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5 Cards in this Set

  • Front
  • Back
Leber Hereditary Optic
Neuropathy (LHON)
Point mutation in protein
coding genes (90% of cases in
NAD1, 4 or 6) leading to
decrease in ATP production

Mitochondrial inheritance
(maternal)
Heteroplasmy is rare and
disease expession is pretty
uniform

Progressive bilateral, painless visual
failure that develops in young adult.
Males are more likely affected for
unknown reasons. Selective
degeneration of the retinal ganglion cell
layer and optic nerve. Other features
may include cardiac arrhythmias,
postural tremor and movement
disorders.
Myoclonic Epilepsy
Ragged‐Red Fibers
(MERRF)
Point mutation in tRNAlys 90%
of cases (causing premature
termination of translation process for
complex I and cytochrome oxidase)
Point mutation in NADH
dehydrogenase 5 subunit

Mitochondrial inheritance
(maternal) Heteroplasmy
common leading to
variable expression of the
disease

Myoclonus (muscle twitching), seizures,
cerebellar ataxia, dementia, abnormal
mitochondria in skeletal muscle that
impart an irregular shape and bloddy red
staining of the muscle cells. Some
mitochondria contain parking lot
inclusions.
Mitochondrial Myopathy,
Encephalopathy, Lactic
Acidosis and Stroke like
Episodes syndrome
(MELAS)
Point mutation in tRNAleu 80%
of cases(causing premature
termination of translation process for
cytochrome oxidase i.e complexIV)
Point mutation in NADH
dehydrogenase 5 subunit

Mitochondrial inheritance
(maternal) Heteroplasmy
common leading to
variable expression of the
disease

Mitochondrial myopathy evidenced by
lactic acidosis, encephalopathy with
seizures/dementia, stroke like episodes
Kearns‐Sayre syndrome
Partial deletions and
duplications of mtDNA
resulting in decrease activity
of complexes I‐IV

Mitochondrial inheritance
(maternal) Heteroplasmy
common leading to
variable expression of the
disease


Chronic progessive external
ophthalmoplegia (paralysis of the muscle
controlling the eyes),pigmentary
degeneration of the retina, hearing loss,
vestibular dysfunction, cerebellar ataxia
and onset around 20 years of age
Leigh syndrome
point mutation in protein
genes and RNA genes

Mendelian inheritance
(AR) for mutations in
nuclear genes
Mitochondrial
inheritance (maternal)
Heteroplasmy common
for mutation in mtDNA

Disease of early childhood, lactic
acidosis, arrest of psychomotor
development, feeding problems,
seizures, extraoccular palsies and
weakness with hypotonia. Death within
1 to 2 years