2005
DOI: 10.1038/sj.ejhg.5201363
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LHON/MELAS overlap syndrome associated with a mitochondrial MTND1 gene mutation

Abstract: Pathogenic point mutations in the mitochondrial MTND1 gene have previously been described in association with two distinct clinical phenotypes -Leber hereditary optic neuropathy (LHON) and mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS). Here we report the first heteroplasmic mitochondrial DNA (mtDNA) point mutation (3376G4A) in the MTND1 gene associated with an overlap syndrome comprising the clinical features of both LHON and MELAS. Muscle histochemistry revealed subt… Show more

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Cited by 83 publications
(33 citation statements)
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“…For instance, LHON/MELAS (Pulkes et al 1999), MELAS/MERRF (Naini et al 2005), and even Leigh/MELAS (Crimi et al 2003) overlap syndromes, all associated with ND5 mutations, have been reported (DiMauro and Hirano 2005). LHON/MELAS overlap syndrome associated with mutations in ND1 has also been reported (Blakely et al 2005).…”
Section: Clinical Manifestation and Genetic Heterogeneitymentioning
confidence: 99%
“…For instance, LHON/MELAS (Pulkes et al 1999), MELAS/MERRF (Naini et al 2005), and even Leigh/MELAS (Crimi et al 2003) overlap syndromes, all associated with ND5 mutations, have been reported (DiMauro and Hirano 2005). LHON/MELAS overlap syndrome associated with mutations in ND1 has also been reported (Blakely et al 2005).…”
Section: Clinical Manifestation and Genetic Heterogeneitymentioning
confidence: 99%
“…47,48 Mt-co1 encodes a cytochrome C oxidase subunit. 49 Mt-cytb or mitochondriaencoded cytochrome B is also known as the bc1 complex or ubiquinol-cytochrome C reductase.…”
Section: Discussionmentioning
confidence: 99%
“…33 Only two cases in the PubMed and OVID databases were reported as LHON/MELAS overlap syndrome. 3,6 They had typical clinical features of MELAS plus bilateral optic atrophy. G3376A and G13513A mutations, which encode for ND1 and ND5 subunits of Complex I, were harbored by these two cases, respectively.…”
Section: Ophthalmic Geneticsmentioning
confidence: 99%