肌病和眼科异常与多个骨肌肉线粒体DNA删除有关
Andrew R Carey1, Neil R Miller, Hong Cui
1Neuro-Ophthalmology Division (ARC, NRM), Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland; GeneDx (HC, KA, AB, RB), Gaithersburg, Maryland; and Department of Genetic Medicine (HJV), Johns Hopkins University School of Medicine, Baltimore, Maryland.
概括
在患有眼科和肌肉疾病的成年患者的肌肉组织中发现了多个线粒体DNA删除,有助于在血液测试不确定的情况下进行分子诊断.
科学领域:
- 遗传学 遗传学 是一个
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 由线粒体DNA (mtDNA) 变异引起的线粒体疾病是由于异质体而难以诊断的.
- 识别mtDNA变异对于这些疾病的有效临床管理至关重要.
研究的目的:
- 为了研究成年患者的临床和分子发现与线粒体眼科和/或肌肉疾病.
- 确定多个mtDNA删除在这些疾病的呈现中的作用.
主要方法:
- 8名成年患者的回顾性审查,诊断为慢性渐进的外部眼膜,视神经异常和/或线粒体肌肉病变.
- 在血液,口腔和肌肉组织样本中分析线粒体DNA (mtDNA).
主要成果:
- 在血液或口腔样本中没有检测到致病性mtDNA变异.
- 在8名患者中,有7名患者的肌肉组织中发现了多个mtDNA删除;一名患者只有一次删除.
- 大多数缺失的异质体水平低于15%,只有一个例外在50%-60%.
结论:
- 在肌肉组织中发现的mtDNA缺失与成人患者的眼科和/或肌肉异常有关.
- 这些删除可能是观察到的临床表现的潜在原因.
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