Neuromuscular disease presentation with three genetic defects involving two genomes

被引:8
作者
Al-Dosary, Mazhor [2 ]
Whittaker, Roger G. [2 ]
Haughton, Joanna [3 ]
McFarland, Robert [2 ]
Goodship, Judith [4 ]
Turnbull, Douglass M. [2 ]
Taylor, Robert W. [1 ,2 ]
机构
[1] Univ Newcastle, Mitochondrial Res Grp, Inst Ageing & Hlth, Sch Med, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
[2] Univ Newcastle, NCG Rare Mitochondrial Disorders Adults & Childre, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
[3] Newcastle Gen Hosp, Reg Neurosci Ctr, Newcastle Upon Tyne NE4 6BE, Tyne & Wear, England
[4] Univ Newcastle, Inst Human Genet, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
基金
英国惠康基金;
关键词
PEO; Mitochondrial DNA; tRNA mutation; Single fibre analysis; Segregation; MITOCHONDRIAL-DNA MUTATIONS; DEPLETION MYOPATHY; OPHTHALMOPLEGIA; DEFICIENCY; CELLS;
D O I
10.1016/j.nmd.2009.10.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An extensive range of molecular defects have been identified in the human mitochondrial genome (mtDNA), many associated with well-characterised, progressive neurological syndromes. We describe a patient who presented to a mitochondrial clinic with progressive bilateral ptosis, external opthalmoplegia and increasing difficulty with walking. He had previously been diagnosed with a dominant, demyelinating polyneuropathy due to PMP22 gene duplication and had also developed gout, presenting in acute renal failure, due to an X-linked recessive HPRT gene mutation. Muscle biopsy revealed many COX-deficient fibres which we show contain high levels of a third genetic defect - a novel, mitochondrial tRNA(Leu(CUN)) (MTTL2) gene mutation. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:841 / 844
页数:4
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