2001
DOI: 10.1212/wnl.56.3.405
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Atypical MELAS syndrome associated with a new mitochondrial tRNA glutamine point mutation

Abstract: The authors studied a 47-year-old patient who presented with an association of deafness, acute cerebral stroke-like episode, leukoencephalopathy, and extensive basal ganglia calcifications. Late onset and neuroradiologic findings were atypical for MELAS syndrome (Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, and Strokelike episodes). A heteroplasmic G to A transition at nucleotide 4332 in the tRNA glutamine gene was identified in the patient's muscle mitochondrial DNA. The pathogenicity of the mutat… Show more

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Cited by 71 publications
(37 citation statements)
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“…A3243G mutations in the D-loop of (mt)tRNA Leu and A8296G mutation in the accepter stem of (mt)tRNA Lys are associated with Diabetes Mellitus, DeaFness, DMDF [36]. Mostly the variations in (mt)tRNA Leu are linked to MELAS, in an odd case G4332A transition in (mt)tRNA Gln is reported [37]. On the other hand, MERRF has been associated with an A→G transition in the T-loop of the (mt)tRNA Lys gene [38,39].…”
Section: Diseases Associated With (Mt) Trna and (N) Trnamentioning
confidence: 99%
See 1 more Smart Citation
“…A3243G mutations in the D-loop of (mt)tRNA Leu and A8296G mutation in the accepter stem of (mt)tRNA Lys are associated with Diabetes Mellitus, DeaFness, DMDF [36]. Mostly the variations in (mt)tRNA Leu are linked to MELAS, in an odd case G4332A transition in (mt)tRNA Gln is reported [37]. On the other hand, MERRF has been associated with an A→G transition in the T-loop of the (mt)tRNA Lys gene [38,39].…”
Section: Diseases Associated With (Mt) Trna and (N) Trnamentioning
confidence: 99%
“…In eukaryotes, more than 100 chemically diverse modifications have been identified so far, many of which are conserved among organisms (see MODOMICS database) and between tRNAs encoded in the nuclear or organelle genomes. Generally, positions 9,26,32,34,37,38,48,49,50 of tRNA are affected most by different modifications that ultimately lead to diseases [108]. Conserved modifications across all domains of life underscore their biological importance.…”
Section: Hypotheses On Mechanisms Of Trn-a-rs Link To Diseases and Camentioning
confidence: 99%
“…Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) is a representative mitochondrial disease. The m.3243A G mutation in MT-TL1 (tRNA Leu (UUR) ) comprises about 80% of cases of MELAS, while some cases of MELAS have an m.4332G A mutation in MT-TQ 24) . The m.3243A G mutation is also associated with diabetes mellitus, and was found in 1% of Japanese type 2 diabetic patients 25) .…”
Section: Haplogroup M7amentioning
confidence: 99%
“…O estudo radiológico pode revelar atrofia cerebral, cerebelar e de tronco cerebral, calcificações, hidrocefalia ex-vácuo, alterações de sinal na substância branca principalmente periventricular 4,7,8 . No presente caso foram observadas essas alterações.…”
Section: Fig 1 Rm De Crânio Corte Axial T 1 (A) E Flair (B) Revelanunclassified
“…O estudo histopatológico muscular destes pacientes, em geral, demonstra fibras vermelhas rotas rajadas (RRF), porém a sua ausência não invalida o diagnóstico 3,4,8 . Há ainda possibilidade de não haver RRF inicialmente e em outro momento estarem presentes de acordo com a progressão da doença.…”
Section: Fig 1 Rm De Crânio Corte Axial T 1 (A) E Flair (B) Revelanunclassified