The Journal of Obstetrics and Gynaecology of India
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VOL. 74 NUMBER 2 March-April  2024

Newborn Genetic Screening: Significance in Early Diagnosis of an Infant with Mitochondrial DNA Depletion Syndrome-6

Sanjay A. Gupte1,2 · Manju Kurup2 · Shweta M. Jangam1 · Preeti Arora2 · Sarjan S. Shah2

Sanjay Gupte: Founder, Gynecologist; Manju Kurup: Genetic Counsellor; Shweta Jangam: Clinical Bioinformatician; Preeti Arora: Senior Genomic Scientist; Sarjan Shah: Director.
Sanjay A. Gupte drsanjaygupte@guptehospital.com

1 Gupte Hospital, Postgraduate Institution and Centre of Research in Reproduction, Pune, Maharashtra, India

2 Greenarray Genomic Research and Solutions, a division of Accurate Diagnostics Pvt. Ltd., Kothrud, Pune, Maharashtra, India

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Newborn genetic screening assists in identifying the risk of having rare and serious medical conditions that can affect normal development so that preventable developmental delay, disability, morbidity, and mortality during infancy and childhood can be avoided [1].
Mitochondrial DNA maintenance defects (MDMDs) are a group of diseases, characterized by mtDNA depletion and/or multiple mtDNA deletions resulting from impaired mtDNA synthesis which is associated with pathogenic variants in the nuclear genes involved in mtDNA synthesis, mitochondrial nucleotide supply, or mitochondrial dynamics [2]. MPV17 gene encodes a mitochondrial inner membrane protein that plays an important role in mitochondrial deoxynucleotide homeostasis and maintenance of mtDNA [3]. MPV17-related Mitochondrial DNA depletion syndrome-6 (MTDPS6) is a rare autosomal recessive disorder characterized by the early onset of progressive liver failure, resulting in neonatal death within the first year of life [2].

Here we present a case of a newborn detected with MPV17 gene variant in a newborn genetic screening before the onset of symptoms which helped in early medical intervention.

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