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BACKGROUND: Sequence alternations in mitochondrial genomes, especially in mitochondrial tRNA (mt-tRNA), are closely related to type 2 diabetes mellitus (T2DM); however, the detailed molecular mechanism is still largely undetermined. METHODS: Herein, we reported a T2DM Chinese family by using molecular and biochemical analyses. The mtDNA mutations in this pedigree were detected by PCR and Sanger sequencing. Moreover, phylogenetic analysis was used to assess the pathogenic mitochondrial DNA (mtDNA) mutation. We further evaluated mt-tRNA stability levels and mitochondrial functions in cybrids with and without the m.14687A>G mutation. RESULTS: stability level (p < 0.0001). The 14687G cybrid showed more severely impaired mitochondrial functions than the 14687A cybrid: mtDNA content, ATP, and mitochondrial membrane potential (MMP) and OXPHOS enzyme activities were markedly decreased. But the levels of reactive oxygen species (ROS) were significantly increased. CONCLUSION: Our finding revealed that the novel m.14687A>G mutation resulted in aberrant mt-tRNA metabolism and mitochondrial dysfunctions, which should be regarded as a pathogenic mutation for T2DM.
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Rao et al. (2025) studied this question.
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