A subset of the proteins that make up the mitochondrial respiratory chain are encoded on the mitochondrial genome. Disease variants in a number of these proteins have been identified. This is an umbrella report that includes models of mitochondrial respiratory complex disease caused by variants in mtDNA that have been modeled in flies; all five complexes are covered in this one report.
[updated Mar. 2024 by FlyBase; FBrf0222196]
Some mitochondrial disorders affect a single organ (eye or ear, for example), but most involve multiple organ systems and often present with prominent neurologic and myopathic features. [Gene Reviews, Primary Mitochondrial Disorders Overview]
Individuals with mitochondrial disorders resulting from mtDNA pathogenic variants may harbor a mixture of mutated and wild type mtDNA within each cell (heteroplasmy). [Gene Reviews, Primary Mitochondrial Disorders Overview]
Single-cell studies have shown that the proportion of mtDNA pathogenic variants must exceed a critical threshold level before a cell expresses a biochemical abnormality of the mitochondrial respiratory chain (the threshold effect). [Gene Reviews, Primary Mitochondrial Disorders Overview]
The percentage level of mtDNA pathogenic variants may vary among individuals within the same family, and also among organs and tissues within an individual. This contributes to the varied clinical phenotype seen in individuals with disorders caused by mtDNA pathogenic variants. [Gene Reviews, Primary Mitochondrial Disorders Overview]