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1.
Ann Hum Genet ; 73(1): 61-73, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19040656

RESUMO

A population sample representing the current Swedish population was analysed for maternally and paternally inherited markers with the aim of characterizing genetic variation and population structure. The sample set of 820 females and 883 males were extracted and amplified from Guthrie cards of all the children born in Sweden during one week in 2003. 14 Y-chromosomal and 34 mitochondrial DNA SNPs were genotyped. The haplogroup frequencies of the counties closest to Finland, Norway, Denmark and the Saami region in the north exhibited similarities to the neighbouring populations, resulting from the formation of the Swedish nation during the past millennium. Moreover, the recent immigration waves of the 20th century are visible in haplogroup frequencies, and have led to increased diversity and divergence of the major cities. Signs of genetic drift can be detected in several counties in northern as well as in southern Sweden. With the exception of the most drifted subpopulations, the population structure in Sweden appears mostly clinal. In conclusion, our study yielded valuable information of the structure of the Swedish population, and demonstrated the usefulness of biobanks as a source of population genetic research. Our sampling strategy, nonselective on the current population rather than stratified according to ancestry, is informative for capturing the contemporary variation in the increasingly panmictic populations of the world.


Assuntos
Cromossomos Humanos Y/genética , DNA Mitocondrial/genética , Genética Populacional , Criança , Feminino , Genótipo , Humanos , Masculino , Polimorfismo de Nucleotídeo Único , Suécia , População Branca/genética
2.
Ann Hum Genet ; 72(Pt 3): 337-48, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18294359

RESUMO

In this study, the population history of the Baltic Sea region, known to be affected by a variety of migrations and genetic barriers, was analyzed using both mitochondrial DNA and Y-chromosomal data. Over 1200 samples from Finland, Sweden, Karelia, Estonia, Setoland, Latvia and Lithuania were genotyped for 18 Y-chromosomal biallelic polymorphisms and 9 STRs, in addition to analyzing 17 coding region polymorphisms and the HVS1 region from the mtDNA. It was shown that the populations surrounding the Baltic Sea are genetically similar, which suggests that it has been an important route not only for cultural transmission but also for population migration. However, many of the migrations affecting the area from Central Europe, the Volga-Ural region and from Slavic populations have had a quantitatively different impact on the populations, and, furthermore, the effects of genetic drift have increased the differences between populations especially in the north. The possible explanations for the high frequencies of several haplogroups with an origin in the Iberian refugia (H1, U5b, I1a) are also discussed.


Assuntos
Emigração e Imigração , Países Bálticos , Cromossomos Humanos Y/genética , DNA Mitocondrial/genética , Geografia , Haplótipos/genética , Humanos , Linguística , Oceanos e Mares , Filogenia
3.
J Inherit Metab Dis ; 30(5): 716-21, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17588131

RESUMO

Lysinuric protein intolerance (LPI) is a rare autosomal recessive disorder characterized by defective transport of cationic amino acids. Poor intestinal absorption and increased renal loss of arginine, ornithine and lysine lead to low plasma concentrations of these amino acids and, subsequently, to impaired urea cycle function. The patients therefore have decreased nitrogen tolerance, which may lead to hyperammonaemia after ingestion of normal amounts of dietary protein. As a protective mechanism, most patients develop strong aversion to protein-rich foods early in life. Oral supplementation with citrulline, which is absorbed normally and metabolized to arginine and ornithine, improves protein tolerance to some extent, as do sodium benzoate and sodium phenylbutyrate also used by some patients. Despite effective prevention of hyperammonaemia, the patients still consume a very restricted diet, which may be deficient in energy, essential amino acids and some vitamins and minerals. To investigate the potential nutritional problems of patients with lysinuric protein intolerance, 77 three- to four-day food records of 28 Finnish LPI patients aged 1.5-61 years were analysed. The data suggest that the patients are clearly at risk for many nutritional deficiencies, which may contribute to their symptoms. Their diet is highly deficient in calcium, vitamin D, iron and zinc. Individualized nutritional supplementation accompanied by regular monitoring of dietary intake is therefore an essential part of the treatment of LPI.


