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A role for homocysteine increase in haemolysis of megaloblastic anaemias due to vitamin B(12) and folate deficiency: results from an in vitro experience. 同型半胱氨酸在因维生素B(12)和叶酸缺乏引起的巨幼细胞性贫血溶血中的作用:来自体外实验的结果。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.08.005
Paolo Ventura, Rossana Panini, Silvia Tremosini, Gianfranco Salvioli

Megaloblastic anaemias (MA) are frequently associated with haemolysis. The pathogenesis of these finding is not clear, but it is thought to depend on the greater destruction of abnormal and fragile megaloblastic erythrocytes. Vitamin B(12) and folate deficiencies are the commonest cause of MA; these deficiencies may simultaneously induce a significant alteration in homocysteine metabolism leading to hyperhomocysteinemia. Blood cells have enzymes involved in homocysteine metabolism. Considering the possible effects of hyperhomocysteinemia in erythrocyte toxicity (due to oxidative damage and/or to interaction with sulfhydryl residues of structural and enzymatic proteins), the aim of our study was to evaluate (1) the homocysteine blood cells production in patients with MA due to vitamin B(12) and folate deficiency and (2) the possible role and mechanism of hyperhomocysteinemia in MA haemolysis. After incubation at 37 degrees C, blood samples from MA patients showed higher and significant levels of Hcy, LDH, lipid peroxidation parameters (MDA), and ghost protein-bound Hcy than controls. Haemolysis (%) was higher in MA patients than controls and was significantly correlated with Hcy accumulation in the medium, lipid peroxidation indices and ghost protein-bound Hcy. No significant (or significantly lower) alterations through time in considered parameters were observed in the corresponding samples incubated at 4 degrees C or in samples incubated with methionine-free medium (lower Hcy production). Our data, deriving from an in vitro experience, suggest a possible role of Hcy accumulation due to vitamin B(12) and folate deficiencies in haemolysis associated to MA due to vitamin deficiency.

巨幼细胞性贫血(MA)常伴有溶血。这些发现的发病机制尚不清楚,但它被认为是依赖于异常和脆弱的巨幼细胞红细胞的更大破坏。维生素B(12)和叶酸缺乏是MA最常见的原因;这些缺陷可能同时引起同型半胱氨酸代谢的显著改变,导致高同型半胱氨酸血症。血细胞中有参与同型半胱氨酸代谢的酶。考虑到高同型半胱氨酸血症对红细胞毒性(由于氧化损伤和/或与结构蛋白和酶蛋白的巯基残基相互作用)的可能影响,我们研究的目的是评估(1)维生素B(12)和叶酸缺乏导致的MA患者的同型半胱氨酸血细胞生成(2)高同型半胱氨酸血症在MA溶血中的可能作用和机制。37℃孵育后,MA患者的血液样本显示Hcy、LDH、脂质过氧化参数(MDA)和鬼蛋白结合Hcy的水平高于对照组。MA患者的溶血率(%)高于对照组,并与培养基中的Hcy积累、脂质过氧化指数和鬼影蛋白结合Hcy显著相关。在4℃下孵育的相应样品或在无蛋氨酸培养基中孵育的样品(较低的Hcy产量)中,所考虑的参数随时间没有显著(或显著更低)的变化。我们的数据来自体外实验,表明维生素B(12)和叶酸缺乏导致的Hcy积累可能在与维生素缺乏引起的MA相关的溶血中起作用。
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引用次数: 43
Feature genes of hepatitis B virus-positive hepatocellular carcinoma, established by its molecular discrimination approach using prediction analysis of microarray. 乙型肝炎病毒阳性肝癌的特征基因,通过微阵列预测分析的分子鉴别方法建立。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.07.004
Bu-Yeo Kim, Je-Geun Lee, Sunhoo Park, Jae-Yeon Ahn, Yeun-Jin Ju, Jin-Haeng Chung, Chul Ju Han, Sook-Hyang Jeong, Young Il Yeom, Sangsoo Kim, Yong-Sung Lee, Chang-Min Kim, Eun-Mi Eom, Dong-Hee Lee, Kang-Yell Choi, Myung-Haing Cho, Kyung-Suk Suh, Dong-Wook Choi, Kee-Ho Lee

