Table 1. Mitochondrial DNA variants associated with LHON.
Mitochondrial Gene | Nucleotide Change | |
---|---|---|
Common variants (~ 90%) | MTND1 | m.3460G>A* |
MTND4 | m.11778G>A* | |
MTND6 | m.14484T>C* | |
Rare variants (~ 10%) | MTND1 | m.3376G>A, m.3635G>A*, m.3697G>A, m.3700G>A, m.3733G>A*, m.4025C>T, m.4160T>C, m.4171C>A* |
MTND2 | m.4640C>A, m.5244G>A | |
MTND3 | m.10237T>C | |
MTND4 | m.11696G>A, m.11253T>C | |
MTND4L | m.10663T>C* | |
MTND5 | m.12811T>C, m.12848C>T, m.13637A>G, m.13730G>A |
|
MTND6 | m.14325T>C, m.14568C>T, m.14459G>A*, m.14729G>A, m.14482C>A*, m.14482C>G*, m.14495A>G*, m.14498C>T, m.14568C>T*, m.14596A>T |
|
MTATP6 | m.9101T>C | |
MTCO3 | m.9804G>A | |
MTCYB | m.14831G>A |
These mtDNA variants are definitely pathogenic. They have been identified in ≥ 2 independent LHON pedigrees, showing segregation with affected disease status. The remaining putative LHON mutations have been found in singleton cases or in a single family, and additional evidence is required before pathogenicity can be irrefutably ascribed.3,4