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NEUROLOGY 2003;61:1144-1147
© 2003 American Academy of Neurology


Brief Communications

Classical mitochondrial phenotypes without mtDNA mutations

The possible role of nuclear genes

Teeratorn Pulkes, MD, Danae Liolitsa, PhD, Isabelle P. Nelson, PhD and Michael G. Hanna, MD

From the Division of Neurology (Dr. Pulkes), Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; and Department of Molecular Neuroscience (Drs. Liolitsa, Nelson, and Hanna) and Centre of Neuromuscular Disease (Dr. Hanna), Institute of Neurology, University College London, England.

Address correspondence and reprint requests to Dr. M.G. Hanna, Centre of Neuromuscular Disease and Department of Molecular Neurosciences, Division of Neurology, Institute of Neurology, Queen Square, London WC1N 3BG, UK; e-mail: m.hanna{at}ion.ucl.ac.uk

The authors analyzed the total mitochondrial (mt) genome in 15 patients with classic mitochondrial phenotypes. Novel somatic mtDNA mutations in two patients with chronic progressive external ophthalmoplegia were identified. Total automated mtDNA genome analysis did not reveal other pathogenic mtDNA mutations. The authors conclude that classic mitochondrial phenotypes, including those with adult onset, may occur in the absence of mtDNA mutations. Nuclear gene mutations may be the cause.


Received February 10, 2003. Accepted in final form June 16, 2003.







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