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The Mitochondrial and Metabolic Disease Center, University of California, San Diego, School of Medicine, Departments of
1
Medicine,
2
Neurosciences, and
3
Pediatrics, 200 West Arbor Dr., San Diego, CA 92103-8467.
a Author for correspondence. Fax 619-543-7868; e-mail naviaux{at}ucsd.edu
Background: The mitochondrial DNA polymerase
is the
principal polymerase required for mitochondrial DNA replication.
Primary or secondary deficiencies in the activity of DNA polymerase
may lead to mitochondrial DNA depletion. We describe a sensitive and
robust clinical assay for this enzyme.
Methods: The assay was performed on mitochondria isolated from skeletal muscle biopsies. High-molecular weight polynucleotide reaction products were captured on ion-exchange paper, examined qualitatively by autoradiography, and quantified by scintillation counting.
Results: Kinetic analysis of DNA polymerase
by this method
showed a Km for dTTP of 1.43 µmol/L and a
Ki for azidothymidine triphosphate of 0.861
µmol/L. The assay was linear from 0.1 to 2 µg of mitochondrial
protein. The detection limit was 30 units (30 fmol dTMP
incorporated in 30 min). The linear dynamic range was three orders of
magnitude; 3030 000 units. Imprecision (CV) was 6.4% within
day and 12% between days. Application of this assay to a mixed
population of 38 patients referred for evaluation of mitochondrial
disease revealed a distribution with a range of 02506 U/µg,
reflecting extensive biologic variation among patients with
neuromuscular disease.
Conclusion: This assay provides a useful adjunct to current laboratory methods for the evaluation of patients with suspected mitochondrial DNA depletion syndromes.
The following articles in journals at HighWire Press have cited this article:
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E. Fosslien Mitochondrial Medicine - Molecular Pathology of Defective Oxidative Phosphorylation Ann. Clin. Lab. Sci., January 1, 2001; 31(1): 25 - 67. [Abstract] [Full Text] [PDF] |
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