Assuntos
Erros Inatos do Metabolismo dos Aminoácidos/dietoterapia , Dieta com Restrição de Proteínas/efeitos adversos , Lisina/urina , Desnutrição/etiologia , Estado Nutricional , Adolescente , Adulto , Idoso , Erros Inatos do Metabolismo dos Aminoácidos/complicações , Erros Inatos do Metabolismo dos Aminoácidos/tratamento farmacológico , Erros Inatos do Metabolismo dos Aminoácidos/genética , Erros Inatos do Metabolismo dos Aminoácidos/metabolismo , Criança , Pré-Escolar , Citrulina/uso terapêutico , Suplementos Nutricionais , Ingestão de Energia , Feminino , Finlândia , Humanos , Lactente , Masculino , Desnutrição/prevenção & controle , Pessoa de Meia-Idade , Avaliação Nutricional , Política Nutricional , Fenilbutiratos/uso terapêutico , Benzoato de Sódio/uso terapêutico
4.
Neuromuscul Disord ; 14(4): 274-83, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15019706

RESUMO

Myotonic dystrophy types 1 and 2 are autosomal dominant, multisystemic disorders with many similarities in their clinical manifestations. Myotonic dystrophy type 1 is caused by a (CTG)n expansion in the 3' untranslated region of the DMPK gene in 19q13.3 and myotonic dystrophy type 2 by a (CCTG)n expansion in intron 1 of ZNF9 in 3q21.3. However, the clinical diagnosis of myotonic dystrophy type 2 is more complex than that of myotonic dystrophy type 1, and conventional molecular genetic methods used for diagnosing myotonic dystrophy type 1 are insufficient for myotonic dystrophy type 2. Herein we describe two in situ hybridization protocols for the myotonic dystrophy type 2 mutation detection. Chromogenic in situ hybridization was used to detect both the genomic expansion and the mutant transcripts in muscle biopsy sections. Chromogenic in situ hybridization can be used in routine myotonic dystrophy type 2 diagnostics. Fluorescence in situ hybridization on extended DNA fibers was used to directly visualize the myotonic dystrophy type 2 mutation and to estimate the repeat expansion sizes.


Assuntos
Expansão das Repetições de DNA/genética , Técnicas de Diagnóstico Molecular/métodos , Mutação , Distrofia Miotônica/diagnóstico , Distrofia Miotônica/genética , Adulto , Idoso , Idoso de 80 Anos ou mais , Alelos , Biópsia/métodos , Eletroforese Capilar/métodos , Feminino , Humanos , Hibridização in Situ Fluorescente/métodos , Indóis/metabolismo , Desequilíbrio de Ligação , Masculino , Pessoa de Meia-Idade , Músculos/metabolismo , RNA Mensageiro/biossíntese , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos
5.
Genome ; 45(5): 855-61, 2002 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12416617

RESUMO

The organization of the mitochondrial DNA (mtDNA) control region (CR) of the autumnal moth, Epirrita autumnata, is described. The E. autumnata CR presents a distinct type of lepidopteran CR with domains of non-repetitive and repetitive sequences. The CRs show considerable length variation owing to a variable number of short approximately 29-bp sequence blocks that are repeated between 6 and 14 times in tandem. The organization of such a tandem array is unique among the insect CRs examined so far. Furthermore, the E. autumnata CR, which may reach 1075 bp in length, is considerably longer than previously reported lepidopteran CRs, which reach 311-499 bp in length. Like other lepidopteran CRs, the E. autumnata CR contains two long homopolymer runs that may be involved in mtDNA replication and (or) transcription.


Assuntos
DNA Mitocondrial/genética , Repetições Minissatélites , Mariposas/genética , Animais , Sequência de Bases , Região de Controle de Locus Gênico , Dados de Sequência Molecular , Homologia de Sequência do Ácido Nucleico
6.
Hum Immunol ; 62(9): 954-69, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11543898

RESUMO

The mitochondrial DNA (mt-DNA) variation of in the Walbiri tribe of the Northern Territories, Australia, was characterized by high resolution restriction fragment length polymorphism (HR-RFLP) analysis and control region sequencing. Surveying each mt-DNA for RFLPs with 14 different restriction enzymes detected 24 distinct haplotypes, whereas direct sequencing of the control region hypervariable segment I (HVS-I) of these mt-DNAs revealed 34 distinct sequences. Phylogenetic analysis of the RFLP haplotype and HVS-I sequence data depicted that the Walbiri have ten distinct haplotype groups (haplogroups), or mt-DNA lineages. The majority of the Walbiri RFLP haplotypes lacked polymorphisms common to Asian populations. In fact, most of the Walbiri haplogroups were unique to this population, although a few appeared to be subbranches of larger clusters of mt-DNAs that included other Aboriginal Australian and/or Papua New Guinea haplotypes. The similarity of these haplotypes suggested that Aboriginal Australian and Papua New Guinea populations may have once shared an ancient ancestral population(s), and then rapidly diverged from each other once geographically separated. Overall, the mt-DNA data corroborate the genetic uniqueness of Aboriginal Australian populations.


