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A novel m.7539C>T point mutation in the mt-tRNA(Asp) gene associated with multisystemic mitochondrial disease.

Abstract
Mitochondrial transfer RNA (mt-tRNA) mutations are the commonest sub-type of mitochondrial (mtDNA) mutations associated with human disease. We report a patient with multisytemic disease characterised by myopathy, spinal ataxia, sensorineural hearing loss, cataract and cognitive impairment in whom a novel m.7539C>T mt-tRNA(Asp) transition was identified. Muscle biopsy revealed extensive histopathological findings including cytochrome c oxidase (COX)-deficient fibres. Pyrosequencing confirmed mtDNA heteroplasmy for the mutation whilst single muscle fibre segregation studies revealed statistically significant higher mutation loads in COX-deficient fibres than in COX-positive fibres. Absence from control databases, hierarchical mt-tRNA mutation segregation within tissues, and occurrence at conserved sequence positions, further confirm this novel mt-tRNA mutation to be pathogenic. To date only three mt-tRNA(Asp) gene mutations have been described with clear evidence of pathogenicity. The novel m.7539C>T mt-tRNA(Asp) gene mutation extends the spectrum of pathogenic mutations in this gene, further supporting the notion that mt-tRNA(Asp) gene mutations are associated with multisystemic disease presentations.
AuthorsDiana Lehmann, Kathrin Schubert, Pushpa R Joshi, Karen Baty, Emma L Blakely, Stephan Zierz, Robert W Taylor, Marcus Deschauer
JournalNeuromuscular disorders : NMD (Neuromuscul Disord) Vol. 25 Issue 1 Pg. 81-4 (Jan 2015) ISSN: 1873-2364 [Electronic] England
PMID25447692 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.
Chemical References
  • DNA, Mitochondrial
  • RNA, Mitochondrial
  • RNA, Transfer, Asp
  • RNA
  • Electron Transport Complex IV
Topics
  • Brain (pathology)
  • DNA, Mitochondrial (genetics)
  • Electron Transport Complex IV (metabolism)
  • Female
  • Humans
  • Middle Aged
  • Mitochondria (metabolism)
  • Mitochondrial Diseases (diagnosis, genetics)
  • Muscle, Skeletal (enzymology, pathology)
  • Point Mutation
  • RNA (genetics)
  • RNA, Mitochondrial
  • RNA, Transfer, Asp (genetics)

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