FB2026_03 , released September 17, 2026
Human Disease Model Report: neurological disorder with hypotonia, hyper-reflexia, ataxia, dystonia and white matter abnormalities, TOMM70-related
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General Information
Name
neurological disorder with hypotonia, hyper-reflexia, ataxia, dystonia and white matter abnormalities, TOMM70-related
FlyBase ID
FBhh0001244
Disease Ontology Term
Parent Disease
OMIM
Overview

This report describes a newly defined neurological disorder associated with de novo variants of the TOMM70 gene. TOMM70 encodes a component of the translocase of outer mitochondrial membrane (TOMM) complex; the TOMM70 receptor accelerates the import of all mitochondrial precursor proteins. There is a single orthologous gene in Drosophila, Tom70, for which loss-of-function mutations, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated.

Multiple UAS constructs of the human Hsap\TOMM70 gene have been introduced into flies, including wild-type and the variants implicated in disease. Variant(s) implicated in human disease tested (as transgenic human gene, TOMM70): T607I and I554F variant forms of the human gene have been introduced into flies.

Animals homozygous for Dmel\Tom70 loss-of-function mutations typically die during the pupal stage.

Ubiquitous expression of the human Hsap\TOMM70 gene, whether wild-type or variant, fails to produce any obvious phenotypes. Heterologous rescue (functional complementation) is observed for the pupal lethal phenotype of Dmel\Tom70 loss-of-function mutations. Expression the wild-type human gene results in almost complete rescue of the Tom70 pupal lethal phenotype. The two disease-implicated variants effect only partial rescue, supporting the hypothesis that they are partial loss-of-function mutations. Based on this assay, T607I retains more function than I554F.

[updated Aug. 2020 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: neurological disorder with hypotonia, hyper-reflexia, ataxia, dystonia and white matter abnormalities, TOMM70-related
OMIM report
Human gene(s) implicated
Symptoms and phenotype

Two individuals have been described. They exhibited shared symptoms including hypotonia, hyper-reflexia, ataxia, dystonia and significant white matter abnormalities; there were differences between the two individuals, most prominently the age of symptom onset (FBrf0245837).

Genetics

The isolated mutations occurred de novo and were heterozygous (FBrf0245837).

The TOMM70 gene is described as intolerant to loss-of-function variation in the human population (FBrf0245837 and references cited therein).

Cellular phenotype and pathology
Molecular information

TOMM70 is a nuclear gene that encodes an import receptor of the outer mitochondrial membrane that is part of the translocase of the outer membrane complex (TOMM). The TOMM70 receptor accelerates the import of all mitochondrial precursor proteins. [Gene Cards, TOMM70; 2020.08.17]

The coordinated action of the translocase of inner mitochondrial membrane (TIMM) and translocase of outer mitochondrial membrane (TOMM) complexes is required for the import of nuclear-encoded mitochondrial proteins into the mitochondria. In human, TOMM70 gene is broadly expressed in many organs including the central nervous system (FBrf0245837 and references cited therein).

External links
Disease synonyms
Ortholog Information
Human gene(s) in FlyBase
Human gene (HGNC)
D. melanogaster ortholog (based on DIOPT)
Comments on ortholog(s)

One to one: 1 human gene to 1 Drosophila gene.

Other mammalian ortholog(s) used
    D. melanogaster Gene Information (1)
    Gene Snapshot
    Translocase of outer membrane 70 (Tom70) encodes a mitochondrial protein that may act as a receptor of the TOM complex based on orthology. TOM complex is involved in protein import into mitochondria. The product of Tom70 modulates cell death induced by the expression of the mouse Bax protein. [Date last reviewed: 2019-03-14]
    Gene Groups / Pathways
    Comments on ortholog(s)

    High-scoring ortholog of human TOMM70 (1 Drosophila to 1 human). Dmel\Tom70 shares 40% identity and 60% similarity with the human gene.

    Orthologs and Alignments from DRSC
    DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
    Other Genes Used: Viral, Bacterial, Synthetic (0)
      Summary of Physical Interactions (1 groups)
      protein-protein
      Interacting group
      Assay
      References
      experimental knowledge based
      Alleles Reported to Model Human Disease (Disease Ontology) (5 alleles)
      Models Based on Experimental Evidence ( 2 )
      Modifiers Based on Experimental Evidence ( 0 )
      Allele
      Disease
      Interaction
      References
      Models Based on Experimental Evidence ( 3 )
      Modifiers Based on Experimental Evidence ( 0 )
      Allele
      Disease
      Interaction
      References
      Alleles Representing Disease-Implicated Variants
      Genetic Tools, Stocks and Reagents
      Sources of Stocks
      Contact lab of origin for a reagent not available from a public stock center.
      Bloomington Stock Center Disease Page
      Related mammalian, viral, bacterial, or synthetic transgenes
      Allele
      Transgene
      Publicly Available Stocks
      Selected Drosophila transgenes
      Allele
      Transgene
      Publicly Available Stocks
      RNAi constructs available
      Allele
      Transgene
      Publicly Available Stocks
      Selected Drosophila classical alleles
      Allele
      Allele class
      Mutagen
      Publicly Available Stocks
      loss of function allele
      CRISPR/Cas9
      References (8)