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Neurology 2003;60:1857-1861
© 2003 American Academy of Neurology


Brief Communications

A missense mutation in the mitochondrial ND5 gene associated with a Leigh-MELAS overlap syndrome

Marco Crimi, PhD, Sara Galbiati, MD, Isabella Moroni, MD, Andreina Bordoni, BS, Maria Paola Perini, MD, Eleonora Lamantea, PhD, Monica Sciacco, MD, Massimo Zeviani, MD, Ida Biunno, PhD, Maurizio Moggio, MD, Guglielmo Scarlato, MD{dagger} and Giacomo Pietro Comi, MD

{dagger} Deceased.
From the Dino Ferrari Center (Drs. Crimi, Galbiati, Perini, Sciacco, Moggio, Scarlato, and Comi, A. Bordoni), Department of Neurological Sciences, University of Milan, I.R.C.C.S. Ospedale Maggiore Policlinico; Divisions of Neuropediatrics (Dr. Moroni) and Biochemistry and Genetics (Drs. Lamantea and Zeviani), National Neurological Institute-I.R.C.C.S., C. Besta; and Istituto Tecnologie Biomediche Avanzate (ITBA)-CNR and Centro Interdisciplinare Studi bio-molecolari e applicazioni Industriali (CISI) (Dr. Biunno), Milan, Italy.

Address correspondence and reprint requests to Dr. Marco Crimi, Dipartimento di Scienze Neurologiche, Ospedale Maggiore Policlinico (Pad.ne Ponti), Via F. Sforza 35, 20122 Milan, Italy; e-mail: neurogene{at}policlinico.mi.it

A 13084 A->T missense mutation in the mitochondrial ND5 gene was identified in a 16-year-old boy affected with a progressive neurodegenerative disorder combining features of Leigh and MELAS (mitochondrial encephalomyopathy, lactic acidosis, and strokelike episodes) syndromes. Muscle biopsy analysis revealed partial complex I deficiency. The mutation presented a variable degree of heteroplasmy in the patient’s tissues. This finding underlines the contribution of mtDNA-encoded complex I subunits in the etiology of complex I deficiency associated with encephalopathy.




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