Screening for the mitochondrial DNA A3243G mutation in children with insulin-dependent diabetes mellitus

M M Abad1, P D Cotter, F H Fodor

  • 1Department of Pediatrics, Mount Sinai School of Medicine, New York, NY, USA.

Insights

The mitochondrial DNA (mtDNA) A3243G mutation, linked to adult diabetes, was not found in pediatric insulin-dependent diabetes mellitus (IDDM) patients. This suggests the mutation plays a minimal role in childhood IDDM development.

Area of Science:

  • Genetics
  • Molecular Biology
  • Endocrinology

Background:

  • Recent studies identified the mitochondrial DNA (mtDNA) A3243G mutation in adult-onset diabetes.
  • The role of this specific mtDNA mutation in pediatric diabetes remains unclear.

Purpose of the Study:

  • To determine the frequency of the mtDNA A3243G mutation in a pediatric population diagnosed with insulin-dependent diabetes mellitus (IDDM).

Main Methods:

  • DNA was extracted from the peripheral blood of 270 pediatric IDDM patients.
  • Minisequencing and ApaI endonuclease restriction after PCR amplification were used to screen for the mtDNA A3243G mutation.

Main Results:

  • The A3243G mtDNA mutation was not detected in any of the pediatric IDDM patients studied.
  • The mutation was found to be uncommon across diverse ethnic and racial groups within the pediatric IDDM cohort.

Conclusions:

  • The mitochondrial DNA A3243G mutation is rare in children with insulin-dependent diabetes mellitus.
  • The contribution of the A3243G mtDNA mutation to the pathogenesis of pediatric IDDM is likely minimal.

Related Concept Videos

Animal Mitochondrial Genetics02:59

Animal Mitochondrial Genetics

Among all the organelles in an animal cell, only mitochondria have their own independent genomes. Animal mitochondrial DNA is a double-stranded, closed-circular molecule with around 20,000 base pairs. Mitochondrial DNA is unique in that one of its two strands, the heavy, or H, -strand is guanine rich, whereas the complementary strand is cytosine rich and called the light, or L, -strand. Compared to nuclear DNA, mitochondrial DNA has a very low percentage of non-coding regions and is marked by...
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is based on...
Diabetes Mellitus: Introduction01:26

Diabetes Mellitus: Introduction

Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis01:25

Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis

Type 2 diabetes mellitus develops gradually and is often asymptomatic in early stages.Clinical ManifestationsWhen symptoms appear, they include fatigue, blurred vision, pruritus, delayed wound healing, and recurrent infections, particularly candidal infections. Peripheral neuropathy may present as numbness or tingling in the extremities. Classic hyperglycemia symptoms—polyuria, polydipsia, and polyphagia—are less common. Most patients are overweight and frequently have associated hypertension...