This report describes optic atrophy plus syndrome, now designated by OMIM as 'optic atrophy with or without deafness, ophthalmoplegia, myopathy, ataxia, and neuropathy'; it is also called dominant optic atrophy plus syndrome (DOA+) or syndromic optic atrophy. Optic atrophy plus syndrome exhibits autosomal dominant inheritance. The human gene implicated in this disease is OPA1, which encodes a protein that localizes to the inner mitochondrial membrane and regulates several important cellular processes including stability of the mitochondrial network and mitochondrial bioenergetic output. There is a single orthologous gene in Drosophila, Dmel\Opa1. The human OPA1 gene is implicated in multiple other diseases; see MIM:605290. For information on fly models of disease using the fly gene, see 'optic atrophy syndromes, OPA1-related' (FBhh0000642).
Multiple UAS constructs of the human Hsap\OPA1 gene, including wild-type and variants implicated in disease, have been introduced into flies. See the 'Disease-Implicated Variants' table below. Partial heterologous rescue (functional complementation) has been demonstrated. Variants of Hsap\OPA1 implicated in disease fail to rescue or exhibit a lower degree of rescue. More severe mutations are associated with optic atrophy plus syndrome (subject of this report) and less severe with this disease, optic atrophy 1 (FBhh0000644). This analysis allows quantitative evaluation of loss-of-function severity by comparing the rescue capabilities of known or newly identified variants, thus allowing rapid determination of the disease subtype.
[updated Oct. 2024 by FlyBase; FBrf0222196]
[OPTIC ATROPHY PLUS SYNDROME](https://omim.org/entry/125250)
[OPA1 MITOCHONDRIAL DYNAMIN-LIKE GTPase; OPA1](https://omim.org/entry/605290)
Syndromic optic atrophy, also known as DOA+ syndrome, is a neurologic disorder characterized most commonly by an insidious onset of visual loss and sensorineural hearing loss in childhood with variable presentation of other clinical manifestations including progressive external ophthalmoplegia, muscle cramps, hyperreflexia, and ataxia. There appears to be a wide range of intermediate phenotypes (Yu-Wai-Man et al., 2010; pubmed:20157015). [from MIM:125250; 2017.10.02]
This syndromic form of optic atrophy can be caused by heterozygous mutation in the OPA1 gene. [from MIM:125250; 2017.10.02]
The OPA1 gene encodes a protein that localizes to the inner mitochondrial membrane and regulates several important cellular processes including stability of the mitochondrial network, mitochondrial bioenergetic output, and sequestration of proapoptotic cytochrome c oxidase molecules within the mitochondrial cristae spaces (summary by Yu-Wai-Man et al., 2010; pubmed:). [from MIM:605290; 2017.10.02]
One to one (1 human to 1 Drosophila).