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The novel G10680A mutation is associated with complete penetrance of the LHON/T14484C family
Authors:Juhua Yang   Yihua Zhu   Yi Tong   Zhiqiang Zhang   Lu Chen   Sanjie Chen   Zongfu Cao   Chunmei Liu   Jianhua Xu  Xu Ma  
Affiliation:aBiomedical Engineering Center, Fujian Medical University, 88 Jiaotong Road, Fuzhou, Fujian 350004, China;bDepartment of Genetics, National Research Institute for Family Planning, Peking Union Medical College, 12 Da-hui-si, Hai Dian, Beijing 100081, China;cDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China
Abstract:We report the clinical and genetic characterization of a Chinese Leber′s hereditary optic neuropathy (LHON) family with complete penetrance and high percentage of recovery. Sequence analysis of the complete mitochondrial DNA revealed the presence of heteroplasmic ND6/T14484C mutation and 27 other variants, belonging to the East-Asian haplogroup B4b′d. Of those variants, a novel homoplasmic G10680A mutation substituted a threonine for a highly conserved alanine at ND4L amino acid 71, which was not found in unaffected family members and 100 normal controls. It indicated that G10680A may play a synergistic role with the primary mutation T14484C, leading to the complete penetrance of LHON in the presenting family. In addition, the other modifier factors including nuclear background, mitochondrial haplotypes and other environmental factors should account for the phenotypic variability of visual impairment in this family.
Keywords:LHON   Mitochondrial DNA   T14484C   Penetrance   Haplogroup
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