Abstract
A novel G8363A mutation in the mtDNA tRNA(Lys) gene was associated, in two unrelated families, with a syndrome consisting of encephalomyopathy, sensorineural hearing loss, and hypertrophic cardiomyopathy. Muscle biopsies from the probands showed mitochondrial proliferation and partial defects of complexes I, III, and IV of the electron-transport chain. The G8363A mutation was very abundant (>95%) in muscle samples from the probands and was less copious in blood from 18 maternal relatives (mean 81.3% +/- 8.5%). Single-muscle-fiber analysis showed significantly higher levels of mutant genomes in cytochrome (c) oxidase-negative fibers than in cytochrome (c) oxidase-positive fibers. The mutation was not found in >200 individuals, including normal controls and patients with other mitochondrial encephalomyopathies, thus fulfilling accepted criteria for pathogenicity.
MeSH Terms
Adolescent
Adult
Aged
Base Sequence
Cardiomyopathy, Dilated/genetics,physiopathology
Child
Child, Preschool
Female
Hearing Disorders/genetics,physiopathology
Humans
Male
Middle Aged
Molecular Sequence Data
Mutation
Pedigree
RNA/genetics
RNA, Mitochondrial
RNA, Transfer, Lys/genetics
Syndrome
Chemicals
RNA, Mitochondrial
RNA, Transfer, Lys
RNA
Authors & Affiliations
8 authors, click to expand affiliations / ORCID
Santorelli F M
H. Houston Merritt Center for Muscular Research and Related Disorders, Department of Neurology, Columbia University 10032, New York, USA.
Mak S C
El-Schahawi M
Casali C
Shanske S
Baram T Z
Madrid R E
DiMauro S
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