2009
DOI: 10.1210/jc.2008-2680
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The Clinical Variability of Maternally Inherited Diabetes and Deafness Is Associated with the Degree of Heteroplasmy in Blood Leukocytes

Abstract: These results support the hypothesis that heteroplasmy levels are at least one of the determinants of the severity of the phenotype in MIDD.

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Cited by 82 publications
(59 citation statements)
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“…There are also a number of well-characterized multisystem syndromes due to inherited mtDNA point mutations that are associated with deafness. These include MIDD (Laloi-Michelin et al, 2009), MELAS (Deschauer et al, 2001) and MERRF (Chinnery et al, 2000; Fischel-Ghodsian, 2003), which are each associated with multiple clinical phenotypes. However, similar to most phenotypes observed in mtDNA genetic disorders, deafness is not an obligatory clinical feature.…”
Section: Human Mitochondrial Diseases Associated With Hearing Lossmentioning
confidence: 99%
“…There are also a number of well-characterized multisystem syndromes due to inherited mtDNA point mutations that are associated with deafness. These include MIDD (Laloi-Michelin et al, 2009), MELAS (Deschauer et al, 2001) and MERRF (Chinnery et al, 2000; Fischel-Ghodsian, 2003), which are each associated with multiple clinical phenotypes. However, similar to most phenotypes observed in mtDNA genetic disorders, deafness is not an obligatory clinical feature.…”
Section: Human Mitochondrial Diseases Associated With Hearing Lossmentioning
confidence: 99%
“…As demonstrated in other studies (Bai and Wong, 2004;Genasetti et al, 2007;Sakiyama et al, 2011), using ARMS, we were able to detect variable proportions of the m.1624C>T mutation. The proportion of heteroplasmic mtDNA is generally one determinant of phenotypic severity (Choi et al, 2010;Laloi-Michelin et al, 2009). Compared with the severely affected Leigh syndrome-like siblings with homoplasmic m.1624C>T mutation, our heteroplasmic cases showed milder phenotypes with respect to the age of onset and clinical features (Table 5); the lower proportion of mutant mtDNA might be responsible for this.…”
Section: Discussionmentioning
confidence: 75%
“…Interestingly, similar symptoms have been associated with some patients with another mitochondrial disorder, maternally inherited diabetes and deafness, which highlights the clinical overlap which often exists with mitochondrial diseases [37,38] . Neuropathy, ataxia and retinitis pigmentosa syndrome is usually due to the ATP6 T8993G mutation.…”
Section: Mtdna Mutationsmentioning
confidence: 80%