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Mitochondrial DNA deletion in a girl with Fanconi’s syndrome

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Abstract

We report a sporadic large-scale mitochondrial deletion in a paediatric patient with Fanconi’s syndrome. Renal biopsy disclosed chronic interstitial nephritis. Ultrastructural examination of the renal tissue showed many giant atypical mitochondria. Histochemical stains revealed markedly reduced cytochrome c oxidase (COX). Genetic analysis disclosed a novel mitochondrial deletion of 7.3 kb in both peripheral blood and renal tissue. Mitochondrial diseases have heterogeneous clinical phenotypes; mutation analysis has proved to be an effective tool in confirming the diagnosis.

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References

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

    Article  CAS  Google Scholar 

  2. Wong LJC (2001) Recognition of mitochondrial DNA deletion syndrome with non-neuromuscular multisystemic manifestation. Genet Med 3:399–404

    Article  CAS  Google Scholar 

  3. 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

    Article  CAS  Google Scholar 

  4. Grünfeld JP, Niaudet P, Rötig A (1996) Renal involvement in mitochondrial cytopathies. Nephrol Dial Transplant 11:760–761

    Article  Google Scholar 

  5. Niaudet P, Heidet L, Munnich A, Schmitz J, Bouissou F, Gubler MC, Rötig A (1994) Deletion of the mitochondrial DNA in a case of de Toni–Debré–Fanconi syndrome and Pearson syndrome. Pediatr Nephrol 8:164–168

    Article  CAS  Google Scholar 

  6. Campos Y, García-Silva T, Barrionuevo CR, Cabello A, Muley R, Arenas J (1995) Mitochondrial DNA deletion in a patient with mitochondrial myopathy, lactic acidosis, and stroke-like episodes (MELAS) and Fanconi’s syndrome. Pediatr Neurol 13:69–72

    Article  CAS  Google Scholar 

  7. Szabolcs MJ, Seigle R, Shanske S, Bonilla E, DiMauro S, D’Agati V (1994) Mitochondrial DNA deletion: a cause of chronic tubulointerstitial nephropathy. Kidney Int 45:1388–1396

    Article  CAS  Google Scholar 

  8. Rötig A, Goutières F, Niaudet P, Rustin P, Chretien D, Guest G, Mikol J, Gubler M-C (1995) Deletion of mitochondrial DNA in patient with chronic tubulointerstitial nephritis. J Pediatr 126:597–601

    Article  Google Scholar 

  9. Tzen CY, Tsai JD, Wu TY, Chen BF, Chen ML, Lin SP, Chen SC (2001) Tubulointerstitial nephritis associated with a novel mitochondrial point mutation. Kidney Int 59:846–854

    Article  CAS  Google Scholar 

  10. Martín-Hernández E, García-Solva MT, Vara J, Campos Y, Cabello A, Muley R, del Hoyo P, Martín MA, Arenas J (2005) Renal pathology in children with mitochondrial diseases. Pediatr Nephrol 20:1299–1305

    Article  Google Scholar 

  11. Rötig A, Cormier V, Blanche S, Bonnefort J-P, Ledeist F, Romero N, Schmitz J, Rustin P, Fischer A, Saundurray J-M, Munnich A (1990) Pearson’s marrow–pancreas syndrome. A multisystem mitochondrial syndrome in infancy. J Clin Invest 86:1601–1608

    Article  Google Scholar 

  12. 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

    Article  CAS  Google Scholar 

  13. Cheng S, Higuchi R, Stoneking M (1994) Complete mitochondrial genome amplification. Nat Genet 7:350–351

    Article  CAS  Google Scholar 

  14. Moraes CT, Atencio DP, Oca-Cossio J, Diaz F (2003) Techniques and pitfalls in the detection of pathogenic mitochondrial DNA mutations. J Mol Diagn 5:197–208

    Article  CAS  Google Scholar 

  15. Kreuder J, Repp R, Borkhardt A, Lampert F (1995) Rapid detection of mitochondrial deletions by polymerase chain reaction. Eur J Pediatr 154:996

    Article  CAS  Google Scholar 

  16. Thorburn DR, Dahl H-HM (2001) Mitochondrial disorders: genetics, counseling, prenatal diagnosis and reproductive options. Am J Med Gen 106:102–114

    Article  CAS  Google Scholar 

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Correspondence to Kam Ming Au.

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Au, K.M., Lau, S.C., Mak, Y.F. et al. Mitochondrial DNA deletion in a girl with Fanconi’s syndrome. Pediatr Nephrol 22, 136–140 (2007). https://doi.org/10.1007/s00467-006-0288-y

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  • DOI: https://doi.org/10.1007/s00467-006-0288-y

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