A novel de novo mutation of the mitochondrial tRNAlys gene mt.8340G>A associated with pure myopathy

被引:11
作者
Jeppesen, Tina Dysgaard [1 ,2 ,4 ]
Duno, Morten [3 ,4 ]
Risom, Lotte [3 ,4 ]
Wibrand, Flemming [3 ,4 ]
Rafiq, Jabin [1 ]
Krag, Thomas [1 ,4 ]
Jakobsen, Johannes [2 ,4 ]
Andersen, Henning [3 ,4 ]
Vissing, John [1 ,2 ,4 ]
机构
[1] Univ Copenhagen, Rigshosp, Sect 3342, Neuromuscular Res Unit, DK-2100 Copenhagen, Denmark
[2] Univ Copenhagen, Rigshosp, Dept Neurol, DK-2100 Copenhagen, Denmark
[3] Univ Copenhagen, Rigshosp, Dept Clin Genet, DK-2100 Copenhagen, Denmark
[4] Univ Aarhus, Aarhus Hosp, Dept Neurol, DK-8000 Aarhus C, Denmark
关键词
Novel mutation; Mitochondrial DNA; MTTK gene; tRNA(lys); TRANSFER-RNA MUTATIONS;
D O I
10.1016/j.nmd.2013.08.004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Most patients with mutations in the tRNA(lys) gene (MTTK) present with symptoms from the central nervous system (CNS). We describe a 41-year-old woman with pure myopathy associated with a novel de novo mtDNA mutation, mt.8340G>A, which was heteroplasmic in muscle (53%), blood, urine and mouth epithelial cells (<7%). No other family members, including her mother, carried the mutation. She presented with exercise intolerance from age 9, and since age 20 she experienced ptosis and reduced ocular motility. A muscle biopsy revealed ragged red fibres (10%), no COX negative fibres, and many fibres with central nuclei (30%), indicating ongoing damage and repair. The present case expands the mutational and phenotypic spectrum of diseases associated with mutations in MTTK. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:162 / 166
页数:5
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