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Two novel pathogenic mitochondrial DNA mutations affecting organelle number and protein synthesis. Is the tRNA(Leu(UUR)) gene an etiologic hot spot?

Abstract
We identified two patients with pathogenic single nucleotide changes in two different mitochondrial tRNA genes: the first mutation in the tRNA(Asn) gene, and the ninth known mutation in the tRNA(Leu(UUR)) gene. The mutation in tRNA(Asn) was associated with isolated ophthalmoplegia, whereas the mutation in tRNA(Leu(UUR)) caused a neurological syndrome resembling MERRF (myoclonus epilepsy and ragged-red fibers) plus optic neuropathy, retinopathy, and diabetes. Both mutations were heteroplasmic, with higher percentages of mutant mtDNA in affected tissues, and undetectable levels in maternal relatives. Analysis of single muscle fibers indicated that morphological and biochemical alterations appeared only when the proportions of mutant mtDNA exceeded 90% of the total cellular mtDNA pool. The high incidence of mutations in the tRNA(Leu(UUR)) gene suggests that this region is an "etiologic hot spot" in mitochondrial disease.
AuthorsC T Moraes, F Ciacci, E Bonilla, C Jansen, M Hirano, N Rao, R E Lovelace, L P Rowland, E A Schon, S DiMauro
JournalThe Journal of clinical investigation (J Clin Invest) Vol. 92 Issue 6 Pg. 2906-15 (Dec 1993) ISSN: 0021-9738 [Print] United States
PMID8254046 (Publication Type: Case Reports, Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Codon
  • DNA, Mitochondrial
  • Enzymes
  • RNA, Transfer, Asn
  • RNA, Transfer, Leu
Topics
  • Adult
  • Amino Acid Sequence
  • Animals
  • Base Sequence
  • Codon (genetics)
  • DNA, Mitochondrial (genetics)
  • Encephalomyelitis (genetics)
  • Enzymes (genetics)
  • Female
  • Genes
  • Humans
  • MERRF Syndrome (genetics)
  • Male
  • Middle Aged
  • Mitochondria, Muscle (metabolism, pathology)
  • Mitochondrial Myopathies (genetics, pathology)
  • Molecular Sequence Data
  • Muscles (pathology)
  • Nucleic Acid Conformation
  • Point Mutation
  • RNA, Transfer, Asn (genetics)
  • RNA, Transfer, Leu (genetics)
  • Sequence Deletion
  • Sequence Homology, Nucleic Acid

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