A novel de novo mutation of the mitochondrial tRNAlys gene mt.8340G>a associated with pure myopathy

Tina Dysgaard Jeppesen, Morten Duno, Lotte Risom, Flemming Wibrand, Jabin Rafiq, Thomas Krag, Johannes Jakobsen, Henning Andersen, John Vissing

12 Citationer (Scopus)

Abstract

Most patients with mutations in the tRNA(lys) gene (MTTK) present with symptoms from the central nervous system (CNS). We describe a 41-year-old woman with pure myopathy associated with a novel de novo mtDNA mutation, mt.8340G>A, which was heteroplasmic in muscle (53%), blood, urine and mouth epithelial cells (<7%). No other family members, including her mother, carried the mutation. She presented with exercise intolerance from age 9, and since age 20 she experienced ptosis and reduced ocular motility. A muscle biopsy revealed ragged red fibres (10%), no COX negative fibres, and many fibres with central nuclei (30%), indicating ongoing damage and repair. The present case expands the mutational and phenotypic spectrum of diseases associated with mutations in MTTK.

OriginalsprogEngelsk
TidsskriftNeuromuscular Disorders
Vol/bind24
Udgave nummer2
Sider (fra-til)162-166
Antal sider5
ISSN0960-8966
DOI
StatusUdgivet - feb. 2014

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