Exercise intolerance due to a nonsense mutation in the mtDNA ND4 gene.

Abstract:

:We report the first molecular defect in an NADH-dehydrogenase gene presenting as isolated myopathy. The proband had lifelong exercise intolerance but no weakness. A muscle biopsy showed cytochrome c oxidase (COX)-positive ragged-red fibers (RRFs), and analysis of the mitochondrial enzymes revealed complex I deficiency. Sequence analysis of the mitochondrial genes encoding the seven NADH-dehydrogenase subunits showed a G-to-A transition at nucleotide 11832 in the subunit 4 (ND4) gene, which changed an encoded tryptophan to a stop codon. The mutation was heteroplasmic (54%) in muscle DNA. Defects in mitochondrially encoded complex I subunits should be added to the differential diagnosis of mitochondrial myopathies.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Andreu AL,Tanji K,Bruno C,Hadjigeorgiou GM,Sue CM,Jay C,Ohnishi T,Shanske S,Bonilla E,DiMauro S

doi

10.1002/1531-8249(199906)45:6<820::aid-ana22>3.0.c

keywords:

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

820-3

issue

6

eissn

0364-5134

issn

1531-8249

journal_volume

45

pub_type

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