1996
DOI: 10.1002/ana.410400506
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Clonal expansion of mitochondrial DNA with multiple deletions in autosomal dominant progressive external ophthalmoplegia

Abstract: Sporadic progressive external ophthalmoplegia and Kearns-Sayre syndrome are usually associated with single large-scale mitochondrial DNA deletions in muscle. In progressive external ophthalmoplegia with autosomal dominant inheritance, multiple mitochondrial DNA deletions have been reported. We studied several members of a Swedish family with autosomal dominant progressive external ophthalmoplegia and multiple mitochondrial DNA deletions by polymerase chain reaction analysis of single muscle fibers and by in si… Show more

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Cited by 86 publications
(46 citation statements)
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“…However, focal accumulation of very high levels of individual mtDNA point mutations is likely to be pathogenic in individual cells or segments of skeletal muscle cells. In fact, focal accumulation of pathogenic mtDNA deletions has been identified in COXdeficient skeletal muscle of patients with autosomal dominant progressive external ophthalmoplegia (37) and inclusion body myopathy (38).…”
mentioning
confidence: 99%
“…However, focal accumulation of very high levels of individual mtDNA point mutations is likely to be pathogenic in individual cells or segments of skeletal muscle cells. In fact, focal accumulation of pathogenic mtDNA deletions has been identified in COXdeficient skeletal muscle of patients with autosomal dominant progressive external ophthalmoplegia (37) and inclusion body myopathy (38).…”
mentioning
confidence: 99%
“…A similar effect is seen in progressive external ophthalmoplegia, a disease which is characterized by the formation of a variety of mtDNA deletions throughout the patient's lifetime. These deletions were found to vary from cell to cell, showing clonal expansion (99). Yet another disease state with possible implications for the interpretation of data concerning the common deletion in aging is Hashimoto's thyroiditis.…”
Section: Relationship Between Deletions and Oxidative Damagementioning
confidence: 98%
“…Clearly, in the case of homoplasmic mtDNA mutation, the aberrant mitochondrial gene(s) involved will be the only ones that are expressed. The appearance of altered RNA and protein products may distort cell homeostasis and therefore be harmful and pathogenic as seen in mitochondrial diseases [45][46][47][48]. More obscure situations arise when the mtDNA mutation is heteroplasmic and occurs concomitantly with wild-type mitochondrial genome.…”
Section: Structure and Biological Properties Of Mtdnamentioning
confidence: 99%