Skip to main content
American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1992 Mar;50(3):629–633.

Prenatal diagnosis of mitochondrial DNA8993 T----G disease.

A E Harding 1, I J Holt 1, M G Sweeney 1, M Brockington 1, M B Davis 1
PMCID: PMC1684296  PMID: 1539598

Abstract

We have previously described a family with a neurological syndrome comprising neurogenic muscle weakness, ataxia, retinitis pigmentosa, and variable sensory neuropathy, seizures, and mental retardation or dementia. This is associated with a heteroplasmic point mutation of mtDNA at bp 8993. The mother of a severely affected child underwent prenatal diagnosis in two further pregnancies. Analysis of chorionic villus samples showed a higher proportion of mutant mtDNA on both occasions, and this was reflected in the majority of fetal tissues, including brain and muscle. Prenatal diagnosis is a rational approach to the prevention of severe diseases caused by point mutations of mtDNA but is currently hampered by incomplete knowledge concerning the proportion of mutant mtDNA: its relationship to disease severity, how it may change during fetal and postnatal development, and its tissue distribution.

Full text

PDF
633

Images in this article

Selected References

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

  1. Ashley M. V., Laipis P. J., Hauswirth W. W. Rapid segregation of heteroplasmic bovine mitochondria. Nucleic Acids Res. 1989 Sep 25;17(18):7325–7331. doi: 10.1093/nar/17.18.7325. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bolhuis P. A., Bleeker-Wagemakers E. M., Ponne N. J., Van Schooneveld M. J., Westerveld A., Van den Bogert C., Tabak H. F. Rapid shift in genotype of human mitochondrial DNA in a family with Leber's hereditary optic neuropathy. Biochem Biophys Res Commun. 1990 Aug 16;170(3):994–997. doi: 10.1016/0006-291x(90)90490-e. [DOI] [PubMed] [Google Scholar]
  3. Feinberg A. P., Vogelstein B. A technique for radiolabeling DNA restriction endonuclease fragments to high specific activity. Anal Biochem. 1983 Jul 1;132(1):6–13. doi: 10.1016/0003-2697(83)90418-9. [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. Hammans S. R., Sweeney M. G., Brockington M., Morgan-Hughes J. A., Harding A. E. Mitochondrial encephalopathies: molecular genetic diagnosis from blood samples. Lancet. 1991 Jun 1;337(8753):1311–1313. doi: 10.1016/0140-6736(91)92981-7. [DOI] [PubMed] [Google Scholar]
  6. Holt I. J., Harding A. E., Cooper J. M., Schapira A. H., Toscano A., Clark J. B., Morgan-Hughes J. A. Mitochondrial myopathies: clinical and biochemical features of 30 patients with major deletions of muscle mitochondrial DNA. Ann Neurol. 1989 Dec;26(6):699–708. doi: 10.1002/ana.410260603. [DOI] [PubMed] [Google Scholar]
  7. Holt I. J., Harding A. E., Petty R. K., Morgan-Hughes J. A. A new mitochondrial disease associated with mitochondrial DNA heteroplasmy. Am J Hum Genet. 1990 Mar;46(3):428–433. [PMC free article] [PubMed] [Google Scholar]
  8. Holt I. J., Miller D. H., Harding A. E. Genetic heterogeneity and mitochondrial DNA heteroplasmy in Leber's hereditary optic neuropathy. J Med Genet. 1989 Dec;26(12):739–743. doi: 10.1136/jmg.26.12.739. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Larsson N. G., Holme E., Kristiansson B., Oldfors A., Tulinius M. Progressive increase of the mutated mitochondrial DNA fraction in Kearns-Sayre syndrome. Pediatr Res. 1990 Aug;28(2):131–136. doi: 10.1203/00006450-199008000-00011. [DOI] [PubMed] [Google Scholar]