Assuntos
DNA Mitocondrial/genética , Variação Genética , Havaiano Nativo ou Outro Ilhéu do Pacífico/genética , Haplótipos/genética , Humanos , Northern Territory , Papua Nova Guiné , Filogenia , Reação em Cadeia da Polimerase , Polimorfismo de Fragmento de Restrição , Análise de Sequência de DNA
7.
Am J Hum Genet ; 69(4): 844-52, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11517423

RESUMO

Mitochondrial HVS-I sequences from 10,365 subjects belonging to 56 populations/geographical regions of western Eurasia and northern Africa were first surveyed for the presence of the T-->C transition at nucleotide position 16298, a mutation which has previously been shown to characterize haplogroup V mtDNAs. All mtDNAs with this mutation were then screened for a number of diagnostic RFLP sites, revealing two major subsets of mtDNAs. One is haplogroup V proper, and the other has been termed "pre*V," since it predates V phylogenetically. The rather uncommon pre*V tends to be scattered throughout Europe (and northwestern Africa), whereas V attains two peaks of frequency: one situated in southwestern Europe and one in the Saami of northern Scandinavia. Geographical distributions and ages support the scenario that pre*V originated in Europe before the Last Glacial Maximum (LGM), whereas the more recently derived haplogroup V arose in a southwestern European refugium soon after the LGM. The arrival of V in eastern/central Europe, however, occurred much later, possibly with (post-)Neolithic contacts. The distribution of haplogroup V mtDNAs in modern European populations would thus, at least in part, reflect the pattern of postglacial human recolonization from that refugium, affecting even the Saami. Overall, the present study shows that the dissection of mtDNA variation into small and well-defined evolutionary units is an essential step in the identification of spatial frequency patterns. Mass screening of a few markers identified using complete mtDNA sequences promises to be an efficient strategy for inferring features of human prehistory.


Assuntos
Clima Frio , DNA Mitocondrial/genética , Emigração e Imigração , Frequência do Gene/genética , Gelo , Filogenia , África do Norte , Ásia Ocidental , Europa (Continente) , Marcadores Genéticos/genética , Testes Genéticos , Haplótipos/genética , Humanos , Mutação/genética , Polimorfismo de Fragmento de Restrição , Tamanho da Amostra , Fatores de Tempo
8.
Neurogenetics ; 3(3): 119-25, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11523562

RESUMO

Leber hereditary optic neuropathy (LHON) is a maternally inherited disease characterized by acute or subacute painless central visual loss usually in young adults, predominantly in males. Except for optic atrophy, LHON patients are usually otherwise healthy. Occasionally, LHON is associated with neurological, cardiac, and skeletal changes. The clinical course of LHON has several stages. Peripapillary microangiopathy is present from the beginning. Microangiopathy disappears as the disease progresses towards the end stages. Simultaneously, the retinal nerve fiber layer fades from view, first papillomacular nerve fiber bundles, and months later, the whole nerve fiber layer becomes atrophic. At the end stage the centrocecal scotoma is large and absolute. Loss of vision is usually permanent, but spontaneous recovery can occur. Despite a few attempts, no effective treatment to prevent or halt LHON has been found. Several mitochondrial DNA (mtDNA) mutations are associated with LHON, but the pathogenic processes leading to optic nerve atrophy are largely unknown. About 15% of the families are heteroplasmic, i.e., both mutant and wild type mtDNA coexist within an individual. The level of heteroplasmy between different tissues can vary markedly. mtDNA mutations are not sufficient to cause visual loss in LHON, since not all individuals harboring a pathogenic LHON mutation express the disease. There are additional genetic and/or environmental precipitating factors, but thus far they are unknown.


