Mutations in
mitochondrial DNA (
mtDNA) were found to be associated with
hypertension. We reported here clinical, genetic and molecular characterization of a Han Chinese family with maternally inherited
hypertension. Most strikingly, this family exhibited a high penetrance of
hypertension. Sequence analysis of the entire mitochondrial genome showed the presence of the well-known T4363C mutation in
tRNAGln, as well as the ND1 T3394C mutation, and a set of polymorphisms belonging to human mitochondrial haplogroup M7b. Of these, the T4363C mutation was localized at the highly conserved
nucleotide in the
anticodon stem of
tRNAGln (position 38), may result the failure in
tRNA metabolism. Moreover, the homoplasmic ND1 T3394C mutation, which had been reported to be associated with
Leber's hereditary optic neuropathy (LHON), was regarded as a pathogenic mutation associated with
mitochondrial diseases. Thus, the combination of ND1 T3394C and
tRNAGln T4363C mutations may contribute to the high penetrance and expressivity of
hypertension in this Chinese family.