assigning pathogenicity to mitochondrial trna mutations: when ‘definitely maybe’ is not good...

6
species (belonging to all the bilaterian embranchments [9,10]). To be complete, such a reconstruction should also include bilaterian outgroup phyla, for example, the Cnidarians [11] (Figure 2). From such an ancestral- genome deduction and from knowledge that will emerge during the post-genomic era [12], we can dream of reconstructing the genome of Urbilateria – our most distant bilaterian ancestor. Acknowledgements We thank Nathalie Balandraud, Alexandre Vienne and Michael F. McDermott for helpful discussions and their critical review of our manuscript. A special thanks for editorial comments that helped in making the message more clear, concise and direct. Supplementary data Supplementary data associated with this article can be found at doi:10.1016/j.tig.2004.09.009 References 1 Kasahara, M. et al. (1997) Chromosomal duplication and the emergence of the adaptive immune system. Trends Genet. 13, 90–92 2 Abi-Rached, L. et al. (2002) Evidence of en bloc duplication in vertebrate genomes. Nat. Genet. 31, 100–105 3 Vienne, A. et al. (2003) Evolution of the proto-MHC ancestral region: more evidence for the plesiomorphic organisation of human chromo- some 9q34 region. Immunogenetics 55, 429–436 4 Castro, L.F. et al. (2004) An antecedent of the MHC-linked genomic region in amphioxus. Immunogenetics 55, 782–784 5 Postlethwait, J.H. et al. (2000) Zebrafish comparative genomics and the origins of vertebrate chromosomes. Genome Res. 10, 1890–1902 6 Dehal, P. et al. (2002) The draft genome of Ciona intestinalis: insights into chordate and vertebrate origins. Science 298, 2157–2167 7 Azumi, K. et al. (2003) Genomic analysis of immunity in a Urochordate and the emergence of the vertebrate immune system: ‘waiting for Godot’. Immunogenetics 55, 570–581 8 Danchin, E.G. et al. (2003) Conservation of the MHC-like region throughout evolution. Immunogenetics 55, 141–148 9 Nielsen, C. (2001) Animal Evolution: Interrelationships of the Living Phyla., Oxford University Press 10 Tessmar-Raible, K. and Arendt, D. (2003) Emerging systems: between vertebrates and arthropods, the Lophotrochozoa. Curr. Opin. Genet. Dev. 13, 331–340 11 Kortschak, R.D. et al. (2003) EST analysis of the cnidarian Acropora millepora reveals extensive gene loss and rapid sequence divergence in the model invertebrates. Curr. Biol. 13, 2190–2195 12 Eisenberg, D. et al. (2000) Protein function in the post-genomic era. Nature 405, 823–826 13 Morris, S.C. (1998) The Crucible of Creation, Oxford University Press 14 De Robertis, E.M. and Sasai, Y. (1996) A common plan for dorsoventral patterning in Bilateria. Nature 380, 37–40 15 Boutanaev, A.M. et al. (2002) Large clusters of co-expressed genes in the Drosophila genome. Nature 420, 666–669 16 Lehner, B. et al. (2004) Analysis of a high-throughput yeast two- hybrid system and its use to predict the function of intracellular proteins encoded within the human MHC class III region. Genomics 83, 153–167 17 Hurst, L.D. et al. (2004) The evolutionary dynamics of eukaryotic gene order. Nat. Rev. Genet. 5, 299–310 18 Vienne, A. et al. (2003) Systematic phylogenomic evidence of en bloc duplication of the ancestral 8p11.21–8p21.3-like region. Mol. Biol. Evol. 20, 1290–1298 19 Danchin, E. and Pontarotti, P. (2004) Stastistical evidence for a more than 800 million years old evolutionary conserved genomic region in our genome. J. Mol. Evol. (in press) 20 McLysaght, A. et al. (2002) Extensive genomic duplication during early chordate evolution. Nat. Genet. 31, 200–204 0168-9525/$ - see front matter Q 2004 Elsevier Ltd. All rights reserved. doi:10.1016/j.tig.2004.09.009 Assigning pathogenicity to mitochondrial tRNA mutations: when ‘definitely maybe’ is not good enough Robert McFarland 1 , Joanna L. Elson 1 , Robert W. Taylor 1 , Neil Howell 2,3 and Douglass M. Turnbull 1 1 Mitochondrial Research Group, School of Neurology, Neurobiology and Psychiatry, The Medical School, University of Newcastle-upon-Tyne NE2 4HH, UK 2 MitoKor, San Diego, CA 92121, USA 3 Department of Radiation Oncology, University of Texas Medical Branch, Galveston, TX 77550-2780, USA Some mutations in mitochondrial tRNA (mt-tRNA) genes cause devastating disease, whereas others have no clinical consequences. We understand little of the factors determining the pathogenicity of specific mt-tRNA mutations, making prediction of clinical out- come extremely difficult. Using extensive sequence databases, we compared the characteristics of neutral variations with those of pathogenic mutations. We recommend that the location of the proposed mutation within the secondary structure of the mt-tRNA molecule and the disruption it causes to Watson-Crick base pair- ing should be considered when assessing the patho- logical significance of a novel mt-tRNA mutation. The mitochondrial tRNA (mt-tRNA) genes comprise only a small fraction of the mitochondrial genome (Figure 1a, Table 1), but contribute disproportionately to the aetiology of mitochondrial DNA (mtDNA) disease [1]. At present, a small number of ‘common’ mutations are thought to be responsible for the majority of mitochondrial disease due Corresponding author: Douglass M. Turnbull ([email protected]). Update TRENDS in Genetics Vol.20 No.12 December 2004 591 www.sciencedirect.com

