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Journal of Child Neurology, Vol. 22, No. 7, 858-862 (2007)
DOI: 10.1177/0883073807304199

Mitochondrial Encephalomyopathy Due to a Novel Mutation in the tRNAGlu of Mitochondrial DNA

Jacklyn Pancrudo, BS

H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, Department of Neurology, Columbia University Medical Center

Sara Shanske, PhD

H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, Department of Neurology, Columbia University Medical Center

Eduardo Bonilla, MD

H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, Department of Neurology, Columbia University Medical Center

Mariza Daras, MS

H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, Department of Neurology, Columbia University Medical Center

Hasan O. Akman, PhD

H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, Department of Neurology, Columbia University Medical Center

Sindu Krishna, PhD

H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, Department of Neurology, Columbia University Medical Center

Elfrida Malkin, MD

Department of Neurology, Columbia Presbyterian Hospital New York

Salvatore DiMauro, MD

H. Houston Merritt Clinical Research Center for Muscular Dystrophy and Related Diseases, Department of Neurology, Columbia University Medical Center, sd12{at}columbia.edu

A 14-year-old boy had exercise intolerance, weakness, ataxia, and lactic acidosis. Because his muscle biopsy showed a mosaic pattern of fibers staining intensely with the succinate dehydrogenase reaction but not at all with the cytochrome c oxidase reaction, we sequenced his mitochondrial DNA and found a novel mutation (C14680A) in the gene for tRNAGlu. The mutation was present in accessible tissues from the asymptomatic mother but not from a brother with Asperger syndrome. These data expand the clinical heterogeneity of mutations in this mitochondrial gene.

Key Words: mtDNA mutation • tRNA glutamic acid • mitochondrial encephalomyopathy


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