Assuntos
Atrofia Óptica Hereditária de Leber/genética , DNA Mitocondrial/genética , Feminino , Humanos , Masculino , Esclerose Múltipla/complicações , Esclerose Múltipla/genética , Mutação , Atrofia Óptica Hereditária de Leber/complicações , Atrofia Óptica Hereditária de Leber/fisiopatologia , Linhagem
9.
Am J Hum Genet ; 66(4): 1362-83, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10739760

RESUMO

The mtDNA variation of 74 Khoisan-speaking individuals (Kung and Khwe) from Schmidtsdrift, in the Northern Cape Province of South Africa, was examined by high-resolution RFLP analysis and control region (CR) sequencing. The resulting data were combined with published RFLP haplotype and CR sequence data from sub-Saharan African populations and then were subjected to phylogenetic analysis to deduce the evolutionary relationships among them. More than 77% of the Kung and Khwe mtDNA samples were found to belong to the major mtDNA lineage, macrohaplogroup L* (defined by a HpaI site at nucleotide position 3592), which is prevalent in sub-Saharan African populations. Additional sets of RFLPs subdivided macrohaplogroup L* into two extended haplogroups-L1 and L2-both of which appeared in the Kung and Khwe. Besides revealing the significant substructure of macrohaplogroup L* in African populations, these data showed that the Biaka Pygmies have one of the most ancient RFLP sublineages observed in African mtDNA and, thus, that they could represent one of the oldest human populations. In addition, the Kung exhibited a set of related haplotypes that were positioned closest to the root of the human mtDNA phylogeny, suggesting that they, too, represent one of the most ancient African populations. Comparison of Kung and Khwe CR sequences with those from other African populations confirmed the genetic association of the Kung with other Khoisan-speaking peoples, whereas the Khwe were more closely linked to non-Khoisan-speaking (Bantu) populations. Finally, the overall sequence divergence of 214 African RFLP haplotypes defined in both this and an earlier study was 0.364%, giving an estimated age, for all African mtDNAs, of 125,500-165,500 years before the present, a date that is concordant with all previous estimates derived from mtDNA and other genetic data, for the time of origin of modern humans in Africa.


Assuntos
População Negra/genética , DNA Mitocondrial/genética , Variação Genética/genética , Haplótipos/genética , Filogenia , Etnicidade/genética , Humanos , Polimorfismo de Fragmento de Restrição , Sequências Reguladoras de Ácido Nucleico/genética , África do Sul , Fatores de Tempo
11.
Hum Mol Genet ; 9(3): 431-8, 2000 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-10655553

RESUMO

Lysinuric protein intolerance (LPI; MIM 222700) is an autosomal recessive disorder characterized by defective transport of the cationic amino acids lysine, arginine and ornithine at the basolateral membrane of the polar epithelial cells in the intestine and renal tubules, and by hyperammonemia after high-protein meals. LPI is caused by mutations in the SLC7A7 (solute carrier family 7, member 7) gene encoding y(+)LAT-1 (y(+)L amino acid transporter-1), which co-induces together with 4F2 heavy chain (4F2hc) system y(+)L in Xenopus oocytes. All Finnish LPI patients share the same founder mutation 1181-2A-->T (LPI(Fin)) not found in LPI patients elsewhere. Mutation screening of 20 non-Finnish LPI patients revealed 10 novel mutations: four deletions, two missense mutations, two nonsense mutations, a splice site mutation and a tandem duplication. Five LPI mutations (L334R, G54V, 1291delCTTT, 1548delC and LPI(Fin)) were studied functionally. All mutant proteins failed to co-induce amino acid transport activity when expressed with 4F2hc in Xenopus oocytes. Immunostaining experiments revealed that frameshift mutants 1291delCTTT, 1548delC and LPI(Fin)remained intracellular on expression with 4F2hc. In contrast, the missense mutants L334R and G54V reached the oocyte plasma membrane when co-expressed with 4F2hc, demonstrating that they are transport-inactivating mutations. This finding, together with the strong degree of conservation among all members of this family of amino acid transporters, indicates that residues L334 and G54 play a crucial role in the function of the y(+)LAT-1 transporter.


