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. 2017 Aug 24;61(9):e00542-17. doi: 10.1128/AAC.00542-17

TABLE 4.

Clinical and genetic characteristics of patients included in the study sorted according to clinical severity and percentage of variation in mitochondrial protein synthesis in PBMCa

Code Clinical manifestation(s) Polymorphism(s) in:
Haplotype % change in PBMC mitochondrial protein synthesis
12S rRNA 16S rRNA
P1 Asymptomatic H* −75.80
P2 Asymptomatic H* −67.00
P3 Asymptomatic m.961T→G H* −88.48
P4 Asymptomatic m.709G→A H* −17.74
P5 Asymptomatic m.1189T→C m.1811A→G, m.2706A→G UK −90.06
P6 Asymptomatic m.2706A→G, m.3010G→A No N −54.63
P7 Asymptomatic m.1598G→A m.1703C→T, m.1719G→A, m.2706A→G N* −58.18
P8 Anemia H5 −99.13
P9 Hyperlactatemia H* −78.08
P10 Hyperlactatemia m.2098G→A H* −84.89
P11 Hyperlactatemia m.2706A→G, m.3197T→C U5 −1.96
P12 Hyperlactatemia m.980T→C m.1811A→G, m.2523C→T, m.2706A→G U1811/U* −47.19
P13 Hyperlactatemia, asthenia m.709G→A m.1888G→A, m.2706A→G, m.2850T→C T (JT, no J)
P14 Hyperlactatemia, gastrointestinal discomfort m.1189T→C m.1811A→G, m.2706A→G UK −54.74
P15 Vomiting, anemia m.2092C→T H*
P16 Sickness and vomiting, asthenia, anemia m.709G→A, m.930G→A m.1888G→A, m.2706A→G T (JT, no J) −12.29
P17 Hyperlactatemia, anemia, asthenia m.3010G→A H1 −10.60
P18 Thrombocytopenia m.1700T→C, m.2706A→G, m.3197T→C U5
P19 Lactic acidosis, gastrointestinal discomfort, sickness and vomiting, anemia, thrombocytopenia 961insC m.2706A→G, m.3197T→C U5 −50.70
a

In addition to the polymorphisms and mutations depicted here, all the patients presented m.750A→G and m.1438A→G polymorphisms with respect to the mitochondrial DNA Cambridge reference sequence containing these 2 rare variations. Despite identical antibiotic exposures for all the patients, clinical manifestations of linezolid toxicity ranged from asymptomatic individuals to patients presenting as many as 5 secondary effects. None of them showed clinical signs of peripheral neuropathy, which has usually been described upon linezolid treatment for extended periods, longer than the currently approved 28-day period. The distributions of mitochondrial haplogroups and polymorphisms in the cohort of linezolid-treated patients resembled the standard distributions observed in European populations.