Skip to main content

Inheritance of the m.3243A>G mutation

  • Research Report
  • Chapter
  • First Online:
JIMD Reports - Case and Research Reports, 2012/5

Part of the book series: JIMD Reports ((JIMD,volume 8))

Abstract

The m.3243A>G is the most prevalent pathogenic mtDNA mutation but little is known about its inheritance. We studied 34 families containing 56 mother-child relations and 82 intersibling relations to investigate its transmission. We found a significant correlation between mother and child heteroplasmy levels (r = 0.679, p < 0.001). In mothers with a heteroplasmy level of below 25% we found 30% offspring without detectable mutation, while in mothers with a heteroplasmy level of above 25%, 100% of the offspring showed the m.3243A>G mutation. Heteroplasmy levels between siblings also correlated (r = 0.512, p < ;0.001), but had limited extra predictive value because of outliers. These new data on inheritance of the m.3243A>G mutation might be of value in counseling patients and preventing transmission of the mutation.

Competing interests: None declared

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

mtDNA:

Mitochondrial DNA

nDNA:

Nuclear DNA

UEC:

Urinary Epithelial Cells

MELAS:

Mitochondrial myopathy, Encephalopathy, Lactate Acidosis, and Stroke-like episodes

MIDD:

Maternally Inherited Diabetes and Deafness

PGD:

Preimplantation Genetic Diagnosis

References

  • Chinnery PF, Johnson MA, Wardell TM et al (2000a) The epidemiology of pathogenic mitochondrial DNA mutations. Ann Neurol 48:188–193

    Article  PubMed  CAS  Google Scholar 

  • Chinnery PF, Thorburn DR, Samuels DC et al (2000b) The inheritance of mitochondrial DNA heteroplasmy: random drift, selection or both? Trends Genet 16:500–505

    Article  PubMed  CAS  Google Scholar 

  • Cree LM, Samuels DC, Chinnery PF (2009) The inheritance of pathogenic mitochondrial DNA mutations. Biochim Biophys Acta 1792:1097–1102

    Article  PubMed  CAS  Google Scholar 

  • de Laat P, Koene S, van den Heuvel LP, Rodenburg RJ, Janssen MC and Smeitink JA (2012) Clinical features and heteroplasmy in blood, urine and saliva in 34 Dutch families carrying the m.3243A>G mutation. J Inherit Metab Dis [Epub ahead of print]

    Google Scholar 

  • Frederiksen AL, Andersen PH, Kyvik KO, Jeppesen TD, Vissing J, Schwartz M (2006) Tissue specific distribution of the 3243A->G mtDNA mutation. J Med Genet 43:671–677

    Article  PubMed  CAS  Google Scholar 

  • Goto Y, Nonaka I, Horai S (1990) A mutation in the tRNA(Leu)(UUR) gene associated with the MELAS subgroup of mitochondrial encephalomyopathies. Nature 348:651–653

    Article  PubMed  CAS  Google Scholar 

  • Greaves LC, Taylor RW (2006) Mitochondrial DNA mutations in human disease. IUBMB Life 58:143–151

    Article  PubMed  CAS  Google Scholar 

  • Guillausseau PJ, Massin P, Dubois-LaForgue D et al (2001) Maternally inherited diabetes and deafness: a multicenter study. Ann Intern Med 134:721–728

    PubMed  CAS  Google Scholar 

  • Katulanda P, Groves CJ, Barrett A et al (2008) Prevalence and clinical characteristics of maternally inherited diabetes and deafness caused by the mt3243A > G mutation in young adult diabetic subjects in Sri Lanka. Diabet Med 25:370–374

    Article  PubMed  CAS  Google Scholar 

  • Lev D, Nissenkorn A, Leshinsky-Silver E et al (2004) Clinical presentations of mitochondrial cardiomyopathies. Pediatr Cardiol 25:443–450

