A1 Refereed original research article in a scientific journal

The m.7510T > C mutation: Hearing impairment and a complex neurologic phenotype




AuthorsLaura Kytövuori, Maria Gardberg, Kari Majamaa, Mika H. Martikainen

PublisherWILEY

Publication year2017

JournalBrain and Behavior

Journal name in sourceBRAIN AND BEHAVIOR

Journal acronymBRAIN BEHAV

Article numberARTN e00859

Volume7

Issue12

Number of pages6

ISSN2162-3279

DOIhttps://doi.org/10.1002/brb3.859

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/28628251


Abstract
Objectives: Mutations in mitochondrial DNA cause a variety of clinical phenotypes ranging from a mild hearing impairment (HI) to severe encephalomyopathy. The MT-TS1 gene is a hotspot for mutations causing HI. The m.7510T>C mutation in MT-TS1 has been previously associated with non-syndromic HI in four families from different ethnic backgrounds.

Materials and Methods: We describe the clinical, genetic, and histopathological findings in a Finnish family with the heteroplasmic m.7510T>C mutation in mitochondrial DNA.ResultsThe family proband presented with a progressive mitochondrial disease phenotype including migraine, epilepsy, mild ataxia, and cognitive impairment in addition to HI. One young adult presented with HI only. Other family members had a mild phenotype comprising ataxia and tremor in addition to HI. Mutation heteroplasmy was 90% in the blood of maternal grandmother and 99% in the muscle and blood of the three other family members. Muscle histology was consistent with mitochondrial myopathy in three family members. The mitochondrial haplogroup of the family was a different branch of the haplogroup H than in the previous reports of this mutation.

Conclusion: Our results suggest that, in addition to sensorineural HI, the m.7510T>C mutation is associated with a spectrum of mitochondrial disease clinical features including migraine, epilepsy, cognitive impairment, ataxia, and tremor, and with evidence of mitochondrial myopathy.

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