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Page 1: Assigning pathogenicity to mitochondrial tRNA mutations: when ‘definitely maybe’ is not good enough

Update TRENDS in Genetics Vol.20 No.12 December 2004 591

species (belonging to all the bilaterian embranchments[9,10]). To be complete, such a reconstruction should alsoinclude bilaterian outgroup phyla, for example, theCnidarians [11] (Figure 2). From such an ancestral-genome deduction and from knowledge that will emergeduring the post-genomic era [12], we can dream ofreconstructing the genome of Urbilateria – our mostdistant bilaterian ancestor.

AcknowledgementsWe thank Nathalie Balandraud, Alexandre Vienne and Michael F.McDermott for helpful discussions and their critical review of ourmanuscript. A special thanks for editorial comments that helped inmaking the message more clear, concise and direct.

Supplementary data

Supplementary data associated with this article can befound at doi:10.1016/j.tig.2004.09.009

References

1 Kasahara, M. et al. (1997) Chromosomal duplication and theemergence of the adaptive immune system. Trends Genet. 13, 90–92

2 Abi-Rached, L. et al. (2002) Evidence of en bloc duplication invertebrate genomes. Nat. Genet. 31, 100–105

3 Vienne, A. et al. (2003) Evolution of the proto-MHC ancestral region:more evidence for the plesiomorphic organisation of human chromo-some 9q34 region. Immunogenetics 55, 429–436

4 Castro, L.F. et al. (2004) An antecedent of the MHC-linked genomicregion in amphioxus. Immunogenetics 55, 782–784

5 Postlethwait, J.H. et al. (2000) Zebrafish comparative genomics andthe origins of vertebrate chromosomes. Genome Res. 10, 1890–1902

6 Dehal, P. et al. (2002) The draft genome of Ciona intestinalis: insightsinto chordate and vertebrate origins. Science 298, 2157–2167

Corresponding author: Douglass M. Turnbull ([email protected]).

www.sciencedirect.com

7 Azumi, K. et al. (2003) Genomic analysis of immunity in a Urochordateand the emergence of the vertebrate immune system: ‘waiting forGodot’. Immunogenetics 55, 570–581

8 Danchin, E.G. et al. (2003) Conservation of the MHC-like regionthroughout evolution. Immunogenetics 55, 141–148

9 Nielsen, C. (2001) Animal Evolution: Interrelationships of the LivingPhyla., Oxford University Press

10 Tessmar-Raible, K. and Arendt, D. (2003) Emerging systems: betweenvertebrates and arthropods, the Lophotrochozoa. Curr. Opin. Genet.Dev. 13, 331–340

11 Kortschak, R.D. et al. (2003) EST analysis of the cnidarian Acroporamillepora reveals extensive gene loss and rapid sequence divergencein the model invertebrates. Curr. Biol. 13, 2190–2195

12 Eisenberg, D. et al. (2000) Protein function in the post-genomic era.Nature 405, 823–826

13 Morris, S.C. (1998) The Crucible of Creation, Oxford University Press14 De Robertis, E.M. and Sasai, Y. (1996) A common plan for dorsoventral

patterning in Bilateria. Nature 380, 37–4015 Boutanaev, A.M. et al. (2002) Large clusters of co-expressed genes in

the Drosophila genome. Nature 420, 666–66916 Lehner, B. et al. (2004) Analysis of a high-throughput yeast two-

hybrid system and its use to predict the function of intracellularproteins encoded within the human MHC class III region. Genomics83, 153–167

