Skip to main content

Advertisement

Log in

A topoisomerase II cleavage site is associated with a novel mitochondrial DNA deletion

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

Abstract

Mitochondrial myopathies and encephalopathies can be caused by nucleotide substitutions, deletions or duplications of the mitochondrial DNA (mtDNA). In one such disorder, Kearns-Sayre Syndrome (KSS), large-scale hetero-plasmic mtDNA deletions are often found. We describe a 14-year-old boy with clinical features of KSS, plus some additional features. Analysis of the entire mitochondrial genome by the polymerase chain reaction and Southern blotting revealed a 7864-bp mtDNA deletion, heteroplasmic in its tissue distribution. DNA sequencing established that the deletion was between nucleotides 6238 and 14103, and flanked by a 4-bp (TCCT) direct repeat sequence. Deletions between direct repeats have been hypothesised to occur by a slipped-mismatching or illegitimate recombination event, or following the DNA cleavage action of topoisomerase II. Analysis of the gene sequence in the region surrounding the mtDNA deletion breakpoint in this patient revealed the presence of putative vertebrate topoisomerase II sites. We suggest that direct repeat sequences, together with putative topoisomerase II sites, may predispose certain regions of the mitochondrial genome to deletions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anderson S, Bankier AT, Barrell BG, Bruijn MHL de, Coulson AR, Drouin J, Eperon IC, Nierlich DP, Roe BA, Sanger F. Schreier PH, Smith AJH, Staden R, Young IG (1981) Sequence and organization of the human mitochondrial genome. Nature 290:457–465

    CAS  PubMed  Google Scholar 

  • Baerlocher KE, Feldges A, Weissert M, Simonsz HJ, Rotig A (1992) Mitochondrial DNA deletion in an 8-year-old boy with Pearson syndrome. J Inherit Metab Dis 15:327–330

    Google Scholar 

  • Ballinger SW, Shoffner JM, Hedaya EV, Trounce I, Polak MA. Koontz DA, Wallace DC (1992) Maternally transmitted diabetes and deafness associated with a 10. 4 kb mitochondrial DNA deletion. Nature Genet 1:11–15

    Google Scholar 

  • Bernes SM, Bacino C, Prezant TR, Pearson MA, Wood TS, Fournier P, Fischel-Ghodsian N (1993) Identical mitochondrial DNA deletion in mother with progressive external ophthalmoplegia and son with Pearson marrow-pancreas syndrome. J Pediatr 123:598–602

    Google Scholar 

  • Bindoff LA, Desnuelle C, Birch-Machin MA, Pellissier J-F, Serratrice G, Dravet C, Bureau M, Howell N, Turnbull DM (1991) Multiple defects of the mitochondrial respiratory chain in a mitochondrial encephalopathy (MERRF) — a clinical, biochemical and molecular study. J Neurol Sci 102:17–24

    Google Scholar 

  • Brockington M, Sweeney MG, Hammans SR, Morgan-Hughes JA, Harding AE (1993) A tandem duplication in the D-loop of human mitochondrial DNA is associated with deletions in mitochondrial myopathies. Nat Genet 4:67–71

    Google Scholar 

  • Chretien D, Bourgeron T, Rotig A, Munnich A, Rustin P (1990) The measurement of the rotenone-sensitive NADH cytochrome c reductase activity in mitochondria isolated from minute amount of human skeletal muscle. Biochem Biophys Res Commun 173:26–33

    Google Scholar 

  • Degoul F, Nelson I, Lestienne P, Francois D, Romero N, Duboc D, Eymard B, Fardeau M, Ponsot G, Paturneau-Jouas M, Chaussain M, Leroux JP, Marsac C (1991) Deletions of mitochondrial DNA in Kearns-Sayre syndrome and ocular myopathies: genetic, biochemical and morphological studies. J Neurol Sci 101:168–177

    Google Scholar 

  • DiMauro S (1993) Mitochondrial encephalomyopathies. In: Roscnberg RN, Prusiner SB, DiMauro S (eds) The molecular and genetic basis of neurological disease. Butterworth-Heinemann, Boston, pp 665–694

    Google Scholar 

  • Eviatar L, Shanske S, Gauthier B, Abrams C, Maytal J, Slavin M, Valderrama E, DiMauro S (1990) Kearns-Sayre syndrome presenting as renal tubular acidosis. Neurology 40:1761–1763

    Google Scholar 

  • Fischel-Ghodsian N, Bohlman MC, Prezant TR, Graham JM. Cederbaum SD, Edwards MJ (1992) Deletion in blood mitochondrial DNA in Kearns-Sayre syndrome. Pediatr Res 31:557–560

    Google Scholar 

  • Goto Y, Koga Y, Horai S, Nonaka I (1990) Chronic progressive external ophthalmoplegia: a correlative study of mitochondrial DNA deletions and their phenotypic expression in muscle biopsies. J Neurol Sci 100:63–69

