RT info:eu-repo/semantics/article T1 Impact of compound heterozygous SDHA variants on mitochondrial function in pediatric with neurological disease A1 Garrido Moraga, Rocío A1 Serrano Lorenzo, Pablo A1 Esteban Amo, María J. A1 Bellusci, Marcello A1 Fuente García, Miguel Ángel de la A1 Arenas, Joaquín A1 González Quintana, Adrián A1 Ugalde, Cristina A1 Simarro Grande, María A1 Martín Casanueva, Miguel Ángel K1 SDHA gene K1 Compound heterozygous mutations K1 Mitochondrial dysfunction K1 Neurological disorders K1 3201.02 Genética Clínica AB This study examines two rare compound heterozygous missense variants in the SDHA gene, c.1535G > A (p.R512Q) and c.1753C > T (p.R585W), identified in a pediatric patient presenting with neurological manifesta-tions, including epilepsy, developmental delay, and optic atrophy. The SDHA gene encodes a key component ofsuccinate dehydrogenase (SDH), an essential enzyme complex at the intersection of two fundamental metabolicpathways: the Krebs cycle, and the mitochondrial respiratory chain (MRC).Patient-derived fibroblasts were used to evaluate the impact of the mutations on SDH activity and MRC as-sembly and function. The analysis revealed significant decreases in SDH activity and subunit levels, as well asimpaired assembly. Additionally, complex I (CI) activity and CI-containing supercomplexes formation were alsoimpaired, indicating more widespread mitochondrial dysfunction. Unexpectedly, basal and maximal respirationrates remained unchanged, though spare respiratory capacity was significantly reduced. These findingsdemonstrate the deleterious effects of the c.1535G > A and c.1753C > T variants, which had previously beenassociated with primary mitochondrial disorder (PMD) and tumors but had not been functionally validated untilnow PB Elsevier SN 1567-7249 YR 2026 FD 2026 LK https://uvadoc.uva.es/handle/10324/83787 UL https://uvadoc.uva.es/handle/10324/83787 LA eng NO Mitochondrion, 2026, vol. 89, p. 102149 NO Producción Científica DS UVaDOC RD 25-mar-2026