Noninvasive diagnosis of the 3243A>G mitochondrial DNA mutation using urinary epithelial cells

被引:70
作者
McDonnell, MT [1 ]
Schaefer, AM [1 ]
Blakely, EL [1 ]
McFarland, R [1 ]
Chinnery, PF [1 ]
Turnbull, DM [1 ]
Taylor, RW [1 ]
机构
[1] Newcastle Univ, Sch Med, Sch Neurol Neurobiol & Psychiat, Mitochondrial Res Grp, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
关键词
mitochondrial DNA; MELAS; 3243A > G mutation; noninvasive diagnosis;
D O I
10.1038/sj.ejhg.5201216
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The 3243A>G mutation is one of the most frequently observed mutations of mitochondrial DNA (mtDNA), and is associated with numerous clinical presentations including mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS), progressive external ophthalmoplegia (PEO) and diabetes and deafness. The routine diagnosis of the 3243A>G mutation in blood is difficult as mutation levels are known to decrease in this tissue over time, while in some patients it may be absent. We have directly compared the levels of the 3243A>G mutation in skeletal muscle, blood and urinary epithelial cells in 18 patients and observed a striking correlation between the mutation load in postmitotic muscle and urinary epithelium, a mitotic tissue. These data strongly support the use of urinary epithelial cells as the tissue of choice in the noninvasive diagnosis of the 3243A>G mutation.
引用
收藏
页码:778 / 781
页数:4
相关论文
共 21 条
[1]   MELAS and MERRF - The relationship between maternal mutation load and the frequency of clinically affected offspring [J].
Chinnery, PE ;
Howell, N ;
Lightowlers, RN ;
Turnbull, DM .
BRAIN, 1998, 121 :1889-1894
[2]   Recurrent strokes in a 34-year-old man [J].
Chinnery, PF ;
Turnbull, DM ;
Walls, TJ ;
Reading, PJ .
LANCET, 1997, 350 (9077) :560-560
[3]  
Chinnery PF, 1999, AM J MED GENET, V85, P498
[4]   Molecular pathology of MELAS and MERRF - The relationship between mutation load and clinical phenotypes [J].
Chinnery, PF ;
Howell, N ;
Lightowlers, RN ;
Turnbull, DM .
BRAIN, 1997, 120 :1713-1721
[5]   The mitochondrial DNA G13513A MELAS mutation in the NADH dehydrogenase 5 gene is a frequent cause of Leigh-like syndrome with isolated complex I deficiency [J].
Chol, M ;
Lebon, S ;
Bénit, P ;
Chretien, D ;
de Lonlay, P ;
Goldenberg, A ;
Odent, S ;
Hertz-Pannier, L ;
Vincent-Delorme, C ;
Cormier-Daire, V ;
Rustin, P ;
Rötig, A ;
Munnich, A .
JOURNAL OF MEDICAL GENETICS, 2003, 40 (03) :188-191
[6]   MELAS - CLINICAL-FEATURES, BIOCHEMISTRY, AND MOLECULAR-GENETICS [J].
CIAFALONI, E ;
RICCI, E ;
SHANSKE, S ;
MORAES, CT ;
SILVESTRI, G ;
HIRANO, M ;
SIMONETTI, S ;
ANGELINI, C ;
DONATI, MA ;
GARCIA, C ;
MARTINUZZI, A ;
MOSEWICH, R ;
SERVIDEI, S ;
ZAMMARCHI, E ;
BONILLA, E ;
DEVIVO, DC ;
ROWLAND, LP ;
SCHON, EA ;
DIMAURO, S .
ANNALS OF NEUROLOGY, 1992, 31 (04) :391-398
[7]  
Dubeau F, 2000, ANN NEUROL, V47, P179, DOI 10.1002/1531-8249(200002)47:2<179::AID-ANA7>3.0.CO
[8]  
2-Z
[9]   A MUTATION IN THE TRANSFER RNALEU(UUR) GENE ASSOCIATED WITH THE MELAS SUBGROUP OF MITOCHONDRIAL ENCEPHALOMYOPATHIES [J].
GOTO, Y ;
NONAKA, I ;
HORAI, S .
NATURE, 1990, 348 (6302) :651-653
[10]   MITOCHONDRIAL ENCEPHALOPATHIES - MOLECULAR GENETIC DIAGNOSIS FROM BLOOD-SAMPLES [J].
HAMMANS, SR ;
SWEENEY, MG ;
BROCKINGTON, M ;
MORGANHUGHES, JA ;
HARDING, AE .
LANCET, 1991, 337 (8753) :1311-1313