17 Hurst, L.D. et al. (2004) The evolutionary dynamics of eukaryotic geneorder. Nat. Rev. Genet. 5, 299–310

18 Vienne, A. et al. (2003) Systematic phylogenomic evidence of en blocduplication of the ancestral 8p11.21–8p21.3-like region. Mol. Biol.Evol. 20, 1290–1298

19 Danchin, E. and Pontarotti, P. (2004) Stastistical evidence for a morethan 800 million years old evolutionary conserved genomic region inour genome. J. Mol. Evol. (in press)

20 McLysaght, A. et al. (2002) Extensive genomic duplication duringearly chordate evolution. Nat. Genet. 31, 200–204

0168-9525/$ - see front matter Q 2004 Elsevier Ltd. All rights reserved.

doi:10.1016/j.tig.2004.09.009

Assigning pathogenicity to mitochondrial tRNAmutations: when ‘definitely maybe’ is not good enough

Robert McFarland1, Joanna L. Elson1, Robert W. Taylor1, Neil Howell2,3

and Douglass M. Turnbull1

1Mitochondrial Research Group, School of Neurology, Neurobiology and Psychiatry, The Medical School,

University of Newcastle-upon-Tyne NE2 4HH, UK2MitoKor, San Diego, CA 92121, USA3Department of Radiation Oncology, University of Texas Medical Branch, Galveston, TX 77550-2780, USA

Some mutations in mitochondrial tRNA (mt-tRNA)

genes cause devastating disease, whereas others have

no clinical consequences. We understand little of the

factors determining the pathogenicity of specific

mt-tRNA mutations, making prediction of clinical out-

come extremely difficult. Using extensive sequence

databases, we compared the characteristics of neutral

variations with those of pathogenic mutations. We

recommend that the location of the proposed mutation

within the secondary structure of the mt-tRNA molecule

and the disruption it causes to Watson-Crick base pair-

ing should be considered when assessing the patho-

logical significance of a novel mt-tRNA mutation.

The mitochondrial tRNA (mt-tRNA) genes comprise only asmall fraction of the mitochondrial genome (Figure 1a,Table 1), but contribute disproportionately to the aetiologyof mitochondrial DNA (mtDNA) disease [1]. At present, asmall number of ‘common’ mutations are thought to beresponsible for the majority of mitochondrial disease due

Page 2: Assigning pathogenicity to mitochondrial tRNA mutations: when ‘definitely maybe’ is not good enough

TRENDS in Genetics

D-Loop

ND1

ND2

COI

COII

ND6

12srRNA

ATP8

ND4L

ATP6

16srRNA

Pro

Thr

Glu

Leu(CUN)Ser(AGY)His

Arg

Gly

LysAsp

Ser(UCN)

TyrCys

AsnAla

Trp

IleGln

Met

Leu(UUR)

Val

Phe

Cyt b

ND3

COIII

ND5

ND4

0 neutral variants1–2 neutral variants3–4 neutral variants>4 neutral variants

3–9bases0–10

bases DHU

0 mutations1–2 mutations3–4 mutations>4 mutations

0–10bases

1–2 bases

1–2 bases 1–2 bases

1–2 bases

3–9bases

3–5 bases 3–5 bases

7 bases 7 bases

DHUTψC

(a)

(b) (c)

TψC

Figure 1. The structure of the mitochondrial (mt) genome. (a) The relative positions and strand-of-origin of the 22 mt-tRNA genes in the mitochondrial genome.

(b) A composite of all 22 mt-tRNA secondary structures, demonstrating the location of pathogenic mutations and (c) neutral variants. Hotspots for pathogenic mutation (O4)

are coloured purple (b), whereas regions of multiple neutral variations (O4) are coloured dark blue (c).

Update TRENDS in Genetics Vol.20 No.12 December 2004592

to mt-tRNA mutations [2–6]. However, the advent ofrelatively inexpensive sequencing technology has resultedin the frequent detection of novel variants in mt-tRNAgenes. Determining the pathological significance of thesemt-tRNA variants is challenging but important forproviding accurate genetic advice.

