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A novel mitochondrial mutation m.8989G>C associated with neuropathy,ataxia, retinitis pigmentosa — The NARP syndrome
Authors:Morten Duno  Flemming Wibrand  Kirsten Baggesen  Thomas Rosenberg  Niels Kjaer  Anja L. Frederiksen
Affiliation:1. Dept. of Clinical Genetics, University Hospital, Rigshospitalet, Copenhagen, Denmark;2. Dept. of Ophthalmology, Aalborg Hospital, Denmark;3. National Eye Clinic for the Visually Impaired, Kennedy Center, University Hospital, Rigshospitalet, Copenhagen, Denmark;4. Dept. of Neurology, Aalborg Hospital, Aalborg, Denmark;5. Dept. of Clinical Genetics, Vejle and Aalborg Hospital, Vejle, Denmark
Abstract:The archetypal NARP syndrome is almost exclusively associated with the m.8993T>C/G mutation in the sixth subunit of the mitochondrial ATP synthase, whereas other mutations in the MT-ATP6 gene primarily associate with Leigh syndrome or Leber's hereditary optic neuropathy (LHON). We report a novel mitochondrial point mutation, m.8989G>C, in a patient presenting with neuropathy, ataxia and retinitis pigmentosa constituting the classical NARP phenotype. This mutation alters the amino acid right next to canonical NARP mutation. We suggest that classic NARP syndrome relates to a defined dysfunction of p.MT-ATP6.
Keywords:ffERG, full-field electroretinogram   LHON, Leber's hereditary optic neuropathy   MELAS, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes   MERRF, myoclonic epilepsy with ragged red fibers   MID, mitochondrial disorders   mtDNA, mitochondrial DNA   NARP, neuropathy, ataxia, retinitis pigmentosa   RRF, ragged red fibers
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