Clinical variability in maternally inherited leber hereditary optic neuropathy with the G14459A mutation

Spasticity and dystonia have been associated with mitochondrial (mt) DNA mutations at A11696G, G14459A, and T14596A. We describe the clinical features and molecular analysis of two Caucasian pedigrees with the 14,459 guanosine (G) → adenine (A) transition. The maternally inherited Leber hereditary o...

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Veröffentlicht in:American journal of medical genetics 2004-02, Vol.124A (4), p.372-376
Hauptverfasser: Tarnopolsky, Mark A., Baker, Steven K., Myint, Tomoko, Maxner, C.E., Robitaille, J., Robinson, Brian H.
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container_issue 4
container_start_page 372
container_title American journal of medical genetics
container_volume 124A
creator Tarnopolsky, Mark A.
Baker, Steven K.
Myint, Tomoko
Maxner, C.E.
Robitaille, J.
Robinson, Brian H.
description Spasticity and dystonia have been associated with mitochondrial (mt) DNA mutations at A11696G, G14459A, and T14596A. We describe the clinical features and molecular analysis of two Caucasian pedigrees with the 14,459 guanosine (G) → adenine (A) transition. The maternally inherited Leber hereditary optic neuropathy (LHON) phenotypes showed extreme clinical variability and the only screening test that was abnormal in the patient with spasticity/dystonia was a high T2 signal in the putamen bilaterally. The male patient in the second pedigree showed features of optic neuropathy without spasticity/dystonia. These results further support that the 14,459 G → A transition mutation is causally related to LHON and spasticity/dystonia. © 2003 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ajmg.a.20449
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subjects Adolescent
Adult
Aged
Biological and medical sciences
DNA, Mitochondrial - genetics
Dystonia - diagnosis
Dystonia - genetics
Female
Fibroblasts - chemistry
Humans
inherited dystonia
LHON
Male
Medical sciences
Middle Aged
mitochondrial disease
Muscle Spasticity - diagnosis
Muscle Spasticity - genetics
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Optic Atrophy, Hereditary, Leber - diagnosis
Optic Atrophy, Hereditary, Leber - genetics
Pedigree
Point Mutation
Putamen - metabolism
title Clinical variability in maternally inherited leber hereditary optic neuropathy with the G14459A mutation
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