Recent introduction of a learning algorithm for cDNA microarray analysis has permitted to select feature set to accurately distinguish human cancers according to their pathological judgments. Here, we demonstrate that hepatitis B virus-positive hepatocellular carcinoma (HCC) could successfully be identified from non-tumor liver tissues by supervised learning analysis of gene expression profiling. Through learning and cross-validating HCC sample set, we could identify an optimized set of 44 genes to discriminate the status of HCC from non-tumor liver tissues. In an analysis of other blind-tested HCC sample sets, this feature set was found to be statistically significant, indicating the reproducibility of our molecular discrimination approach with the defined genes. One prominent finding was an asymmetrical distribution pattern of expression profiling in HCC, in which the number of down-regulated genes was greater than that of up-regulated genes. In conclusion, the present findings indicate that application of learning algorithm to HCC may establish a reliable feature set of genes to be useful for therapeutic target of HCC, and that the asymmetric expression pattern may emphasize the importance of suppressed genes in HCC.

最近引入的一种用于cDNA微阵列分析的学习算法允许根据其病理判断选择特征集来准确区分人类癌症。在这里,我们证明乙型肝炎病毒阳性的肝细胞癌(HCC)可以通过基因表达谱的监督学习分析成功地从非肿瘤肝组织中识别出来。通过对HCC样本集的学习和交叉验证,我们可以鉴定出一组优化的44个基因,用于区分HCC与非肿瘤肝组织的状态。在对其他盲测HCC样本集的分析中,发现该特征集具有统计学意义,表明我们的分子鉴别方法具有定义基因的可重复性。一个突出的发现是HCC中表达谱的不对称分布模式,其中下调基因的数量大于上调基因的数量。综上所述,本研究结果表明,将学习算法应用于HCC可以建立一个可靠的基因特征集,用于HCC的治疗靶点,并且不对称的表达模式可能强调了HCC中抑制基因的重要性。
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引用次数: 26
Metabolic alteration of the N-glycan structure of a protein from patients with a heterozygous protein deficiency. 杂合子蛋白质缺乏症患者蛋白质 N-糖结构的代谢改变。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.08.006
Fuming Zhang, Andrew D Bries, Sybil C Lang, Qun Wang, David W Murhammer, John M Weiler, Robert J Linhardt

Glycosylation, an important post-translation modification, could alter biological activity or influence the clearance rates of glycoproteins. We report here the first example of a heterozygous protein deficiency leading to metabolic alteration of N-glycan structures in residual secreted protein. Analysis of C1 esterase inhibitor (C1INH) glycans from normal individuals and patients with hereditary deficiency of C1INH demonstrated identical O-glycan structures but the N-glycans of patients with a heterozygous genetic deficiency were small, highly charged and lacked sialidase releasable N-acetylneuraminic acid. Structural studies indicate that the charge character of these aberrant N-glycan structures may result from the presence of mannose-6-phosphate residues. These residues might facilitate secretion of C1INH through an alternate lysosomal pathway, possibly serving as a compensatory mechanism to enhance plasma levels of C1INH in these deficient patients.

糖基化是一种重要的翻译后修饰,可改变糖蛋白的生物活性或影响其清除率。我们在此首次报道了杂合子蛋白缺乏症导致残留分泌蛋白中的 N-糖结构发生新陈代谢改变的实例。对正常人和遗传性 C1INH 缺乏症患者的 C1 酯酶抑制剂(C1INH)聚糖的分析表明,O-聚糖结构完全相同,但杂合子遗传性缺乏症患者的 N-聚糖体积小、电荷高,并且缺乏可被糖苷酶释放的 N-乙酰神经氨酸。结构研究表明,这些异常 N-聚糖结构的电荷特性可能是由于存在 6-磷酸甘露糖残基。这些残基可能会促进 C1INH 通过另一种溶酶体途径分泌,从而可能成为一种补偿机制,提高这些缺乏症患者血浆中的 C1INH 水平。
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引用次数: 0
PCTH: a novel orally active chelator of the aroylhydrazone class that induces iron excretion from mice. PCTH:一种新的口服活性芳基腙类螯合剂,可诱导小鼠铁排泄。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.09.001
C S M Wong, J C Kwok, D R Richardson

