“…Using whole-exome sequencing, we uncovered a homozygous missense mutation in SLC25A46 , in a patient with the Leigh syndrome, an early-onset, fatal neurodegenerative disorder ( Janer et al, 2016 ). Subsequently, 29 patients from 22 families were reported with biallelic missense mutations in SLC25A46 ( Fig 1A ) in an increasingly broad spectrum of neurological disorders that includes progressive myoclonic ataxia, autosomal recessive cerebellar ataxias, pontocerebellar hypoplasia with spinal muscular atrophy (PCH1), and Parkinson’s disease and optic atrophy ( Charlesworth et al, 2016 ; Wan et al, 2016 ; Hammer et al, 2017 ; Nguyen et al, 2017 ; Sulaiman et al, 2017 ; van Dijk et al, 2017 ; Abrams et al, 2018 ; Braunisch et al, 2018 ; Bitetto et al, 2020 ; Ababneh et al, 2021 ; Kodal et al, 2022 ). The onset and course of the disease are highly variable, ranging from fetal death to survival to 50 yr of age.…”