title: Mitochondrial DNA sequence variation and mutation rate in patients with CADASIL.
abstract: Mutations in the NOTCH3 gene cause cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), which is clinically characterised by recurrent ischemic strokes, migraine with aura, psychiatric symptoms, cognitive decline and dementia. We have previously described a patient with CADASIL caused by a R133C mutation in the NOTCH3 gene and with a concomitant myopathy caused by a 5650G>A mutation in the MTTA gene in mitochondrial DNA (mtDNA). We assume that the co-occurrence of the two mutations is not coincidental and that mutations in the NOTCH3 gene may predispose the mtDNA to mutations. We therefore examined the nucleotide variation in the mtDNA coding region sequences in 20 CADASIL pedigrees with 77 affected patients by conformation-sensitive gel electrophoresis and sequencing. The sequence variation in mtDNA was then compared with that among 192 healthy Finns. A total of 180 mtDNA coding region sequence differences were found relative to the revised Cambridge reference sequence, including five novel synonymous substitutions, two novel nonsynonymous substitutions and one novel tRNA substitution. We found that maternal relatives in two pedigrees differed from each other in their mtDNA. Furthermore, the average number of pairwise differences in sequences from the 41 unrelated maternal lineages with CADASIL was higher than that expected among haplogroup-matched controls. The numbers of polymorphic sites and polymorphisms that were present in only one sequence were also higher among the CADASIL sequences than among the control sequences. Our results show that mtDNA sequence variation is increased within CADASIL pedigrees. These findings suggest a relationship between NOTCH3 and mtDNA.
authors.affiliation: Department of Neurology, University of Oulu, Oulu, Finland.
authors.forename: Johanna
authors.initials: J
authors.lastname: Annunen-Rasila
authors.forename: Saara
authors.initials: S
authors.lastname: Finnilä
authors.forename: Kati
authors.initials: K
authors.lastname: Mykkänen
authors.forename: Jukka S
authors.initials: JS
authors.lastname: Moilanen
authors.forename: Johanna
authors.initials: J
authors.lastname: Veijola
authors.forename: Minna
authors.initials: M
authors.lastname: Pöyhönen
authors.forename: Matti
authors.initials: M
authors.lastname: Viitanen
authors.forename: Hannu
authors.initials: H
authors.lastname: Kalimo
authors.forename: Kari
authors.initials: K
authors.lastname: Majamaa
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D046589:CADASIL / Q000235:genetics*; D016022:Case-Control Studies; D004272:DNA, Mitochondrial / Q000235:genetics*; D005260:Female; D005387:Finland; D020022:Genetic Predisposition to Disease; D014644:Genetic Variation; D006239:Haplotypes; D006801:Humans; D008297:Male; D008875:Middle Aged; D009154:Mutation; D016366:Open Reading Frames; D010375:Pedigree; D011110:Polymorphism, Genetic; D000071656:Receptor, Notch3; D051880:Receptors, Notch / Q000235:genetics*
chemical_list: D004272:DNA, Mitochondrial; C499374:NOTCH3 protein, human; D000071656:Receptor, Notch3; D051880:Receptors, Notch