicated in this disease subtype is leucine rich pentatricopeptide repeat containing (LRPPRC), which is a nuclear gene targeted primarily to the mitochondria. It appears to play a role in RNA metabolism in both nuclei and mitochondria, and may play a role in the translation or stability of mitochondrially encoded cytochrome c oxidase (COX) subunits. There are two orthologous genes in Drosophila: Lrpprc2, for which classical mutations, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated, and bsf, for which RNAi-targeting constructs and alleles caused by insertional mutagenesis are available.
The human LRPPRC gene has not been introduced into flies.
Mutations of the fly Lrpprc2 gene were identified in a screen for essential genes (screened as mosaics) required for the maintenance of neurons in the fly visual system and were observed to result in decreased mitochondrial ATP production. Candidate genes have been assessed for genetic interactions with these mutations. Dmel\bsf and Dmel\Lrpprc2 appear to be partially redundant: homozygous loss-of-function mutations in either gene result in pupal lethality; the double mutant (homozygous) is lethal in the embryonic stage. Physical interactions have been described for both #bsf and Lrpprc2 and a single genetic interaction has been described for Lrpprc2; see below and in the bsf and Lrpprc2 gene reports.
[updated Feb. 2021 by FlyBase; FBrf0222196]
Leigh syndrome is an early-onset progressive neurodegenerative disorder; clinical symptoms depend on which areas of the central nervous system are involved. [from MIM:256000; 2016.01.06]
The symptoms of Leigh syndrome usually begin between the ages of three months and two years. Symptoms are associated with progressive neurological deterioration and may include loss of previously acquired motor skills, loss of appetite, vomiting, irritability, and/or seizure activity. [from NORD, Leigh Syndrome; 2016.08.12]
Mitochondrial complex IV deficiency (cytochrome c oxidase deficiency) is clinically heterogeneous, ranging from isolated myopathy to severe multisystem disease, with onset from infancy to adulthood. [from MIM:220110; 2016.08.12]
[MITOCHONDRIAL COMPLEX IV DEFICIENCY, NUCLEAR TYPE 5; MC4DN5](https://omim.org/entry/220111)
[LEUCINE-RICH PPR MOTIF-CONTAINING PROTEIN; LRPPRC](https://omim.org/entry/607544)
This type of Leigh syndrome is a severe neurologic disorder with onset in infancy. Features include delayed psychomotor development, mental retardation, mild dysmorphic facial features, hypotonia, ataxia, and the development of lesions in the brainstem and basal ganglia. Affected individuals tend to have episodic metabolic and/or neurologic crises in early childhood, which often lead to early death (summary by Debray et al., 2011; pubmed:21266382). [from MIM:220111; 2016.08.02]
The French Canadian type of Leigh syndrome is caused by homozygous or compound heterozygous mutation in the LRPPRC gene; autosomal recessive. [from MIM:220111; 2016.08.02]
The LRPPRC protein localizes primarily to mitochondria and is predicted to have an N-terminal mitochondrial targeting sequence. Its precise role is unknown; appears to play a role in RNA metabolism in both nuclei and mitochondria. Plays a role in translation or stability of mitochondrially encoded cytochrome c oxidase (COX) subunits. [Gene Cards, LRPPRC; 2016.08.02]
LRPPRC (leucine-rich PPR motif-containing protein) acts as part of a large protein complex that regulates posttranscriptional gene expression in mitochondria (Sasarman et al., 2010; pubmed:20200222). [from MIM:607544; 2016.08.02]
One to many: 1 human to 2 Drosophila.
Moderate-scoring ortholog of human LRPPRC (2 Drosophila to 1 human). Dmel\Lrpprc2 shares 24% identity and 42% similarity with human LRPPRC.
High-scoring ortholog of human LRPPRC (2 Drosophila to 1 human). Dmel\bsf shares 30% identity and 49% similarity with human LRPPRC.