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study on autism and mito

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from the Schafer Newsletter--

Mitochondrial DNA Abnormalities And Autistic Spectrum Disorders.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=PubMed & list_ui

ds=14722523 & dopt=Abstract

Pons R, Andreu AL, Checcarelli N, Vila MR, Engelstad K, Sue CM, Shungu D,

Haggerty R, De Vivo DC, Dimauro S.

Departments of Neurology, Pediatrics, and Psychiatry, Columbia University

College of Physicians and Surgeons, New York, New York, USA.

OBJECTIVES: To further characterize mtDNA defects associated with

autistic features, especially the A3243G mtDNA mutation and mtDNA depletion.

Study design Five patients with autistic spectrum disorders and family

histories of mitochondrial DNA diseases were studied. We performed mtDNA

analysis in all patients and magnetic resonance spectroscopy in three.

RESULTS: Three patients manifested isolated autistic spectrum features

and two had additional neurologic symptoms. Two patients harbored the A3243G

mutation. In two others, the A3243G mutation was not found in accessible

tissues but was present in tissues from their mothers. The fifth patient had

72% mtDNA depletion in skeletal muscle.

CONCLUSIONS: Autistic spectrum disorders with or without additional

neurologic features can be early presentations of the A3243G mtDNA mutation

and can be a prominent clinical manifestation of mtDNA depletion.

Mitochondrial dysfunction should be considered in patients who have autistic

features and associated neurologic findings or who have evidence of maternal

inheritance.

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