DiMauro and Schon succinctly described the canonicalpathogenic criteria for mtDNA point mutations (Box 1) [7].Inevitably, some pathogenic mtDNA mutations fail to meetthese criteria, particularly those that are homoplasmic

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and therefore do not demonstrate the required segregationwith either biochemical deficiency or clinical disease [8–11].Other genuine mutations might ‘escape’ identificationbecause of poor evolutionary conservation in the region, orbecause there is difficulty demonstrating segregation withdisease in small families. Conversely, neutral variants canbe mistaken for pathogenic mutations when they arelimited to a few related individuals (‘private polymorph-isms’) or where heteroplasmy has been detected (althoughneutral polymorphism heteroplasmy is well described,

Page 3: Assigning pathogenicity to mitochondrial tRNA mutations: when ‘definitely maybe’ is not good enough

Table 1. Size and location of human mitochondrial tRNA genes

Mitochondrial tRNA Location in genome Size (bp)

Phenylalanine 577–647 71

Valine 1602–1670 69

Leucine (UUR) 3230–3304 75

Isoleucine 4263–4331 69

Glutamine 4329–4400 72

Methionine 4402–4469 68

Tryptophan 5512–5579 68

Alanine 5587–5655 69

Asparagine 5657–5729 73

Cysteine 5761–5826 66

Tyrosine 5826–5891 66

Serine (UCN) 7445–7516 72

Aspartate 7518–7585 68

Lysine 8295–8364 70

Glycine 9991–10 058 68

Arginine 10 405–10 469 65

Histidine 12 138–12 206 69

Serine (AGY) 12 207–12 265 59

Leucine (CUN) 12 266–12 336 71

Glutamine 14 674–14 742 69

Threonine 15 888–15 953 66

Proline 15 955–16 023 69

Update TRENDS in Genetics Vol.20 No.12 December 2004 593

particularly in the D-Loop, heteroplasmy of variants in mt-tRNA has generally been regarded as direct evidence forpathogenicity). Occasionally, pathogenicity of mt-tRNAmutations can be established through demonstrating directfunctional consequences, such as a substantial decrease insteady-state levels oraberrantaminoacylation of the specificmt-tRNA, both of which are technically challenging.

We have evaluated all mt-tRNA mutations listed onMITOMAP, the largest publicly available compendium ofmtDNA polymorphisms and mutations [1], using a scoringsystem (Box 2) based on functional evidence, conservation,frequency of reports and the presence of heteroplasmy(Table 2). Numerical values have been attributed to thevarious criteria to reflect the strength of the evidence theypresent for pathogenicity. The rank order of the changeswould vary if different criteria were used. However, thechanges we have placed in the ‘definite’ and ‘neutral’categories are robust to variations of the scoring system,and are consistent with what is known about the naturalhistory of disease.

In addition, by incorporating neutral variants from theMitoKordatabase [12]andMITOMAP-listed ‘polymorphisms’in our analysis, we have been able to compare the natureand location of neutral variations with those of pathogenic

Box 1. Canonical criteria defining the pathogenicity of a

mitochondrial (mt)-tRNA mutation

† The mutation must be heteroplasmic (i.e. co-existent wild-type and

mutated mitochondrial genomes in the same tissue).

† The proportion of mutated mtDNA should be higher in tissue from

affected individuals than in the same tissue from their unaffected

relatives.

† The proportion of mutated mtDNA should be higher in clinically

affected tissues.

† The proportion of mutated mtDNA should segregate with a

biochemical defect.

† The mutation should occur at an evolutionary conserved site in the

mitochondrial genome.

† The mutation should be absent from healthy controls.

For more information, see Ref. [7].

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mutations to a much greater extent than has beenpreviously possible [13,14].

Identification of mitochondrial mutations

mt-tRNA mutations

In total, 91 different mt-tRNA mutations were listed aspathogenic on MITOMAP, but 66 (73%) of these werelisted as ‘provisional’. The pathogenic status of fourmutations was listed as ‘unclear,’ whereas another fourmutations were not clearly described as either pathogenicor polymorphic. A dual entry on both the list of pathogenicmutations and the list of polymorphic variants occurred onsix occasions, whereas two mutations that were provi-sionally identified as pathogenic also have a correspond-ing neutral variation at the same site. We have recentlyreassigned the 606(A/G) substitution as a neutralvariant [15] and have not included it in the analysis, norhave we included variants that were listed as ‘unclear’ orwhere the pathogenic status was not defined (supplemen-tary material online; Table 1).

After scoring the published evidence for pathogenicity, itbecame clear that a large proportion (26%) of the pathogenicmt-tRNA mutations listed on MITOMAP are not supportedby sufficient evidence to be considered pathogenic and only16% of the total were pathogenic beyond doubt.

mt-tRNA neutral variants

There are 64 different neutral variants in mt-tRNA geneslisted on MITOMAP, six of which also appear on the list ofpathogenic mutations. On the MitoKor database, weobserved 131 distinct neutral mt-tRNA polymorphisms,32 of which either define haplogroups or are haplogroup-associated markers. MITOMAP listed only 44 (34%) of the131 changes observed on the MitoKor database as poly-morphisms, thus indicating that many of the mt-tRNAgene variants in the MitoKor database are ‘private’.Conversely, 39 (61%) of the polymorphic mt-tRNA genevariants listed on MITOMAP were detected in the MitoKordatabase, indicating that themajorityof those listed aretruepolymorphisms. In total, including mutations that score sixor less, we recorded 163 different neutral variations on theMitoKor and MITOMAP databases.