Assuntos
Erros Inatos do Metabolismo dos Aminoácidos/genética , Aminoácidos/metabolismo , Proteínas de Transporte/genética , Proteínas de Membrana/genética , Erros Inatos do Metabolismo dos Aminoácidos/metabolismo , Sistemas de Transporte de Aminoácidos , Sistemas de Transporte de Aminoácidos Básicos , Animais , Transporte Biológico , Proteínas de Transporte/metabolismo , Mapeamento Cromossômico , Cromossomos Humanos Par 14 , Análise Mutacional de DNA , Feminino , Humanos , Hibridização in Situ Fluorescente , Masculino , Proteínas de Membrana/metabolismo , Microscopia Confocal , Oócitos/citologia , Reação em Cadeia da Polimerase , Estrutura Secundária de Proteína , Xenopus
12.
Nat Genet ; 21(3): 293-6, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10080182

RESUMO

Lysinuric protein intolerance (LPI; OMIM 222700) is a rare, recessive disorder with a worldwide distribution, but with a high prevalence in the Finnish population; symptoms include failure to thrive, growth retardation, muscle hypotonia and hepatosplenomegaly. A defect in the plasma membrane transport of dibasic amino acids has been demonstrated at the baso-lateral membrane of epithelial cells in small intestine and in renal tubules and in plasma membrane of cultured skin fibroblasts from LPI patients. The gene causing LPI has been assigned by linkage analysis to 14q11-13. Here we report mutations in SLC7A7 cDNA (encoding y+L amino acid transporter-1, y+LAT-1), which expresses dibasic amino-acid transport activity and is located in the LPI region, in 31 Finnish LPI patients and 1 Spanish patient. The Finnish patients are homozygous for a founder missense mutation leading to a premature stop codon. The Spanish patient is a compound heterozygote with a missense mutation in one allele and a frameshift mutation in the other. The frameshift mutation generates a premature stop codon, eliminating the last one-third of the protein. The missense mutation abolishes y+LAT-1 amino-acid transport activity when co-expressed with the heavy chain of the cell-surface antigen 4F2 (4F2hc, also known as CD98) in Xenopus laevis oocytes. Our data establish that mutations in SLC7A7 cause LPI.


Assuntos
Erros Inatos do Metabolismo dos Aminoácidos/genética , Proteínas de Transporte/genética , Proteínas de Membrana/genética , Deleção de Sequência , Adolescente , Sequência de Aminoácidos , Sistemas de Transporte de Aminoácidos Básicos , Animais , Arginina/metabolismo , Transporte Biológico , Proteínas de Transporte/metabolismo , Desoxirribonucleases de Sítio Específico do Tipo II/genética , Feminino , Finlândia , Heterozigoto , Humanos , Íntrons , Leucina/metabolismo , Lisina/urina , Masculino , Proteínas de Membrana/metabolismo , Dados de Sequência Molecular , Mutação , Oócitos/fisiologia , Xenopus
13.
Eur J Hum Genet ; 5(5): 271-9, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9412783

RESUMO

The mitochondrial DNA (mtDNA) sequence variation of 24 Finnish Leber hereditary optic neuroretinopathy (LHON) probands was characterized by sequencing and restriction endonuclease analyses. All LHON-associated substitutions and Caucasoid haplogroup-specific mutations were screened in the families. Analysis of the mtDNAs revealed that the Finnish LHON families have two unique features: an absence of the ND6/14484 mutation and a high number of families (10/24) without the primary mutations ND1/3460 and ND4/11778. Furthermore, the LHON families showed considerable mtDNA heterogeneity: among 24 families 22 haplotypes were detected. Overall, the haplogrouping of LHON families was similar to other European populations. However, the frequency of ND4/11778-positive families in haplogroup J was high, which may indicate that background mutations in this haplogroup together with the ND4/11778 primary mutation promote the penetrance of LHON.


Assuntos
DNA Mitocondrial/genética , Haplótipos , Atrofias Ópticas Hereditárias/genética , Filogenia , Adolescente , Adulto , Criança , Feminino , Finlândia , Heterogeneidade Genética , Variação Genética/genética , Humanos , Masculino , Pessoa de Meia-Idade , Atrofias Ópticas Hereditárias/fisiopatologia , Linhagem , Polimorfismo de Fragmento de Restrição , População Branca/genética
14.
Eur J Hum Genet ; 5(1): 25-34, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9156318

RESUMO

Mitochondrial DNA (mtDNA) sequence variation was examined in 37 Seminoles from Florida by polymerase chain reaction amplification and high resolution restriction endonuclease analysis. The Y chromosome TaqI restriction fragment length polymorphisms detected by the probes 49a, 49f, and 12f2 were examined in the 26 males of this group. Analysis of the mtDNA revealed that all four Native American haplogroups (A, B, C and D) were present in the Seminoles encompassing about 95% of the Seminole mtDNAs. No European mtDNAs were found among the Seminoles, but two mtDNAs (about 5%) were members of the African-specific haplogroup L1, thus indicating that a limited number of African women were incorporated in the Seminole tribe. Analysis of Y chromosome haplotypes supports the hypothesis that haplotypes 18 and 63 are the most likely founding Native American Y chromosome haplotypes from Asia. However, 11% of the Seminole Y chromosomes represented haplotypes generally attributed to Europeans, though none harbored standard African haplotypes. These findings support historical evidence that the Seminole tribe has integrated individuals of European and African ancestry, but suggests that the sex ratio of nonnatives from different continents may have varied.


