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HEREDITAS(Beijing) ›› 2014, Vol. 36 ›› Issue (11): 1159-1167.doi: 10.3724/SP.J.1005.2014.1159

• Research Articles • Previous Articles     Next Articles

Mitochondrial genome analysis in the probands of six Chinese families with MELAS

Li Liu1, Yuquan Shao2, Baorong Zhang3, Pingping Jiang1, Ailian Du3, 4, Minxin Guan1   

  1. 1. Institute of Genetics, College of Life Science, Zhejiang University, Hangzhou 310058, China;
    2. Department of Neurology, Sir Run Run Shao Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China;
    3. Department of Neurology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China;
    4. Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China
  • Received:2014-04-04 Online:2014-11-20 Published:2014-10-28

Abstract: Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) is a genetically heterogeneous disorder. The most prevalent mitochondrial DNA (mtDNA) mutation associated with MELAS is the m.3243A>G transition in the mitochondrial tRNALeu(UUR) gene. Here, we report the clinical, genetic and molecular characterization of six probands from Han Chinese families with MELAS. Four of six probands carried the heteroplasmic m.3243A>G mutation. The levels of mutation load ranged from 29% to 59%, which were correlated with the severity of the clinical phenotypes. Two probands with MELAS/Leigh overlap were 3243 A>G negative, whose severity and relapse were greater than the other 4 probands. One proband with MELAS/Leigh harbored the known ND5 m.13094T>C mutation, which is related to MELAS/Leigh overlap and cerebella ataxia. Sequence analysis of entire mtDNA showed the distinct sets of variants including some variants that may be associated with diabetes, hearing loss, seizures, cardiomyopathy, and Leigh syndrome. Our data suggested that the phenotype and severity of MELAS mainly depend on the mutation load, and some variants may partially contribute to the phenotype and diversity. Our finding also highlighted the complexity of the relationship between genotype and phenotype in MELAS.

Key words: mitochondrial DNA, MELAS, polymorphism, phenotype