Distribution of mutations and neutral variants

The greatest sequence variability (23 different changes)and highest pathogenic mutation to neutral variant ratiowas seen in the mt-tRNALeu(UUR) gene. The mt-tRNAPro

gene had the least variability with only four changes, oneof which was pathogenic. Approximately 73% of mt-tRNAmutations occurred in the stem structures, and Figure 1bdemonstrates mutation ‘hotspots’ in both the anticodonand acceptor stems. Furthermore, almost 94% of thepathogenic mutations that occurred in stem structuresdisrupted Watson–Crick base pairing with only threeexceptions, all of which are likely to be pathogenic; both5537insT and 5874(A/G) score highly and although7445(A/G) scores only nine, it is a homoplasmicmutation with an organ-specific phenotype and there isgood evidence of a functional defect [16]. By contrast, asmaller proportion (44%) of the 163 neutral variationsoccurred in stem structures (Figure 1c), and only 57%

Page 4: Assigning pathogenicity to mitochondrial tRNA mutations: when ‘definitely maybe’ is not good enough

Box 2. Selection and scoring of pathogenic mutations and neutral variants

The analysis included mitochondrial tRNA (mt-tRNA) mutations that

were clearly listed on MITOMAP as pathogenic (as of 1 Dec 2003). For

each mutation, the listed references were examined and a score

compiled that was based on the published evidence for pathogenicity.

Beginning with the earliest reference, this ranking process was

performed until either the references were exhausted or the mutation

had achieved the maximum score of 20 points (see Table 2).

Transmitochondrial cybrid (cell fusion) experiments, measurement

of mt-tRNA steady-state levels and segregation of mutation with a

biochemical defect at the level of single cells were weighted heavily

in the scoring system to reflect the quality of such evidence in

demonstrating pathogenicity. ‘Polymorphic’ or neutral variations in

mt-tRNAs were identified on MITOMAP and from the MitoKor

database of complete mitochondrial genome sequences. The MitoKor

database has been compiled from high quality sequencing of 1341

ethnically diverse control subjects and 560 of these genomes are

publically available.

None of the mutations listed exclusively as ‘polymorphisms’ on

MITOMAP achieved a score of more than six points, thus providing a

‘bright line’ distinction between clinically benign and pathogenic

substitutions. We assumed that the site of a pathogenic mutation had

to exhibit at least moderate evolutionary conservation (one point).

Therefore, the minimum score for pathogenic mutations that occurred

at sites of moderate evolutionary conservation, which satisfied the

other canonical criteria, and that had been reported on more than one

occasion, was 11 points. Those mt-tRNA mutations with additional

evidence thus scored a minimum of fourteen points (11 points plus

three points for supportive single-fibre studies). Overall, mutations

were categorized into four distinct groups:

(i) definitely pathogenic (R14 points); (ii) probably pathogenic

(11–13 points); (iii) possibly pathogenic (7–10 points); and (iv) neutral

variants (%6 points).

All of the mutations that scored more than six points were further

analyzed regarding the nature of the mutation and its location within

the tRNA structure. The same analysis was then also performed for

neutral variants and those mutations scoring less than six points.

Update TRENDS in Genetics Vol.20 No.12 December 2004594

disrupted Watson–Crick base pairing. In addition, patho-genic mutations disrupted A–T and C–G base pairs (22:23)almost equally, whereas neutral variants disrupted A–Tpairing three times more often than C–G pairing (32:9).

Consequences of classifying mitochondrial mutations

Unsubstantiated claims

Although the canonical criteria of DiMauro and Schon arenow generally accepted, they have been neither rigorouslynor uniformly applied to suspected novel pathogenic