Assuntos
DNA Mitocondrial/ultraestrutura , Indígenas Norte-Americanos/genética , Polimorfismo Genético/genética , Cromossomo Y/ultraestrutura , DNA/análise , Feminino , Florida , Marcadores Genéticos , Variação Genética , Haplótipos , Humanos , Desequilíbrio de Ligação , Masculino , Polimorfismo de Fragmento de Restrição , Mapeamento por Restrição
15.
Genetics ; 144(4): 1835-50, 1996 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8978068

RESUMO

Mitochondrial DNA (mtDNA) sequence variation was examined in Finns, Swedes and Tuscans by PCR amplification and restriction analysis. About 99% of the mtDNAs were subsumed within 10 mtDNA haplogroups (H, I, J, K, M, T, U, V, W, and X) suggesting that the identified haplogroups could encompass virtually all European mtDNAs. Because both hypervariable segments of the mtDNA control region were previously sequenced in the Tuscan samples, the mtDNA haplogroups and control region sequences could be compared. Using a combination of haplogroup-specific restriction site changes and control region nucleotide substitutions, the distribution of the haplogroups was surveyed through the published restriction site polymorphism and control region sequence data of Caucasoids. This supported the conclusion that most haplogroups observed in Europe are Caucasoid-specific, and that at least some of them occur at varying frequencies in different Caucasoid populations. The classification of almost all European mtDNA variation in a number of well defined haplogroups could provide additional insights about the origin and relationships of Caucasoid populations and the process of human colonization of Europe, and is valuable for the definition of the role played by mtDNA backgrounds in the expression of pathological mtDNA mutations.


Assuntos
DNA Mitocondrial/análise , Genética Populacional , Sequência de Bases , DNA Mitocondrial/classificação , Europa (Continente) , Haplótipos , Humanos , Dados de Sequência Molecular , Polimorfismo Genético
16.
Ophthalmology ; 103(3): 504-14, 1996 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8600429

RESUMO

BACKGROUND: Leber hereditary optic neuropathy (LHON) is associated with primary and secondary mutations in mitochondrial DNA. Clinical studies suggest that there is a wide spectrum of clinical expression. METHODS: Fifty-three affected and 131 unaffected maternal relatives from 21 pedigrees with LHON were studied neuro-ophthalmologically and followed over a period of 14 years. Mitochondrial DNA analysis was performed on their blood specimens. RESULTS: Thirty-two affected (60%) individuals from ten families harbored the 11778 mutation and ten individuals (19%) from three families harbored the 3460 mutation. No confirmed primary mutation was detected in 11 (21%) affected individuals from eight families. The visual outcome was better in families with the 3460 mutation than in those with the 11778 mutation. Secondary mutations did not affect the penetrance or the visual outcome. Fifteen patients had a favorable outcome; seven of whom had subclinical disease, two had slowly progressive LHON with a favorable visual outcome, and six had classic LHON with spontaneous recovery. In seven patients, the onset of the disease had been in childhood. These patients had a more favorable prognosis than the adults. Results of eye examinations of asymptomatic maternal relatives showed subclinically affected individuals. CONCLUSIONS: In addition to classic LHON, the disease can manifest itself in three different atypical forms: subclinical disease, slowly progressive LHON with a favorable visual outcome, and LHON with the classic acute stage but spontaneous visual recovery. The current study suggests that the ophthalmologic findings and outcome in LHON are independent of secondary mutations.


