Document Detail


MELAS syndrome associated with both A3243G-tRNALeu mutation and multiple mitochondrial DNA deletions.
MedLine Citation:
PMID:  20655066     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The syndrome of mitochondrial encephalopathy, lactic acidosis, and stroke-like episode (MELAS) is characterized clinically by recurrent focal neurological deficits, epilepsy, and short stature. The phenotypic spectrum is extremely diverse, with multisystemic organ involvement leading to isolated diabetes, deafness, renal tubulopathy, hypertrophic cardiomyopathy, and retinitis pigmentosa. In 80% of cases, the syndrome is associated with an AG transmission mutation (A3243G) in the tRNALeu gene of the mitochondrial DNA (mtDNA). We describe a woman with a unique combination of the MELAS A3243G mutation and multiple mtDNA deletions with normal POLG sequence. The patient presented with diabetes mellitus, sensorineural deafness, short stature, and mental disorientation. All her three children died in early adolescence.
Authors:
Sharon Aharoni; Teres A Traves; Eldad Melamed; Sarit Cohen; Esther Leshinsky Silver
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-22
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  296     ISSN:  1878-5883     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-04     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  101-3     Citation Subset:  IM    
Copyright Information:
2010 Elsevier B.V. All rights reserved.
Affiliation:
Institute of Pediatric Neurology, Schneider Children's Medical Center of Israel, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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MeSH Terms
Descriptor/Qualifier:
Blotting, Southern
Brain / pathology
DNA / genetics*
DNA, Mitochondrial / genetics*
DNA-Directed DNA Polymerase / genetics
Female
Gene Deletion
Humans
MELAS Syndrome / genetics*,  pathology
Magnetic Resonance Imaging
Middle Aged
Mutation / genetics,  physiology
RNA, Transfer, Leu / genetics*
Reverse Transcriptase Polymerase Chain Reaction
Chemical
Reg. No./Substance:
0/DNA, Mitochondrial; 0/RNA, Transfer, Leu; 9007-49-2/DNA; EC 2.7.7.-/POLG protein, human; EC 2.7.7.7/DNA-Directed DNA Polymerase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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