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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1998-2-6
pubmed:abstractText
Multiple mitochondrial DNA (mtDNA) deletions have been described in patients with autosomal dominant progressive external ophthalmoplegia (AD-PEO) and in autosomal recessive disorders including mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) and autosomal recessive cardiomyopathy ophthalmoplegia (ARCO). The pathogenic bases of these disorders are unknown. We studied three patients with AD-PEO and three patients with autosomal recessive (AR)-PEO (two patients with MNGIE and one patient with ARCO). Histochemistry and Southern blot analyses of DNA were performed in skeletal muscle from the patients. Muscle mtDNA was used to characterize the pattern and amounts of the multiple mtDNA rearrangements; PCR analysis was performed to obtain finer maps of the deleted regions in both conditions. The patients with AD-PEO had myopathic features; the patients with AR-PEO had multisystem disorders. The percentage of ragged-red and cytochrome c oxidase-negative fibers tended to be higher in muscle from the patients with AD-PEO (19% +/- 13.9, 29.7 +/- 26.3) than in muscle from the patients with AR-PEO (1.4% +/- 1.4, 3.3% +/- 3.2; p < 0.10). The sizes of the multiple mtDNA deletions ranged from approximately 4.0 to 10.0 kilobases in muscle from both groups of patients, and in both groups, we identified only deleted and no duplicated mtDNA molecules. Patients with AD-PEO harbored a greater proportion of deleted mtDNA species in muscle (31% +/- 5.3) than did patients with AR-PEO (9.7% +/- 9.1; p < 0.05). In the patients with AD-PEO, we identified a deletion that included the mtDNA heavy strand promoter (HSP) region, which had been previously described as the HSP deletion. The HSP deletion was not present in the patients with AR-PEO. Our findings show the clinical, histologic, and molecular genetic heterogeneity of these complex disorders. In particular, the proportions of multiple mtDNA deletions were higher in muscle samples from patients with AD-PEO than in those from patients with AR-PEO.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0028-3878
pubmed:author
pubmed:issnType
Print
pubmed:volume
50
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
99-106
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:9443465-Adult, pubmed-meshheading:9443465-Biopsy, pubmed-meshheading:9443465-Blotting, Southern, pubmed-meshheading:9443465-Chromosome Aberrations, pubmed-meshheading:9443465-Chromosome Disorders, pubmed-meshheading:9443465-Citrate (si)-Synthase, pubmed-meshheading:9443465-DNA, Mitochondrial, pubmed-meshheading:9443465-Female, pubmed-meshheading:9443465-Gene Deletion, pubmed-meshheading:9443465-Genes, Dominant, pubmed-meshheading:9443465-Genes, Recessive, pubmed-meshheading:9443465-Genetic Heterogeneity, pubmed-meshheading:9443465-Humans, pubmed-meshheading:9443465-Male, pubmed-meshheading:9443465-Middle Aged, pubmed-meshheading:9443465-Mitochondrial Encephalomyopathies, pubmed-meshheading:9443465-Muscle, Skeletal, pubmed-meshheading:9443465-Ophthalmoplegia, pubmed-meshheading:9443465-Polymerase Chain Reaction
pubmed:year
1998
pubmed:articleTitle
Multiple mtDNA deletions features in autosomal dominant and recessive diseases suggest distinct pathogeneses.
pubmed:affiliation
Department of Neurology, H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't