Abstract

Mitochondrial DNA depletion syndrome (MDS), a frequent cause of severe childhood (hepato)encephalomyopathies, is defined as a reduction of mitochondrial DNA copy number related to nuclear DNA in different tissues which leads to insufficient synthesis of respiratory chain complexes. MDS is responsible for approximately 30–40% of combined RC deficiencies in children. Mutations of eight nuclear genes (DGUOK, POLG1, MVP17. ECGF1, TK2, SUCLA2, SUCLG1 and RRM2B), all involved in the synthesis or maintenance of mitochondrial nucleotide pools, were identified in approximately 40% of all MDS cases implying further genetic heterogeneity. It was previously shown that mtDNA depletion can be prevented by dGMP and dAMP supplementation in culture of deoxyguanosine kinase-deficient fibroblasts. Since then, similar experiments were not published.

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