Table 2. Scoring criteria applied to mitochondrial-tRNA

mutations listed on MITOMAP

Pathogenic criteria Score

Evolutionary conservation

of the base

No change 2

Single change 1

More than one change 0

More than one

independent report

Yes 2

No 0

Presence of heteroplasmy Yes 2

No 0

Histochemical evidence of

mitochondrial disease

Strong evidence 2

Weak evidence 1

No evidence 0

Biochemical defect in

complexes I, III or IV

Yes 2

No 0

Segregation of the

mutation with disease

Within an affected individual

or family

2

No segregation 0

Single-fibre studies,

demonstrating higher

levels of mutation in COX

negative fibresa

Yes 3

No 0

Steady-state levels of

mutated mt-tRNAb or

evidence of pathogenicity

from cybrid cellsc

Yes 5

No 0

Maximum score 20aHeteroplasmic mitochondrial (mt)-tRNA mutations are a cause of skeletal muscle

pathology and are often associated with a mosaic distribution of COX negative

(deficient) muscle fibres. If the levels of the mutation are higher in COX negative

fibres than in neighbouring COX positive fibres, it means that there is a direct

correlation between the levels of mutation and biochemical dysfunction.bSome mt-tRNA mutations have been shown to associate with a reduction in the

steady-state level of that particular mt-tRNA; a useful indicator of pathogenicity for

homoplasmic mt-tRNA mutations.cCybrids are immortalized cells that have been depleted of their own mtDNA and

repopulated with exogenous mitochondria carrying a specific mtDNA mutation by

fusion with patient-derived enucleated cells (cytoplasts). The phenotypic differ-

ences amongst cybrid lines are thus a direct consequence of the patient mtDNA.

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mt-tRNA mutations before publication. Several mt-tRNAmutations were reported before the precepts of thecanonical criteria were conceived but others, publishedmore recently, simply lack the required evidence. In ourstudy, 26% of the ‘pathogenic’ mt-tRNA mutations listedon MITOMAP fulfilled three or fewer basic criteriathat would confirm pathogenicity and, on this basis, webelieve they should be considered as neutral variants. It ispossible that, for a few of these changes, circumstancesprecluded more extensive investigation and their categ-orization might have to be revised in the light of newevidence.

Advice, understanding and prediction

Clinically, misattribution of pathogenicity is an import-ant issue because of the consequences for geneticcounselling that is provided to individuals and familieswith mitochondrial disease. In addition, from amechanistic perspective, accurately mapping sites ofpathogenic and neutral variation within the secondarystructure of mt-tRNAs is vital to our understanding ofthe fundamental structure-function relationships thatgovern the biological activity of these molecules.Furthermore, the different distribution patterns ofpathogenic and neutral variants might prove usefulin devising algorithms to predict the pathogenic effectsof novel mt-tRNA changes. Although given our currentunderstanding of mt-tRNAs, it is unlikely that, evenwith extensive ‘training’, such algorithms will identifyevery pathogenic mutation.

Bias

The considerable variation in frequency of pathogenicmutations between the different mt-tRNA genes isexplained in part by the intense investigation of somewith a ‘track record’ of pathogenicity. For example, thecategorization of patients into groups with clinicalsyndromes has directed diagnostic investigation towardsparticular mt-tRNA genes where genotype–phenotyperelationships have previously been established. Anotherpotential source of bias that must be considered is‘survivor bias’, where sporadic pathogenic mutations that

Page 5: Assigning pathogenicity to mitochondrial tRNA mutations: when ‘definitely maybe’ is not good enough

Update TRENDS in Genetics Vol.20 No.12 December 2004 595

affect the loops or stem structures of certain mt-tRNAs arelethal at an early stage of in utero development. The rangeand location of pathogenic mutations thus observedreflects those who survive to be investigated. Finally, itis also possible that those mutations in mt-tRNA genescausing a severe biochemical disturbance behave in asimilar manner to mtDNA deletions, which are not easilytransmitted through the maternal germ line [17]. Theabsence of a maternal-inheritance pattern might dissuadeclinicians from pursuing extensive investigation formitochondrial disease in these patients.

Location is important

Figure 1b demonstrates hotspots for pathogenicmutations in both the acceptor and anticodon stems.Few of the mt-tRNA genes have pathogenic mutationsthat occur in the loop structures. The exception is themt-tRNALeu(UUR) gene where five mutations [includingthe mutation 3243(A/G), which occurs in those withmitochondrial myopathy, encephalopathy, lactic acidosisand stroke-like episodes (MELAS)] occur in the dihydro-uridine (DHU) loop and a further two in the TJC loop.Interestingly, mt-tRNALeu(UUR) also has the largest DHUloop (ten bases) and a large TJC loop (seven bases).Recent in vitro work by Sohm et al. suggests that thetertiary L-shaped structure of mt-tRNALeu(UUR) is some-what ‘relaxed’ in comparison with cytosolic tRNAs [18].This relaxed tertiary structure is probably adapted bypost-transcriptional modifications in vivo (illustrating thedifficulties in relating structure to function in mt-tRNAmolecules); however, it might also represent a structurethat is particularly vulnerable to an alteration in the basecomposition of the large DHU and TJC loops, wheretertiary hydrogen bonding is thought to be important inmaintaining the structural integrity of the tRNA molecule[19]. Furthermore, Sohm et al. also noted potentialstructural anomalies in the folding of the DHU-arm ofmt-tRNALeu(UUR) caused by mutations in the loop[3243(A/G) and 3250(T/C)], but not in the stemstructures [3303(C/T) and 3271(T/C)] [18]. Mutationsthat occur in other mt-tRNAs also occur in loops that arelarge [8344(A/G) in the largest TJC loop of nine bases]or, in the case of the anticodon loop, in a location wherethey are anticipated to exert an enormous influence on thefunction of the mt-tRNA.

