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RRM2B-Related Mitochondrial Disease

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Mitochondrial Disorders Caused by Nuclear Genes

Abstract

Disorders of mitochondrial DNA (mtDNA) maintenance are well-recognised causes of mitochondrial disease presentations in both adults and children. In this chapter, we review the expanding clinical spectrum associated with mutation of the nuclear-encoded RRM2B gene which encodes the small subunit of p53-inducible ribonucleotide reductase (p53R2). Both recessive and dominant RRM2B mutations have been reported which can lead to different, secondary mtDNA changes including quantitative loss of mtDNA copy number and clonally-expanded multiple mtDNA deletions in post-mitotic tissues.

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Abbreviations

RRM2B :

Ribonucleoside-diphosphate reductase subunit M2 B

POLG :

Polymerase (DNA directed), gamma

POLG2 :

Polymerase (DNA directed), gamma 2, accessory subunit

PEO1 :

Progressive external ophthalmoplegia 1 protein

C10orf2 :

Chromosome 10 open reading frame 2

TK2 :

Thymidine kinase 2

DGUOK :

Deoxyguanosine kinase

SUCLA2 :

Succinate-CoA ligase, ADP-forming, beta subunit

SUCLG1 :

Succinyl-CoA ligase, GDP-forming, alpha subunit

TYMP :

Thymidine phosphorylase

SLC25A4 (ANT1):

Solute carrier family 25 (mitochondrial carrier; adenine nucleotide translocator), member 4 (Adenine Nucleotide Translocase 1)

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Acknowledgements

DMT and RWT are supported by a Wellcome Trust Strategic Award (906919) and the UK NHS Specialised Services “Rare Mitochondrial Disorders of Adults and Children” Diagnostic Service (http://www.mitochondrialncg.nhs.uk). GSG, DMT and RWT are also supported by the Medical Research Council (UK, G1000848) as part of the MRC Centre for Neuromuscular Diseases. RDSP is funded by MRC grant number G0800674.

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Correspondence to Robert W. Taylor BSc, PhD .

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Gorman, G., Pitceathly, R., Turnbull, D., Taylor, R. (2013). RRM2B-Related Mitochondrial Disease. In: Wong, LJ. (eds) Mitochondrial Disorders Caused by Nuclear Genes. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3722-2_11

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