Mitochondrial DNA m.3243A>G mutation rarely causes CADASIL-like phenotype

Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) are 2 monogenic cerebral small vessel diseases sharing several common clinical features including young stroke,...

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Published inNeurobiology of aging Vol. 97; pp. 145.e5 - 145.e6
Main Authors Liao, Nai-Yi, Liao, Kwong-Kum, Liao, Yi-Chu, Lee, Yi-Chung
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.01.2021
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Abstract Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) are 2 monogenic cerebral small vessel diseases sharing several common clinical features including young stroke, migraine, and cognitive dysfunction. The aim of this study was to understand the role of MELAS in patients with CADASIL-like manifestations. We screened 429 unrelated patients with genetically unassigned CADASIL-like syndrome for mitochondrial DNA m.3243A>G mutation. None of them were found to have the mutation. Our finding suggests that m.3243A>G rarely causes CADASIL-like phenotype. It may be not necessary to consider MELAS as a differential diagnosis of CADASIL. Screening m.3243A>G in patients with CADASIL-like phenotype is of limited value.
AbstractList Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) are 2 monogenic cerebral small vessel diseases sharing several common clinical features including young stroke, migraine, and cognitive dysfunction. The aim of this study was to understand the role of MELAS in patients with CADASIL-like manifestations. We screened 429 unrelated patients with genetically unassigned CADASIL-like syndrome for mitochondrial DNA m.3243A>G mutation. None of them were found to have the mutation. Our finding suggests that m.3243A>G rarely causes CADASIL-like phenotype. It may be not necessary to consider MELAS as a differential diagnosis of CADASIL. Screening m.3243A>G in patients with CADASIL-like phenotype is of limited value.
Author Liao, Nai-Yi
Lee, Yi-Chung
Liao, Yi-Chu
Liao, Kwong-Kum
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  fullname: Liao, Kwong-Kum
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  fullname: Liao, Yi-Chu
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  surname: Lee
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  email: ycli@vghtpe.gov.tw
  organization: Department of Neurology, Taipei Veterans General Hospital, Taipei, Taiwan
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Keywords m.3243 A>G
Monogenic cerebral small vessel disease
CADASIL
MELAS
Language English
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Snippet Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) and cerebral autosomal dominant arteriopathy with subcortical infarcts and...
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StartPage 145.e5
SubjectTerms CADASIL
m.3243 A>G
MELAS
Monogenic cerebral small vessel disease
Title Mitochondrial DNA m.3243A>G mutation rarely causes CADASIL-like phenotype
URI https://dx.doi.org/10.1016/j.neurobiolaging.2020.08.016
https://www.ncbi.nlm.nih.gov/pubmed/32950272
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