RESEARCH ARTICLE Plasma metabolomics reveals a diagnostic metabolic fingerprint for mitochondrial aconitase (ACO2) deficiency Lucia Abela1,2,3, Ronen Spiegel4, Lisa M. Crowther1,2,3, Andrea Klein1¤a, Katharina Steindl3,5, Sorina Mihaela Papuc3,5, Pascal Joset3,5, Yoav Zehavi4, Anita Rauch3,5, Barbara Plecko1,2,3, Thomas Luke Simmons1,2,3¤b* 1 Division of Child Neurology, University Children's Hospital Zurich, Zurich, Switzerland, 2 Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland, 3 Radiz±Rare Disease Initiative a1111111111 Zurich, Clinical Research Priority Program for Rare Diseases, University of Zurich, Zurich, Switzerland, a1111111111 4 Department of Pediatrics B, Emek Medical Center, Afula, Rappaport Faculty of Medicine, Technion, Israel, a1111111111 5 Institute of Medical Genetics, University of Zurich, Schlieren, Switzerland a1111111111 a1111111111 ¤a Current address: Pediatric Neurology, University of Basel Children's Hospital, Basel, Switzerland ¤b Current address: Evolva AG, Reinach, Switzerland *
[email protected] OPEN ACCESS Abstract Citation: Abela L, Spiegel R, Crowther LM, Klein A, Mitochondrial respiratory chain dysfunction has been identified in a number of neurodegen- Steindl K, Papuc SM, et al. (2017) Plasma metabolomics reveals a diagnostic metabolic erative disorders. Infantile cerebellar-retinal degeneration associated with mutations in the fingerprint for mitochondrial aconitase (ACO2) mitochondrial aconitase 2 gene (ACO2) has been recently described as a neurodegenera- deficiency. PLoS ONE 12(5): e0176363. https://doi. tive disease of autosomal recessive inheritance. To date there is no biomarker for ACO2 org/10.1371/journal.pone.0176363 deficiency and diagnosis relies on genetic analysis. Here we report global metabolic profiling Editor: Petras Dzeja, Mayo Clinic Rochester, in eight patients with ACO2 deficiency.