Relationships of mitochondrial DNA mutations and select clinical diagnoses in perinatally HIV- and ART-exposed uninfected children

Mitochondrion. 2024 Nov:79:101949. doi: 10.1016/j.mito.2024.101949. Epub 2024 Aug 30.

Abstract

The prevalence of pathogenic mutations within mitochondrial (mt) DNA of youth who were perinatally exposed to HIV and ART but remained uninfected (YHEU) were assessed relative to phenotypic clinical indicators of mitochondrial dysfunction (MtD). This was a cross-sectional, nested case-control study. A total of 144 cases met at least one clinical MtD definition and were matched with up to two controls each (n = 287). At least one risk mutation was present in nearly all YHEU (97 %). No differences in mutation frequencies were observed between metabolic or neurodevelopmental cases and respective controls; however, higher frequencies were found in controls versus respective neurologic or growth cases.

Keywords: Antiretroviral; Base sequence; HIV; Mitochondrial; Youth.

MeSH terms

  • Adolescent
  • Anti-Retroviral Agents / therapeutic use
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • DNA, Mitochondrial* / genetics
  • Female
  • HIV Infections* / genetics
  • Humans
  • Infant
  • Infectious Disease Transmission, Vertical
  • Male
  • Mitochondrial Diseases* / genetics
  • Mutation
  • Pregnancy

Substances

  • DNA, Mitochondrial
  • Anti-Retroviral Agents