  10. McShane M. A., Hammans S. R., Sweeney M., Holt I. J., Beattie T. J., Brett E. M., Harding A. E. Pearson syndrome and mitochondrial encephalomyopathy in a patient with a deletion of mtDNA. Am J Hum Genet. 1991 Jan;48(1):39–42. [PMC free article] [PubMed] [Google Scholar]
  11. Moraes C. T., DiMauro S., Zeviani M., Lombes A., Shanske S., Miranda A. F., Nakase H., Bonilla E., Werneck L. C., Servidei S. Mitochondrial DNA deletions in progressive external ophthalmoplegia and Kearns-Sayre syndrome. N Engl J Med. 1989 May 18;320(20):1293–1299. doi: 10.1056/NEJM198905183202001. [DOI] [PubMed] [Google Scholar]
  12. Obermaier-Kusser B., Müller-Höcker J., Nelson I., Lestienne P., Enter C., Riedele T., Gerbitz K. D. Different copy numbers of apparently identically deleted mitochondrial DNA in tissues from a patient with Kearns-Sayre syndrome detected by PCR. Biochem Biophys Res Commun. 1990 Jun 29;169(3):1007–1015. doi: 10.1016/0006-291x(90)91994-4. [DOI] [PubMed] [Google Scholar]
  13. Ponzetto C., Bresolin N., Bordoni A., Moggio M., Meola G., Bet L., Prelle A., Scarlato G. Kearns-Sayre syndrome: different amounts of deleted mitochondrial DNA are present in several autoptic tissues. J Neurol Sci. 1990 May;96(2-3):207–210. doi: 10.1016/0022-510x(90)90133-8. [DOI] [PubMed] [Google Scholar]
  14. Shanske S., Moraes C. T., Lombes A., Miranda A. F., Bonilla E., Lewis P., Whelan M. A., Ellsworth C. A., DiMauro S. Widespread tissue distribution of mitochondrial DNA deletions in Kearns-Sayre syndrome. Neurology. 1990 Jan;40(1):24–28. doi: 10.1212/wnl.40.1.24. [DOI] [PubMed] [Google Scholar]
  15. Shoffner J. M., Lott M. T., Lezza A. M., Seibel P., Ballinger S. W., Wallace D. C. Myoclonic epilepsy and ragged-red fiber disease (MERRF) is associated with a mitochondrial DNA tRNA(Lys) mutation. Cell. 1990 Jun 15;61(6):931–937. doi: 10.1016/0092-8674(90)90059-n. [DOI] [PubMed] [Google Scholar]
  16. Vilkki J., Ott J., Savontaus M. L., Aula P., Nikoskelainen E. K. Optic atrophy in Leber hereditary optic neuroretinopathy is probably determined by an X-chromosomal gene closely linked to DXS7. Am J Hum Genet. 1991 Mar;48(3):486–491. [PMC free article] [PubMed] [Google Scholar]
  17. Vilkki J., Savontaus M. L., Nikoskelainen E. K. Genetic heterogeneity in Leber hereditary optic neuroretinopathy revealed by mitochondrial DNA polymorphism. Am J Hum Genet. 1989 Aug;45(2):206–211. [PMC free article] [PubMed] [Google Scholar]
  18. Wallace D. C., Singh G., Lott M. T., Hodge J. A., Schurr T. G., Lezza A. M., Elsas L. J., 2nd, Nikoskelainen E. K. Mitochondrial DNA mutation associated with Leber's hereditary optic neuropathy. Science. 1988 Dec 9;242(4884):1427–1430. doi: 10.1126/science.3201231. [DOI] [PubMed] [Google Scholar]
  19. Zeviani M., Amati P., Bresolin N., Antozzi C., Piccolo G., Toscano A., DiDonato S. Rapid detection of the A----G(8344) mutation of mtDNA in Italian families with myoclonus epilepsy and ragged-red fibers (MERRF). Am J Hum Genet. 1991 Feb;48(2):203–211. [PMC free article] [PubMed] [Google Scholar]
  20. 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]

Articles from American Journal of Human Genetics are provided here courtesy of American Society of Human Genetics

RESOURCES