Mitochondrial DNA m.3243A>G mutation rarely causes CADASIL-like phenotype

Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) are 2 monogenic cerebral small vessel diseases sharing several common clinical features including young stroke,...

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Veröffentlicht in:Neurobiology of aging 2021-01, Vol.97, p.145.e5-145.e6
Hauptverfasser: Liao, Nai-Yi, Liao, Kwong-Kum, Liao, Yi-Chu, Lee, Yi-Chung
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container_start_page 145.e5
container_title Neurobiology of aging
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creator Liao, Nai-Yi
Liao, Kwong-Kum
Liao, Yi-Chu
Lee, Yi-Chung
description Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) are 2 monogenic cerebral small vessel diseases sharing several common clinical features including young stroke, migraine, and cognitive dysfunction. The aim of this study was to understand the role of MELAS in patients with CADASIL-like manifestations. We screened 429 unrelated patients with genetically unassigned CADASIL-like syndrome for mitochondrial DNA m.3243A>G mutation. None of them were found to have the mutation. Our finding suggests that m.3243A>G rarely causes CADASIL-like phenotype. It may be not necessary to consider MELAS as a differential diagnosis of CADASIL. Screening m.3243A>G in patients with CADASIL-like phenotype is of limited value.
doi_str_mv 10.1016/j.neurobiolaging.2020.08.016
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subjects CADASIL
m.3243 A>G
MELAS
Monogenic cerebral small vessel disease
title Mitochondrial DNA m.3243A>G mutation rarely causes CADASIL-like phenotype
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