Motor neuron disease in a patient with a mitochondrial tRNAIle mutation

Objective Motor neuron disease (MND) is a common neurodegenerative condition for which the underlying cause is uncertain in many patients. We identified a patient with clinical features suggestive of MND but additional cardiac and metabolic symptoms. We wished to determine if the clinical features w...

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Veröffentlicht in:Annals of neurology 2006-03, Vol.59 (3), p.570-574
Hauptverfasser: Borthwick, Gillian M., Taylor, Robert W., Walls, Timothy J., Tonska, Kasia, Taylor, Geoffrey A., Shaw, Pamela J., Ince, Paul G., Turnbull, Douglass M.
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container_end_page 574
container_issue 3
container_start_page 570
container_title Annals of neurology
container_volume 59
creator Borthwick, Gillian M.
Taylor, Robert W.
Walls, Timothy J.
Tonska, Kasia
Taylor, Geoffrey A.
Shaw, Pamela J.
Ince, Paul G.
Turnbull, Douglass M.
description Objective Motor neuron disease (MND) is a common neurodegenerative condition for which the underlying cause is uncertain in many patients. We identified a patient with clinical features suggestive of MND but additional cardiac and metabolic symptoms. We wished to determine if the clinical features were due to a mitochondrial DNA mutation. Methods The brain and spinal cord were studied using neuropathological techniques and agenetic defect investigated in individual neurons. Results There were atypical neuropathological features and genetic studies identified a pathogenic, heteroplasmic mitochondria tRNAIle (4274T>C) mutation. Interpretation This case adds to the phenotypic variation seen in mitochondrial DNA disease but also highlights the potential role of mitochondrial dysfunction in the cause of MND. Ann Neurol 2006
doi_str_mv 10.1002/ana.20758
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We identified a patient with clinical features suggestive of MND but additional cardiac and metabolic symptoms. We wished to determine if the clinical features were due to a mitochondrial DNA mutation. Methods The brain and spinal cord were studied using neuropathological techniques and agenetic defect investigated in individual neurons. Results There were atypical neuropathological features and genetic studies identified a pathogenic, heteroplasmic mitochondria tRNAIle (4274T&gt;C) mutation. Interpretation This case adds to the phenotypic variation seen in mitochondrial DNA disease but also highlights the potential role of mitochondrial dysfunction in the cause of MND. 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subjects Aged
Biological and medical sciences
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
DNA Mutational Analysis - methods
DNA, Mitochondrial - genetics
Electron Transport Complex IV - metabolism
Humans
Immunohistochemistry - methods
Male
Medical sciences
Motor Neuron Disease - genetics
Motor Neuron Disease - metabolism
Motor Neuron Disease - pathology
Motor Neurons - metabolism
Motor Neurons - pathology
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Mutation
Neurology
Reverse Transcriptase Polymerase Chain Reaction - methods
RNA, Messenger - biosynthesis
RNA, Transfer, Ile - genetics
Succinate Dehydrogenase - metabolism
title Motor neuron disease in a patient with a mitochondrial tRNAIle mutation
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