Identification of novel mutations in five patients with mitochondrial encephalomyopathy.

TitleIdentification of novel mutations in five patients with mitochondrial encephalomyopathy.
Publication TypeJournal Article
Year of Publication2009
AuthorsValente, L, Piga, D, Lamantea, E, Carrara, F, Uziel, G, Cudia, P, Zani, A, Farina, L, Morandi, L, Mora, M, Spinazzola, A, Zeviani, M, Tiranti, V
JournalBiochim Biophys Acta
Volume1787
Issue5
Pagination491-501
Date Published2009 May
ISSN0006-3002
KeywordsAdult, Brain, Child, DNA, DNA Primers, DNA, Mitochondrial, Electron Transport Complex IV, Humans, Magnetic Resonance Imaging, Mitochondria, Muscle, Mitochondrial Encephalomyopathies, Muscle, Skeletal, Mutation, NADH Dehydrogenase, Polymerase Chain Reaction, Polymorphism, Restriction Fragment Length, Succinate Dehydrogenase
Abstract

MELAS, MERRF, LHON and NARP, are well-established mitochondrial syndromes associated with specific point mutations of mitochondrial DNA (mtDNA). However, these recurrent mtDNA mutations account for only a minority of mitochondrial disease cases. To evaluate the impact of novel mtDNA mutations, we performed mtDNA sequence analysis in muscle and other tissues of 240 patients with different mitochondrial neuromuscular syndromes. We identified a total of 33 subjects with novel, private or uncommon mutations. Among these, five novel mutations were found in both paediatric and adult cases. We here report on the clinical description of these patients, as well as the biochemical and molecular genetic characterization of the corresponding mutations. Patients 1 and 2 showed changes in ND genes, patient 3 carried a heteroplasmic deletion in the COI gene, patients 4 and 5 carried heteroplasmic mutations in tRNA(Trp) and tRNA(Phe), respectively. Altogether, these data indicate that mtDNA analysis must become part of the routine screening for mitochondrial disorders.

DOI10.1016/j.bbabio.2008.10.001
Alternate JournalBiochim. Biophys. Acta
Citation Key10.1016/j.bbabio.2008.10.001
PubMed ID18977334
Grant ListGGP07019 / / Telethon / Italy