Disruption and tolerance

The disruption of Watson–Crick base pairing is an import-ant determinant of pathogenicity [13]. In our analysis,almost 94% of the pathogenic mutations occurring in stemstructures disturb Watson–Crick base pairing. By compari-son, only 57% of neutral variants affect Watson–Crick basepairing in the stems. Approximately 22% of the neutralvariants affect cytosine–guanine (C–G) interactions,whereas 51% of pathogenic mutations disrupt this C–Gtype of Watson–Crick base pairing. Adenine–thymine (A–T)bonding has a lower thermodynamic energy than C–Gbonding and it is possible that disruption of A–T bondsexerts less of an effect on the tertiary structure of the mt-tRNA than a similar disruption of a C–G bond. Conse-quently, disruption of A–T bonds could be ‘tolerated’ by the

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mt-tRNA without adverse functional sequelae, and par-ticularly so, if there were adjacent stabilizing influences inthe tertiary structure.

Concluding remarks

Our analysis of the published mt-tRNA mutationslisted on MITOMAP indicates that, at present, there isinsufficient evidence to classify a large proportion of thereported mutations as pathogenic. Furthermore, throughour analysis we have been able to arrive at the followingconclusions: (i) w73% of pathogenic mutations occur inthe stems of mt-tRNA secondary structure; (ii) ‘hotspots’for pathogenic mutations occur in both the acceptor andanticodon stems; (iii) the disruption of Watson–Crick basepairing is an almost universal feature of pathogenicmutations occurring in the stem structures; (iv) thedisruption of C-G base pairing is a significantly morecommon feature of pathogenic mutations than neutralvariants; and (v) when pathogenic mutations do occur inloop structures, they tend to occur in loops that areunusual in their size and/or influence on the tertiaryfolding or function of the mt-tRNA.

Acknowledgements

The research reported here was supported in part by the Wellcome Trust(D.M.T), The Newcastle upon Tyne Hospitals NHS Trust (R.W.T) and theNational Science Foundation (N.H). R.M. and J.L.E. are supported by anMRC (UK) Clinician Scientist Fellowship and an MRC (UK) Bioinfor-matics Training Fellowship, respectively.

Supplementary data

Supplementary data associated with this article can befound at doi:10.1016/j.tig.2004.09.014

References

1 MITOMAP: A Human Mitochondrial Genome Database. http://www.mitomap.org, 2004

2 Goto, Y. et al. (1990) A mutation in the tRNALeu(UUR) gene associatedwith the MELAS subgroup of mitochondrial encephalomyopathies.Nature 348, 651–653

3 Ciafaloni, E. et al. (1992) MELAS: clinical features, biochemistry, andmolecular genetics. Ann. Neurol. 31, 391–398

4 Goto, Y. et al. (1991) A new mtDNA mutation associated withmitochondrial myopathy, encephalomyopathy, lactic acidosis andstroke-like episodes (MELAS). Biochim. Biophys. Acta 1097,238–240

5 Shoffner, J.M. et al. (1990) Myoclonic epilepsy and ragged-red fiberdisease (MERRF) is associated with a mitochondrial DNA tRNALys

mutation. Cell 61, 931–9376 Larsson, N.G. et al. (1995) Pathogenetic aspects of the A8344G

mutation of mitochondrial DNA associated with MERRF syndromeand multiple symmetric lipomas. Muscle Nerve 3, S102–S106

7 DiMauro, S. and Schon, E.A. (2001) Mitochondrial DNA mutations inhuman disease. Am. J. Med. Genet. 106, 18–26

8 McFarland, R. et al. (2002) Multiple neonatal deaths due to ahomoplasmic mitochondrial DNA mutation. Nat. Genet. 30, 145–146

9 Taylor, R.W. et al. (2003) A homoplasmic mitochondrial transferribonucleic acid mutation as a cause of maternally inheritedhypertrophic cardiomyopathy. J. Am. Coll. Cardiol. 41, 1786–1796

