title: A direct repeat is a hotspot for large-scale deletion of human mitochondrial DNA.
abstract: Kearns-Sayre syndrome (KSS) and progressive external ophthalmoplegia (PEO) are related neuromuscular disorders characterized by ocular myopathy and ophthalmoplegia. Almost all patients with KSS and about half with PEO harbor large deletions in their mitochondrial genomes. The deletions differ in both size and location, except for one, 5 kilobases long, that is found in more than one-third of all patients examined. This common deletion was found to be flanked by a perfect 13-base pair direct repeat in the normal mitochondrial genome. This result suggests that homologous recombination deleting large regions of intervening mitochondrial DNA, which previously had been observed only in lower eukaryotes and plants, operates in mammalian mitochondrial genomes as well, and is at least one cause of the deletions found in these two related mitochondrial myopathies.
authors.affiliation: Department of Neurology, Columbia University, New York, NY 10032.
authors.forename: E A
authors.initials: EA
authors.lastname: Schon
authors.forename: R
authors.initials: R
authors.lastname: Rizzuto
authors.forename: C T
authors.initials: CT
authors.lastname: Moraes
authors.forename: H
authors.initials: H
authors.lastname: Nakase
authors.forename: M
authors.initials: M
authors.lastname: Zeviani
authors.forename: S
authors.initials: S
authors.lastname: DiMauro
mesh_terms: D001482:Base Composition; D001483:Base Sequence; D002872:Chromosome Deletion; D004272:DNA, Mitochondrial / Q000235:genetics*; D005784:Gene Amplification; D006801:Humans; D007625:Kearns-Sayre Syndrome / Q000235:genetics*; D008969:Molecular Sequence Data; D009886:Ophthalmoplegia / Q000235:genetics*; D012333:RNA, Messenger / Q000235:genetics; D011995:Recombination, Genetic; D012091:Repetitive Sequences, Nucleic Acid
chemical_list: D004272:DNA, Mitochondrial; D012333:RNA, Messenger