The Clinical Variability of Maternally Inherited Diabetes and Deafness Is Associated with the Degree of Heteroplasmy in Blood Leukocytes
- Type de publi. : Article dans une revue
- Date de publi. : 01/01/2009
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Auteurs :
T. MeasC. AmbonvilleChristine Bellanné‐chantelotS.. BeaufilsPhilippe MassinB. VialettesH. GinJosé TimsitB. BauduceauLouis BernardE. BertinJ.-F. BlickleJ. Cahen-VarsauxA. CaillebaR.W. SpringerPascal CathébrasGuillaume CarpentierP. ChedinT. CreaBrigitte DelemerDanièle Dubois-LaforgueF. DucheminPierre-Henri DucluzeauBéatrice BouhanickL. DusselierT. GabreauA. GrimaldiBruno GuerciV. JacquinE. KaloustianEtienne LargerA. Lecleire-ColletF. LorenziniJ. LouisJ. MaussetArnaud MuratS. Nadler-FluteauF. OlivierVeronique Paquis-FlucklingerD. Paris-BockelI. RaynaudYves ReznikJean-Pierre RivelineS. SchneebeliE. SonnetAgnès Sola-GazagnesJ-L ThomasB. TrabulsiM. VirallyP. GuillausseauMarie Laloi-Michelin
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Organismes :
CHU Saint-Antoine [AP-HP]
Service de chirurgie orthopédique et traumatologique, centre hospitalier universitaire
Nutrition, obésité et risque thrombotique
Université de Bordeaux
Centre Hospitalier Universitaire de Bordeaux
Service de diabétologie [CHU Cochin]
Service d'Endocrinologie
Service des Maladies Infectieuses
Université de Tours
Hôpital universitaire Robert Debré [Reims]
Max-Planck-Institut für Kernphysik
Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne]
Génétique, immunothérapie, chimie et cancer (GICC), UMR 6239 CNRS [2008-2011]
Service d'Endocrinologie - Diabète - Nutrition [Reims]
Université Sorbonne Paris Cité
Institut Cochin
Service de diabétologie [CHU Cochin]
Université Paris Descartes - Paris 5
Hôpital Cochin [AP-HP]
Stress Oxydant et Pathologies Métaboliques
Centre Hospitalier Universitaire de Toulouse
CH Belle-Isle
ELASIS
Service de Diabétologie, Nutrition et Maladies métaboliques [CHRU Nancy]
CH de Compiègnes
Angiogénèse embryonnaire et pathologique
Université Paris Descartes - Paris 5
Ecologie Systématique et Evolution
Groupement Hospitalier Lyon-Est
INSERM U782
Service de génétique médicale
Instabilité génétique : maladies rares et cancers
Centre Hospitalier Universitaire [Strasbourg]
Unité sous contrat aromatase et oestrogènes dans les gonades des mammifères
Centre Hospitalier Universitaire
Centre de Recherche des Cordeliers
Department of diabetes and endocrinology
Service d'Endocrinologie
CHU Lariboisière-François Widal
Hôpital Lariboisière-Fernand-Widal [APHP]
- Publié dans Journal of Clinical Endocrinology and Metabolism le 01/11/2020
Résumé : Context: Maternally inherited diabetes and deafness (MIDD) is a rare form of diabetes with a matrilineal transmission, sensorineural hearing loss, and macular pattern dystrophy due to an A to G transition at position 3243 of mitochondrial DNA (mtDNA) (m.3243A>G). The phenotypic heterogeneity of MIDD may be the consequence of different levels of mutated mtDNA among mitochondria in a given tissue.
Objective: The aim of the present study was thus to ascertain the correlation between the severity of the phenotype in patients with MIDD and the level of heteroplasmy in the blood leukocytes.
Participants: The GEDIAM prospective multicenter register was initiated in 1995. Eighty-nine Europid patients from this register, with MIDD and the mtDNA 3243A>G mutation, were included. Patients with MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) or with mitochondrial diabetes related to other mutations or to deletions of mtDNA were excluded.
Results: A significant negative correlation was found between levels of heteroplasmy and age of the patients at the time of sampling for molecular analysis, age at the diagnosis of diabetes, and body mass index. After adjustment for age at sampling for molecular study and gender, the correlation between heteroplasmy levels and age at the diagnosis of diabetes was no more significant. The two other correlations remained significant. A significant positive correlation between levels of heteroplasmy and HbA1c was also found and remained significant after adjustment for age at molecular sampling and gender.
Conclusions: These results support the hypothesis that heteroplasmy levels are at least one of the determinants of the severity of the phenotype in MIDD.
Heteroplasmy levels are at least one of the determinants of the severity of the phenotype of maternally inherited diabetes and deafness.
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