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Science 29 January 1999: Vol. 283. no. 5402, pp. 689 - 692 DOI: 10.1126/science.283.5402.689
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Reports
Thymidine Phosphorylase Gene Mutations in MNGIE, a Human Mitochondrial Disorder
Ichizo Nishino,
Antonella Spinazzola,
Michio Hirano
*
Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is an
autosomal recessive human disease associated with multiple deletions of
skeletal muscle mitochondrial DNA (mtDNA), which have been ascribed to
a defect in communication between the nuclear and mitochondrial
genomes. Examination of 12 MNGIE probands revealed homozygous or
compound-heterozygous mutations in the gene specifying thymidine
phosphorylase (TP), located on chromosome
22q13.32-qter. TP activity in leukocytes from MNGIE patients was less
than 5 percent of controls, indicating that loss-of-function mutations in TP cause the disease. The pathogenic mechanism may be
related to aberrant thymidine metabolism, leading to impaired
replication or maintenance of mtDNA, or both.
Columbia University College of Physicians and Surgeons, Department
of Neurology, 630 West 168 Street, P & S 4-443, New York, NY 10032, USA.
*
To whom correspondence should be addressed. E-mail:
mh29{at}columbia.edu
Read the Full Text
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