    Google Scholar 

  • Hansen LL, Brown GK, Brown RM, Dahl HHM (1993) Pyruvate dehydrogenase deficiency caused by a 5 base pair duplication in the E1 alpha subunit. Hum Mol Genet 2:805–807

    Google Scholar 

  • Harding AE, Hammans SR (1992) Deletions of the mitochondrial genome. J Inherit Metab Dis 15:480–486

    Google Scholar 

  • Holt IJ, Harding AE, Morgan-Hughes JA (1988) Deletions of muscle mitochondrial DNA in patients with mitochondrial myopathies. Nature 331:717–719

    Google Scholar 

  • Larsson N-G, Holme E, Kristiansson B, Oldfors A, Tulinius M (1990) Progressive increase of the mutated mitochondrial DNA fraction in Kearns-Sayre syndrome. Pediatr Res 28:131–136

    Google Scholar 

  • Madsen CS, Ghivizzani SC, Hauswirth WW (1993) In vivo and in vitro evidence for slipped mispairing in mammalian mitochondria. Proc Natl Acad Sci USA 90:7671–7675

    CAS  PubMed  Google Scholar 

  • McKusick VA (1992) Mendelian inheritance in man, 10th edn. Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • McShane MA, Hammans SR, Sweeney M, Holt IJ, Beattie TJ, Brett EM, Harding AE (1991) Pearson syndrome and mitochondrial encephalomyopathy in a patient with a deletion of mtDNA. Am J Hum Genet 48:39–42

    Google Scholar 

  • Mita S, Rizzuto R, Moraes CT, Shanske S, Arnaudo E, Fabrizi GM, Koga Y, DiMauro S, Schon EA (1990) Recombination via flanking direct repeats is a major cause of large-scale deletions of human mitochondrial DNA. Nucleic Acids Res 18:561–567

    Google Scholar 

  • Moraes CT, DiMauro S, Zeviani M, Lombes A, Shanske S, Miranda AF, Nakase H, Bonilla E, Werneck LC, Servidei S, Nonaka I, Koga Y, Spiro AJ, Brownell AKW, Schmidt B. Schotland DL, Zupanc M, De Vivo DC, Schon EA, Rowland LP (1989) Mitochondrial DNA deletions in progressive external ophthalmoplegia and Kearns-Sayre syndrome. N Engl J Med 320:1293–1299

    Google Scholar 

  • Moraes CT, Ricci E, Petruzzella V, Shanske S, DiMauro S, Schon EA, Bonilla E (1992) Molecular analysis of the muscle pathology associated with mitochondrial DNA deletions. Nature Genet 1:359–367

    Google Scholar 

  • Nelson I, Degoul F, Obermaier-Kusser B, Romero N. Borrone C, Marsac C, Vayssiere JL, Gerbitz K, Fardeau M, Ponsot G, Lestienne P (1989) Mapping of heteroplasmic mitochondrial DNA deletions in Kearns-Sayre syndrome. Nucleic Acids Res 17:8117–8124

    Google Scholar 

  • Nelson I, Bonne G, Degoul F, Marsac C, Ponsot G. Lestienne P (1992) Kearns-Sayre syndrome with sideroblastic anemia: molecular investigations. Neuropediatrics 23:199–205

    Google Scholar 

  • Ota Y, Tanaka M, Sato W, Ohno K, Yamamoto T, Maehara M, Negoro T. Watanabe K, Awaya S, Ozawa T (1991) Detection platelet mitochondrial DNA deletions in Kearns-Sayre syndrome. Invest Ophthalmol Vis Sci 32:2667–2675

    Google Scholar 

  • Ouweland JMW van den, Lemkes HHPJ, Ruitenbeek W, Sandkuijl LA, Viljder MF de, Struyvenberg PAA, Kamp JJP van de, Maassen JA (1992) Mutation in mitochondrial tRNALeu(UUR) gene in a large pedigree with maternally transmitted type II diabetes mellitus and deafness. Nature Genet 1:368–371

    Google Scholar 

  • Pearson HA, Lobel JS, Kocoshis SA, Naiman JL, Windmiller J, Lammi AT, Hoffmann R, Marsh JC (1979) A new syndrome of refractory sideroblastic anemia with vacuolization of marrow precursors and exocrine pancreatic dysfunction. J Pediatr 95:976–984

    Google Scholar 

  • Poulton J, Deadman ME, Ramacharan S, Gardiner RM (1991) Germ-line deletions of mtDNA in mitochondrial myopathy. Am J Hum Genet 48:649–653

    Google Scholar 

  • Poulton J, Deadman ME, Bindoff L, Morten K, Land J, Brown G (1993) Families of mtDNA re-arrangements can be detected in patients with mtDNA deletions: duplications may be a transient intermediate form. Hum Mol Genet 2:23–30

