RT Journal Article SR Electronic T1 Novel mtDNA Imparts the Connective Tissue Disorder of a Tourette Pedigree JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.02.25.481696 DO 10.1101/2022.02.25.481696 A1 Patrick M. Schaefer A1 Leonardo Scherer Alves A1 Maria Lvova A1 Jessica Huang A1 Komal Rathi A1 Kevin Janssen A1 Arrienne Butic A1 Tal Yardeni A1 Ryan Morrow A1 Marie Lott A1 Kierstin Keller A1 Benjamin A. Garcia A1 Clair A. Francomano A1 Douglas C. Wallace YR 2022 UL http://biorxiv.org/content/early/2022/02/25/2022.02.25.481696.abstract AB Mitochondrial dysfunction is associated with a range of clinical manifestations including neuropsychiatric and metabolic disorder. Here, we reanalyzed a family with an L-Histidine Decarboxylase (HDC) variant previously linked to Tourette syndrome but with associated connective tissue and metabolic features of unknown etiology. We identified a mitochondrial haplogroup J-defining mutation on the haplogroup H background that functionally interacts with the L-Histidine Decarboxylase variant via calcium homeostasis. Our findings establish how a common mtDNA variant on a different mtDNA background can result in mitochondrial dysfunction, demonstrate a role for histaminergic signaling in modifying mitochondrial phenotypes, and link mitochondria dysfunction to connective tissue phenotypes.Competing Interest StatementDouglas C. Wallace is part of the scientific advisory boards for: Pano Therapeutics Medical Excellence Capital. Neither of these companies have had any involvement in this research or relate to this manuscript.