    Article  PubMed  CAS  Google Scholar 

  • Lowik MM, Hol FA, Steenbergen EJ, Wetzels JF, van den Heuvel LP (2005) Mitochondrial tRNALeu(UUR) mutation in a patient with steroid-resistant nephrotic syndrome and focal segmental glomerulosclerosis. Nephrol Dial Transplant 20:336–341

    Article  PubMed  CAS  Google Scholar 

  • Ma Y, Fang F, Cao Y et al (2010) Clinical features of mitochondrial DNA m.3243A>G mutation in 47 Chinese families. J Neurol Sci 291(1–2):17–21

    Article  PubMed  CAS  Google Scholar 

  • Ma Y, Fang F, Yang Y et al (2009) The study of mitochondrial A3243G mutation in different samples. Mitochondrion 9:139–143

    Article  PubMed  CAS  Google Scholar 

  • Majamaa-Voltti KA, Winqvist S, Remes AM et al (2006) A 3-year clinical follow-up of adult patients with 3243A>G in mitochondrial DNA. Neurology 66:1470–1475

    Article  PubMed  CAS  Google Scholar 

  • Majamaa K, Moilanen JS, Uimonen S et al (1998) Epidemiology of A3243G, the mutation for mitochondrial encephalomyopathy, lactic acidosis, and strokelike episodes: prevalence of the mutation in an adult population. Am J Hum Genet 63:447–454

    Article  PubMed  CAS  Google Scholar 

  • Manwaring N, Jones MM, Wang JJ et al (2007) Population prevalence of the MELAS A3243G mutation. Mitochondrion 7:230–233

    Article  PubMed  CAS  Google Scholar 

  • Michaelides M, Jenkins SA, Bamiou DE et al (2008) Macular dystrophy associated with the A3243G mitochondrial DNA mutation. Distinct retinal and associated features, disease variability, and characterization of asymptomatic family members. Arch Ophthalmol 126:320–328

    Article  PubMed  CAS  Google Scholar 

  • Parsons T, Weimer L, Engelstad K et al (2010) Autonomic symptoms in carriers of the m.3243A>G mitochondrial DNA mutation. Arch Neurol 67:976–979

    Article  PubMed  Google Scholar 

  • Poulton J, Kennedy S, Oakeshott P, Wells D (2009) Preventing transmission of maternally inherited mitochondrial DNA diseases. Bmj 338:b94

    Article  PubMed  Google Scholar 

  • van den Ouweland JM, Lemkes HH, Ruitenbeek W et al (1992) Mutation in mitochondrial tRNA(Leu)(UUR) gene in a large pedigree with maternally transmitted type II diabetes mellitus and deafness. Nat Genet 1:368–371

    Article  PubMed  Google Scholar 

  • Whittaker RG, Blackwood JK, Alston CL et al (2009) Urine heteroplasmy is the best predictor of clinical outcome in the m.3243A>G mtDNA mutation. Neurology 72:568–569

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

Part of this work was supported by the Energy4All foundation and ZonMW.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paul de Laat M.D. .

Editor information

Editors and Affiliations

Additional information

Communicated by: Garry Brown

Appendices

Conflicts of Interest

Authors report no conflicts of interest.

Key Sentence/Synopsis

In mothers carrying an m.3243A>G mutation with a heteroplasmy level of below 25%, we found that 30% of the offspring were unaffected. This new data on inheritance of the m.3243A>G mutation will be of great help for counseling patients and preventing transmission of the mutation.

Rights and permissions

Reprints and permissions

Copyright information

© 2012 SSIEM and Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

de Laat, P., Koene, S., Heuvel, L.P.W.J.v., Rodenburg, R.J.T., Janssen, M.C.H., Smeitink, J.A.M. (2012). Inheritance of the m.3243A>G mutation. In: Zschocke, J., Gibson, K., Brown, G., Morava, E., Peters, V. (eds) JIMD Reports - Case and Research Reports, 2012/5. JIMD Reports, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/8904_2012_159

Download citation

  • DOI: https://doi.org/10.1007/8904_2012_159

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-33432-0

  • Online ISBN: 978-3-642-33433-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics