Abstract:Objective To investigate the effect of c.349G>A and c. 908T>C mutations in HARS2 gene on mitochondrial and cell function, and to reveal the pathogenic mechanism of HARS2 mutation. Methods Recombinant expression vectors containing wild-type, c.349G>A mutant and c.908T>C mutant HARS2 were constructed. The plasmid was transfected into HEK 293T cells using lentivirus packaging system. Stably transfected cell lines were screened using puromycin. Meanwhile, the cell line transfected with empty virus vector was established as the control. The mitochondrial function and cell proliferation of HEK 293T cell lines in wild group, two mutant groups and control group were studied. Results The recombinant plasmid was mutated at the desired site, and the EGFP protein carried by the recombinant vector was expressed stably; The cell proliferation activity of the two mutant groups was lower than that of the wild group, and the absorbance at 72 h was significantly different (P<0.05); MTCO2 protein expression in c.349G>A mutant group was lower than that in control group and wild group (P<0.05); Compared with the control group, the mitochondrial ATP relative to total cellular ATP production was decreased in both mutation groups (P<0.05); The level of mitochondrial reactive oxygen species (ROS) in the c.349G>A mutant group was increased compared with the control group (P<0.05); The mitochondrial membrane potential (MMP) of the two mutant groups was lower than that of the wild group (P<0.01). Conclusion The mitochondria of HARS2 c.349G>A and c.908T>C mutant cells had certain respiratory defects and reduced proliferation ability, which may be the cytological mechanism of Perrault syndrome (PRLTS) induced by HARS2 mutation.