beta-Thalassaemia major is an inherited blood disorder which is complicated by repeated blood transfusion and excessive gastrointestinal iron (Fe) absorption, which leads to toxic Fe overload. Current treatment using the chelator, desferrioxamine (DFO), is expensive and cumbersome since the drug requires long subcutaneous infusions and it is not orally active. A novel chelator, 2-pyridylcarboxaldehyde 2-thiophenecarboxyl hydrazone (PCTH), was recently designed and shown to have high Fe chelation efficacy in vitro. The aim of this investigation was to examine the Fe chelation efficacy of PCTH in vitro implementing primary cultures of cardiomyocytes and in vivo using mice. We showed that PCTH was significantly (P<0.005) more effective than DFO at mobilising (59)Fe from prelabelled cardiomyocytes. Moreover, PCTH prevented the incorporation of (59)Fe into ferritin during Fe uptake from (59)Fe-labelled transferrin. These effects were important to assess as cardiac complications caused by Fe deposition are a major cause of death in beta-thalassaemia major patients. Further studies showed that PCTH was orally active and well tolerated by mice at doses ranging from 50 to 200 mg/kg, twice daily (bd), for 2 days. A dose-dependent increase in faecal (59)Fe excretion was observed in the PCTH-treated group. This level of Fe excretion at 200 mg/kg was similar to the same dose of the orally effective chelators, pyridoxal isonicotinoyl hydrazone (PIH) and deferiprone (L1). Effective Fe chelation in the liver by PCTH was shown via its ability to reduce ferritin-(59)Fe accumulation. Mice treated for 3 weeks with PCTH at doses of 50 and 100 mg/kg/bd showed no overt signs of toxicity as determined by weight loss and a range of biochemical and haematological indices. In subchronic Fe excretion studies over 3 weeks, PIH and PCTH at 75 mg/kg/bd for 5 days/week increased faecal (59)Fe excretion to 140% and 145% of the vehicle control, respectively. This study showed that PCTH was well tolerated at 100 mg/kg/bd and induced considerable Fe excretion by the oral route, suggesting its potential as a candidate to replace DFO.

重度地中海贫血是一种遗传性血液疾病,其并发症是反复输血和胃肠道铁(Fe)吸收过多,从而导致有毒的铁过载。目前使用螯合剂去铁胺(DFO)的治疗既昂贵又麻烦,因为该药物需要长时间的皮下输注,而且不具有口服活性。一种新型螯合剂- 2-吡啶基甲醛- 2-噻吩羧基腙(PCTH)在体外具有较高的铁螯合效果。本研究的目的是在体外进行心肌细胞原代培养和小鼠体内研究PCTH对铁的螯合作用。我们发现PCTH显著(P
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引用次数: 24
Tissue-specific overexpression of the HSA21 gene GABPalpha: implications for DS. HSA21基因GABPalpha的组织特异性过表达:对退行性痴呆的影响。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.09.005
Debra A O'Leary, Melanie A Pritchard, Dakang Xu, Ismail Kola, Paul J Hertzog, Sika Ristevski

The ETS transcription factor GABPalpha is encoded by a gene on HSA21 and interacts with an ankyrin repeat-containing beta subunit to form the GABP complex. GABP regulates expression of genes involved in mitochondrial respiration and neuromuscular signalling. When GABPalpha mRNA is overexpressed in human DS fibroblast cell lines, or by tranfection in NIH3T3 cells, no increase in protein level is detected. However, increased Gabpalpha gene dosage in the Ts65Dn segmental trisomy mouse model of DS (DS) results in elevated Gabpalpha protein levels in brain and skeletal muscle only. These findings suggest that GABPalpha protein levels are tightly regulated in a tissue-specific manner, and consequently GABP may play a role in DS pathologies in tissues where GABPalpha protein levels are elevated.

ETS转录因子GABPalpha由HSA21上的一个基因编码,并与含有锚蛋白重复序列的β亚基相互作用形成GABP复合物。GABP调节参与线粒体呼吸和神经肌肉信号传导的基因表达。当GABPalpha mRNA在人DS成纤维细胞系中过表达或转染NIH3T3细胞时,未检测到蛋白水平升高。然而,在Ts65Dn片段三体小鼠DS模型(DS)中,Gabpalpha基因剂量的增加只导致Gabpalpha蛋白在脑和骨骼肌中的水平升高。这些发现提示GABPalpha蛋白水平以组织特异性的方式受到严格调节,因此GABP可能在GABPalpha蛋白水平升高的组织中发挥作用。
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引用次数: 15
Mutations in X-linked ichthyosis disrupt the active site structure of estrone/DHEA sulfatase. x连锁鱼鳞病的突变破坏了雌酮/脱氢表雄酮硫酸酯酶的活性位点结构。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.09.003
Debashis Ghosh

