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Two cases of prenatal analysis for the pathogenic T to G substitution at nucleotide 8993 in mitochondrial DNA

✍ Scribed by Sarah L. White; Sara Shanske; Ivan Biros; Linda Warwick; Henrik M. Dahl; David R. Thorburn; Salvatore Di Mauro


Book ID
101236287
Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
83 KB
Volume
19
Category
Article
ISSN
0197-3851

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✦ Synopsis


We report the outcome of two prenatal analyses for the T to G mutation at nucleotide 8993 in the mitochondrial DNA. This mutation is associated with neurogenic muscle weakness, ataxia and retinitis pigmentosa (NARP) and the neurodegenerative condition, Leigh syndrome. One prospective mother was the sister of a severely affected individual, and had previously had an unaffected child and a stillborn child. The second prospective mother had two unaffected children and two affected children. The mutation was not detected in the chorionic villus sample from one fetus nor in the amniocytes from the other fetus. Both pregnancies were continued, and the resulting children were healthy at two years and five years of age. Prenatal diagnosis of this mitochondrial DNA mutation is an option likely to be acceptable to some families to prevent the birth of a child at high risk for neurological disease.