Clinical Study
Enzyme Histochemical Assessment of Mitochondrial Functions in Patients with Myopathic form of Limb-Girdle Syndrome
Table 3
Clinical, pathological and biochemical characteristics of patients with isolated mitochondrial myopathy with proven mitochondrial mutations.
| | Age/ Sex | DOI | Limb weakness | Other features | Family history | EMG | Biochemical | Histopathology | Mutation |
| Yang et al. [4] | 55/F | — | Mild | Severe respiratory dysfunction | — | Myopathic | — | RRF on MGT | m.A3243G tRNA (Leu(UUR)) |
|
Hirata et al. [5] | 70/M | 20 Y | Proximal | Hypertension, hyperlipidemia | Brother, son | Myopathic | CK 4–10X | RRF on MGT, COX deficient, RC enzymes reduced | A-G transition at np8291 and 9bp del | 64/M | 1Y | Proximal | AMI | Brother of case 1 | Myopathic | CK 4X | Same | Same | 38/M | 3Y | Proximal | Subcutaneous lipomas | Son of case 1 | Myopathic | CK 2-3X | Same | Same | 71/F | 3Y | Proximal | Hypothyroidism hyperlipidemia | Sister | — | CK 2X | Same | Same | 52/F | 7Y | Proximal | — | Sister of case 4 | — | CK 10X | Same | Same | 58/F | 14Y | Proximal | — | — | — | CK 10X | Same | Same | 42/F | 4Y | Proximal | — | — | — | CK 7X | Same | Same |
|
Seneca et al. [6] | —/F | — | Exercise intolerance | — | Negative | — | — | RRF, RC enzymes I, IV reduced | m.A7526GtRNA (Asp) |
| Swalwell et al. [7] | 46/F | 18M | Proximal | Myalgia | Negative | Myopathic | CK 7X, Post ex Lactate 3X | RRF, COX negative fibers | m.5591 G > A tRNA(Ala) |
| Meulemans et al. [8] | 48/F | — | Proximal | Facial weakness, mild b/l ptosis | Short stature in mother | — | — | RRF on MGT, COX deficient fibers, RC enzymes normal | m.5888 insA & m. 14639 A > G |
|
Gempel et al. [9] | 34/F | 2Y | Proximal | IDDM | Negative | Myopathic | CK 10 X Lactate N | RRF, COX negative, Mus CoQ ↓ | ETFDH gene m. | 29/M | 6M | Proximal | Scapular winging ↓DTR b-n- | Consanguinity in parents | Myopathic | CK 10X Post ex lactate 10X | Same | Same | 13/M | — | Proximal | — | Consanguinity in parents | — | CK 20X | Same | Same | 17/F | — | Proximal | — | — | — | CK 8X | Same | Same | 12/F | — | Proximal | — | Sister | Normal | CK 40X | Same | Same | —/F | — | Proximal | Myalgia | Sister of above case | — | — | Same | Same |
|
Leshinsky-Silver et al. [10] | 13/F | — | Proximal | — | — | — | CK 5X | Same | Same | —/— | — | Mild weakness | | — | — | — | RRF | H90N m. In TK2 gene |
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DOI—duration of illness, F—female, M—male, Y—years, M—months, CK—creatine kinase, X—times normal, RRF—ragged red fibers, COX—cytochrome C oxidase, MGT—modified Gomori Trichrome, m. —mutation.
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