We describe a family which demonstrates and expands the extreme clinical variabilty now known to be associated with the A+G transition at nucleotide position 3243 of the mitochondrial DNA. The propositus presented at birth with clinical manifestations consistent with diabetic embryopathy including a
Level of heteroplasmy for the mitochondrial mutation A3243G correlates with age at onset of diabetes and deafness
✍ Scribed by Charlotta Olsson; Björn Zethelius; Maria Lagerström-Fermér; Johan Asplund; Christian Berne; Ulf Landegren
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 244 KB
- Volume
- 12
- Category
- Article
- ISSN
- 1059-7794
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✦ Synopsis
The mitochondrial mutation A3243G has been shown to be associated with a syndrome of diabetes mellitus and sensorineural hearing loss. Using a solid-phase-based sequencing method we have investigated the relation between the proportion of mutant mitochondrial genomes and the time of disease onset among members of three families where the mutation segregates. A striking association was observed between the level of heteroplasmy and time of onset of disease, particularly hearing loss. Accordingly, this syndrome shares features of diseases caused by dynamic mutations in that variable transmission of the level of heteroplasmy between generations influences disease severity.
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