Abstract
Two sons and one daughter of healthy consanguineous parents presented with fatal hepatic failure in association with severe depletion of mitochondrial (mt)DNA in liver; a third son is healthy. Other published cases of mtDNA depletion concern single members of a family, which excludes the use of haplotype analysis. In the family presented here, the inheritance of the genes for mitochondrial transcription factor A (mtTFA), nuclear respiratory factor 1 (NRF-1), mitochondrial single-stranded DNA-binding protein (mtSSBP), and endonuclease G (EndoG) was studied using microsatellite markers linked to these genes. The inheritance of the gene for mtDNA polymerase (pol gamma) was studied using a polymorphic CAG repeat present within the coding region of the gene. EndoG and mtSSBP were excluded, but mtTFA remains a candidate. Pol gamma or NRF-1 involvement would be compatible only with autosomal dominant inheritance. Coding sequence analysis of NRF-1 and mtTFA revealed no novel mutations in affected individuals.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Chromosomes, Human / genetics
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Consanguinity
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DNA Polymerase gamma
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DNA, Mitochondrial / genetics*
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DNA-Binding Proteins / genetics*
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DNA-Directed DNA Polymerase / genetics
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Endodeoxyribonucleases / genetics
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Female
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Genes / genetics
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Genetic Linkage
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Haplotypes*
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Humans
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Infant, Newborn
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Liver Failure / genetics*
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Male
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Microsatellite Repeats / genetics
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Mitochondria, Liver / genetics*
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Mitochondrial Proteins*
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NF-E2-Related Factor 1
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Nuclear Proteins*
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Nuclear Respiratory Factor 1
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Nuclear Respiratory Factors
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Pedigree
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Trans-Activators / genetics
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Transcription Factors / genetics*
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Trinucleotide Repeats / genetics
Substances
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DNA, Mitochondrial
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DNA-Binding Proteins
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Mitochondrial Proteins
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NF-E2-Related Factor 1
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NRF1 protein, human
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Nuclear Proteins
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Nuclear Respiratory Factor 1
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Nuclear Respiratory Factors
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TFAM protein, human
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Trans-Activators
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Transcription Factors
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mitochondrial transcription factor A
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DNA Polymerase gamma
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DNA-Directed DNA Polymerase
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Endodeoxyribonucleases
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endonuclease G