2017
DOI: 10.1002/humu.23196
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Matchmaking facilitates the diagnosis of an autosomal-recessive mitochondrial disease caused by biallelic mutation of the tRNA isopentenyltransferase (TRIT1 ) gene

Abstract: Deleterious variants in the same gene present in two or more families with overlapping clinical features provide convincing evidence of a disease-gene association; this can be a challenge in the study of ultrarare diseases. To facilitate the identification of additional families, several groups have created "matching" platforms. We describe four individuals from three unrelated families "matched" by GeneMatcher and MatchMakerExchange. Individuals had microcephaly, developmental delay, epilepsy, and recessive m… Show more

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Cited by 42 publications
(33 citation statements)
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“…Genematching platforms have also been utilized to find a “match” for those with novel exome results in a single patient (the so‐called lonely exome). A match with another individual with the same or similar phenotype and variant in the same gene can potentially provide further evidence that the newly discovered candidate is responsible …”
Section: Focal Epilepsy Syndromesmentioning
confidence: 99%
See 1 more Smart Citation
“…Genematching platforms have also been utilized to find a “match” for those with novel exome results in a single patient (the so‐called lonely exome). A match with another individual with the same or similar phenotype and variant in the same gene can potentially provide further evidence that the newly discovered candidate is responsible …”
Section: Focal Epilepsy Syndromesmentioning
confidence: 99%
“…A match with another individual with the same or similar phenotype and variant in the same gene can potentially provide further evidence that the newly discovered candidate is responsible. 191 For the diagnosis of epilepsy, NGS-based testing is often performed later in the individual's diagnostic odyssey. There is evidence that it is cost-effective to perform these genomic tests earlier, as it may reduce the overall costs associated with repeat specialist visits, repeat imaging (MRI) and EEGs as well as more invasive testing (muscle biopsy).…”
Section: Future Directionsmentioning
confidence: 99%
“…It was noted that the i 6 A37-m 3 C 32 ASL modification circuit may have implications for disease as mutations in TRIT1, the gene responsible for i 6 A 37 formation on cytosolic and mitochondrial tRNAs, cause human pathology due in large part to mitochondrial dysfunction [145,146]. In humans i 6 A 37 is found on cytosolic tRNAs Ser and tRNA Ser[Sec] in addition to several mitochondrial tRNAs that contain i 6 A 37 or ms 2 i 6 A 37 among which is the major species tRNA Ser(UGA) [130] that also contains m 3 C 32 (also see [102,131]).…”
Section: Interdependence Of Position 37 Modifications In Eukaryalmentioning
confidence: 99%
“…Mitochondrial activity of TRIT1 is relevant because pathogenic mutations to it that decrease i6A37 modification of both cy-tRNAs and mt-tRNAs, manifest in patients principally as mitochondrial insufficiency due to impairment of the mitochondrial translational system [41] [also see 54]. We should note that the majority of pathogenic SNPs in TRIT1 described [41, 54], do not reside within or near the MTS examined here, (one allele of a compound heterozygous genotype predicts a truncation at Arg-8) [54]. Examining the N-terminal MTS was also important because a popular algorithm predicts presequence cleavage at position 47 which would remove residues critical for modification activity, including the conserved P-loop containing the invariant catalytic T32, which we showed is required for efficient modification activity of cy- and mt-tRNAs.…”
Section: Discussionmentioning
confidence: 99%
“…Mt-IPTase deficiency is linked to C. elegans longevity [53]. Mutations in TRIT1 cause neurodevelopmental disorder [41, 54]. In this case, most if not all pathophysiology is attributable to hypomodification of mt-tRNA and impairment of mitochondrial translation and oxidative phosphorylation, even though the cy-tRNAs are also hypomodified [41].…”
Section: Introductionmentioning
confidence: 99%