PEARSONS MARROW PANCREAS SYNDROME - HEMATOLOGICAL FEATURES ASSOCIATED WITH DELETION AND DUPLICATION OF MITOCHONDRIAL-DNA

被引:31
作者
SMITH, OP [1 ]
HANN, IM [1 ]
WOODWARD, CE [1 ]
BROCKINGTON, M [1 ]
机构
[1] UNIV LONDON,INST NEUROL,DEPT CLIN NEUROL,LONDON,ENGLAND
基金
英国惠康基金;
关键词
PEARSONS SYNDROME; MITOCHONDRIAL DNA; SIDEROBLASTIC ANEMIA;
D O I
10.1111/j.1365-2141.1995.tb05178.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pearson's marrow/pancreas syndrome (PS) is a rare, often fatal, disorder of infancy that is characterized by impaired bone marrow, exocrine pancreatic, hepatic and renal function. Large-scale rearrangements of mitochondrial DNA (mtDNA) are present in blood. We report a patient with PS who has predominantly impaired haemopoiesis manifesting as sideroblastic anaemia, vacuolization of bone marrow precursors, and neutropenia. 77% of bone marrow mtDNA was rearranged (64% deleted an 13% duplicated). We suggest that rearrangements of mtDNA should be sought in all infants presenting with sideroblastic anaemia.
引用
收藏
页码:469 / 472
页数:4
相关论文
共 12 条
[1]   THE EXPANDING CLINICAL SPECTRUM OF MITOCHONDRIAL DISEASES [J].
DEVIVO, DC .
BRAIN & DEVELOPMENT, 1993, 15 (01) :1-22
[2]  
FAVARETO F, 1989, HAEMATOLOGICA, V74, P591
[3]  
GURGEY A, 1992, ACTA HAEMATOL-BASEL, V87, P206
[4]   MITOCHONDRIAL MYOPATHIES - CLINICAL AND BIOCHEMICAL FEATURES OF 30 PATIENTS WITH MAJOR DELETIONS OF MUSCLE MITOCHONDRIAL-DNA [J].
HOLT, IJ ;
HARDING, AE ;
COOPER, JM ;
SCHAPIRA, AHV ;
TOSCANO, A ;
CLARK, JB ;
MORGANHUGHES, JA .
ANNALS OF NEUROLOGY, 1989, 26 (06) :699-708
[5]   CONGENITAL HYPOPLASTIC-ANEMIA, DIABETES, AND SEVERE RENAL TUBULAR DYSFUNCTION ASSOCIATED WITH A MITOCHONDRIAL-DNA DELETION [J].
MAJANDER, A ;
SUOMALAINEN, A ;
VETTENRANTA, K ;
SARIOLA, H ;
PERKKIO, M ;
HOLMBERG, C ;
PIHKO, H .
PEDIATRIC RESEARCH, 1991, 30 (04) :327-330
[6]   PEARSONS MARROW PANCREAS SYNDROME - A HISTOLOGICAL AND GENETIC-STUDY [J].
MORIKAWA, Y ;
MATSUURA, N ;
KAKUDO, K ;
HIGUCHI, R ;
KOIKE, M ;
KOBAYASHI, Y .
VIRCHOWS ARCHIV A-PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY, 1993, 423 (03) :227-231
[7]   NEW SYNDROME OF REFRACTORY SIDEROBLASTIC ANEMIA WITH VACUOLIZATION OF MARROW PRECURSORS AND EXOCRINE PANCREATIC DYSFUNCTION [J].
PEARSON, HA ;
LOBEL, JS ;
KOCOSHIS, SA ;
NAIMAN, JL ;
WINDMILLER, J ;
LAMMI, AT ;
HOFFMAN, R ;
MARSH, JC .
JOURNAL OF PEDIATRICS, 1979, 95 (06) :976-984
[8]   ARE DUPLICATIONS OF MITOCHONDRIAL-DNA CHARACTERISTIC OF KEARNS-SAYRE SYNDROME [J].
POULTON, J ;
MORTEN, KJ ;
WEBER, K ;
BROWN, GK ;
BINDOFF, L .
HUMAN MOLECULAR GENETICS, 1994, 3 (06) :947-951
[9]   PEARSON MARROW PANCREAS SYNDROME - A MULTISYSTEM MITOCHONDRIAL DISORDER IN INFANCY [J].
ROTIG, A ;
CORMIER, V ;
BLANCHE, S ;
BONNEFONT, JP ;
LEDEIST, F ;
ROMERO, N ;
SCHMITZ, J ;
RUSTIN, P ;
FISCHER, A ;
SAUDUBRAY, JM ;
MUNNICH, A .
JOURNAL OF CLINICAL INVESTIGATION, 1990, 86 (05) :1601-1608
[10]  
ROTIG A, 1989, LANCET, V1, P902