Assuntos
DNA Mitocondrial/genética , Atrofias Ópticas Hereditárias/genética , Atrofias Ópticas Hereditárias/patologia , Nervo Óptico/patologia , Mutação Puntual , Adolescente , Adulto , Idade de Início , Criança , Percepção de Cores , DNA/análise , Feminino , Fundo de Olho , Humanos , Masculino , Pessoa de Meia-Idade , Linhagem , Acuidade Visual , Campos Visuais
17.
J Neurol Neurosurg Psychiatry ; 59(2): 160-4, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7629530

RESUMO

Previous studies suggest that Leber's hereditary optic neuropathy (LHON) may be a systemic disorder with manifestations in organs other than the optic nerves. To evaluate nervous system involvement 38 men and eight women with LHON were re-examined. The patients were divided into three groups according to mtDNA analysis--namely, patients with the 11778 or with the 3460 mutation and patients without these primary mutations. Fifty nine per cent of patients had neurological abnormalities but there was no significant difference between the three groups. Movement disorders were the most common finding; nine patients had constant postural tremor, one chronic motor tic disorder, and one parkinsonism with dystonia. Four patients had peripheral neuropathy with no other evident cause. Two patients had a multiple sclerosis-like syndrome; in both patients MRI showed changes in the periventricular white matter. Thoracic kyphosis occurred in seven patients, five of whom had the 3460 mutation. In one patient the 3460 mutation was associated with involvement of the brain stem. It is suggested that various movement disorders, multiple sclerosis-like illness, and deformities of the vertebral column may associate pathogenetically with LHON.


Assuntos
Doenças do Sistema Nervoso/complicações , Atrofias Ópticas Hereditárias/genética , Adulto , Encéfalo/patologia , Feminino , Finlândia , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Mutação , Atrofias Ópticas Hereditárias/complicações
18.
Lancet ; 344(8926): 857-8, 1994 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-7916404

RESUMO

Pre-excitation syndrome is common in families with Leber's hereditary optic neuropathy (LHON). 24 Finnish families with LHON were screened for the 11778 and the 3460 mitochondrial DNA mutations. 5 of 30 individuals with LHON and the 11778 mutation had the Wolff-Parkinson-White pre-excitation syndrome. None of 10 with the 3460 mutation or of 11 with "other" mutations had this syndrome. Overall, 5 of 51 LHON patients and 9 of 112 symptom-free maternal relatives had Wolff-Parkinson-White syndrome (9%). In paternal relatives, the frequency was 1.6%. Mitochondrial DNA causal for LHON may contribute to pre-excitation syndrome.


Assuntos
DNA Mitocondrial/genética , Atrofias Ópticas Hereditárias/genética , Mutação Puntual , Síndrome de Wolff-Parkinson-White/genética , DNA Mitocondrial/isolamento & purificação , Eletrocardiografia , Feminino , Finlândia , Humanos , Masculino , Atrofias Ópticas Hereditárias/complicações , Fatores Sexuais , Síndrome de Wolff-Parkinson-White/complicações
20.
Hum Mutat ; 3(1): 29-36, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-8118464

RESUMO

We have applied time-resolved fluorometry (TRF) to construct a DNA hybridization assay for the diagnosis of Leber hereditary optic neuroretinopathy (LHON). A rapid and reliable detection of the most prevalent mitochondrial DNA (mtDNA) point mutation associated with LHON is demonstrated. In addition, the TRF-method can be used in the quantification of heteroplasmy, a phenomenon commonly present in mtDNA mutations. The assay includes PCR amplification of a fragment encompassing the mutation site followed by hybridization reactions with allele-specific europium (Eu)-labelled oligonucleotide probes. A time-resolved fluorometer is used to measure the bound label. The TRF assay was successfully used to demonstrate the ND4/11778 mutation in patient samples. For quantification of heteroplasmy, synthetic target oligonucleotide mixtures with known ratios of wild-type and mutated sequences were used as standards to control the hybridization step. The assay allowed the detection of heteroplasmy ranging from 5 to 95%. This was also shown in a family with several heteroplasmic members.


Assuntos
DNA Mitocondrial/genética , Hibridização de Ácido Nucleico/métodos , Atrofias Ópticas Hereditárias/diagnóstico , Mutação Puntual/genética , Sequência de Bases , DNA Mitocondrial/sangue , Európio , Feminino , Fluorometria , Humanos , Marcação por Isótopo , Masculino , Dados de Sequência Molecular , Ácidos Nucleicos Heteroduplexes , Sondas de Oligonucleotídeos , Atrofias Ópticas Hereditárias/genética , Linhagem , Reação em Cadeia da Polimerase , Sensibilidade e Especificidade
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