Skip to main content
Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1995 Aug;32(8):654–656. doi: 10.1136/jmg.32.8.654

Point mutation of the mitochondrial tRNA(Leu) gene (A 3243 G) in maternally inherited hypertrophic cardiomyopathy, diabetes mellitus, renal failure, and sensorineural deafness.

S Manouvrier 1, A Rötig 1, G Hannebique 1, J D Gheerbrandt 1, G Royer-Legrain 1, A Munnich 1, M Parent 1, J P Grünfeld 1, C Largilliere 1, A Lombes 1, et al.
PMCID: PMC1051645  PMID: 7473662

Abstract

The A 3243 G mutation of the mitochondrial tRNA(Leu) gene was found to segregate with maternally inherited diabetes mellitus, sensorineural deafness, hypertrophic cardiomyopathy, or renal failure in a large pedigree of 35 affected members in four generations. Presenting symptoms almost consistently involved deafness and recurrent attacks of migraine-like headaches, but the clinical course of the disease varied within and across generations. The A 3243 G mutation has been previously reported in association with the mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episode syndrome (MELAS) and with diabetes mellitus and deafness. To our knowledge, however, hypertrophic cardiomyopathy is not a common feature in people with the A 3243 G mutation and renal failure has not been hitherto reported in association with this mutation. The present observation gives additional support to the variable clinical expression of mtDNA mutations in humans.

Full text

PDF
654

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ciafaloni E., Ricci E., Shanske S., Moraes C. T., Silvestri G., Hirano M., Simonetti S., Angelini C., Donati M. A., Garcia C. MELAS: clinical features, biochemistry, and molecular genetics. Ann Neurol. 1992 Apr;31(4):391–398. doi: 10.1002/ana.410310408. [DOI] [PubMed] [Google Scholar]
  2. DiMauro S., Moraes C. T. Mitochondrial encephalomyopathies. Arch Neurol. 1993 Nov;50(11):1197–1208. doi: 10.1001/archneur.1993.00540110075008. [DOI] [PubMed] [Google Scholar]
  3. Dougherty F. E., Ernst S. G., Aprille J. R. Familial recurrence of atypical symptoms in an extended pedigree with the syndrome of mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS). J Pediatr. 1994 Nov;125(5 Pt 1):758–761. doi: 10.1016/s0022-3476(94)70073-7. [DOI] [PubMed] [Google Scholar]
  4. Goto Y., Nonaka I., Horai S. A mutation in the tRNA(Leu)(UUR) gene associated with the MELAS subgroup of mitochondrial encephalomyopathies. Nature. 1990 Dec 13;348(6302):651–653. doi: 10.1038/348651a0. [DOI] [PubMed] [Google Scholar]
  5. Moraes C. T., Ciacci F., Bonilla E., Jansen C., Hirano M., Rao N., Lovelace R. E., Rowland L. P., Schon E. A., DiMauro S. Two novel pathogenic mitochondrial DNA mutations affecting organelle number and protein synthesis. Is the tRNA(Leu(UUR)) gene an etiologic hot spot? J Clin Invest. 1993 Dec;92(6):2906–2915. doi: 10.1172/JCI116913. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Morten K. J., Cooper J. M., Brown G. K., Lake B. D., Pike D., Poulton J. A new point mutation associated with mitochondrial encephalomyopathy. Hum Mol Genet. 1993 Dec;2(12):2081–2087. doi: 10.1093/hmg/2.12.2081. [DOI] [PubMed] [Google Scholar]
  7. Reardon W., Ross R. J., Sweeney M. G., Luxon L. M., Pembrey M. E., Harding A. E., Trembath R. C. Diabetes mellitus associated with a pathogenic point mutation in mitochondrial DNA. Lancet. 1992 Dec 5;340(8832):1376–1379. doi: 10.1016/0140-6736(92)92560-3. [DOI] [PubMed] [Google Scholar]
  8. Wallace D. C., Lott M. T., Shoffner J. M., Brown M. D. Diseases resulting from mitochondrial DNA point mutations. J Inherit Metab Dis. 1992;15(4):472–479. doi: 10.1007/BF01799605. [DOI] [PubMed] [Google Scholar]
  9. Yoneda M., Chomyn A., Martinuzzi A., Hurko O., Attardi G. Marked replicative advantage of human mtDNA carrying a point mutation that causes the MELAS encephalomyopathy. Proc Natl Acad Sci U S A. 1992 Dec 1;89(23):11164–11168. doi: 10.1073/pnas.89.23.11164. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Yoshida R., Ishida Y., Hozumi T., Ueno H., Kishimoto M., Kasuga M., Kazumi T. Congestive heart failure in mitochondrial diabetes mellitus. Lancet. 1994 Nov 12;344(8933):1375–1375. doi: 10.1016/s0140-6736(94)90740-4. [DOI] [PubMed] [Google Scholar]
  11. Zeviani M., Gellera C., Antozzi C., Rimoldi M., Morandi L., Villani F., Tiranti V., DiDonato S. Maternally inherited myopathy and cardiomyopathy: association with mutation in mitochondrial DNA tRNA(Leu)(UUR). Lancet. 1991 Jul 20;338(8760):143–147. doi: 10.1016/0140-6736(91)90136-d. [DOI] [PubMed] [Google Scholar]
  12. van den Ouweland J. M., Lemkes H. H., Ruitenbeek W., Sandkuijl L. A., de Vijlder M. F., Struyvenberg P. A., van de Kamp J. J., Maassen J. A. Mutation in mitochondrial tRNA(Leu)(UUR) gene in a large pedigree with maternally transmitted type II diabetes mellitus and deafness. Nat Genet. 1992 Aug;1(5):368–371. doi: 10.1038/ng0892-368. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Medical Genetics are provided here courtesy of BMJ Publishing Group

RESOURCES