Pearson marrow-pancreas syndrome with worsening cardiac function caused by pleiotropic rearrangement of mitochondrial DNA

作者: Gabriele Krauch , Ekkehard Wilichowski , Klaus G. Schmidt , Ertan Mayatepek

DOI: 10.1002/AJMG.10410

关键词:

摘要: Pearson marrow-pancreas syndrome is a usually fatal disorder that involves the hematopoietic system, exocrine pancreas, liver, kidneys, and often presents clinically with failure to thrive. We report 5-year-old patient who developed, in addition typical features of syndrome, worsening cardiac function, mainly affecting left ventricle. The latter finding particularly interesting because involvement has not yet been regarded as major feature syndrome. diagnosis was proved by so far undescribed pleioplasmatic rearrangement mitochondrial (mt)DNA (loss 5,630 bp, 70% deleted duplicated mtDNA) blood cells. Our demonstrates patients may also have impaired function. Thus, should be considered differential ventricular dysfunction unknown origin other clinical findings suggestive disease.

参考文章(17)
Valrie Cormier, Agns Rtig, Alberto Rasore Quartino, Gian Luca Forni, Roberto Cerone, Micheline Maier, Jean-Marie Saudubray, Arnold Munnich, Widespread multitissue deletions of the mitochondrial genome in the Pearson marrow-pancreas syndrome The Journal of Pediatrics. ,vol. 117, pp. 599- 602 ,(1990) , 10.1016/S0022-3476(05)80698-5
Gregory M. Pastores, Filippo M. Santorelli, Sara Shanske, Bruce D. Gelb, Billie Fyfe, David Wolfe, Judith P. Willner, Leigh syndrome and hypertrophic cardiomyopathy in an infant with a mitochondrial DNA point mutation (T8993G) American Journal of Medical Genetics. ,vol. 50, pp. 265- 271 ,(1994) , 10.1002/AJMG.1320500310
S. Anderson, A. T. Bankier, B. G. Barrell, M. H. L. de Bruijn, A. R. Coulson, J. Drouin, I. C. Eperon, D. P. Nierlich, B. A. Roe, F. Sanger, P. H. Schreier, A. J. H. Smith, R. Staden, I. G. Young, Sequence and organization of the human mitochondrial genome web science. ,vol. 290, pp. 457- 465 ,(1981) , 10.1038/290457A0
Anna Majander, Anu Suomalainen, Kim Vettenranta, Hannu Sariola, Mikko Perkio, Christer Holmberg, Helena Pihko, Congenital Hypoplastic Anemia, Diabetes, and Severe Renal Tubular Dysfunction Associated with a Mitochondrial DNA Deletion Pediatric Research. ,vol. 30, pp. 327- 330 ,(1991) , 10.1203/00006450-199110000-00007
Carlo Antozzi, Massimo Zeviani, Cardiomyopathies in disorders of oxidative metabolism. Cardiovascular Research. ,vol. 35, pp. 184- 199 ,(1997) , 10.1016/S0008-6363(97)00141-7
Patrick Niaudet, Laurence Heidet, Arnold Munnich, Jacques Schmitz, Fran�ois Bouissou, Marie Claire Gubler, Agn�s R�tig, Deletion of the mitochondrial DNA in a case of de Toni-Debré-Fanconi syndrome and Pearson syndrome. Pediatric Nephrology. ,vol. 8, pp. 164- 168 ,(1994) , 10.1007/BF00865468
I J Holt, M Sweeney, T J Beattie, M A McShane, E M Brett, A E Harding, S R Hammans, Pearson syndrome and mitochondrial encephalomyopathy in a patient with a deletion of mtDNA. American Journal of Human Genetics. ,vol. 48, pp. 39- 42 ,(1991)
A Rotig, M Colonna, J.P Bonnefont, S Blanche, A Fischer, J.M Saudubray, A Munnich, Mitochondrial DNA deletion in Pearson's marrow/pancreas syndrome. The Lancet. ,vol. 333, pp. 902- 903 ,(1989) , 10.1016/S0140-6736(89)92897-3
Wataru Sato, Masashi Tanaka, Satoru Sugiyama, Taisuke Nemoto, Kenji Harada, Yasunori Miura, Yasuko Kobayashi, Atsuko Goto, Goro Takada, Takayuki Ozawa, Cardiomyopathy and angiopathy in patients with mitochondrial myopathy, encephalopathy, lactic acidosis, and strokelike episodes American Heart Journal. ,vol. 128, pp. 733- 741 ,(1994) , 10.1016/0002-8703(94)90272-0
Ekkehard Wilichowski, Annette Grüters, Klaus Kruse, Dietz Rating, Rolf Beetz, Georg Christoph Korenke, Bernd Peter Ernst, Hans-Jürgen Christen, Folker Hanefeld, Hypoparathyroidism and deafness associated with pleioplasmic large scale rearrangements of the mitochondrial DNA: a clinical and molecular genetic study of four children with Kearns-Sayre syndrome. Pediatric Research. ,vol. 41, pp. 193- 200 ,(1997) , 10.1203/00006450-199702000-00007