X-linked ichthyosis is an inherited genetic disorder of the skin that results from steroid sulfatase (STS) deficiency. Seven critical point mutations have been previously reported for the STS gene, six leading to amino acid substitutions and one to a premature termination of the polypeptide chain. The three-dimensional structure of the full-length human enzyme has been recently determined. Amino acid substitutions due to point mutations in X-linked ichthyosis are mapped onto the three-dimensional structure of human STS. In each case, the substitution appears to cause disruption of the active site architecture or to interfere with the enzyme's putative membrane-associating motifs crucial to the integrity of the catalytic cleft, thereby providing an explanation for the loss of STS activity.

x连锁鱼鳞病是一种由类固醇硫酸酯酶(STS)缺乏引起的皮肤遗传疾病。先前报道的STS基因有7个临界点突变,6个导致氨基酸取代,1个导致多肽链过早终止。人体全长酶的三维结构最近已被确定。由于x连锁鱼鳞病的点突变引起的氨基酸取代被映射到人类STS的三维结构上。在每种情况下,取代似乎都会导致活性位点结构的破坏或干扰酶的假定膜相关基序,这对催化裂孔的完整性至关重要,从而为STS活性的丧失提供了解释。
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引用次数: 21
Posttranscriptional regulation of albumin gene expression by branched-chain amino acids in rats with acute liver injury. 支链氨基酸对急性肝损伤大鼠白蛋白基因表达的转录后调控。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.08.011
Masashi Kuwahata, Yasuko Kuramoto, Yuka Tomoe, Emi Sugata, Hiroko Segawa, Mikiko Ito, Tatsuzo Oka, Ken-Ichi Miyamoto

We previously demonstrated that the integration of albumin mRNA into functional polysomes was regulated by the supply of branched-chain amino acids (BCAA) in the liver of galactosamine-treated rats. To study the mechanism of this regulation, we investigated interaction between rat liver proteins and albumin transcripts. When albumin transcript was incubated with ribosome salt wash (RSW) extracts prepared from liver, a specific RNA-protein complex (p65) formed. Competition experiments showed that a pyrimidine-rich sequence in the coding region of albumin mRNA was required for the formation of p65. The level of p65 was increased in the RSW extracts prepared from liver of galactosamine-treated rats infused with a standard amino acid formula, compared with a BCAA-enriched amino acid formula. The protein in p65 appears to be polypyrimidine tract-binding protein (PTB), because the formation of p65 was reduced in the RSW extracts pre-incubated with anti-PTB antibody. In cell-free translation analysis, immunodepletion of PTB from rabbit reticulocyte lysate caused an increase in albumin translation. These results suggest that binding of PTB to albumin mRNA suppresses its translation. A supply of BCAA may interfere with this binding and improve the translation efficiency of albumin mRNA in injured liver.

我们之前已经证明,在半乳糖胺处理的大鼠肝脏中,白蛋白mRNA整合到功能性多体中受到支链氨基酸(BCAA)供应的调节。为了研究这种调节的机制,我们研究了大鼠肝脏蛋白和白蛋白转录物之间的相互作用。当白蛋白转录物与从肝脏制备的核糖体盐洗(RSW)提取物一起孵育时,形成了特定的rna -蛋白复合物(p65)。竞争实验表明,白蛋白mRNA编码区富含嘧啶的序列是p65形成的必要条件。与富含bcaa的氨基酸配方相比,在半乳糖胺处理大鼠肝脏中注入标准氨基酸配方的RSW提取物中,p65的水平升高。p65中的蛋白似乎是多嘧啶束结合蛋白(PTB),因为在抗PTB抗体预孵育的RSW提取物中p65的形成减少。在无细胞翻译分析中,兔网织细胞裂解液中PTB的免疫缺失导致白蛋白翻译增加。这些结果表明PTB与白蛋白mRNA的结合抑制了其翻译。BCAA的供应可能会干扰这种结合,提高损伤肝脏中白蛋白mRNA的翻译效率。
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引用次数: 8
Protein misfolding and aggregation: new examples in medicine and biology of the dark side of the protein world. 蛋白质错误折叠和聚集:蛋白质世界黑暗面的医学和生物学新例子。
Pub Date : 2004-12-24 DOI: 10.1016/j.bbadis.2004.08.004
Massimo Stefani

