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3.1-kb deletion of mitochondrial DNA in a patient with Kearns-Sayre syndrome

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Abstract

Mitochondrial DNA (mtDNA) deletions have been found in the majority of patients with chronic progressive external ophthalmoplegia and Kearns-Sayre syndrome. A large number of different mtDNA deletions have been identified. They generally spare the two origins of replication and are frequently flanked by direct or indirect repeats. We have found a 3.1-kb deletion of mtDNA in a patient with Kearns-Sayre syndrome that has some unusual features. First, it encompasses nucleotides 11259 to 14368, a localization that was not described before. Second, the deletion is not flanked by direct or indirect repeats, supporting the view that homologous recombination and slip-replication do not account for all mtDNA deletions.

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References

  1. Anderson S, Bankier AT, Barrell BG, de Bruijn MHL, Coulson AR, Drouin J, Eperon IC, Nierlich DP, Roe BA, Sanger F, Schreier PH, Smith AJH, Staden R, Young IG (1981) Sequence and organization of the human mitochondrial genome. Nature 290:457–465

    Google Scholar 

  2. Ballinger SW, Shoffner JM, Hedaya EV, Trounce I, Polak MA, Koontz DA, Wallace DC (1992) Maternally transmitted diabetes and deafness associated with a 10.4 kb mitochondrial DNA deletion. Nature Genet 1:11–15

    Google Scholar 

  3. Dubowitz V (1985) Muscle biopsy: a practical approach. Bailliere Tindall, London

    Google Scholar 

  4. Engel AG (1986) The muscle biopsy. In: Engel AG, Banker BQ (eds) Myology. McGraw-Hill, New York, pp 833–843

    Google Scholar 

  5. Holt IJ, Harding AE, Morgan-Hughes JA (1988) Deletions of muscle mitochondrial DNA in patients with mitochondrial myopathies. Nature 331:717–719

    Google Scholar 

  6. Johns DR, Rutledge SL, Stine OC, Hurko O (1989) Directly repeated sequences associated with pathogenic mitochondrial DNA deletions. Proc Natl Acad Sci USA 86:8059–8062

    Google Scholar 

  7. Johnson MA, Turnbull DM, Dick DJ, Sheratt HSA (1983) A partial deficiency of cytochrome c oxidase in chronic progressive external ophthalmoplegia. J Neurol Sci 60:31–53

    Google Scholar 

  8. Kearns TP, Sayre GP (1958) Retinitis pigmentosa, external ophthalmoplegia, and complete heart block. Arch Ophthalmol 60:280–289

    Google Scholar 

  9. Lauber J, Marsac C, Kadenbach B, Seibel P (1991) Mutations in mitochondrial tRNA genes: a frequent cause of neuromuscular diseases. Nucleic Acids Res 19:1393–1397

    Google Scholar 

  10. Mita S, Rizzuto R, Moraes CT, Shanske S, Arnaudo E, Fabrizi GM, Koga Y, DiMauro S, Schon EA (1990) Recombination via flanking direct repeats is a major cause of large-scale deletions of human mitochondrial DNA. Nucleic Acids Res 18: 561–567

    Google Scholar 

  11. Miyabayashi S, Hanamizu H, Endo H, Tada K, Horai S (1991) A new type of mitochondrial DNA deletion in patients with encephalomyopathy. J Inherit Metab Dis 14:805–812

    Google Scholar 

  12. Moraes CT, DiMauro S, Zeviani M, Lombes A, Shanske S, Miranda AF, Nakase H, Bonilla E, Werneck LC, Servidei S, Nonaka I, Koga Y, Spiro AJ, Brownell AKW, Schmidt B, Schotland DL, Zupanc M, DeVivo DC, Schon EA, Rowland LP (1989) Mitochondrial DNA deletions in progressive external ophthalmoplegia and Kearns-Sayre syndrome. N Engl J Med 320:1293–1299

    Google Scholar 

  13. Müller-Höcker J, Pongratz D, Hübner G (1983) Focal deficiency of cytochrome c oxidase in skeletal muscle of patients with progressive external ophthalmoplegia. Virchows Arch A 402:61–71

    Google Scholar 

  14. Pavlakis SG, Rowland LP, DeVivo DC, Bonilla E, DiMauro S (1988) Mitochondrial myopathies and encephalomyopathies. In: Plum F (ed) Advances in contemporary neurology. FA Davis, Philadelphia, pp 95–133

    Google Scholar 

  15. Reichmann H, Rohkamm R, Zeviani M, Servidei S, Ricker K, DiMauro S (1986) Mitochondrial myopathy due to complex III deficiency with normal reducible cytochromoe b concentration. Arch Neurol 43:957–961

    Google Scholar 

  16. Schon EA, Rizzuto R, Moraes CT, Nakase H, Zeviani M, DiMauro S (1989) A direct repeat is a hotspot for large-scale deletion of human mitochondrial DNA. Science 244:346–349

    Google Scholar 

  17. Seibel P, Mell O, Hannemann A, Müller-Höcker J, Kadenbach B (1991) A method for quantitative analysis of deleted mitochondrial DNA by PCR in small tissue samples. Methods Mol Cell Biol 2:147–153

    Google Scholar 

  18. Shanske S, Moraes CT, Lombes A, Miranda AF, Bonilla E, Lewis P, Whelan MA, Ellsworth CA, DiMauro S (1990) Widespread tissue distribution of mitochondrial DNA deletions in Kearns-Sayre syndrome. Neurology 40:24–28

    Google Scholar 

  19. Shoffner JM, Lott MT, Voljavec AS, Soueidan SA, Costigan DA, Wallace DC (1989) Spontaneous Kearns-Sayre/chronic external ophthalmoplegia plus syndrome associated with a mitochondrial DNA deletion; a slip-replication model and metabolic therapy. Proc Natl Acad Sci USA 86:7952–7956

    Google Scholar 

  20. Southern EM (1975) Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol 98: 503–517

    Google Scholar 

  21. Wallace DC, Lott MT, Torroni A, Shoffner JM (1991) Report of the committee on human mitochondrial DNA. Cytogenet Cell Genet 58:1103–1123

    Google Scholar 

  22. Wallace DC (1992) Diseases of the mitochondrial DNA. Annu Rev Biochem 61:1175–1212

    Google Scholar 

  23. Zeviani M, Moraes CT, DiMauro S, Nakase H, Bonilla E, Schon EA, Rowland LP (1988) Deletions of mitochondrial DNA in Kearns-Sayre syndrome. Neurology 38:1339–1346

    Google Scholar 

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Klopstock, T., Bischof, F., Gerok, K. et al. 3.1-kb deletion of mitochondrial DNA in a patient with Kearns-Sayre syndrome. Acta Neuropathol 90, 126–129 (1995). https://doi.org/10.1007/BF00294310

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  • DOI: https://doi.org/10.1007/BF00294310

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