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.
Original language | English |
---|---|
Journal | Neuromuscular Disorders |
Volume | 24 |
Issue number | 2 |
Pages (from-to) | 162-166 |
Number of pages | 5 |
ISSN | 0960-8966 |
DOIs | |
Publication status | Published - Feb 2014 |
Keywords
- Adult
- Base Sequence
- DNA Contamination
- DNA, Mitochondrial
- Female
- Humans
- Molecular Sequence Data
- Muscle, Skeletal
- Muscular Diseases
- Pedigree
- Point Mutation
- RNA, Transfer, Lys