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A novel mutation in the mitochondrial tRNAPro gene associated with late-onset ataxia, retinitis pigmentosa, deafness, leukoencephalopathy and complex I deficiency
Authors:Paola Da Pozzo   Elena Cardaioli   Edoardo Malfatti   Gian Nicola Gallus   Alessandro Malandrini   Carmen Gaudiano   Gianna Berti   Federica Invernizzi   Massimo Zeviani     Antonio Federico
Affiliation:1Department of Neurological, Neurosurgical and Behavioural Sciences, Medical School, University of Siena, Siena, Italy;2Unit of Molecular Neurogenetics, Pierfranco e Luisa Mariani Center for the Study of Children''s Mitochondrial Disorders, C. Besta Neurological Institute Foundation-IRCCS, Via L. Temolo, Milan, Italy
Abstract:We present a patient with ataxia, retinitis pigmentosa, dysarthria, neurosensorial deafness, nystagmus and leukoencephalopathy. A novel heteroplasmic G to A transition at nucleotide 15 975 was found, affecting the T arm of the mitochondrial (mt) tRNAPro gene. A biochemical analysis of respiratory chain enzymes in muscle revealed isolated complex I deficiency. This is the fourth pathogenic tRNAPro point mutation to be associated with an mt disorder. The result highlights the importance of molecular dissection of mtDNA in patients with defined mt disorder and confirms the clinical and biochemical heterogeneity associated with tRNAPro mutations.
Keywords:mtDNA   transfer RNAPro   mitochondrial disease
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