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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
Institution: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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