1. Maternally inherited cardiomyopathy and hearing loss associated with a novel mutation in the mitochondrial tRNA(Lys) gene (G8363A).
- Author
-
Santorelli FM, Mak SC, El-Schahawi M, Casali C, Shanske S, Baram TZ, Madrid RE, and DiMauro S
- Subjects
- Adolescent, Adult, Aged, Base Sequence, Cardiomyopathy, Dilated physiopathology, Child, Child, Preschool, Female, Hearing Disorders physiopathology, Humans, Male, Middle Aged, Molecular Sequence Data, Mutation, Pedigree, RNA, Mitochondrial, Syndrome, Cardiomyopathy, Dilated genetics, Hearing Disorders genetics, RNA genetics, RNA, Transfer, Lys genetics
- Abstract
A novel G8363A mutation in the mtDNA tRNA(Lys) gene was associated, in two unrelated families, with a syndrome consisting of encephalomyopathy, sensorineural hearing loss, and hypertrophic cardiomyopathy. Muscle biopsies from the probands showed mitochondrial proliferation and partial defects of complexes I, III, and IV of the electron-transport chain. The G8363A mutation was very abundant (>95%) in muscle samples from the probands and was less copious in blood from 18 maternal relatives (mean 81.3% +/- 8.5%). Single-muscle-fiber analysis showed significantly higher levels of mutant genomes in cytochrome (c) oxidase-negative fibers than in cytochrome (c) oxidase-positive fibers. The mutation was not found in >200 individuals, including normal controls and patients with other mitochondrial encephalomyopathies, thus fulfilling accepted criteria for pathogenicity.
- Published
- 1996