10 Sue, C.M. et al. (1999) Maternally inherited hearing loss in a largekindred with a novel T7511C mutation in the mitochondrial DNAtRNASer(UCN) gene. Neurology 52, 1905–1908

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11 Prezant, T.R. et al. (1993) Mitochondrial ribosomal RNA mutationassociated with both antibiotic-induced and non-syndromic deafness.Nat. Genet. 4, 289–294

12 Hernstadt, C. et al. (2002) Reduced-median-network analysis ofcomplete mitochondrial DNA coding-region sequences for the majorAfrican, Asian, and European haplogroups. Am. J. Hum. Genet. 70,1152–1171

13 Florentz, C. and Sissler, M. (2001) Disease-related versus polymorphicmutations in human mitochondrial tRNAs. Where is the difference?EMBO Rep. 2, 481–486

14 Wittenhagen, L.M. and Kelley, S.O. (2003) Impact of disease-relatedmitochondrial mutations on tRNA structure and function. TrendsBiochem. Sci. 28, 605–611

15 McFarland, R. et al. (2004) A novel sporadic mutation in cytochrome coxidase subunit II as a cause of rhabdomyolysis. Neuromuscul Disord.14, 162–166

Corresponding author: Robert R. Reisz ([email protected]).Available online 30 September 2004

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doi:10.1016/j.tig.2004.09.014

Letters

The comparative method for evaluating fossilcalibration dates: a reply to Hedges and Kumar

Robert R. Reisz and Johannes Muller

Department of Biology, University of Toronto at Mississauga, 3359 Mississauga Road N., Mississauga, ON L5L 1C6, Canada

Hedges and Kumar [1] (referred to as H&K hereafter)have responded to an article that we published recently inTrends in Genetics [2]. In that paper, we presented amodern perspective on what can and can not be inter-preted from the fossil record, particularly in view of theadded information that rigorous phylogenetic analyseshave provided for evaluating the nature of vertebratehistorical evidence. In the process of defending their use ofthe fossil record, they have made certain statements thatwe feel obligated to correct.

H&K state categorically in their abstract and in the textthat we have not provided robust fossil evidence for ourarguments. We disagree with these statements. We do notwant to reintroduce our evidence here but rather emphasizethat, in contrast to their research or the paleontologicalreview papers that they cite, the research group led byRobert Reisz has published extensively on the fossils thatare related to the bird–mammal split. Our arguments arebased on these primary research publications, and ourconclusion is that the bird–mammal split is not a scientifi-cally sound choice for a paleontologically based calibrationdate. None of the papers that they have cited, to counter ourarguments, address the quality of the fossil record for thiscalibration date or use comparative methods to determinewhich part of the fossil record is best suited for this type ofstudy. We proposed in our original article [2] a novel,comparative method for testing the quality of the fossilrecord for use as calibration dates. On that basis, ourargument that the fossil record of terrestrial communities,prior to the first appearance of amniotes, is grosslyinadequate for any scientific evaluation of the possibletime of the bird–mammal split still stands.

Contrary to H&K’s claim, we did not present alterna-tive calibrations dates as if they were novel, and we arewell aware of Benton’s excellent review paper [3] where hepresented minimum age estimates for 22 major events invertebrate evolutionary history. Instead, our novel, rigor-ous method for evaluating the quality of the fossil recordwas used to demonstrate that another major evolutionaryevent (i.e. the crocodile (or bird)–lizard split; Figure 2 inRef. [2]) is preferable as a calibration date to the bird–mammal split.

Contrary to their repeated use of the term in theirarticle, modern cladistics and phylogenetics can notassume the existence of transitional taxa. Unfortu-nately, the hypothetical phylogeny shown in H&K’srebuttal (Figure 2 in Ref. [1]) has no correspondence tothe fossil record, and no modern phylogeny incorporat-ing the fossil record possesses their so-called transi-tional forms (more correctly termed internodal taxa).The basics of this concept have been known fordecades [4], and the use of the term ‘transitionalforms’ should be avoided in this context. Our illus-tration (Figure 1 in Ref. [2]) corresponds to the widelyaccepted phylogeny and to the known temporal rangesof particular taxa as indicated by the fossil record.There are not only no ‘transitional forms’ in thisrepresentation of early amniote history but also thereare numerous, huge gaps that make the timing of thebird–mammal split difficult to assess.

Finally, it should be obvious that H&K’s argument thatthe mammal–bird split is preferable because there are notenough sequence data available for the taxa of crocodilesand lizards, which we propose as better alternatives, is adefense of past work and, therefore, should not be adeterrent for the future. Databases such as GenBank