    Google Scholar 

  • Reardon W, Ross RJM, Sweeney MG, Luxon LM, Pembrey ME, Harding AE, Trembath RC (1992) Diabetes-mellitus associated with a pathogenic point mutation in mitochondrial DNA. Lancet 340:1376–1379

    Google Scholar 

  • Reichmann H, Degoul F, Gold R, Meurers B, Ketelsen U-P, Hartmann J, Marsac C, Lestienne P (1991) Histological, enzymatic and mitochondrial DNA studies in patients with Kearns-Sayre syndrome and chronic progressive external ophthalmoplegia. Eur Neurol 31:108–113

    Google Scholar 

  • Remes AM, Peuhkurinen KJ, Herva R, Majamaa K, Hassinen IE (1993) Kearns-Sayre syndrome case presenting a mitochondrial DNA deletion with unusual direct repeats and a rudimentary RNAase mitochondrial ribonucleotide processing target sequence. Genomics 16:256–258

    Google Scholar 

  • Rotig A, Colonna M, Bonnefont J-P, Blanche S, Bonnefont J-P, Blanche S, Fischer A, Saudubray J-M, Munnich A (1989) Mitochondrial DNA deletion in Pearson's marrow/pancreas syndrome. Lancet 1:902–903

    Google Scholar 

  • Rotig A, Cormier V, Blanche S, Bonnefont J-P, Ledeist F, Romero N, Schmilz J, Rustin P, Fischer A, Saudubray J-M, Munnich A (1990) Pearson's marrow-pancreas syndrome. A multisystem mitochondrial disorder in infancy. J Clin Invest 86:1601–1608

    Google Scholar 

  • Rotig A, Cormier V, Koll F, Mize CE, Saudubray J-M, Veerman A, Pearson HA, Munnich A (1991) Site-specific deletions of the mitochondrial genome in the Pearson marrow pancreas syndrome. Genomics 10:502–504

    Google Scholar 

  • Saiki RK, Gelfand DH, Stoffel S, Scharf SJ, Higuchi R, Horn GT, Mullis KB, Erlich HA (1988) Primer-directed enzymatic amplification of DNA with a thermostable DNA polymerase. Science 239:487–491

    CAS  PubMed  Google Scholar 

  • Sano T, Ban K, Ichiki T, Kobayashi M, Tanaka M, Ohno K, Ozawa T (1993) Molecular and genetic analyses of 2 patients with Pearson's marrow-pancreas syndrome. Pediatr Res 34:105–110

    Google Scholar 

  • Schapira AHV (1993) Mitochondrial disorders. Curr Opin Genet Dev 3:457–465

    Google Scholar 

  • Schon EA, Rizzuto R, Moraes CT, Nakase H, Zeviani M, DiMauro S (1989) A direct repeat is a hotspot for large-scale deletion of human mitochondrial DNA. Science 244:346–349

    Google Scholar 

  • Shoffner JM. Lott MT, Voljavec AS, Soueidan SA, Costigan DA, Wallace DC (1989) Spontaneous Kearns-Sayre/chronic external ophthalmoplegia plus syndrome associated with a mitochondrial DNA deletion: a slip-replication model and metabolic therapy. Proc Natl Acad Sci USA 86:7952–7956

    Google Scholar 

  • Shoffner JM, Wallace DC (1990) Oxidative phosphorylation diseases. Disorders of two genomes. Adv Hum Genet 19:267–330

    Google Scholar 

  • Shoffner JM, Wallace DC (1994) Oxidative phosphorylation diseases. In: Scriver CR, Beaudet AL, Sly WS, Valle MD (eds) The metabolic basis of inherited disease, 7th edn. McGraw Hill, New York (in press)

    Google Scholar 

  • Spitzner JR, Chung IK, Muller MT (1990) Eukaryotic topoisomerase II preferentially cleaves alternating purine-pyrimidine repeats. Nucleic Acids Res 18:1–11

    Google Scholar 

  • Wallace DC (1992) Diseases of the mitochondrial DNA. Annu Rev Biochem 61:1175–1212

    Google Scholar 

  • Wallace DC, Lott MT, Torroni A, Brown MD (1993) Report of the Committee on Human Mitochondrial DNA. Genome Priority Reports 1:727–757

    Google Scholar 

  • Zeviani M (1992) Nucleus-driven mutations of human mitochondrial DNA. J Inherit Metab Dis 15:456–471

    Google Scholar 

  • Zheng X, Shoffner JM, Voljavec AS, Wallace DC (1990) Evaluation of procedures for assaying Oxidative phosphorylation enzyme activities in mitochondrial myopathy muscle biopsies. Biochim Biophys Acta 1019:1–10

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Blok, R.B., Thorburn, D.R., Thompson, G.N. et al. A topoisomerase II cleavage site is associated with a novel mitochondrial DNA deletion. Hum Genet 95, 75–81 (1995). https://doi.org/10.1007/BF00225079

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00225079

Keywords

Navigation