A Novel Mutation in the TRNAIle Gene (MTTI) Affecting the Variable Loop in a Patient with Chronic Progressive External Ophthalmoplegia (CPEO)
Overview
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We describe a 62-year-old woman with chronic progressive external ophthalmoplegia (CPEO), multiple lipomas, diabetes mellitus, and a novel mitochondrial DNA (mtDNA) mutation at nucleotide 4302 (4302A>G) of the tRNA(Ile) gene (MTTI). This is the first mutation at position 44 in the variable loop (V loop) of any mitochondrial tRNA. The muscle biopsy revealed 10% ragged-red/ragged-blue fibers and 25% cytochrome c oxidase (COX)-deficient fibers. No deletions or duplications were detected by Southern blot analysis. The 4302A>G transition was present only in the patient's muscle and single-fiber analysis revealed significantly higher levels of the mutation in COX-deficient than in normal fibers. Like tRNA(Leu(UUR)), tRNA(Ile) appears to be a "hot spot" for mtDNA mutations causing CPEO.
Progressive external ophthalmoplegia.
Hirano M, Pitceathly R Handb Clin Neurol. 2023; 194:9-21.
PMID: 36813323 PMC: 10440731. DOI: 10.1016/B978-0-12-821751-1.00018-X.
Finsterer J Cureus. 2022; 13(12):e20641.
PMID: 35103203 PMC: 8783651. DOI: 10.7759/cureus.20641.
Bacalhau M, Simoes M, Rocha M, Hardy S, Vincent A, Duraes J Neuromuscul Disord. 2018; 28(4):350-360.
PMID: 29398297 PMC: 5952895. DOI: 10.1016/j.nmd.2017.11.006.
Transfer RNA and human disease.
Abbott J, Francklyn C, Robey-Bond S Front Genet. 2014; 5:158.
PMID: 24917879 PMC: 4042891. DOI: 10.3389/fgene.2014.00158.
Mitochondrial DNA abnormalities in ophthalmological disease.
Gorman G, Taylor R Saudi J Ophthalmol. 2013; 25(4):395-404.
PMID: 23960954 PMC: 3729573. DOI: 10.1016/j.sjopt.2011.02.002.