A novel bi-allelic variant in the SDHB gene causes a severe mitochondrial complex II deficiency: a case report

PARILTAY E., PARILTAY E., TALİM B., Onay H.

CLINICAL NEUROLOGY AND NEUROSURGERY, vol.212, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 212
  • Publication Date: 2022
  • Doi Number: 10.1016/j.clineuro.2021.107039
  • Journal Name: CLINICAL NEUROLOGY AND NEUROSURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, EMBASE, MEDLINE
  • Keywords: Mitochondrial complex II deficiency, SDHB, Next-Generation Sequencing, Mitochondrial diseases, MUTATIONS, LEUKOENCEPHALOPATHY
  • Hacettepe University Affiliated: Yes

Abstract

Isolated deficiency of complex II is a rare inborn error of metabolism, accounting for approximately 2% of mitochondrial diseases. Mitochondrial complex II deficiency is predominantly seen in cases with bi-allelic SDHA mutations. To our knowledge, only 11 patients and five pathogenic variants have been reported for the SDHB gene. Our patient had a severe clinical presentation with seizures and sepsis, and died at the age of 2 months. Muscle biopsy analysis was compatible with mitochondrial myopathy with complex II deficiency. The family was given a molecular diagnosis for their child 2 years after his death via a clinical exome test of a frozen muscle biopsy specimen and a novel homozygous missense variant c.592 A > G (p.Ser198Gly) in SDHB gene was detected by next-generation sequencing. Here, we present another patient with a novel homozygous SDHB variant causing severe complex II deficiency and early death.