The data reported in the past 5 years have highlighted new aspects of protein misfolding and aggregation. Firstly, it appears that protein aggregation may be a generic property of polypeptide chains possibly linked to their common peptide backbone that does not depend on specific amino acid sequences. In addition, it has been shown that even the toxic effects of protein aggregates, mainly in their pre-fibrillar organization, result from common structural features rather than from specific sequences of side chains. These data lead to hypothesize that every polypeptide chain, in itself, possesses a previously unsuspected hidden dark side leading it to transform into a generic toxin to cells in the presence of suitable destabilizing conditions. This new view of protein biology underscores the key importance, in protein evolution, of the negative selection against molecules with significant tendency to aggregate as well as, in biological evolution, of the development of the complex molecular machineries aimed at hindering the appearance of misfolded proteins and their toxic early aggregates. These data also suggest that, in addition to the well-known amyloidoses, a number of degenerative diseases whose molecular basis are presently unknown might be determined by the intra- or extracellular deposition of aggregates of presently unsuspected proteins. From these considerations one could also envisage the possibility that protein aggregation may be exploited by nature to perform specific physiological functions in differing biological contexts. The present review focuses the most recent reports supporting these ideas and discusses their clinical and biological significance.

过去5年报告的数据突出了蛋白质错误折叠和聚集的新方面。首先,蛋白质聚集可能是多肽链的一种普遍特性,可能与它们共同的肽主链相连,而不依赖于特定的氨基酸序列。此外,研究表明,即使是蛋白质聚集体的毒性作用,主要是在其原纤维组织中,也是由共同的结构特征而不是由侧链的特定序列引起的。这些数据导致假设,每个多肽链本身都有一个以前未被怀疑的隐藏的阴暗面,导致它在适当的不稳定条件下转化为细胞的通用毒素。这种蛋白质生物学的新观点强调了在蛋白质进化中,对具有显著聚集倾向的分子的负选择以及在生物进化中,旨在阻止错误折叠蛋白质及其毒性早期聚集的复杂分子机制的发展的关键重要性。这些数据还表明,除了众所周知的淀粉样病变外,许多分子基础尚不清楚的退行性疾病可能是由目前未知的蛋白质聚集物的细胞内或细胞外沉积决定的。从这些考虑,人们也可以设想蛋白质聚集可能被自然利用,在不同的生物环境中执行特定的生理功能。本综述集中了支持这些观点的最新报告,并讨论了它们的临床和生物学意义。
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引用次数: 419
Viral proteins targeting mitochondria: controlling cell death. 靶向线粒体的病毒蛋白:控制细胞死亡。
Pub Date : 2004-12-06 DOI: 10.1016/j.bbabio.2004.08.007
Patricia Boya, Anne-Laure Pauleau, Delphine Poncet, Rosa-Ana Gonzalez-Polo, Naoufal Zamzami, Guido Kroemer

Mitochondrial membrane permeabilization (MMP) is a critical step regulating apoptosis. Viruses have evolved multiple strategies to modulate apoptosis for their own benefit. Thus, many viruses code for proteins that act on mitochondria and control apoptosis of infected cells. Viral proapoptotic proteins translocate to mitochondrial membranes and induce MMP, which is often accompanied by mitochondrial swelling and fragmentation. From a structural point of view, all the viral proapoptotic proteins discovered so far contain amphipathic alpha-helices that are necessary for the proapoptotic effects and seem to have pore-forming properties, as it has been shown for Vpr from human immunodeficiency virus-1 (HIV-1) and HBx from hepatitis B virus (HBV). In contrast, antiapoptotic viral proteins (e.g., M11L from myxoma virus, F1L from vaccinia virus and BHRF1 from Epstein-Barr virus) contain mitochondrial targeting sequences (MTS) in their C-terminus that are homologous to tail-anchoring domains. These domains are similar to those present in many proteins of the Bcl-2 family and are responsible for inserting the protein in the outer mitochondrial membrane leaving the N-terminus of the protein facing the cytosol. The antiapoptotic proteins K7 and K15 from avian encephalomyelitis virus (AEV) and viral mitochondria inhibitor of apoptosis (vMIA) from cytomegalovirus are capable of binding host-specific apoptosis-modulatory proteins such as Bax, Bcl-2, activated caspase 3, CAML, CIDE-B and HAX. In conclusion, viruses modulate apoptosis at the mitochondrial level by multiple different strategies.

