Progressive exercise intolerance associated with a new muscle-restricted nonsense mutation (G142X) in the mitochondrial cytochrome b gene

We report a novel nonsense mitochondrial cytochrome b mutation (G15170A) in a 40‐year‐old woman with progressive exercise intolerance and lactic acidosis. Muscle biopsy showed several cytochrome c oxidase–positive ragged‐red fibers, and reduced activities of respiratory chain complexes I and III. Th...

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Veröffentlicht in:Muscle & nerve 2003-10, Vol.28 (4), p.508-511
Hauptverfasser: Bruno, Claudio, Santorelli, Filippo M., Assereto, Stefania, Tonoli, Emmanuel, Tessa, Alessandra, Traverso, Monica, Scapolan, Sara, Bado, Massimo, Tedeschi, Silvana, Minetti, Carlo
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container_end_page 511
container_issue 4
container_start_page 508
container_title Muscle & nerve
container_volume 28
creator Bruno, Claudio
Santorelli, Filippo M.
Assereto, Stefania
Tonoli, Emmanuel
Tessa, Alessandra
Traverso, Monica
Scapolan, Sara
Bado, Massimo
Tedeschi, Silvana
Minetti, Carlo
description We report a novel nonsense mitochondrial cytochrome b mutation (G15170A) in a 40‐year‐old woman with progressive exercise intolerance and lactic acidosis. Muscle biopsy showed several cytochrome c oxidase–positive ragged‐red fibers, and reduced activities of respiratory chain complexes I and III. This mutation, resulting in the loss of 228 amino acids of the protein, was very abundant in the patient's muscle, but undetectable in lymphocytes and fibroblasts. Clinical and laboratory data indicate that this defect is the primary cause of the disease, thus adding a new mutation in the cytochrome b gene among the growing number of patients with exercise intolerance and lactic acidosis. Muscle Nerve 28: 508–511, 2003
doi_str_mv 10.1002/mus.10429
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subjects Acidosis, Lactic - genetics
Adult
Base Sequence - genetics
Biological and medical sciences
Codon, Nonsense
cytochrome b gene
Cytochrome b Group - genetics
Diseases of striated muscles. Neuromuscular diseases
DNA, Mitochondrial - genetics
DNA, Mitochondrial - metabolism
Electron Transport Complex I
Electron Transport Complex III - metabolism
Electron Transport Complex IV - metabolism
Exercise - physiology
exercise intolerance
Female
Humans
lactic acidosis
Medical sciences
mitochondrial DNA
Muscle Cramp - genetics
Muscle Fibers, Skeletal - enzymology
Muscle Fibers, Skeletal - pathology
Muscle, Skeletal - metabolism
Muscle, Skeletal - pathology
NADH, NADPH Oxidoreductases - metabolism
Neurology
title Progressive exercise intolerance associated with a new muscle-restricted nonsense mutation (G142X) in the mitochondrial cytochrome b gene
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