Chronic Progressive External Ophthalmoplegia due to a Rare de novo m.12334G>A MT-TL2 Mitochondrial DNA Variant 1

We describe a patient with chronic progressive external ophthalmoplegia (CPEO) due to a rare mitochondrial genetic variant. Muscle biopsy revealed numerous cytochrome c oxidase (COX)-deficient fibres, prompting sequencing of the entire mitochondrial genome in muscle which revealed a rare m.12334G>...

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Veröffentlicht in:Journal of neuromuscular diseases 2020, Vol.7 (3), p.355-360
Hauptverfasser: O’Donnell, Luke, Blakely, Emma L., Baty, Karen, Alexander, Michael, Bogdanova-Mihaylova, Petya, Craig, John, Walsh, Ronan, Brett, Francesca, Taylor, Robert W., Murphy, Sinead M.
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container_end_page 360
container_issue 3
container_start_page 355
container_title Journal of neuromuscular diseases
container_volume 7
creator O’Donnell, Luke
Blakely, Emma L.
Baty, Karen
Alexander, Michael
Bogdanova-Mihaylova, Petya
Craig, John
Walsh, Ronan
Brett, Francesca
Taylor, Robert W.
Murphy, Sinead M.
description We describe a patient with chronic progressive external ophthalmoplegia (CPEO) due to a rare mitochondrial genetic variant. Muscle biopsy revealed numerous cytochrome c oxidase (COX)-deficient fibres, prompting sequencing of the entire mitochondrial genome in muscle which revealed a rare m.12334G>A variant in the mitochondrial (mt-) tRNALeu(CUN)(MT-TL2) gene. Analysis of several tissues showed this to be a de novo mutational event. Single fibre studies confirmed the segregation of high m.12334G>A heteroplasmy levels with the COX histochemical defect, confirming pathogenicity of the m.12334G>A MT-TL2 variant. This case illustrates the importance of pursuing molecular genetic analysis in clinically-affected tissues when mitochondrial disease is suspected.
doi_str_mv 10.3233/JND-200486
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title Chronic Progressive External Ophthalmoplegia due to a Rare de novo m.12334G>A MT-TL2 Mitochondrial DNA Variant 1
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