线粒体膜透性(MMP)是调控细胞凋亡的关键步骤。病毒已经进化出多种策略来调节细胞凋亡以满足自身的利益。因此,许多病毒编码的蛋白质作用于线粒体并控制感染细胞的凋亡。病毒凋亡前蛋白转运到线粒体膜诱导MMP, MMP常伴有线粒体肿胀和断裂。从结构的角度来看,迄今为止发现的所有病毒促凋亡蛋白都含有促凋亡作用所必需的两亲性α -螺旋,似乎具有成孔特性,正如人类免疫缺陷病毒-1 (HIV-1)的Vpr和乙型肝炎病毒(HBV)的HBx所显示的那样。相反,抗凋亡病毒蛋白(例如,黏液瘤病毒的M11L、牛痘病毒的F1L和爱泼斯坦-巴尔病毒的BHRF1)在其c端含有线粒体靶向序列(MTS),这些序列与尾锚定结构域同源。这些结构域与Bcl-2家族中存在的许多蛋白质相似,负责将蛋白质插入线粒体外膜,使蛋白质的n端面对细胞质。禽脑脊髓炎病毒(AEV)的抗凋亡蛋白K7和K15和巨细胞病毒的病毒线粒体凋亡抑制剂(vMIA)能够结合宿主特异性凋亡调节蛋白,如Bax、Bcl-2、活化的caspase 3、CAML、CIDE-B和HAX。总之,病毒在线粒体水平上通过多种不同的策略调节细胞凋亡。
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引用次数: 174
Clinical and molecular findings in children with complex I deficiency. 儿童复合I缺乏的临床和分子研究结果。
Pub Date : 2004-12-06 DOI: 10.1016/j.bbabio.2004.09.006
M Bugiani, F Invernizzi, S Alberio, E Briem, E Lamantea, F Carrara, I Moroni, L Farina, M Spada, M A Donati, G Uziel, M Zeviani

Isolated complex I deficiency, the most frequent OXPHOS disorder in infants and children, is genetically heterogeneous. Mutations have been found in seven mitochondrial DNA (mtDNA) and eight nuclear DNA encoded subunits, respectively, but in most of the cases the genetic basis of the biochemical defect is unknown. We analyzed the entire mtDNA and 11 nuclear encoded complex I subunits in 23 isolated complex I-deficient children, classified into five clinical groups: Leigh syndrome, progressive leukoencephalopathy, neonatal cardiomyopathy, severe infantile lactic acidosis, and a miscellaneous group of unspecified encephalomyopathies. A genetic definition was reached in eight patients (35%). Mutations in mtDNA were found in six out of eight children with Leigh syndrome, indicating a prevalent association between this phenotype and abnormalities in ND genes. In two patients with leukoencephalopathy, homozygous mutations were detected in two different nuclear-encoded complex I genes, including a novel transition in NDUFS1 subunit. In addition to these, a child affected by mitochondrial encephalomyopathy had heterozygous mutations in NDUFA8 and NDUFS2 genes, while another child with neonatal cardiomyopathy had a complex rearrangement in a single NDUFS7 allele. The latter cases suggest the possibility of unconventional patterns of inheritance in complex I defects.

孤立性复合物I缺乏症是婴儿和儿童中最常见的OXPHOS疾病,具有遗传异质性。在7个线粒体DNA (mtDNA)和8个核DNA编码亚基中分别发现了突变,但在大多数情况下,生化缺陷的遗传基础尚不清楚。我们分析了23例分离的复合物I缺乏儿童的整个mtDNA和11个核编码复合物I亚基,将其分为5个临床组:Leigh综合征、进行性脑白质病、新生儿心肌病、严重婴儿乳酸酸中毒和一组未明确的脑肌病。8例患者(35%)达到遗传定义。8名Leigh综合征儿童中有6名发现mtDNA突变,表明这种表型与ND基因异常之间存在普遍关联。在两名白质脑病患者中,在两种不同的核编码复合体I基因中检测到纯合突变,包括NDUFS1亚基的新转变。此外,一名患有线粒体脑肌病的儿童在NDUFA8和NDUFS2基因中存在杂合突变,而另一名患有新生儿心肌病的儿童在单个NDUFS7等位基因中存在复杂的重排。后一种情况表明,在复杂I缺陷中可能存在非常规的继承模式。
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引用次数: 253
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